• Spoon feeding: We hear about toddlers in the high chair getting spoon fed solid food. Here comes the airplane! But can it work with infants? Sort of, Anderson says.
  
  “We can express that milk for mom. A lot of times we use hand expression, which is a very gentle way to do that. We do it right into a little plastic spoon. You hold the spoon up to baby’s mouth. They will stick their tongue out and kind of lap it up like a little puppy,” Anderson explains. “We’re not dumping it in their mouth and expecting them to swallow it. They need it in very small amounts to learn how to breathe while eating.”
   
• Cup feeding: It’s like spoon feeding but with a small medicine cup. Express the breastmilk into the cup, put the cup by the baby’s lower lip and let them lap up the nourishment.
   
• Dropper feeding: Express some breastmilk into a medicine dropper. Gently place the dropper in the corner of the baby’s mouth pointed toward their cheek, and squeeze out a tiny amount.
  
  “They’re getting breastmilk while not having to drink from a bottle. That can, in little bits, give baby the strength they need to latch onto mom’s breast [in the future],” Anderson says.
   
• Supplemental nursing system (SNS): Anderson says there are many reasons to use an SNS. For one, babies who might latch well at the breast lack the energy to actually get milk out by suckling. Birth is tiring, and they are sleepy. With an SNS, the baby still latches onto the breast, but there is a very small tube taped to the breast, aligned with the nipple. This allows the parent to provide milk from a syringe connected to the other end of the tube. 
  
  “We can still have mom holding baby and baby latching at the breast. We push milk through the tube very slowly. Baby is still suckling at the breast but getting milk from the tube,” Anderson outlines. “We can supplement without needing a bottle if that’s the parents’ preference.”

Learn more

Anderson says these alternatives are typically seen in the first few days, and mom and baby get the hang of feeding after that. But if problems persist, you can always talk to a lactation consultant. The OSF HealthCare website also has information about having a healthy pregnancy and birth. OSF also offers virtual breastfeeding support.

Photos

Interview clips

Related stories

Peeling back the layers
Navigating the baby blues and more
Tongue-tied

Author's note: This is part one of a four part story on infant nutrition misconceptions. Read part two here, part three here and part four here.
 

Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, an international board-certified lactation consultant at OSF HealthCare, cuts through the noise.

• My baby needs water in addition to milk or formula.
  
  It’s a common thought, Anderson says. One, adults need water, so people assume infants do, too. And two, formula can involve mixing in water, so mothers think they need to do the same with breast milk.
  
  “Really, breast milk is about 80% water,” Anderson says. “It’s there. It’s complete nutrition. You’re not missing anything.”
  
  Anderson adds it’s actually dangerous to give water to babies under six months. They can overhydrate, leading to possible kidney damage. After six months, Anderson says to talk to a health care provider about introducing water. She says one to two ounces of water per day to help wash down solid food is common.
   
• Breastfeeding will make my breasts sag.
  
  Anderson says breast changes begin during pregnancy and are not solely a result of breastfeeding. Some women will notice their breasts are larger once they are full of milk, but there are more factors at play.
  
  “[During pregnancy], your hormones are changing a lot. Your ligaments are stretching. We’re getting ready for a baby,” Anderson explains. “Then you have your baby, and your milk starts to come in. Regardless of whether you breastfeed or formula feed, you’ll see some breast changes. It was those hormonal changes in pregnancy.

“[Breast changes] can also be related to your lifestyle,” she adds. “Smoking affects your skin health, and you can see that affect the breasts. It can be related to age or a family history [of health issues such as lupus and other autoimmune diseases].”

Anderson also says research has found breastfeeding can actually promote breast health. For example, it can reduce your breast cancer risk.

• I have small breasts, so I won’t have enough breast milk to keep my child nourished.
  
  Anderson retorts with an affirmation we’ve heard since childhood: It’s what’s on the inside that counts.
  
  “Size of the breast is not a factor in being able to breastfeed. What is a factor is the amount of milk glands in your body. We all have those milk glands. Size just relates to fatty tissue,” Anderson says.
  
  The only time size may come into play, Anderson says, is if a woman gets a breast reduction where milk glands are removed. In that case, talk to a health care provider about your options.

Learn more

Read more about how to have a successful pregnancy and following years on the OSF HealthCare website.

Interview clips

Related stories

Mental health medication and pregnancy

Warm weather means more outdoor activities involving alcohol.

The dangers

How quickly can binge drinking turn problematic?

“Very easily,” says Andrew Zasada, MD, an internal medicine physician who sees patients at OSF HealthCare.

Dr. Zasada says for women, binge drinking is defined as five or more drinks on one occasion, like a night out on the town that lasts three to four hours. For men, it’s 15 drinks. That takes into account the differences in how men’s and women’s bodies metabolize alcohol.

Dr. Zasada says the internal issues linked with excessive alcohol use can be devastating.

“It can cause brain dysfunction. It can cause liver disease and stomach ulcers,” Dr. Zasada says. “It’s just not a good thing. It can cause a wide variety of problems.”

Not to mention the outward symptoms like: acne, redness on your nose and palms and dry, wrinkled skin that makes you look older. And drinking during pregnancy can lead to a host of problems for the child, like facial abnormalities and developmental deficits.

“A lifetime of misery” for the little one, as Dr. Zasada puts it.

Safety, recovery

Just like there’s no magic way to prevent or cure a hangover, there’s no magic number of drinks to have on a night out that will make you immune to alcohol problems. But for spring and summer revelers, Dr. Zasada has this advice: take it slow.

“If you’re an average size gentleman, probably a beer an hour is just about the max you can drink,” he says.

