#Reproductive Health Counseling

[dontmeantobepoliticalbut]

The June 24, 2022 Dobbs v. Jackson landmark decision by the United States Supreme Court held that the Constitution of the United States does not confer the right to abortion. This decision returned to individual states the power to regulate any aspect of abortion not protected by federal law. Since this ruling, multiple states have limited or completely banned abortion care for people who are pregnant. In at least nine states, abortion is blocked with no exceptions for rape or incest.

Multiple states have banned abortion after 18, 15, or even 6 weeks gestation. These time restrictions make it impossible for patients to use medical information from ultrasounds and/or genetic testing, available later in pregnancy, to determine if a fetus has an anomaly and/or a life-threatening or lethal condition.

These abortion restrictions and laws permitting any citizen to sue anyone “aiding or abetting” an illegal abortion for up to $10,000 has created uncertainty and fear among health care providers trying to provide medical care to pregnant patients experiencing miscarriage, tubal or ectopic pregnancy (when the embryo implants in the fallopian tube, where it cannot become a full term pregnancy; can be lethal to the mother if not treated promptly and correctly), or those who need prenatal genetic counseling. Clinicians are unclear where the lines stand between providing care and committing a felony that could equal jail time, and this means that pregnant people aren’t getting the appropriate and timely care they need, even outside of a healthy, viable pregnancy.

But did you know that the Dobbs decision has also prevented non-pregnant women from receiving the medications they need to treat lupus, rheumatoid arthritis, and other conditions treated with medications like methotrexate?

Chris Stallman, MLS, MS, is a certified genetic counselor, an expert in medication impact during pregnancy, and a Clinical Instructor of Pharmacy Practice-Science at the University of Arizona R. Ken Coit College of Pharmacy. “Methotrexate is a medication used to treat many conditions, including lupus, rheumatoid arthritis, Crohn’s disease, and other autoimmune diseases. If a person who is pregnant uses methotrexate, it could increase the chance of miscarriage, birth defects, and other issues in pregnancy or after birth.”

For this reason, girls and women of child-bearing age who are taking methotrexate as treatment for their autoimmune or other diseases are not able to take methotrexate – even if they are not pregnant.

This critical problem is not hypothetical – treatment with methotrexate has already been withheld from female, non-pregnant patients with serious medical conditions in multiple states.

A 48-year-old woman in Tellico Plains, TN received an automated call from her CVS Pharmacy in July 2022 indicating that her prescription for methotrexate wouldn’t be refilled. This patient, who has inflammatory arthritis and a neuromuscular disease called myasthenia gravis, stated that methotrexate allowed her to resume simple, yet previously painful tasks like putting on her pants and rolling over in bed.

In June 2022, not 24-hours after the Dobbs ruling, a patient in Maryland who has Crohn’s disease received a call from her insurance company indicating that methotrexate, used to treat the chronic inflammation and pain associated with this condition, would no longer be available to her.

Within a week of the Dobbs ruling, a woman in Virginia who has Lupus received a letter from her doctor’s office indicating that it was pausing all prescriptions and refills of methotrexate because of the Supreme Court decision on abortion. Before taking methotrexate she experienced flares of Lupus so severe that she had trouble walking and needed to use a shower chair to wash.

Another woman from Missouri had been taking methotrexate to treat rheumatoid arthritis. When she went to the pharmacy to pick up her refill she learned from the pharmacist that they needed a specific direction from her doctor that the medication would not be used for an abortion. The pharmacy, Walgreens, confirmed with this customer that they do not require the same procedure from their male clients.

A 14-year old girl in Arizona was denied a refill of methotrexate to treat her debilitating rheumatoid arthritis and osteoporosis. Her angry physician tweeted that her patient was denied this critical medication because she was female. The withholding of life-saving or -altering medications from the women who need them has forced some of them to consider surgical sterilization.

Could denying women of childbearing age (who may or may not be sexually active, fertile, heterosexual, or pregnant) methotrexate be just the beginning of problems for women who need prescription or over-the-counter medications? Stallman says, “This certainly could lead to more medication denials – and not just for people who can get pregnant. If my husband or children need medication that could increase risks to a pregnancy, would they be denied the medication simply because they live with a person who could get pregnant? Will health care providers have to stop handling or dispensing such medications if they or their partner could get pregnant? And before saying ‘that will never happen’, remember that is what people said about the overturning of Dobbs. We don’t know how far this will go.”

