In this episode of My SD Moms Podcast, Jess and special guest Tammy from KSON talk about the very personal decision to not have any more children.
By MARIA CHENG, AP Medical Writer
LONDON (AP) — Brazilian doctors are reporting the world’s first baby born to a woman with a uterus transplanted from a deceased donor.
Eleven previous births have used a transplanted womb but from a living donor, usually a relative or friend.
Experts said using uteruses from women who have died could make more transplants possible. Ten previous attempts using deceased donors in the Czech Republic, Turkey and the U.S. have failed.
The baby girl was delivered last December by a woman born without a uterus because of a rare syndrome. The woman — a 32-year-old psychologist — was initially apprehensive about the transplant, said Dr. Dani Ejzenberg, the transplant team’s lead doctor at the University of Sao Paulo School of Medicine.
“This was the most important thing in her life,” he said. “Now she comes in to show us the baby and she is so happy,”
The woman became pregnant through in vitro fertilization seven months after the transplant. The donor was a 45-year-old woman who had three children and died of a stroke.
The recipient, who was not identified, gave birth by cesarean section. Doctors also removed the womb, partly so the woman would no longer have to take anti-rejection medicines. Nearly a year later, mother and baby are both healthy.
Two more transplants are planned as part of the Brazilian study. Details of the first case were published Tuesday in the medical journal Lancet.
Uterus transplantation was pioneered by Swedish doctor Mats Brannstrom, who has delivered eight children from women who got wombs from family members or friends. Two babies have been born at Baylor University Medical Center in Texas and one in Serbia, also from transplants from living donors.
In 2016, doctors at the Cleveland Clinic transplanted a uterus from a deceased donor, but it failed after an infection developed.
“The Brazilian group has proven that using deceased donors is a viable option,” said the clinic’s Dr. Tommaso Falcone, who was involved in the Ohio case. “It may give us a bigger supply of organs than we thought were possible.”
The Cleveland program is continuing to use deceased donors. Falcone said the fact that the transplant was successful after the uterus was preserved in ice for nearly eight hours demonstrated how resilient the uterus is. Doctors try to keep the time an organ is without blood flow to a minimum.
Other experts said the knowledge gained from such procedures might also solve some lingering mysteries about pregnancies.
“There are still lots of things we don’t understand about pregnancies, like how embryos implant,” said Dr. Cesar Diaz, who co-authored an accompanying commentary in the journal. “These transplants will help us understand implantation and every stage of pregnancy.”
The Associated Press Health & Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.
By ANITA SNOW, Associated Press
MESA, Ariz. (AP) — A baby boom is brewing at a suburban Arizona hospital where 16 intensive care nurses recently discovered they are all pregnant.
The nurses at Banner Desert Medical Center in Mesa outside Phoenix joked Friday they thought there was something in the water when it became clear they were all expecting babies between October and January.
Nurse Rochelle Sherman, nearly eight months along, said: “I don’t think we realized just how many of us were pregnant until we started a Facebook group.”
Nurse Jolene Garrow joked, “We all formulated this plan to have the holidays off!”
Garrow said that as their pregnancies have progressed, the patients have begun noticing that most of the nurses around them are expecting. One patient insisted on touching her belly the night before, she said.
Garrow added that their non-pregnant colleagues have been great at helping with patients they should not be exposed to because of conditions or treatments that are potentially dangerous for expectant women, such as tuberculosis or shingles or chemotherapy because of the radiation.
But Ashley Adkins worried that the other nurses are getting tired of their pregnancy-focused conversations.
“They just roll their eyes!” she laughed. “More baby talk!”
Hospital officials noted that the Banner medical center chain has a pool of floating nurses that should ensure shifts are covered when their ICU nursing specialists begin taking their 12-week maternity leaves starting in the fall.
The nurses said their colleagues are throwing a group baby shower next week.
The hospital on Friday gave the women one-piece rompers reading, “Relax! My mom is a Banner nurse!”