Dr. Zasada says are there many ways to help people who are drinking in excess. In the short term, such as during a party, call 911 if the person needs immediate medical attention. If they just need a break, take the person away from the clatter to rest. Take their car keys, and give them some water. A painkiller like Tylenol in appropriate doses can help with that hangover headache the next day.

Long term, a patient’s primary care provider can link them with resources to curb drinking, such as Alcoholics Anonymous or treatment centers. The National Institute on Alcohol Abuse and Alcoholism also has resources. And within OSF HealthCare’s footprint, Illinois and Michigan have phone numbers to call for behavioral health issues.

“If the person is trying to deny that they drink at all; if they are drinking alone when there is nobody else around; if they're trying to hide or cover up their drinking, those are all fairly serious warning signs that this person needs help,” Dr. Zasada says.

Dr. Zasada says it’s never too late to kick the habit of excessive drinking, but sooner is better.

“It's easier to mitigate any problems that have already occurred earlier, rather than wait for the problem to get very, very serious, very bad, and then quit,” he says. “Yeah, you'll get better. But you won't go back to what you were.”

That “getting better” looks like a lot of things.

“You might lose weight. You might lower your blood pressure. It may increase heart health,” Dr. Zasada says. “You'll think clearer. You'll sleep better.”

Interview Clips

Author's note: this is part two of a two part story on supporting new moms. Click here for part one.


Bringing a baby home from the hospital is one of the most stressful, but exciting things a couple can experience. Rightfully so, much of the focus in the first few weeks and months is on the child. Are they eating properly? Is their onesie comfortable? How much crying is too much?

But Xandra Anderson, BS, IBCLC, an international board-certified lactation consultant at OSF HealthCare, says: Don’t forget about mom’s needs, as this is a delicate time for her too. Anderson has some tips that partners, friends and family members can take note of.

• Have everyone educate themselves together. Anderson has counseled plenty of new moms in classes about baby feeding and just general infant care. She says dad and anyone else who will be that primary support system at home should be in the classes too.
  
  “It’s important to learn together because you’re going to be a team. This is something you’re doing together. You’re having a baby together. You’re adding a new family member. Family means you are a unit,” Anderson says. “When it’s only mom doing education, she has to turn around and educate dad, family and friends. It ends up being this spiral of more things mom has to do.”

For example, Anderson says if dad takes a baby feeding class, he’ll know the child’s hunger cues and can swoop in right away to help mom when it’s time to breastfeed or formula feed.

“You don’t have to be an expert. But it’s still important to accept the responsibility of needing to educate yourself. It's not mom’s responsibility to also take care of those around her,” Anderson says. “Working together takes some weight off mom’s shoulders. Then you really do feel like you’re doing this together instead of things being delegated or having things explained to you. Not everyone loves being talked to like that.”

• Recognize postpartum loneliness. Anderson says new moms are very focused on child care, leading to loneliness or feeling lost. That underscores the importance of support from friends and family. But Anderson says there will be times when mom wants to be left alone.
  
  “Some people are really good at saying ‘I’m touched out. I need space. I need to put my headphones in and be in my bedroom with the lights off. I just need time.’ But not of us are really good at that because you tend to feel guilty. You have people trying to help, but at that moment you don’t want help,” Anderson explains. “So be observant of mom’s cues. We’re constantly watching baby’s cues, but watch mom too. So maybe she’s being super fun and jovial. Then all of the sudden she starts to get quiet, or there are signs of overstimulation. Maybe she’s jumpy or irritable.”

That’s the time to broach the subject: are you OK? Do you need a few minutes?

• Don’t be afraid to be selfish with your baby’s time.
  
  “Even though everyone will want to love and get to know your new baby, it’s very important to remember that you are also getting to know your new baby and learning how to love them. This is a new, tiny person with their own personalities and tells,” Anderson points out. “It’s important to be able to have that time to learn that baby.”
  
  In other words, don’t be afraid to tell grandma that now is not the time for a photo session with the youngster.

The bottom line: Give yourself grace

Above all else, Anderson wants new parents to remember: Parenting is tough. Try hard, but cut yourself some slack when things aren’t perfect.

Learn more

Read more about having a successful pregnancy and birth on the OSF HealthCare website. Pregnancy care at OSF includes new parent classes taught by people like Anderson on the local level.

Interview clips

Related stories

Mental health medication and pregnancy
Navigating the baby blues and more
Back to sleep
Infant nutrition misconceptions
Peeling back the layers
Lesser known ways to feed your baby

Author's note: this is part one of a two part story on supporting new moms. Click here for part two.


Bringing a baby home from the hospital is one of the most stressful, but exciting things a couple can experience. Rightfully so, much of the focus in the first few weeks and months is on the child. Are they eating properly? Is their onesie comfortable? How much crying is too much?

But Xandra Anderson, BS, IBCLC, an international board-certified lactation consultant at OSF HealthCare, says: Don’t forget about mom’s needs, as this is a delicate time for her too. Anderson has some tips that partners, friends and family members can take note of.

• Have a conversation before the baby arrives about what mom’s needs are. Your idea of support might not line up with hers, it might be outdated or mom might need something you’re not able to do.
  
  “The conversation needs to be very mom-focused and validating,” Anderson says. “This is a new experience. You’re going from a family of two to a family of three. Ask: What are your expectations? How do you feel like we can support you?”
  
  For example, Anderson says a new mom might complain of cramping and just want to be heard, rather than be given a solution or hard truth (like, take a pill or use a heating pad) right away.
   
• Set realistic, simple goals. As much as mom might want her postpartum headache or stomachache to go away entirely, it might not be possible, leaving mom feeling disheartened.
  