Let’s take this thought experiment a step further. Is it possible that young girls will have to present a letter from their pediatricians indicating whether they’ve started having periods before they can receive the medications they need? Will adult women have to present written proof of tubal ligation, menopause, or infertility from their physicians before filling their life-saving medications? Will other medications that can affect the health of a fetus, even the highly regulated acne medication Accutane, require such additional proof? Could pharmacies use the data they have on prior purchases, like tampons and lubricant, to determine if a woman may be of child-bearing age and/or is sexually active?

The Dobbs decision is just the beginning of our government interfering with womens’ bodies, their personal choices, and their medical care. This decision is already impacting health care outside of pregnancy and could force women and their family members to disclose personal information about their fertility, sexuality, sexual and medical history with pharmacists, medical systems, the government, and the databases that all of them use. Our federal government must act swiftly to ensure that this decision doesn’t lead to further government overreach, discrimination, interference in proper medical care, and tragedy.

[jamesunderwater]

the yellowjackets s2e6 ending -- i was already so triggered just hearing the baby cry because he was starving and just shauna's desperation to feed him, i had to mute parts of it. then when she became conscious again...i... i just wish more people watching that scene understood how real it is. how it happens to birthing people all the time even today, not just in a freezing cabin in the middle of the woods, and how shauna's reaction was.....it was just.....it was very much what happens. she does still hear him crying. idk, i'm just sitting here still crying over it, and i can't stop. because people experience this loss and their brains have to make sense of it and it comes up with something that is as much real to them as the loss is, but no one around them understands, everyone wants to just shove the truth at them because they think it will be better. let her talk about him crying. let her talk about how it felt to feed him, to hold him. tell her you believe her. fuck, i'm just so fucking sad.

[mindfulnutritionsblog]

Empower Girls: Practical Tips for Periods

Embarking on the journey from girlhood to womanhood, where your body undergoes significant changes, is a pivotal experience. One crucial aspect of this transformation is the arrival of your period. In this article, led by the expertise of Dr. Shevon Joseph, a specialist in Obstetrics and Gynecology, aims to simplify the conversation around periods and provide practical tips on self-care during this essential phase of life.

What are Periods?

Periods, also known as menstruation, are a normal part of growing up for girls. It's when your body releases blood and other materials from your uterus. This usually happens about once a month. While menstruation is a natural and healthy process, some individuals may experience menstrual disorders, which can affect the regularity, duration, and intensity of their periods.

Dealing with Period Pain:

Many girls experience cramps or pain during their periods. It's entirely normal, but there are things you can do to feel better. Taking a warm bath, using a heating pad, or taking over-the-counter pain relievers can help ease the discomfort. However, for some individuals, menstrual pain may be indicative of underlying conditions such as Polycystic Ovary Syndrome (PCOS).

Using Pads and Tampons:

During your period, you can use pads or tampons to absorb the blood. Pads stick to your underwear, while tampons are inserted into your vagina. It's essential to change them regularly to stay clean and comfortable.

PMS (Premenstrual Syndrome):

You might have heard about PMS. It's when some girls feel moody, irritable, or have physical symptoms like bloating before their period. Eating healthy, getting enough sleep, and staying active can help manage PMS.

Talking to Someone:

If you ever feel confused or worried about your periods, don't hesitate to talk to someone you trust, like a parent, older sibling, or a school nurse. They can provide support and answer your questions.

Taking Care of Your Overall Health:

Periods are just one part of being healthy. Eating nutritious food, staying active, and getting enough sleep are essential for your well-being. If you have concerns about your health, it's always a good idea to talk to a doctor. In addition to maintaining overall health, it's crucial to be aware of specific reproductive health issues, such as Pelvic Inflammatory Disease (PID).

Conclusion:

Remember, every girl goes through this, and it's a natural part of growing up. Taking care of your body and understanding what's happening can help you feel more comfortable and confident during this time. If you ever have questions, don't be afraid to ask for help from someone you trust.

[aleaqmcure]

Beyond Medications, IUI, IVF: Choose Natural Approach for Infertility Treatment

While Medications, IUI, and IVF are valuable options in infertility treatment for women, they may not be suitable or preferred by everyone. So if you are looking for a natural approach, beyond medications, IUI, IVF? Aleaqmcure- natural Infertility treatment center can be a promising option. Because Aleaqmcure suggests the natural approach for infertility treatment, beyond medications. With its emphasis on holistic care and support, it may help you achieve parenthood naturally.

