There has been a lot of media coverage and panic over the Zika virus. Kaiser Permanente even called their pregnant mamas in California and played a prerecorded message about the Zika virus, A lot of the information was from the media and not really helpful. Where do you turn when there is so much panic about this seemingly new virus? Are you parents, friends, or family calling you and freaking out? Have you cancelled any and all trips? 

I have some good news. The Zika virus has been around for 70 years and has never thought to be a public health risk. Most people who contract the Zika virus have no symptoms, or think they have a mild case of the flu. Over the decades it has infected tens of thousands of people without any cases of  microcephaly (babies born with abnormally small heads and corresponding learning and developmental problems) being reported.

Rebekah Wheeler, RN, CNM, MPH puts together a great article on the Zika Virus combining all the science and facts that we know this far. In it, she explains why there is a sudden link between Zika and microcephaly. 

"There was a Zika outbreak in Brazil in 2015, with between 500,000 and 1,500,000 Brazilians getting the virus (FRAMEWORK, S. R. 2016).  At the same time, local health officials in northern Brazil noticed that there was a sharp increase in rates of microcephaly. Brazil usually sees about 150 cases of microcephaly each year, but in 2015 that number was above 3,000, a massive increase (FRAMEWORK, S. R. 2016).  Researchers began to suspect, due to the fact that the Zika outbreak happened at the same time as the increase in microcephaly cases, that perhaps contracting Zika during pregnancy might be the cause of microcephaly in the fetus. What they don’t know, and may never know, is how many of the babies with microcephaly were exposed to Zika in utero.  This may never be possible to measure, as Zika does not stay in the bloodstream for more than about 12 weeks (FRAMEWORK, S. R. 2016).

Regarding the suspected link between Zika infection and microcephaly, it is very important to know that this is a suspected link, not a proven one. In fact, experts from the World Health Organization are being very careful to say that the link between Zika virus and microcephaly is a suspected one, but has not been confirmed in any scientific study.  Microcephaly has historically been known to have multiple non-Zika causes, including Down Syndrome and other genetic disorders, exposure to toxic chemicals, smoking in pregnancy, maternal malnutrition and some severe maternal infections. Further cause for caution in assuming a causative link comes from Colombia, where they have had more than 3,000 cases of Zika but no increase in microcephaly rates." 

We do not know that Zika causes microcephaly. There have not been conclusive studies or evidence found that actually prove that Zika causes microcephaly. Studies are being done by the CDC. Scientists are working to discover the link, if any, between the two. As of right now, pregnant women and women trying to get pregnant should be careful, but there is no need to stay inside and cancel all travel plans. 

Reasonable Steps to Avoid Zika
(from Rebekah Wheeler, RN, CNM, MPH)

• Consider using mosquito repellents that are effective against aedes aegypti. Per the EPA, it is safe to use insect repellents containing DEET, picaridin, and IR3535 in pregnancy.  NPR recently published an article summarizing research on which repellents most effectively keep aedes aegypti away. For complete list of products and their EPA ratings, check out this article. ·         
• Cover up or stay inside. The aedes aegypti species typically bites during the day and at dusk.  Because of this, mosquito nets for sleeping aren’t useful.
• Use air conditioners and window screens to keep mosquitoes out of the home. Sleep in an air-conditioned room (mosquitoes hate cold).
• Try to eliminate mosquito-breeding grounds near the home.  Mosquitoes breed in standing water, even tiny puddles like the dish under a house plant.  Get rid of this standing water and there will be fewer mosquitoes around, period.
• Those who are pregnant or considering pregnancy should consider postponing travel to areas with Zika virus transmission.

Further info on avoiding mosquito bites is available at this CDC web page.

Rebecca Wheeler goes on to say in Part 2 that she does not think it likely that the Zika Virus and microcephaly will be found to be linked. She says "there are factors about Zika that make it unlikely to be a frequent risk, and that also point to a very small likelihood of it causing microcephaly in most cases:

• Zika has been around for a long time without migrating to the US.
• We have a great public health infrastructure well-equipped at handling cases of very similar diseases, such as Dengue and Chikungunya.
• We haven’t seen microcephaly in any of the other countries where there have been outbreaks.  This suggests that there are other or additional factors that led to the cases in Brazil.
• There are effective ways to avoid getting exposed to bites from mosquitoes that carry the virus.
• There is only one mosquito species confirmed to carry the virus, and their geographical scope is limited."

I hope this has helped to put your mind at ease. While pregnant women have to be careful about and avoid so many things, I do not think the Zika Virus should not be at the top of the list, especially for women in the US. 

To read the full articles by Rebekah Wheeler, RN, CNM, MPH, visit Science & Sensibility - Part 1 and Part 2.  

It is hard to know just what your new baby is saying. New babies do communicate through facial features, actions and crying. Usually, and with a little practice, you can figure out what your baby needs before your baby is crying hysterically. Below is a helpful info-graphic to help you learn the ropes of just what your baby is trying to say! :) Enjoy!

This is a fun list of things that usually go along with pregnancy. Feel free to comment with some of your own "you know you're pregnant when..." times.

You Know You're Pregnant When...