  Instead, try: “I want to feed the baby before they get fussy. I want to make sure I get a 20-minute nap when baby naps,” Anderson suggests. “Be realistic. For example, babies are not going to sleep through the night. So your goal cannot be to get a restful night’s sleep. That’s just not reality.”
  
  Other common, achievable goals: I want to drink three bottles of water per day. I know I’m busy in the morning, but I want to commit to eating something for breakfast. I want 15 minutes per day to enjoy a hobby. Or, dad can set a goal to always be the one to fold the laundry so mom gets a break from one task.
  
  For infant feeding: “Make the goal simply: I want to feed my baby,” Anderson implores. “It doesn’t have to be ‘I need to feed my baby, pump breastmilk, sleep and wash all the bottles.’ Feeding is your only job, and your baby’s only job is to eat.”
   
• Stay well fed, well hydrated and well rested. This goes without saying, but it can get lost in the never-ending task of child care. Keep a drink and a snack bag within arm’s reach as often as possible. Those snacks can be a sweet or salty treat in moderation, Anderson says. Or, look for one-handed foods like wraps that you can eat while feeding your baby. Try making this one of the simple tasks for a friend or mother-in-law. Put them in charge of the “snack station” in several rooms of your home.
  
  For sleep, Anderson simply says with a smile, “Do your best.
  
  “Everyone says to sleep when the baby sleeps, but there are some parents that have anxiety that stops them from doing that,” Anderson says. “If you can’t sleep, just rest. Turn devices off. Turn noises down.”
  
  This is another time you can tap into your support system, Anderson says. While you rest, see if someone can wash the dishes or put away the laundry.

The bottom line: Give yourself grace

Above all else, Anderson wants new parents to remember: Parenting is tough. Cut yourself some slack when things aren’t perfect.

Learn more

Read more about having a successful pregnancy and birth on the OSF HealthCare website. Pregnancy care at OSF includes new parent classes taught by people like Anderson on the local level.

Interview clips

Related stories

Mental health medication and pregnancy
Navigating the baby blues and more
Back to sleep
Infant nutrition misconceptions
Peeling back the layers
Lesser known ways to feed your baby

When new parents put their child to bed, it’s time for them to exhale and catch up on some rest of their own. That’s why it’s important to have peace of mind that your baby is sleeping safely. Tiffany Waters, a birthing center charge nurse at OSF HealthCare, has a checklist – whether it’s nighttime sleep in a crib or some bonding time in a recliner.

“Everybody should be educated on this,” Waters says. “Parents, grandparents, friends and your daycare.”

The guidelines

• Back vs. stomach: Waters says the American Academy of Pediatrics (AAP) guidelines say the child should sleep on their back.
  
  “When your infant is on their stomach and unable to roll over, it can create a pocket of carbon dioxide. We all know we want oxygen in and carbon dioxide out,” Waters explains. “That little pocket can mean your baby is re-breathing the carbon dioxide.”
  
  Waters adds that at around four months, babies may learn to roll onto their stomach during sleep. It’s fine to leave them that way, but Waters says sleep time should always start with the baby on their back.
   
• Flat vs. inclined: A flat surface is the standard. But, Waters acknowledges that babies fall asleep in other places. For example, if a child drifts off on a car ride, that’s fine. Just make sure they are properly strapped into a car seat.
   
  Parents may also sit in the recliner with the baby on their chest as a bonding moment. Do this carefully, Waters says.
  
  “It’s easy for a baby to slip down toward the arm of the chair. Or they could get in a position where instead of an open airway, they’re hunched over and not allowing for breathing function as it should,” Waters warns.
  
  So for recliner time, make sure the adult is fully awake. And in either case (car seat or recliner), the sleep time shouldn’t be long. For example, when you get home from the car ride, take the baby back to their crib for the remainder of the night’s rest.
   
• Firm vs. soft: A firm, fitted sheet to lay on is best.

• The crib: Loose objects such as pillows, blankets and stuffed animals are OK in the crib for those precious photoshoots. But when it’s sleep time, remove them.
  
  “Those are additional suffocation and entrapment risks,” Waters says. “They can press up against the baby’s face. The baby doesn’t have great neck control. They can’t move away like older babies can.”
  
  The crib itself should be scrutinized, too. Be wary of hand-me-down cribs that don’t meet the latest safety regulations. For example, Waters says cribs with bumpers – fabric that attaches to the inside walls – are no longer in favor. She says the baby can plant their face in the bumper and suffocate. Instead, look for cribs with space between the slats about the size of one of those oversized pink erasers.
  
  “It doesn’t have to be a super fancy crib or cost a lot of money. It needs to be newer so you know it abides by current recommendations for those slat spacings,” Waters says.
   
• Clothes and overheating: There’s no magic temperature to keep your child’s room at to foster good sleep. Waters suggests whatever room temperature is appropriate for that season should work.
  
  What’s more important: making sure the child isn’t wearing so much clothing that they overheat.
  
  “If you dress a baby for warmth, it’s one additional layer from what you have on,” Waters explains. “So if you have a T-shirt on and you’re comfortable, maybe a long sleeved sleeper onesie would be appropriate for the baby.”
  
  Waters adds that once the baby comes home from the hospital, they typically don’t need to wear a hat to keep warm while sleeping. Pop the hat on when they are outside in cold weather, she says.
   
• Smoking: Whether in the bedroom or any room, infant sleep and their overall health can be disrupted from smoke. This includes smoke from cigarettes, cannabis or just smoke from your environment (like pollution). So, don’t smoke around your child, and keep your home well ventilated.
   
• Same bed vs. same room: Some parents sleep in the same bed as their infant as a bonding experience. Bad idea, says the AAP. And Waters agrees. She says you could roll over onto your child or toss your pillow onto them and smother the kid. Instead, try bringing the child’s crib into your room. You can meet the youngster’s needs, like being close by when they cry, but keep them safe.