[doctormarketingdoctor]

Decoding Destiny: A Comprehensive Exploration of Genetic Counseling in Pune

Nestled amidst the cultural tapestry of Pune, a city that seamlessly blends tradition with progress, a profound transformation is underway in the realm of healthcare - Genetic Counseling In Pune. In the era of groundbreaking scientific discoveries, the role of genetic counseling becomes paramount, offering individuals and families a compass to navigate the intricate landscape of their genetic code. Pune, with its vibrant healthcare ecosystem, emerges as a hub for this indispensable service, where the past and the future converge to illuminate the path to informed decision-making.

The Essence of Genetic Counseling:

At its core, genetic counseling is a bespoke service that empowers individuals to decipher the intricate language of their DNA. It involves expert guidance provided by genetic counselors who specialize in unraveling the complexities of genetic information. In Pune, this service has become an essential pillar of healthcare, offering a lifeline to those seeking a deeper understanding of their genetic predispositions and potential health risks.

Expertise and Collaboration:

The success of genetic counseling in Pune is intrinsically tied to the wealth of expertise within the community of genetic counselors. These professionals, armed with a deep understanding of genetics and counseling techniques, work in tandem with healthcare specialists to provide a holistic approach to genetic well-being. The collaboration extends to various medical disciplines, ensuring that individuals receive comprehensive insights into their genetic makeup and its implications on their health.

Cutting-Edge Technology:

Pune's stride in the field of genetic counseling is further amplified by its access to cutting-edge technology. The city boasts state-of-the-art genetic testing facilities equipped with the latest advancements in genomic analysis. This technological prowess allows genetic counselors to conduct thorough and precise assessments, enabling individuals to make informed decisions about their health and the health of their future generations.

Personalized Care and Emotional Support:

What distinguishes genetic counseling in Pune is its commitment to personalized care and emotional support. Beyond the scientific data, genetic counselors in Pune invest time in understanding the unique concerns and aspirations of each individual. This human-centric approach not only demystifies the complexities of genetic information but also provides a supportive environment for individuals and families to navigate the emotional aspects of their genetic journey.

Reproductive Health and Family Planning:

A significant facet of genetic counseling in Pune revolves around reproductive health and family planning. Genetic counselors collaborate closely with reproductive health specialists to guide couples through the complexities of genetic compatibility, potential risks, and family planning decisions. This comprehensive approach ensures that families in Pune can make choices aligned with their values and aspirations, laying the foundation for a healthy genetic legacy.

Community Outreach and Education:

Pune's commitment to genetic well-being extends beyond the clinic walls. Genetic counseling services actively engage in community outreach programs, conducting workshops, seminars, and awareness campaigns. These initiatives aim to educate the public about the importance of genetic counseling in preventive healthcare, fostering a culture of awareness and empowerment.

Conclusion:

In the heart of Pune, genetic counseling emerges not just as a service but as a transformative force, decoding the intricate language of our genetic destiny. The city's dedication to providing expert guidance, leveraging cutting-edge technology, and fostering personalized care sets the stage for a future where individuals can navigate their genetic landscapes with confidence and resilience. Pune's genetic counseling is a testament to the harmonious integration of tradition and progress, offering a beacon of hope for a healthier and more informed tomorrow.

[shubhragoyal]

Pre-pregnancy counseling: Your stepping stone to parenthood. Get expert guidance and prepare for a healthy and informed pregnancy journey.

Learn more: https://www.drshubhragoyal.com/welcome/blogs/pre-pregnancy-counseling:-a-stepping-stone-to-parenthood

[froody]

Hey Roanokers, avoid Blue Ridge Women’s Center with your life. It is a crisis pregnancy center, not a medical facility. They offer ultrasounds and “resources” and “abortion pill reversals” and “reproductive loss counseling”. Not abortions. Not abortion referrals. Not actual financial resources for pregnancy care.

I’m saying this because I’m they’ve starting putting up billboards around Roanoke offering ‘factual abortion inform’ and offering ‘men’s services’ which make it seem like a reproductive health clinic or perhaps a domestic abuse resource.

This place is straight up evil. There are stories of women going in to confirm a wanted pregnancy and the ultrasound tech trying to bully them into putting their potential child up for adoption, the main goal of this place is to guilt people out of abortion, not to help pregnant people. They provide grief counseling to men who’s partners decided to abort a pregnancy. Do not go there for any reason.

