Can You Get Pregnant While Already Pregnant?

Most people would laugh if you asked this question…

“Can a woman become pregnant while she’s already pregnant?”

It sounds impossible.

But medicine has a name for this extremely rare phenomenon…

Superfetation.

So can it really happen?

Or is it just another internet myth?

Let’s separate fact from fiction.

Q: Hey Doc , is it possible to get pregnant while you are already pregnant?

A: Well, theoretically, this Is not possible because during pregnancy ovulation is supposed not to occur.

Essentially, for pregnancy to happen, an egg was fertilised and once this happens, there’s a signal that goes to the ovary stopping it from releasing eggs since clearly, there’s no more need 😊

In some rare cases, however, after pregnancy has occurred, the ovary still releases an egg which ends up being fertilised leading to pregnancy in an already pregnant woman.

This situation is called super-fertation. However, the incidence of this is so rare. that it is not considered standard practice to tell pregnant couples to avoid sexual intercourse during pregnancy to avoid this. In fact, there appear to be just about 10 – 14 documented cases worldwide.

Did you know about this before now?

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Never Let Your Baby Fall Asleep With A Bottle

One of the biggest causes of tooth decay in babies happens while they’re asleep. 😳

It’s not sweets.

Not chocolate.

It’s a bedtime habit many loving parents don’t even realize can damage their baby’s teeth.

Here’s what every parent and grandparent should know. Read!

Ever heard of the baby bottle tooth decay?

The baby bottle tooth decay is a condition that occurs when babies’ teeth are exposed to prolonged contact with sugary liquids or substances. In children, this would occur by allowing children to go to sleep while feeding at the breast on a bottle or giving them pacifiers that have been coated with honey or other sugary substances. During sleep, saliva production reduces; thus these sugary substances which lead to the production of acids stay on the teeth for prolonged periods leading to erosion of the enamel and subsequent tooth decay.

How can you prevent this?

• Mothers are advised to practice exclusive breastfeeding but if for any reason bottles have to be used for any period, this should be carefully monitored. Ensure that baby never falls asleep with a bottle containing milk (be it expressed breast milk or formula), fruit juice (fresh or packaged) or any other sweetened fluids. This also goes for children who are breast fed. Please don’t let them fall asleep on the breast. This ensures that the baby’s teeth is not in contact with sugary fluids for prolonged periods of time. This prevents tooth decay.

• Clean baby’s mouth and gums at least once a day, gently massaging the gum. This can be done using a piece of moistened cotton gauze wrapped around a finger. This helps to clean baby’s mouth, establish the development of healthy teeth and also aid teething.

• As soon as the first tooth erupts, plaque removal should commence. Ensure that babies’ teeth are brushed at least twice a day. Before the child can spit out, please use a non-fluoride containing tooth paste. We don’t want the child swallowing fluoride and coming down with some ailments. However, as soon as the child can spit, please introduce fluorinated toothpaste.

• Wean the baby from the bottle as soon as possible and use a cup for liquids. During the weaning period, dilute the bottle feeds as much as possible to the point where only water is taken with the bottle.

• If your baby uses a pacifier, please use for only short periods of time and be sure not to coat with honey or any other sugary substance to ensure that his teeth is not in prolonged contact with substances that will lead to tooth decay.

I trust y’all are having a great weekend!

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Why Is My Child Growing Two Rows Of Teeth?!

“Doctor… why is my child growing TWO rows of teeth?” 😳

Many parents panic the first time they see this.

It even has a nickname…”Shark teeth.”

The good news?

In many children, it’s completely normal.

Here’s when to relax…and when it’s time to see the dentist. Read!

Q: My seven years daughter has multiple teeth. Is there any solution? I can’t help it

A: Children start losing their baby teeth from 5 to 7 years, but some could start the process earlier and some later 😀

In some cases, as appears to be happening here, the baby teeth have not gone before the permanent teeth come out. Oftentimes, these permanent teeth would grow in behind the temporary teeth (shark teeth).

What’s the solution?

The temporary teeth may eventually fall out on their own (as happened in my son’s and daughter’s case) or may need to be extracted by the dentist if they ‘refuse’ to fall off.

