“What do you think about smoking while pregnant? I am finding it hard to stop” 

Congratulations! I hope the pregnancy is going well.  

Smoking when you are pregnant is bad for your baby, even if you don’t smoke a lot. What happens is that every time you smoke, your baby receives less oxygen, and less oxygen means less growth. This is why if you smoke your baby is more likely to be born with low weight and to be born premature. And to make it worse, the consequences of your smoking will still be present after the baby is born. Your baby will be at a higher risk of experiencing SIDS (sudden infant death syndrome).  

I am not telling you this to make you feel bad, but to make you aware that whereas with other ‘vices’ like caffeine it is not clear how bad they are for your baby, with smoking there is absolutely no doubt that it is bad.  

The good news is that quitting during pregnancy mitigates these problems. Ideally, you would go cold turkey. I know you are finding it tough, and I can assure you that you are not the only one. Very often it takes people several attempts before they manage to quit.  

Portrait of beautiful smiling girl holding broken cigarette in hand, happy quitting smoking. Smoking concept, Quit bad habit concept, Health care concept, No smoking.

These tips can help you to quit smoking: 

  • Pace yourself: Ideally, you should stop completely. If you can’t, try to smoke as little as possible. Think that every day you don’t smoke, your baby grows stronger and gets more oxygen.  
  • Consider nicotine replacement therapy (NRT): discuss with your doctor if this may be a good idea for you.  
  • Get everyone involved: it will be easier for you to quit if those around you also stop smoking. Remove any reminders of smoking from your home: ashtrays, lighters… 
  • Use distractions: try to change your routine. For example, if you usually smoke a cigarette in the morning in the kitchen with a coffee, try to go for a walk at that time. Or have your coffee somewhere else. Whenever you feel the need to smoke, have a glass of water or a cup of tea, chew some gum, take a walk, or ring a friend. If you tend to smoke when you are with friends, try to see them less often or meet them at a non-smoking place. 
  • Try an app: there are smoking cessation apps that can be effective. The important thing is that you go for one that is science-based. Have a look at: quitSTART App (developed by the CDC), NHS Quit Smoking App (developed by the NHS), or iCanQuit (developed by NIH).  
  • Get professional support: support from a mental health professional will help you to go through the quitting process. Get in touch with me if this is something you would like to explore.  

I wish you and your baby all the very best.  

Love,  

Ana 

Dr Ana Aznar 

“how to manage high sugar levels and high blood pressure 20 weeks pregnant” 

I would urge to consult with your doctor to monitor your blood pressure and the baby’s growth.  

In general, the recommendations by the NHS and other organizations are to: 

  • Keep a healthy diet: you should try to eat starchy and low glycaemic index (e.g., pulses, beans, brown rice, wholewheat pasta, granary bread, muesli). Avoid sugary drinks. Eat lean sources of protein (e.g., fish) and plenty of fruits and vegetables.   
  • Do regular exercise: physical activity lowers your blood glucose level. 
  • Take blood pressure medications if prescribed by your doctor. 
  • Do not drink alcohol, smoke, or use illegal drugs. 

I wish you and your baby all the very best.  

Love, 

Ana  

Dr Ana Aznar 

Photo credit: Unsplash

“If I was unaware of being pregnant, but still had alcohol on two separate occasions, what is the likelihood of that affecting the baby?”

Congratulations on your pregnancy! You are not the only one that has drunk before finding out  you were pregnant (for what is worth- it happened to me also). Think that nearly half of all pregnancies in the US are unplanned, so there are lots of people that have been in your situation. 

Artificial intelligence (AI) and cyborg born, genetic programming, neural networks, concepts. Pregnant woman with cyborg represented by brain in printed circuit board (PCB) design.

There is little reason to panic if you had some drinks. The American College of Obstetricians and Gynaecologists and the UK Royal College of Obstetricians and Gynaecologists both say harm from having a little alcohol before you were pregnant is unlikely.  

The important thing is that now you know you are pregnant, that you stop drinking alcohol. There is no known safe amount of alcohol use during pregnancy so it is better not to have any at all. If you want more information, check the US Center for Disease Control and Prevention (CDC) guidelines and the advice from the NHS in the UK.  

Try not to dwell in the past and enjoy your pregnancy.  I wish you all the very best!  

Ana

Dr Ana Aznar

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