[mush-dooms]

MISSOURI VOTERS!!!

ABORTION RIGHTS ARE OFFICIALLY ON THE MO BALLOT THIS NOVEMBER 5

I know tumblr dot com doesn't give a shit about rural, deep red states, but this is HUGE. Missouri has one of the most restrictive abortion bans in the US, allowing exceptions only "to save the pregnant person's life" or "to prevent serious risk to the pregnant person's physical health," and even these have stipulations requiring a mandatory 72-hour waiting period and counseling, parental consent for minors, as well as banning Medicare and insurance from providing abortion coverage

WE CAN CHANGE THIS

Ammendment 3 would change the Missouri constitution, effectively reestablishing reproductive freedom. More specifically, this includes "the right to make and carry out decisions about all matters relating to reproductive health care, including but not limited to prenatal care, childbirth, postpartum care, birth control, abortion care, miscarriage care, and respectful birthing conditions."

Ammendment 3 also only allows for future legislation restricting abortion access after fetal viability. While this is less than ideal, you have to understand that this is Missouri we're talking about, a state where Trump won in 2020 by a 15% margin. Republicans have already tried (and failed!!!) to have Ammendment 3 removed from the ballot-- they're scared, but we HAVE TO SHOW UP.

A "Yes" vote on Ammendment 3 is in favor of amending the MO constitution and restoring the right to choose what happens to OUR bodies.

WE HAVE A CHANCE TO FIX THINGS

- - - - -

Voter Resources:

October 9 is the deadline to register to vote, and you can do so here: https://www.sos.mo.gov/elections/goVoteMissouri/register

Find a polling place: https://voteroutreach.sos.mo.gov/portal

Register for absentee voting:

Online: https://www.vote.org/absentee-ballot/missouri/

By Mail: https://www.sos.mo.gov/elections/goVoteMissouri/howtovote

Confirm your registration status: https://voteroutreach.sos.mo.gov/portal/

Accepted Forms of Voter ID (required in MO): https://www.sos.mo.gov/voterid

REBLOG TO SPREAD AWARENESS

[celestialprincesse]

Support Palestine🇵🇸

Hello! I'd just like to jump on here to boost an idea I saw on tiktok of how to support those protesting for Palestine.

Obviously, not everyone has the ability to go out and protest, participate in the current encampments on local campuses etc, however, that doesn't mean that you can't help.

Protecting encampments not only supports the safety of those protesting, but also shows solidarity in numbers.

Check to see if any encampments near you have any sort of organised supply drop-off. Food, water, sunscreen and other essentials ensure the safety of those actively protesting, and allow protests to be longer and stronger.

Everyone can amplify the voices of those fighting for Palestine.

Catt Knarr - Communications Director at the U.S Campaign for Palestinian rights

Amnesty International - five Palestinian voices

Al Jazeera - digital apartheid and the silencing of Palestinian voices on social media

If you can, donate to a trusted source. I've linked a few below.

UN Crisis relief

UN Population fund - the United Nations sexual and reproductive health agency, aiming to support pregnant Palestinian women through supplying medicines and providing counselling services.

Medicins sans frontières - Work to supply medical essentials and humanitarian support to those in Gaza. They also provide frequent updates as to how they're responding to the ongoing crisis and how best to support the cause.

PCRF - Palestine Children's Relief Fund provides medical and humanitarian relief to children throughout Palestine, regardless of their nationality or religion.

Hirbawi is the only current active producer of Keffiyeh/Kufiya, a symbol of resistance against occupation, in Palestine.

[darkmaga-retard]

1. Abortion

Walz is unabashedly pro-abortion, in both rhetoric and policy.

For example, two bills that Walz signed into law last year make Minnesota one of the most pro-abortion states in America.

The first bill, the Protect Reproductive Options Act, codified into Minnesota law a "fundamental right ... to obtain an abortion." The bill imposes no limits on abortion. Minnesota, in fact, is one of just seven states (and Washington, D.C.) that imposes no legal gestational limit on abortions. The second bill, Minnesota Senate Bill 2995, essentially eliminated "nearly all the protective and modestly pro-life features of existing Minnesota law," according to National Review.

"Abortion is health care," Walz said earlier this year.

If you combine Walz's radical pro-abortion views and record with Harris', then you generate "the most pro-abortion presidential ticket America has ever seen," said Marjorie Dannenfelser, president of SBA Pro-Life America.