Learn more

Read more about how to have a successful pregnancy on the OSF HealthCare website.

Interview clips

B-roll

Related stories

Infant nutrition misconceptions
Lesser known ways to feed your baby
Peeling back the layers
Navigating the baby blues and more
Mental health medication and pregnancy
Tongue-tied

As women age, new adventures come. Some, like travel and new hobbies, can bring joy. Others can bring stress.

One of those stressors is perimenopause, the time you’re transitioning to menopause, when you permanently stop having menstrual periods and can no longer get pregnant.

“There’s a stigma around this time of life,” says Lindsay Orr, an advanced practice nurse at OSF HealthCare. “It’s not an illness. It’s just a natural part of aging.”

Perimenopause basics

Orr says during perimenopause, the ovaries stop producing testosterone, estrogen and progesterone regularly.

“Think of it as a short fuse or a fuse that’s not quite connected,” Orr describes. “Every month, the hormones secrete. But ovaries have a shelf life. So some months they work, and some months they don’t. It ebbs and flows during the perimenopause transition period before they go into menopause.” 

Orr says women typically notice changes that signal perimenopause at around age 40. The perimenopause period can be over quickly, especially if you have surgery that impacts your ovaries. On the other hand, Orr has seen some women be in perimenopause for 10 years. Regardless, health professionals define the perimenopause to menopause transition as over when you have not had a period for one year.

Orr says some women can have little to no perimenopause symptoms. For others, the time can bring disruptions to many parts of your life – work, sleep, relationships and more. Sudden hot flashes, mood changes, joint aches, brain fog, trouble with urination, anxiety, disrupted sleep and fatigue are all possible.

“A lack of estrogen can affect bone density,” Orr adds. “So women with smaller frames are more predisposed to bone issues if they fall. Or, a decline in estrogen can have cardio-protective effects. It can increase your risk for cardiovascular issues like heart disease.”

Anorexia, bulimia, high stress, smoking, drinking alcohol and being a high intensity athlete can also make perimenopause come sooner and be more intense, Orr says.

Treatment – proactive and reactive

Orr says if perimenopause symptoms are impacting your quality of life, it’s time to see a provider. Providers can’t make perimenopause go away, but they can help with symptoms. First, Orr asks if her patients are prioritizing what she calls the “four pillars of health”: exercise with resistance training, hydration, a healthy diet with plenty of protein and healthy sleep.

A provider might also recommend a supplement, such as diindolylmethane (or DIM, for short). Orr calls DIM broccoli in a pill. It helps keep hormones at a healthy level. Other supplements that could help include calcium D-glucarate, evening primrose oil, black cohosh and ashwagandha.

Orr also urges women to start the conversation with their primary care provider or OB/GYN before perimenopause hits. Ask what you can do now to lessen symptoms or duration. Be honest about how your body is feeling and what medications you’re on, as new medications could negatively interact with current ones. Orr also recommends women use a smartphone app to track their periods.

“The apps help you be in tune with your body. You go through your day-to-day life and kind of recognize things, but you don’t really put it all together. Then when you put the information in the app, you might say ‘Oh yeah, I am symptomatic. This is happening.’” Orr says. “You can track temperature changes, bleeding issues, hormone fluctuations and sleep. It all plays a role.”

What about pregnancy?

Yes, women can still get pregnant during perimenopause, though it’s not as common as pregnancies in your 30s and younger, Orr says. However, in general, Orr says the higher in age, the higher risk for pregnancy complications.

“Balanced hormones help maintain a good uterine lining for housing a fetus,” Orr explains, noting perimenopause disrupts that hormone balance. “So, a later-life pregnancy would require closer monitoring.” In other words, you’d likely have more trips to the doctor to make sure your pregnancy is healthy.

The bottom line

Orr reiterates: perimenopause is a part of life. Give yourself grace, take advantage of the help that providers can give and recognize that it’s about progress, not perfection.

“Some of the women I see are frazzled, disheveled and anxious. Sometimes they’re upset during the visit. It’s sad to see,” Orr recounts. “Then we start treatment, and I see them three months later. They look like a different person. They’re glowing. They have a zest for life again. It’s rewarding to see.”

Learn more

Read more about perimenopause and menopause and women’s health overall on the OSF HealthCare website.

Interview clips

Related stories

Navigating menopause
Women's health screenings to know
Mental health medication and pregnancy
The heavy lift: Women and exercise

When talking about the good and bad of pregnancy, you might have heard terms like postpartum depression or, more casually, baby blues.

It’s critical new mothers get help in this area, says Tiffany Waters, a birthing center charge nurse at OSF HealthCare. She says up to 80% of moms experience the so-called baby blues. But when talking about maternal mental health, experts prefer the umbrella term: perinatal mood, anxiety and depression (PMAD). Perinatal refers to the time between conception and one year after delivery.

PMAD basics

Waters says for two to three weeks after delivery, most women experience hormone changes, a lack of sleep and general stress related to the “new normal.” Having a traumatic birth, like an emergency caesarean section, can compound mental health impacts. Waters says around one-third of women fall into this category.

All these factors can lead to a variety of longer-lasting PMAD symptoms, including brain fog, weeping, sleep changes, anxiety, depression, obsessive or compulsive behavior and even suicidal thoughts.

“There’s no one single cause that leads to a person experiencing these issues. It’s a combination of psychological, societal and biological factors,” Waters says. “There’s nothing a mom has done to get or deserve this experience. The best we can do is help her work through it.”

Screening and treatment

Waters says health care providers should screen a woman for depression and other mental health issues during and after pregnancy.