While many adults already deal with problems sleeping, along comes a pregnancy and things get even worse!
Getting to sleep, staying asleep and getting quality sleep are all challenges made even more difficult by being pregnant, or being a new parent. And these problems don’t just affect mom. Her partner can be just as affected.
Despite the fact that interruptions to sleep routines will happen, it helps to understand what’s happening and keep certain tips in mind that can alleviate some of the stress and improve the sleep you do get.
The Sleep Help Institute has put together some excellent guides to help this happen.
A look at how pregnancy can affect sleep. The Sleep Help Institute covers each trimester with information on what to expect, best practices and tips. There are notes on the best sleep positions for moms – and positions to avoid. You’ll learn the benefits of exercise, eating right and helping your partner get better sleep.
If they don’t get enough sleep, children suffer. It can make them irritable, lethargic and affect their learning and attitudes. The Institute’s article has a helpful Sleep Guide, tips for creating a healthy sleep routine and info about choosing the best mattress. Learn how to deal with nightmares, night terrors, snoring and sleep walking.
Did you know that according to the National Sleep Foundation, at least 90% of us use technology during the hour before we go to bed? This can often affect the time it takes us to fall asleep and the quality of sleep we get. It’s a problem that every parent deals with when it comes to kids, but it can be just as detrimental to adults. The Sleep Help Institute has some great ideas on minimizing the effect of technology on sleep, changing your light settings and creating a better bedtime routine.
Here’s hoping you and your family are getting better sleep soon.
And thanks to the Sleep Help Institute!
BY JILL COLVIN and RICARDO ALONSO-ZALDIVAR, Associated Press
WASHINGTON (AP) — The Trump administration will resurrect a Reagan-era rule that would ban federally-funded family planning clinics from discussing abortion with women, or sharing space with abortion providers.
The Department of Health and Human Services will be announcing its proposal Friday, a senior White House official said Thursday, speaking on condition of anonymity because the official was not authorized to confirm the plans before the announcement.
The policy has been derided as a “gag rule” by abortion rights supporters and medical groups, and it is likely to trigger lawsuits that could keep it from taking effect. However, it’s guaranteed to galvanize activists on both sides of the abortion debate ahead of the congressional midterm elections.
The Reagan-era rule never went into effect as written, although the Supreme Court ruled that it was an appropriate use of executive power. The policy was rescinded under President Bill Clinton, and a new rule went into effect which required “nondirective” counseling to include a range of options for women.
Abortion is a legal medical procedure. Doctors’ groups and abortion rights supporters say a ban on counseling women trespasses on the doctor-patient relationship. They point out that federal family planning funds cannot be currently used to pay for abortion procedures.
Abortion opponents say a taxpayer-funded family planning program should have no connection whatsoever to abortion.
“The notion that you would withhold information from a patient does not uphold or preserve their dignity,” said Jessica Marcella of the National Family Planning & Reproductive Health Association, which represents family planning clinics. “I cannot imagine a scenario in which public health groups would allow this effort to go unchallenged.”
She said requiring family planning clinics to be physically separate from facilities in which abortion is provided would disrupt services for women across the country.
But Kristan Hawkins of Students for Life of America said, “Abortion is not health care or birth control and many women want natural health care choices, rather than hormone-induced changes.”
Abortion opponents allege the federal family planning program in effect cross-subsidizes abortion services provided by Planned Parenthood, whose clinics are also major recipients of grants for family planning and basic preventive care. Hawkins’ group is circulating a petition to urge lawmakers in Congress to support the Trump administration’s proposal.
Known as Title X, the nation’s family-planning program serves about 4 million women a year through clinics, at a cost to taxpayers of about $260 million.
Planned Parenthood clinics also qualify for Title X grants but they must keep the family-planning money separate from funds used to pay for abortions. The Republican-led Congress has unsuccessfully tried to deny federal funds to Planned Parenthood, and the Trump administration has vowed to religious and social conservatives that it would keep up the effort.
Associated Press writer David Crary in New York contributed to this report.