2. LGBTQ agenda

Not only does Walz support the LGBTQ agenda, but he has turned Minnesota into a "trans refuge."

Last year, Walz signed a bill — the so-called "Trans Refuge" Act — and an executive order protecting so-called "gender-affirming" procedures for children while prohibiting legal action against people who travel to Minnesota for so-called "gender-affirming" care.

Walz has also banned "conversion therapy."

There is, of course, also the law that requires period products to "be available to all menstruating students in restrooms regularly used by students in grades 4 to 12." This means that boys' bathrooms in Minnesota schools do make available pads and tampons.

Walz, moreover, is described by his critics as "anti-parent."

Walz's record on issues related to the LGBTQ agenda has earned him high praise from GLAAD, which released a statement on Tuesday celebrating his "proven record" on these issues.

3. COVID pandemic and religious freedom

Walz, like many other Democratic governors, instituted harsh restrictions on residents during the COVID-19 pandemic.

But Walz took heat from Christians during the pandemic for enacting policies they argued were religiously discriminatory. Case in point: In May 2020, Walz signed an executive order allowing retail shops to re-open at 50% capacity — while still prohibiting in-person religious gatherings to 10 people.

After pushback from Catholic and Lutherans — who promised to buck Walz's restrictions — Walz allowed churches to re-open at 25% capacity.

"Governor Walz, a former teacher, gets an F in religious liberties," said Erick Kaardal, special counsel at the Thomas More Society.

Levi Secord, pastor of Christ Bible Church in Minnesota, added of Walz's record on religious freedom:

Walz and Democrats in Minnesota sought to coerce religious institutions to hire against their sincerely held beliefs. Democrats enacted a change to employment law that would have forced religious institutions, including churches, to hire against their beliefs about sexuality and gender. Thanks to a groundswell of opposition from local churches, this was eventually reversed. Sadly, under a new proposed amendment, Walz’s party is trying again to undermine religious liberty.

Earlier this year, however, Walz did sign a law that clarified religious protections under the state's Human Rights Act.

"Governor Tim Walz is a radical progressive," said Dr. Andrew Walker, a professor at Southern Baptist Theological Seminary.

[so-i-did-this-thing]

Trans Floridians: "Informed Consent" guidelines are shaping up to be worse than the Harry Benjamin days

The Florida Board of Medicine is discussing the "informed consent" standards today. These will affect trans people, including adults, who are both starting and continuing care.

In short, the guidelines require a prohibitively expensive and difficult to access number of regular assessments for the life of "treatment". (Which, for most of us on HRT is the rest of our lives.) The guidelines look for any opportunity to deny care, from lack of social support to "co-morbidities" that are likely targeting autism, depression, etc.

The specific requirements for you to receive and continue HRT treatment include the following: 1. Meets the current DSM or ICD criteria for gender dysphoria; 2. Mental health and physical conditions that could negatively impact the outcome of treatment have been assessed, with risks and benefits discussed 3. Gender dysphoria is marked and sustained; 4. Demonstrates capacity to consent for the specific gender dysphoria hormone treatment; 5. Does not suffer from psychiatric comorbidity that interferes with the diagnostic work- up or treatment; 6. Has adequate psychological and social support during treatment; 7. Demonstrates knowledge and understanding of the risks, benefits, and expected outcomes of HRT as well as the medical and social risks and benefits of sex reassignment surgery; 8. Understands the effect of gender-affirming hormone treatment on reproduction and they have explored reproductive options; 9. Undergoes an evaluation by the prescribing physician at least every 3 months 10. Undergoes a suicide risk assessment by a licensed mental health care professional at least every 3 months; 11. Undergoes laboratory testing, including blood tests, at least every 6 months; 12. Bone (DEXA) scan once a year to allow monitoring of your bone density (bone strength) during treatment, which can be altered by HRT; 13. Annual mental health assessments by a board-certified Florida licensed psychiatrist or psychologist; and 14. Continued counseling with a licensed mental health care professional during the treatment period, with the frequency recommended by the licensed mental health care professional.