“There are commonly used tools,” Waters says. “The woman answers 10 questions. It gives us a rating on how their emotional and mental well-being is.”

She’s referring to the Edinburgh Postnatal Depression Scale (EPDS). Each question is scored 0 to 3, with 3 being the response that most signals a possible mental health issue. That’s 30 total points, and a final tally of 10 or higher would warrant further evaluation.

Waters also says research is ongoing into whether certain biological markers in a woman are a sign of mental health issues to come.

“It can be difficult to admit or even recognize that a person is having depression or anxiety symptoms,” Waters says. “There are lots of reasons for that. There’s societal pressure to be a great mom. Moms might feel like if they admit how they’re feeling, their children might be taken away.”

Waters says journaling or talking to a trusted adult can help a mom document the issues she’s facing, opening the door for her to get help.

If a mom is diagnosed with PMAD, a provider will talk with her about resources like support groups, counseling, spiritual care and medication. Daily things like improved diet and exercise and exploring new hobbies can also help. And Waters says mothers should not be afraid to prioritize themselves. It’s OK to ask for a break from daily housework, for example.

Why it’s important

Waters says untreated PMAD can have consequences for the whole family and the people around the family. Substance abuse and domestic violence can increase. But if treated, it means a better life for everyone.

“It will improve the whole family dynamic,” Waters says. “It will lessen stress for everybody and lead to a happier unit.”

Learn more

Read more about pregnancy and birth and behavioral and mental health on the OSF HealthCare website. If you are in crisis, the Suicide and Crisis Lifeline is 9-8-8.

Interview clips

Related stories

Mental health care starts with a first step
Being open and honest about mental health
Suicide prevention involves all of us
Shining a light on perinatal depression
24-7 connection through OSF OnCall empowers patients and improves outcomes

As the stigma around mental health continues to improve, people are more likely to seek treatment. A woman who has just learned she’s pregnant may wonder: should I stop taking medicines like Zoloft or Prozac? Will they hurt my baby?

Sarah Shoemaker, a certified nurse midwife at OSF HealthCare, says first of all, you’re not alone. She says around one in five women experience a mental health concern during pregnancy, and many of those women are taking medication for things like anxiety, depression and bipolar disorder. Shoemaker says most of the time, you can and should stay on your medication. But it’s a conversation you should have with your health care team.

Shoemaker implores women to talk about medication with their provider early Ideally, it’s before they conceive. Shoemaker says don’t change or stop your medicine routine until you have that talk. You may have your child’s best interest in mind, but a change could compromise your or your child’s health.

“There are some women who take years to find the perfect combination of medications that keep them stable and healthy. We don’t want to mess with that. Very rarely do we have to completely disrupt somebody’s medication regimen,” Shoemaker says. “Nothing in our field is black and white. There’s no such thing as bad medication or strictly dangerous medication. We weigh the pros and cons and decide what’s best for each patient.

“If you look online, you’re going to find all kinds of information. You’re going to find conflicting sources, old studies and poorly written studies,” Shoemaker adds, referencing the temptation to rely solely on your own research.

Shoemaker says a provider may order one or more ultrasounds before making a decision on medication. If a provider advises that a change is needed, you could go on a supplement. For example, Shoemaker says a medicine like valproic acid (a seizure medicine sometimes used for bipolar disorder) may increase the risk of neural tube defects (NTDs) in your unborn child. Spina bifida, or the abnormal development of the spinal cord, is a common NTD. In this case, a provider may advise adding a folic acid supplement at a high dose. Shoemaker adds that for medications like valproic acid, drugmakers and doctors are vocal up front: don’t start taking it if you’re trying to get pregnant. That way, you don’t have to possibly make a change mid-pregnancy.

If you’re on a medication that’s new to the market, that’s also a definite “must talk about” with your provider. That’s because we don’t know a lot about how new medications impact pregnancy. Shoemaker points out that scientists typically don’t do intense studies on pregnant women so they don’t disrupt the pregnancy. Rather, the research is done after birth.

“We discuss what the woman is on, how we can counteract the risk and what the actual risk is for her specific situation. Then we can make a shared decision about what is best for her and her family,” Shoemaker says. She adds that the woman’s entire care team – their primary care provider, their mental health provider and their OB/GYN or midwife – should be working together.

Shoemaker admits all this can be a tough task. But there are tried-and-true ways to get to the root of a pregnant woman’s mental health concern. Providers also build extra time into appointments to talk about mental health. Shoemaker says she often uses humor to break the tension. She can also use personal experiences to relate to the mom-to-be. And she’s also not afraid to ask a lot of questions: are you sure there’s nothing else we can talk about? How are you doing emotionally?

“If you continue to ask in new and different ways, women eventually open up. They say ‘yeah, this is really bothering me. I wondered if it was normal. I was afraid to talk about it,’” Shoemaker says. “Once you make it clear that the provider is a safe person to talk to and mental health is really important, women will open up.

“More women need to talk about how difficult it can be to be pregnant, to be a mother and to be going through this huge life transition,” Shoemaker adds.

Learn more about how you can a successful pregnancy and birth on the OSF HealthCare website.

Interview clips

Related stories

Navigating the baby blues and more
Is it just baby blues or postpartum depression?

Holiday meals bring candy, cookies and other sweets in bountiful amounts. Most of us will chow down with a promise to return to healthy eating tomorrow. But people with diabetes must closely monitor their intake of sugar and carbohydrates at every meal.

What is diabetes? 

Aminat Ogun, MD, is a family medicine physician at OSF HealthCare. She says diabetes is a disorder that affects how your body uses blood sugar. Type 1 diabetes is when an autoimmune reaction stops your body from making insulin. Type 2 is when the body can’t recognize insulin and use it well. Gestational diabetes occurs in pregnant women.