So, there are no drugs for this 😀

Indeed, you don’t want to stop that tooth from growing…it is one of the permanent teeth which your baby needs.

Remember that your baby should visit the dentist at least twice a year…it is never too early to start 😀

Ever heard of Shark Teeth before now?

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Why Are You Always Hungry Even After Eating?

Ever wondered why one meal keeps you full for hours…while another leaves you raiding the fridge an hour later?

The answer is science.

And once you understand this one concept, making healthier food choices becomes much easier.

Every family should know this. Read!

Q: When you eat only eba, beans, rice and bread is it dangerous?

A: I came across a report from a Harvard review and it gives 8 principles to low glycemic eating…a principle that will help answer the question asked.

Glycemic index, by the way, is a measure that ranks foods that contain carbohydrates on a scale of 0 to 100.

The higher the number, the faster the food is digested, causing fluctuations in the blood sugar level and the lower the number, the slower the food is digested causing less fluctuations in the blood sugar level.

So the focus should be on foods with low glycemic index.

If you reduce your portion sizes and are exercising and generally doing the right things, you may sill be adding weight or not losing weight if you’re eating a lot of food with high glycemic index.

So here are the principles of low glycemic eating:

Eat a lot of beans (any and every type), non starchy veggies (garlic, onions, leeks, chives, cabbage, broccoli, lettuce, tomatoes, peppers etc) and fruits like apples, berries, peaches and pears.

Eat a lot of grains in their natural state like natural granola, brown or local rice and muesli cereal

Reduce your intake of concentrated sweets like fruit juices (no more than half a cup daily…if you must) and other sugar loaded or sweetened drinks.

Load up on healthy proteins like fish, skinless chicken and beans…again 😀

Reduce your intake of refined grain products like white bread and polished rice.

Reduce your intake of bad fats by avoiding fast foods and limiting your intake of animal products. Focus on healthy oils like Olive oil and nuts like almonds etc. However, even these should be taken in moderation as even healthy oils are full of calories! 😀 It looks like you just can’t win! 😄

Be sure to take your breakfast and eat 3 meals with a snack or 2 (healthy options, of course)

Finally, remember to eat slowly to give enough time for your stomach tell your brain that you’re full…and then stop!

Did you know about glycaemic index before now?

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Can You Miss The Signs of Pregnancy?

Confession time…😄

When I was pregnant with my first baby, I didn’t realise I was pregnant.

I was a young doctor working in a busy Emergency Room. I blamed my fever, nausea and vomiting on everything except pregnancy.

It wasn’t until I could no longer tolerate the smell of my own kitchen or even my bathroom detergent that I finally asked myself:

“Could I actually be pregnant?”

I was.

If a medical doctor could miss the signs of pregnancy, imagine how confusing it can be for a first-time mum.

That’s why I created this guide.

Because while many pregnancy symptoms are completely normal, some are warning signs that should never be ignored.

Save this post. Share it with every pregnant woman you know.

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Doctor…My Chest Feels Like It’s Burning. Is Something Wrong With My Baby?

It’s one of the commonest worries during pregnancy.

The good news?

Heartburn has nothing to do with your heart, and in many cases it’s a normal part of pregnancy.

Here’s why it happens, what triggers it, and what you can do to get some relief. Read!

Q: Good morning, please ma’am during pregnancy, for someone having continuous heart burn for the first month. What can she use?

A: Heart burn really has nothing to do with the heart…I bet all of you knew that, aye?😃

It is usually felt as a burning sensation in the chest which feels worse on bending down or lying down.

Okay, why and how does this happen?

You know that the stomach produces acid to help with food digestion, right? Have you ever wondered, how come this acid isn’t all up in your mouth all the time?

Well, that’s because there’s a ‘lock’ or control at the junction of the esophagus and the stomach which prevents the acid in the stomach from coming back up into the esophagus. This ‘lock’ is called the Lower Esophageal Sphincter.