Erin covers here:

From Representative Anna V. Eskamani:

Beginning on page 264 of the meeting packet is the draft informed consent forms for tomorrow's meeting. In part it reads -- "Before beginning or continuing HRT, the individual needs to undergo a thorough psychological and social evaluation performed by a Florida licensed board-certified psychiatrist or a Florida licensed psychologist. The psychiatrist or psychologist must submit a letter to the prescribing physician confirming this." https://ww10.doh.state.fl.us/.../06232023_JRL_Publicbook.pdf Licensed mental health counselors and licensed social workers are trained to write evaluation letters. They know most providers have an LCSW or mental health on staff. This is cruel for the sake of bring cruel and designed to make access more difficult.

I experienced the gatekeeping during the Harry Benjamin days, including the mandatory one year "real life test" where you have to live as your gender in all aspects of your life without the benefits of HRT. It was a very stressful and dangerous practice that was designed to crush us.

This is so much worse. Even with my current salary, health benefits, and work from home schedule, I don't see how I could afford the time and money for all the assessments, nevermind how insulting and discriminatory they are.

Trans Floridians should watch this story closely as the Board of Medicine discusses and finalizes these requirements. As of today, these are not final, but in the current state, would mean the end of informed consent in Florida, and all but bans care entirely.

[aleaqmcure]

Keep Yourself & Your Baby Healthy with Pregnancy Exercises for a Smooth Delivery

Incorporating prenatal exercises into your pregnancy routine is essential for ensuring both your well-being and your baby’s health. Let’s debunk common pregnancy exercise myths and explore the benefits of staying active during each trimester.

We at Aleaqmcure have experienced Physiotherapists and Yoga experts who can help you with the Prenatal exercises to solve your pregnancy problems.Aleaqmcure helps you with pregnancy exercises with keep yourself and your baby healthy for a smooth delivery.

[rapeculturerealities]

NSU reaction reflects poor environment for women: Opinion

A recent incident at a nearby college campus raises important concerns for the health and well-being of women in Oklahoma.

Last week, campus officials at Northeastern State University were notified that a fetus was discovered in a community restroom. The school’s response speaks volumes about the current climate in Oklahoma caused by the confused and tragic state of the law around abortion care and the specter of criminal sanctions for women and health care professionals.

Here was the school’s response to a matter that was essentially a health care situation:

"It is with great sorrow that I write to inform you that a fetus was discovered in a community restroom inside an NSU campus residence hall. NSU officials immediately contacted ambulance services and OSBI. Campus officials then began conducting welfare checks in an attempt to locate the mother. Shortly thereafter, a student came forward seeking medical attention. NSU is cooperating with OSBI as they lead the investigation into the incident.

"NSU has counseling services available this evening to help students affected by this unfortunate situation. I encourage our students to utilize these and other campus resources as we heal together. Students may contact counseling at … For other concerns, please contact University Police."

As a law school professor specializing in reproductive rights and a former university president who led through COVID, this reaction is troubling on many levels and arises out of the crisis created by Oklahoma’s lawmakers in a post-Roe environment.

The response reflects fundamental misunderstanding of reproduction and reproductive rights while scaring college-age women from seeking medical care.

[shubhragoyal]

Pre-Pregnancy Counseling: A Stepping Stone to Parenthood

Do you have a baby bump? Yes! Then, before you jump in the air with joy, you should take a look at pregnancy counseling, because expecting a baby requires a lot of acceptance and awareness, and that makes it a stepping stone to parenthood, a path of responsibility and mindfulness.

Pre-pregnancy counseling is a motto that pre-empts the certain risk factors pertaining a women’s, the fetus and neonatal health from entering an unfavorable phase. The one-to-one interaction with the professional can be a great aide in optimizing the health care of mother and child, which also extends to the family ties, as their care is invested from the first days.

Education about the pregnancy journey in pre-pregnancy course is open to all genders, sexualities and parents, as they offer a holistic approach to better parenting. Regardless of whether you are planning a pregnancy or using contraception, the pre-pregnancy counseling is applicable to both parties.

As the saying goes, health status can't be the same forever, over growing time potential risks can occur anytime. Thus, pre-pregnancy counseling does not last for a day, but it occurs several times for ensuring a healthy and happy baby journey!

Day in and out whenever an expectant mother gets counselled, fresh knowledge is added to her advantage for handling the situation. There is a certainty of several chronic conditions viz; diabetes, hypertension, thyroid and mental health require monitoring during pre-pregnancy for a desirable outcome.

In the pre-pregnancy counseling sessions, a crucial assessment for examining STDs is a must with a vivid screening for any probable genetic conditions that might pass down to the life growing inside.