Dr. Ogun says a sedentary lifestyle can be a big risk factor for developing diabetes, so regular exercise is important. Treatment typically involves medication and lifestyle changes.

Moderation is key 

Dr. Ogun says there’s no magic number of cookies you can eat on Christmas and walk away with no diabetes complications. Your nutrition depends on your age, sex, height, weight and more. Plus, she says the brain needs some sugar to function.

Dr. Ogun recommends small portions. Put just a couple of cookies or chocolates on your plate after the holiday meal. Don’t keep going back for more.

Mix in healthier snacks, like fruits, vegetables, nuts and legumes. Look for “whole grain” or “whole wheat” on the label. If you’re craving sugar, try yogurt with berries or an apple with peanut butter. Artificial sweeteners are another option to satisfy the sweet tooth, as Dr. Ogun says they do not raise your blood sugar level. For example, mix a sweetener powder into your water.

Dr. Ogun says if you rely on insulin, check your blood sugar level as often as your doctor advises.

“You would have discussed with your doctor the amount of carbohydrates you can take,” Dr. Ogun says. “Try to keep to that level.”

Dr. Ogun admits it may be more difficult for children not to gorge on holiday sweets. So, parents need to keep a close eye and provide motivation to eat healthy.

“If they eat a certain amount of vegetables of fruits in a day, maybe reward with a cookie or snack,” Dr. Ogun suggests.

Learn more 

Symptoms of diabetes include increased urination, increased thirst and blurred vision. More serious cases could bring nausea, vomiting and eye, heart and kidney issues. Nerve damage leading to numbness and tingling in your hands and feet known as diabetic neuropathy is also possible.

“We lose sensation in those areas. People may step on a nail and might not feel it,” Dr. Ogun says. “The issue grows and grows and leads to an ulcer, which makes wound healing harder for diabetic patients.

“That’s when we have to consider amputation,” of a foot, for example, she adds.

Diabetes can also be fatal, Dr. Ogun says.

Read about diabetes care on the OSF HealthCare website. If you have questions about this disorder or have symptoms, talk to your primary care provider.

Interview clips

Previous coverage

OSF HealthCare blog entries on diabetes

OSF HealthCare Newsroom stories on diabetes

You’re pregnant, and it won’t be long before you’re ready to welcome your new bundle of joy. You’ve got your check list covered, but you still need to find a pediatrician.

So, how do you go about finding the best one for you and your child?

According to Chasity Caperton, MD, a pediatrician at OSF HealthCare, the best time to start looking is three months before your baby is due. That will give you enough time to research your options.

If you're new to the area where you live, start by searching for pediatricians on your insurance company's website or contact the American Academy of Pediatrics (AAP). Most pediatricians' offices make time for expectant parents to visit. Call the office to set up an appointment.

There are several factors to consider when looking for a pediatrician, says Dr. Caperton.

“You have to look at the practice as a whole,” she says. “Are they taking new patients? Some practices might not be for some reason. Do they take your insurance? That’s very important. And check the availability of the doctors. What hours are they open? Are they open on weekends?”

A family might choose a pediatrician, or they could decide to use a family practice physician. But doctors aren't the only people in a pediatrics office who care for children. Nurse practitioners (NPs) and physician assistants (PAs) also see young patients. They are trained to give shots, examine children for health problems and prescribe medicines — just like a doctor can do.

“A family physician sees patients from birth to end of life; they have the full age spectrum. A pediatrician specializes in birth to age 18 or 21, but it depends on the practice. They have more in-depth knowledge, especially when it comes to behavioral and developmental issues,” says Dr. Caperton. “Oftentimes, a family physician will refer a child with complex medical issues to a pediatrician, due to this in-depth knowledge.”

Make a list of questions

When meeting with a prospective pediatrician, make sure you are prepared with questions. “You should ask anything you want to ask,” says Dr. Caperton. "Are our personalities going to mesh? Because that is very important.”

Other topics you might want to cover are breastfeeding, the use of antibiotics and other medicines and vaccines.

“I believe that vaccines are very important. There is a lot of misinformation out there from various sources,” says Dr. Caperton. “I would urge every parent to talk to their provider about vaccines. The provider can give you more in-depth studies if you want. You can discuss the risk and the benefits.”

Dr. Caperton adds that not every pediatrician is going to be the right fit for your family. And that’s OK. That’s why it’s important to meet and discuss key issues.

Asking friends and family for referrals is a good place to start, but it shouldn’t be your main resource. If you know someone who didn’t hit it off with their pediatrician, it doesn’t mean you and your child won’t.

“The ideal fit would be if you feel comfortable talking to them about everything,” says Dr. Caperton. “You're not having to censor your words. They are listening to what you say. They are empathetic to what you're saying. They take you seriously. That, to me, is a good fit.”

The bottom line is simple. Choosing the right pediatrician will help you feel confident about your baby's care.

“I want people to know that every office is different. Every provider is different,” Dr. Caperton emphasizes. “Decide what is important to you in regards of care to your child. Do your research and make sure you visit the office.”

Here are some things to consider as you decide which pediatrician is right for your family. *

• Is the pediatrician's office conveniently located? Is it easily accessible by car or public transportation?
• Are the office hours convenient for your schedule? If you are a working parent, you might want evening or weekend hours.
• What is the doctor's policy on taking and returning phone calls? Is there a nurse in the office who can answer routine questions? Do they prefer to use OSF MyChart to communicate?
• Do you sense a sincere interest by the doctor in your child’s problems, including any health issues they might have?
• How are visits for acute illnesses handled? For example, can you make an appointment on short notice if your child needs to see the pediatrician because of a cold, sore throat or ear infection?
• Does the doctor communicate clearly to explain illnesses and treatments, and ensure that all your questions are answered?