This lock can get strained if the esophagus opens too often or if there is too much food in the stomach…so, if you regularly over-eat, you might want to re-think that 😀 A major no-no is a very heavy meal just before you lie down. It’s almost certain you may have a heart burn 😀

There are also conditions like pregnancy (as in this case) and obesity that make this sphincter stay open for prolonged periods as a result of pressure on the abdomen and there are also foods that encourage this. Examples of these ‘foods’ are fatty foods, alcohol, chocolate and coffee, onions, tomatoes, peppermint and spicy foods. In pregnancy, the hormonal changes and the pressure of the growing womb on the stomach contribute to heart burn.

Heart burn in pregnancy is more likely to occur in women who had heart burn before pregnancy, women who have been pregnant before and women in the last stages of their pregnancy.

So, I suggest you keep a food diary over a period of time and try to figure out the trigger foods. Remember that being over-weight could be a problem or even over-eating.

Prevention involves avoiding or reducing your intake of trigger foods (quite a number are actually healthy 😀) maintaining a healthy weight, avoiding heavy meals just before bedtime, avoiding alcohol or smoking, sitting up straight when eating, eating smaller meals and avoiding tight clothes that may also put pressure on your abdomen.

Treatment is targeted at the acid and healing the esophagus. So, drugs used can stop acid production, reduce acid production and cause healing of the esophagus or neutralize the effect of the acid. Your doctor will prescribe what works best for you.

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Imagine Squeezing Your Own Fresh Orange Juice Right Inside The Grocery Store In Seconds!

I came across this fascinating fresh orange juice machine in a grocery shop and couldn’t resist trying it!

Sure, I know you can squeeze your own orange juice at home…but I’ve never seen one in a grocery shop.

It reminded me that healthy living doesn’t always have to be complicated. Sometimes the healthiest choices are also the simplest.

One important point though: freshly squeezed orange juice still contains natural sugars. So, moderation is key! Also, try eating the whole fruit sometimes because it contains fibre that helps slow sugar absorption.

Have you ever seen one of these machines?

#HealthyLiving #Nutrition #OrangeJuice #HealthyEating #Spain #DrKetch #HealthyLivingWithDrKetch

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Is My Baby Moving Enough?!

One of the scariest moments in pregnancy isn’t labour…even though that ranks high up there!

It’s wondering whether your baby’s movements are normal.

Is your baby kicking more than usual?

Or have the movements suddenly reduced?

Both questions deserve answers but they don’t always mean the same thing.

Here’s what every pregnant woman (and everyone who loves one) should know…

Q: Hello Doctor Ketch, I’ve been reading a lot of your answers to questions and I also need some answers. I am 7 months pregnant and the fetal movement has become too much and too forceful. Sometimes I’m scared the baby will kick itself out of me. Please kindly throw more light on all I’ve mentioned, with possible causes and remedies. This is my first pregnancy. Thanks.

A: The first time you feel your baby’s movement is known as quickening and the time women feel it varies person to person. It ranges from 16 to 25 weeks but women who have had babies before may feel this much earlier. Women describe it as different things: a bubbly feeling; butterflies in their tummy; gas etc.

You would have observed that your doctor or midwife has asked you to be aware of your baby’s movement and specifically, make a note to let them know if the movements reduce. This is because reduced baby’s movements may signify baby is in distress or other problems.

Increased movement is however, not that much in the news 😀

Babies also tend to move around a lot after a meal or if you take drinks that contain caffeine. If you’re struggling to sleep and baby is intent on finding a comfortable position, his/her movements can also get exaggerated 😀 Having said all of these, if you do believe baby’s movements have got more frequent than usual, please see your doctor about this.

Better safe than sorry.

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Morning Sickness At Night???

“Morning sickness” is one of the biggest lies ever told to pregnant women.

Because for many mums…It doesn’t happen only in the morning.

It can happen morning, afternoon, evening…and even wake you up at night.

If you’re pregnant and wondering whether what you’re experiencing is normal or you’re watching someone you love go through it, this post is for you.

Read on!

Q: Hello Doc, I am roughly two months or thereabout pregnant. I last saw my period in December. I have been vomiting constantly and at every time of the day. I was given an injection in the hospital but most at times I still feel like throwing up after eating and I usually feel very weak. Do you have any advice for me and what is the right time to go for a scan cos my tummy isn’t protruding?