The other important matter of concern here is to debrief on possible strong addictions namely, liquor, nicotine consumption, drugs or any other medicines taken for some underlining or nonmedical reasons.

There is also a significant survey conducted on partner violence during intimacy during prepregnancy counseling as it has entirely a direct impact on the mother and child both.

The expert guidance - Suggestions from the desk of the American College of Obstetrician and Gynecologists

The ACOG institute emphasizes the opportunity to stroke the iron hard and discuss overall wellness, and healthy habits as a routine irrespective of the patient for a successful outcome.

“Would you like to become pregnant next year?” Serves the purpose, of the right to speak out one's heart for suitable guidance without coyness.

The goal of prepregnancy counseling is to ensure a pregnancy that is away from the instructions and if any challenges occur one has the tact to handle it with expert guidance.

An annual influenza inoculation is mandatory for every patient unbiased as it is for additional benefit.

Prepregnancy is not limited to basic health checkups and discussions a patient's lifestyle and underlining conditions are crucial to tap on! If discovered to be a specific virus prone or any infection or allergies due to climate/ certain food types must be cautioned beforehand as travelling is a massive no.

Appropriate nourishment and vitamins are so significant for a healthy pregnancy tenure. Always fall back on your medical adviser for the proportion of food intake that suits your body the best during the prepregnancy period.

Read More: https://www.drshubhragoyal.com/welcome/blogs/pre-pregnancy-counseling:-a-stepping-stone-to-parenthood

[venusiastro]

The houses and their meanings:

First house: your life path, your embodiment, the way your approach the world, your most natural essence, the first impression you give off, self awareness, your primal and instinctual reactions, your subjective filter of the world, energy and vitality, beginnings, raw reactions, foolhardiness, impulsivity

Second house: value of self and objects, your face and visage, your appearance, self esteem, indulgence, ownership and possession, how you’re valued in the world, how you use and utilize your earnings, earnings, monetary wealth, the way others value you, your innate talents, nostalgia, family/childhood values

Third house: siblings and inherited traits from mother and father, natural talents and gifts, communication, how you learned how to communicate in childhood, the family unit, your interests and education, short distance traveling, neighborhoods, mental energy, apprenticeship, logic

Fourth house: homeland, mother and father, memories, comfort and internal child, home making, family secrets, inherited habits from the mother, mothers influence, family ideals, the womb, connection to family, foundation, first basic skills, inner world, peace, your developmental environment

Fifth house: ancestral roots, pedigree, educational pursuits, legacy, bloodline, recreation, reproduction, play and excess of energy, communities, inherited habits from the father, fathers influence, last names, recognition, creativity, stardom, romance, flings, promiscuity, games, creation, mantras

Sixth house: competition, daily tasks, enemies and adversity, dexterity, health and wellness, small habits that lead to compound results, disease and family health issues, crisis, divorce, counseling, analysis, uprooting bad habits, facing reality, pets

Seventh house: partnership, bond and contracts, projection, spirit and earthly plane, messages, social standards, socializing, desire, behavior, ceremony, mutual relationships, abiding by structure, connecting with a community, hidden friendships and hidden adversaries

Eighth house: separation, death, transformation, karma, soul bonds, reincarnation, rebirth and regeneration, generational wealth, inheritance, wills, willpower, vengeance and forgiveness, ego death, self control, destruction, married sex, severances, temptation, seduction, intimacy, ownership, debt

Ninth house: gurus, ascension, mental clarity, abundance, gratitude, spiritual education, foreign travel, gifts, destiny, expanse, gaining knowledge, philosophy, teachers, retention, dogmatism, devotion, understanding, temples and churches, missionaries

Tenth house: prominence, competence, karmic lessons, status, recognition, social esteem, publicity, public persona, hard work, your efforts, legends, folklore and myths, your highest potential, the highest point of your life, midlife

Eleventh house: networking, connections and media, social media, mass communication, aspirations and ideals, unexpected ups and downs, mass group settings, fame, positive karmic gifts, the universes love, prodigies, star qualities, genius, eccentricity, unique characteristics, large societal structures.