*Source American Academy of Pediatrics

For more information on pediatrics, visit the OSF HealthCare website. 

 

Interview Clips 

B-roll 

• The child’s tongue doesn’t come out of the mouth like it normally would when they stick their tongue out.
   
• Breastfeeding is painful or difficult. Shoemaker notes, though, that you should rule out other causes of painful breastfeeding, such as ineffective latching or the baby wanting to bite. A lactation consultant can help with this. A pediatric provider can also examine the child’s tongue.
   
• When your baby cries and lifts their tongue, the tip of the tongue is pulled downward in the shape of a heart.

The procedure to fix tongue-tie is pretty simple, Shoemaker says. There’s little blood loss, and it can be done in the hospital, at a pediatrician’s office or at a pediatric dentist’s office.

“They just lift the baby’s tongue and, with sterile scissors, snip [the tissue]. Then, immediately breastfeed [or formula feed if that’s what mom has chosen] because the tongue is free at that point,” Shoemaker explains. “Some providers will teach exercises to do with the baby so [the tissue] doesn’t heal back and have to be snipped again later.” Those exercises involve a parent lifting the tongue.

Some cases of tongue-tie may be mild enough that parents opt to do nothing. In some cases, the frenulum will loosen over time. That approach is fine, Shoemaker says. But the decision should be made with the input of the child’s care team, and it should be made sooner than later. That’s because tongue-tie later in life can cause speech and eating issues, Shoemaker says, and she says the procedure to fix the problem can be more complex when the child is older.

“When done in the newborn period, it’s a very simple procedure done while the baby is awake. If parents choose to wait and see how things go, it might have to be a procedure where the baby or child is put to sleep. So it’s a little bit more involved,” Shoemaker says.

Learn more

Read more about how to have a successful pregnancy, birth and first years of your child’s life on the OSF HealthCare website.

Interview clips

Related stories

Infant nutrition misconceptions
Peeling back the layers

For mom

Anderson says it’s no problem for pregnant women to have onions in their diet.

“They are very rich in antioxidants. That’s something we don’t get a lot of. They’re really high in vitamin C,” Anderson says. “They have fiber, magnesium and potassium. Fiber and magnesium help with digestion, and magnesium helps with cramps. Potassium is really good for blood circulation and blood pressure.”

But, there are the usual precautions. When adding raw onions to a meal (a salad, for example), wash them to remove any bacteria. And don’t overindulge. For example, don’t have a greasy, processed cheeseburger as an excuse to get your daily onion intake.

“Onions are a high FODMAP food, which means there are carbohydrates that are harder for some people to digest,” Anderson adds, noting that a woman’s digestive system changes a lot when carrying a baby. “So if you have a sensitive digestive system, onions could cause bloating. If you have irritable bowel syndrome, onions can make that flare up. Cooking onions helps break down some of those carbohydrates and aids digestion.”

For baby

Infants should consume breastmilk or formula exclusively for at least the first six months, Anderson reminds. But after that, introducing onions is like introducing any other food: Slow and steady wins the race.

One option: Sauté some onions to soften them, cut the food into small pieces to prevent choking then work the onions into the store-bought baby food.

“Make it easy for baby to chew. They’ve never had to do that before,” Anderson points out. “It’s good to let them learn how to chew, but we need to make sure the foods are easy to chew.

“Onions help develop a baby’s palette,” Anderson adds of the benefits of the vegetable. “Experts are finding that introducing strong flavors like that can prevent picky eating in the future.”

Precautions and warning signs to know: If the baby is extra fussy or gassy or has an allergic reaction like a rash or diarrhea, take the onions out of the diet and see if that improves things. See a health care provider if symptoms don’t improve.

Myth vs. fact

Do a web search for “babies and onions,” and you’ll find a lot of claims.

• Can onions help with colic, a condition where a healthy baby cries for a long time? Not so fast, Anderson says. In fact, onion-induced gassiness could make the baby even more fussy.
   
• Some say putting an onion in my baby’s crib or sock or giving them onion water can help with baby’s health. 
  
  “It’s supposed to draw out toxins,” Anderson says, repeating what she calls an “old wives’ tale.”
  
  But, Anderson says science doesn’t back the claims up. In fact, onions can irritate a child’s skin and eyes.
   
• Can eating onions help with teething, when the baby’s teeth emerge? There’s actually some truth to this one, Anderson says. To try it, skip other types and focus on green onions. Let the food cool in the refrigerator before giving it to the little one.
  
  “It’s teaching them to bring things to their mouth and chew. It’s a food that’s cool and not super hard. As they chew, it will break down. But it’s not going to disintegrate in the mouth,” Anderson says.
  
  All this can help with pain and inflammation, Anderson says. Just watch your youngster at all times while chewing.

Learn more

Read more about how to have a successful pregnancy and birth on the OSF HealthCare website. The health system or social service agency near you may also offer classes to master baby feeding.

Interview clips

Related stories

Infant nutrition misconceptions
The first few weeks
Back to work
Chow down, new moms!

Author's note: This is part four of a four part story on infant nutrition misconceptions. Read part one here, part two here and part three here.



Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, a certified lactation consultant at OSF HealthCare, cuts through the noise.

• Breastfeeding takes up more of my time than formula feeding.

Choosing formula over breastfeeding is accepted, Anderson says. But she hears some moms do it for the wrong reason: they think it’s quicker, and they can even hand off baby to be fed while they catch up on shut eye.

Anderson counters: Studies have shown that breastfeeding moms get more sleep than formula feeding moms.