A: Morning sickness during pregnancy can be really trying! I know…I suffered through it! Oh boy! Thank God I’m over all of that now…I’m a grandmother in waiting 😀

Now, for the rest of you who still have to go through this, I’ll share some tips.

The standard teaching is to try eating some bland foods like Crackers biscuits or dry toast. That personally didn’t work for me. I preferred tart things…which some may want to avoid. I loved lemons during my pregnancies. They were the one thing guaranteed to ‘wake up’ my mouth and chase nausea far away. I also had a particular brand of very tart bubble gum, I indulged in 😀 These were key for me because, though I didn’t have the real bad case of morning sickness that sent you to the hospital, brushing my teeth in the morning always sent me into a bout of retching/vomiting. So, I always had a ready supply of the gum or lemon/lime to pop into my mouth once I was done brushing/retching! Not a very pleasant memory ;D

So, if lemons work for you to prevent nausea, go for it. Remember that moderation is key. A few drops (one or two) in a glass of water are enough to provide that tart kick that sends nausea far away. There is a catch here though…remember the heart burn associated with pregnancy. The acid content of lemon might make the heart burn and any pre-existing gastro-esophageal (stomach and esophagus/gullet) problems worse. So, this is all the more reason to be very moderate or stop if it exacerbates an already bad case of heart burn. Wherever and whenever in doubt, please be sure to see your doctor.

Other tips:
• Eat little amounts of food frequently as an empty tummy increases the likelihood of throwing up. Remember this is not an excuse to binge and over eat 😀
• Avoid fatty and greasy foods.
• Avoid smells that trigger nausea
• Cold foods may be preferable to hot as the former does not give off smells that may cause you to feel queasy.
• Get loads of fresh air and rest
• And drink sufficient fluids daily

More importantly, women going through this need love and support more than ever. If you can’t stand cooking now, because of this, get help etc.

On when to do a scan, it depends on what you want the scan for, If it’s for dating the pregnancy, the last menstrual period is best for this. That is the first day of the woman’s last normal menstrual flow. However, if she is not sure of her dates, then a scan can be used. To date pregnancy, a first trimester scan gives the most appropriate approximation. The earlier it is, the more accurate it is likely to be.

Have a good day everyone 😀

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Pregnant And Your Tummy Hurts?

“Doctor… my wife is pregnant and keeps having abdominal pain.

The scan says everything is fine, but the pain isn’t going away.”

Few things frighten expectant parents more than persistent pain during pregnancy.

The truth is that not every abdominal pain means something is wrong with your baby.

Some pregnancy pains are completely normal…while others are medical emergencies.

The challenge is knowing the difference.

In today’s post, I’ll discuss:
Common harmless causes of abdominal pain in pregnancy
The dangerous causes you should never ignore
The warning signs that mean you should go to the hospital immediately

And why, if something “just doesn’t feel right,” it’s always safer to get checked.

Your instincts are super important! Never ignore persistent or severe pain during pregnancy.

Q: Hello doc. thanks so much for the educating info that you keep feeding us and also responding to our inquiries – so much appreciated. Doctor my wife is having her first pregnancy and these first two months have proved to be hell for her. She’s having abdominal pains every now and then. It started with the lower abdomen and now it’s all over. it’s often after moving sometimes its just.
we went to the hospital for scan but there was nothing at all worrying that much in her womb or anywhere cos the scanning was thorough. Our worry is the pain is not reducing at all. What could it be and what should we do? Please help!

A: Hi dear, thanks for writing in and thanks for your kind words.

Abdominal pain in pregnancy may or may not be serious.

Harmless causes include:

· Constipation

· Gas

· The growing womb (uterus)

· Braxton-Hicks contractions (these are ‘fake’ contractions preparing the womb for the main even :D)

Serious causes of pain during pregnancy include:

· Ectopic pregnancy.
· Pre-term labour.
· Miscarriage.
· Placental abruption.
· Urinary tract infection.
· Pre-eclampsia.

Having said all these, you probably have no way of knowing what is harmless or not. So err on the side of caution and see your doctor if ‘it just doesn’t feel right’.

All the best!

Did you experience abdominal pain during your pregnancy? What did your doctor say was the cause?

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