Twelfth house: subconscious, surrender, imagination, escapism, addiction, foreign lands, secret helpers and secret enemies, loss, isolation, institutions, bed pleasures, sex in general, spending, hidden places, sleep, dreams, lethargy, fantasy, creativity, the flow state, astral travel, occultism

[justinspoliticalcorner]

Anna North at Vox:

Imagine you’re eight months pregnant, and you wake up in the middle of the night to a bolt of pain across your belly. Terrified you might be losing your pregnancy, you rush to the emergency room — only to be told that no one there will care for you, because they’re worried they could be accused of participating in an abortion. The staff tells you to drive to another hospital, but that will take hours, by which time, it might be too late.

Such frightening experiences are growing more common in the wake of the Supreme Court’s 2022 Dobbs v. Jackson Women’s Health decision, as doctors and other medical staff, fearful of the far-reaching effects of state abortion bans, are simply refusing to treat pregnant people at all. It’s part of what some reproductive health activists see as a disturbing progression from bans on abortion to a climate of suspicion around all pregnant patients. “People are increasingly scared even to be pregnant,” said Elizabeth Ling, senior helpline counsel at the reproductive justice legal group If/When/How. The fall of Roe has led to an ever-widening net of criminalization that can ensnare doctors, nurses, and pregnant people alike, leading to devastating consequences for patients’ health, experts say.

Complaints of pregnant women turned away from emergency rooms doubled in the months after Dobbs, the Associated Press reported earlier this year. Concerns about such treatment, combined with stories of people like Kate Cox, who was denied an abortion despite the risks her pregnancy posed to her health, have made some Americans afraid of conceiving: In one recent poll, 34 percent of women 18 to 39 said they or someone they knew had “decided not to get pregnant due to concerns about managing pregnancy-related medical emergencies.” Such surveys, along with ER records and calls to helplines, reveal a sense that in a post-Dobbs America, any pregnancy can be dangerous — to patients, to doctors, or both. “The fact that people are viewing the condition of pregnancy as something that makes them vulnerable to state violence is just so heartbreaking,” Ling said.

Americans are facing prosecution after miscarriage

The Dobbs decision has created an environment in which people experiencing miscarriage are treated as criminals or crimes waiting to happen, advocates say — or sometimes both. In October 2023, an Ohio woman named Brittany Watts visited a hospital, 21 weeks pregnant and bleeding. Doctors determined that her water had broken early and her fetus would not survive, but since her pregnancy was approaching the point at which Ohio bans abortions, a hospital ethics panel kept her waiting for eight hours while they debated what to do. She eventually returned home, miscarried, tried to dispose of the fetal remains herself, and was charged with felony abuse of a corpse. The charges were ultimately dropped, but experts say her case is part of a larger pattern. “There has become this hypersurveillance, hyperpolicing, hyperinterrogation” of pregnant people in America, said Michele Goodwin, a professor of constitutional law and global health policy at Georgetown and the author of Policing the Womb: Invisible Women and the Criminalization of Motherhood.

That surveillance isn’t entirely new, advocates and scholars say. Black pregnant women, especially, have been targets of suspicion for generations, stereotyped as drug users or “welfare queens” and even arrested when they tried to seek maternity care, said Goodwin. “There are cases of Black women having been dragged out of hospitals, literally in shackles and chains,” Goodwin said. Black women and other women and girls of color have also been disproportionately targeted for arrest or investigation following miscarriages or stillbirths. In 1999, Regina McKnight, a 22-year-old Black woman in South Carolina, became the first person prosecuted for homicide after experiencing a stillbirth, according to Capital B. She was convicted and sentenced to 12 years in prison for endangering her pregnancy through drug use, but her conviction was eventually overturned. But now, the atmosphere of criminalization around pregnancy is “spreading into wider and wider groups of people,” said Karen Thompson, legal director of the group Pregnancy Justice, which tracks the criminalization of pregnant people.

[...] The Emergency Medical Treatment and Labor Act (EMTALA) requires all hospitals that accept Medicare to stabilize the medical condition of anyone who arrives at an emergency room, including pregnant people. But the medical interventions allowed under new state abortion laws are often less than what EMTALA requires, Rosenbaum said. Meanwhile, the Supreme Court in the coming days will decide a case that could gut EMTALA, giving hospitals even more leeway to turn away pregnant patients.“I don’t think it’s an understatement to say that the loss of EMTALA, or even just weakening of EMTALA, puts pregnant people’s lives at risk,” Ling said.

2 years after the disastrous Dobbs verdict at SCOTUS, pregnancy in America feels like a crime, especially in states that have draconian abortion bans. Pregnancy-related prosecutions have occurred pre-Dobbs, but have expanded in scope in the post-Roe era.