• Brushing your teeth can make you gag
• Watching someone else brush their teeth can make you gag
• All of a sudden you smell EVERYTHING and most of it isn’t pleasant
• Shaving your legs becomes an exercise in flexibility and guess work
• All you want to do is nap
• You can go days when everything tastes like cardboard
• You can go days when you can’t get enough to eat
• You all of a sudden can crave the oddest combinations of foods
• Sleeping isn’t easy, tossing and turning becomes a BIG ordeal
• You get excited every time you walk by tampons/pads because for the first time in a long time you don’t have to deal with that gift of nature every month
• You cry at everything! Even commercials.
• You go through phases of intense deep cleaning
• You have the urge to get rid of stuff you haven’t used or thought about in months/years
• Baby things, anything baby related, gets you really happy…and probably makes you cry
• Your emotions are ALL OVER THE PLACE
• You can fart like a big man
• You pee every 10 minutes
• Things happen to your body that you never knew could happen
• People will want to touch you all the time
• People will say the dumbest things around you, all in trying to be kind and relate
• People will try to guess what you are having based on all kinds of things (none of which are scientific) and before you know it, you will be having a boy-girl, all because you are carrying high
• You hit your second trimester and you start to feel human again
• You waddle like a cute, pregnant, duck 
• Your bones feel like they are becoming jelly (thank you relaxin)
• Getting out of a chair is a two-person job
• You have a good excuse to not do a lot of things

A great article by Cristen Pascucci:
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“If you’re reading this, it’s because I care about you, and I want you to rock your birth.  I believe you deserve the best.  If “rocking your birth” sounds like something other people do, and you just want to “get through it” with a healthy baby--girl, raise your expectations…”
-Read the rest of the article here!


A very encouraging article by Ashlee Gad:

“You just had a baby.
I know your jeans don’t fit. It sucks. I know you tried on 17 pairs at Nordstrom Rack last week and almost cried in the dressing room. I know you went to Gap after that and tried on 14 other pairs and almost cried in thatdressing room. I know the only thing you bought that day was a pair of sweatpants and a loose white T-shirt. It’s OK.You just had a baby…”
  –Read the rest of the article here!


A tear-jerker article by Jessica Dimas:

“You won’t remember the way I stood in the bathroom late that night in labor with you, fearfully and excitedly gazing up at the moon, knowing I was going to bring you into the world soon and whispering to you, “We can do this.”
You won’t remember the way you looked at me right after you were born, or the way I pulled you up next to my heart and marveled “Hi, baby” in your ear…”
        -Read the rest of the article here!


A honest and touching look at being needed by Megan Morton:

“I have to stop dreaming of “one day” when things will be easier. Because the truth is, it may get easier, but it will never be better than today. Today, when I am covered in toddler snot and spit-up. Today, when I savor those chubby little arms around my neck. Today is perfect. “One day” I will get pedicures and showers alone. “One day” I will get myself back. But, today I give myself away, and I am tired and dirty and loved SO much, and I gotta go. Somebody needs me…”
-Read the rest of the article here!


An article on the “warnings” of pregnancy and having a child by Jenny Studenroth Gerson:

“They should’ve warned me that becoming a mommy would absolutely change every single thing, but that I would never want to go back and visit the “old” me, not even for a second. They should’ve warned me that my life was about to become so rich and beautiful and fulfilling, that I’d look back on what it was before and think, “Poor me. I didn’t know her yet…”
 -Read the rest of the article here!

“To understand the vagina properly is to realize that it is not only coextensive with the female brain, but is also, essentially, part of the female soul.”
​
This is a powerful read. I see the complete truth in this article during labor and births, and even during pregnancy. I think one of the most powerful quotes of the whole article is by Wolf – “The way in which any given culture treats the vagina — whether with respect or disrespect, caringly or disparagingly — is a metaphor for how women in general in that place and time are treated.”

I think everyone should read this article and really think and ponder what she is saying. Women are complex creatures, and so are our bodies, When you negatively affect one area – you negatively impact others. There is a lot more cause and effect than we think, or admit.

Click to read the article –> The Science of Stress, Orgasm and Creativity: How the Brain and the Vagina Conspire in Consciousness

So, how do you treat the vagina? How do you see it? Do you have slang-terms you use when you refer to the vagina? How are you respecting women? How will this impact your labor and birth?

The American Congress of Obstetrics and Gynecologists recently released a committee opinion on the safety of water births. (Read it here) This opinion was met with some concern from the American Association of Birth Centers (AABC) who say “the document has the potential to introduce inappropriate fear about the safety of water birth for families, providers, facility administrators, insurers, and others who want to make informed decisions regarding immersion in water for labor and birth.” The AABC have collected and analyzed 3998 water births and the outcomes over the period of January 1, 2007 through December 31, 2010 and have found the following:

• Rates of postpartum and neonatal transfer from the birth center, and neonatal procedures were low for the sample in general, and were slightly lower for births in water when compared to non-water births.  This has been reported elsewhere.1

• This suggests that if labor is not progressing smoothly, women were unlikely to give birth in water and speaks to the importance of anticipatory and skilled water birth providers.

• Rates of newborn transfer to a hospital were lower following water birth (1.5%) than non-water birth (2.8%)

• Rates of adverse newborn outcomes (5 minute APGAR < 7, respiratory issues, presence of infection and NICU admission) were each below 1.0% in the water birth sample.  The total rate of any respiratory issues was 1.6% in the babies born in water and 2.0% in those not born in water.

• There were no incidences of pneumonia, sepsis or other respiratory infection following water birth and there were no reports of ruptured umbilical cords or newborns breathing water into their lungs associated with birth underwater.

• Midwives practicing in birth centers are trained, anticipatory water birth providers, so data generated by midwifery care provides the most accurate view of the safety of water birth.
  
  

They concluded that “water birth, with careful selection criteria and experienced providers, does not negatively affect mothers or newborns.”

As with all aspects of pregnancy, labor and birth, make sure you:

• Talk with your Midwife/OBGYN
• Talk with your spouse/partner
• Read, research, educate yourself
• Make a decision for YOU and YOUR BABY.
  
  Read the complete responses from AABC - AABC Position Statement – Immersion in Water during Labor and Birth