“You’re getting up, making the bottle and cleaning the bottle. Instead of being out of bed for 15 to 20 minutes [to breastfeed], you’re out of bed for 45 to 50 minutes. You try to go back to sleep, and baby is up again,” Anderson says.

• Breast milk doesn’t keep a baby full.
  
  It’s “complete nutrition,” Anderson says. Breast milk may be easily digestible, but that’s a benefit, not a problem.
   
• Switching formulas is OK.
  
  Anderson recalls the 2022 formula shortage in the United States, leaving some parents scrambling to find more of the formula that works.
  
  “Switching formulas can actually upset the baby’s digestive system,” Anderson warns. “All formulas, while safe, are different. Some are lower lactose. Some are dairy free. If we’re switching because we’re trying to find formula, that can mess up their gut flora, potentially for life.”
  
  If you run out of formula, talk to a health care provider about what to do.
   
• Formula is safer than breastfeeding.
  
  Some formula is ready to drink out of the package. Others need some work. You should follow the formula’s sterilization instructions to ensure you’re killing any bacteria. The United States Centers for Disease Control And Prevention says cronobacter infection is one possibility. These are “rare but serious,” the CDC says, and could result in death. If your baby becomes sick, take them to a provider right away. Lethargy, fever, excessive crying and poor feeding are common symptoms to watch for.

“If you’re breastfeeding, there’s not a lot of chances for that cross-contamination,” Anderson says. “If you’re outside in the garden and messy and sweaty, you can still breastfeed.”

Learn more

Read more about how to have a successful pregnancy and following years on the OSF HealthCare website.

Interview clips

Related stories

Back to work
The first few weeks
Chow down, new moms!
Later life pregnancies can be successful with planning
Mental health medication and pregnancy

Author's note: This is part three of a four part story on infant nutrition misconceptions. Read part one here, part two here and part four here.

Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, a certified lactation consultant at OSF HealthCare, cuts through the noise.

• I shouldn’t breastfeed when I’m sick.
  
  If you’re very sick, focus on rest and recovery. And if you have certain conditions like human immunodeficiency virus (HIV) or herpes with open lesions, don’t breastfeed. But otherwise, experts say it’s OK. You’ll pass antibodies to your baby.
  
  To put it another way: “Breast milk is like the first vaccine,” Anderson says.
  
  “There’s also this cool backwash effect. When your baby is at the breast, their saliva communicates with your body,” she adds. “If your baby starts to show signs of what you are sick with, your body ramps up and says ‘my baby needs extra of this’. The communication is amazing.”
   
• Breastfeeding can prevent future pregnancies.
  
  Long-term, it doesn’t impact your fertility, Anderson says.
  
  But short-term, she says prolactin, the hormone needed to make milk, suppresses ovulation.
  
  “[Prolactin] peaks at night. So if you miss night feedings, you’re potentially allowing ovulation to start again,” Anderson explains.
  
  “Is breastfeeding 100% prevention of future pregnancies? No. But exclusive breastfeeding can really delay your period and ovulation for as long as you exclusively breastfeed,” Anderson adds. “As baby gets older and you breastfeed less, you may notice your cycle comes back. Once you stop breastfeeding [entirely], your body really does go back to normal.”
   
• Societal norms say I shouldn’t breastfeed past a certain age.
  
  It’s a topic that sometimes makes its way to daytime talk shows, drawing side eyes from other moms. Should you stop breastfeeding after a year or two? Or is it OK to breastfeed until the child is three, four or five?
  
  Anderson admits it’s a hot debate, even a stigma. She says in the United States, breastfeeding up to six to 12 months is most common. But the World Health Organization and the American Academy of Pediatrics recommend breastfeeding up to age two and longer. Either way, Anderson says breastfeeding for a long time doesn’t present health concerns for mom or the child.
  
  “There’s really no cutoff. It really depends on what works for you and your family. I have a lot of moms that hit 18 months and are ready to be done. And that’s OK. Your baby has made it past those 12 months where it’s necessary to have breast milk,” if you’re choosing to breastfeed, Anderson says.

“Mom is the boss always,” she adds.

Learn more

Read more about how to have a successful pregnancy and following years on the OSF HealthCare website.

Interview clips

Related stories

Back to work
The first few weeks
Chow down, new moms!
Later life pregnancies can be successful with planning
Mental health medication and pregnancy

Author's note: This is part two of a four part story on infant nutrition misconceptions. Read part one here, part three here and part four here.



Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, a certified lactation consultant at OSF HealthCare, cuts through the noise.

• Do I need to change what I put in my body while breastfeeding?
  
  This covers a lot of ground, from a mom’s diet to whether she should abstain from alcohol, caffeine, tobacco and medication.

o    Diet: Healthy eating is always good. But Anderson says new moms generally don’t have to change their diet for breastfeeding. If your diet is heavy on certain things (like garlic or dairy) and you notice your baby is extra fussy, you can try changing your meals. A provider may also want to test your baby for allergies.

o    Alcohol and caffeine: Drink these in moderation and with precise timing, Anderson says.

“Babies are very sensitive to caffeine. If you have a cup of coffee and nurse right away, the baby is going to be awake for a lot longer than normal,” Anderson says.

“That doesn’t mean you have to not drink coffee. Just maybe not add three shots of espresso to your morning coffee,” she adds with a smirk.

For alcohol, Anderson says the drink will filter out of your breastmilk like it filters out of your blood. So after having a couple of alcoholic drinks, wait two to three hours before breastfeeding or pumping.

“The breastmilk isn’t ruined. You just need to give it time,” Anderson says.

But here’s a lifehack if mom feels full of breast milk and wants to pump right after having a drink: Go ahead and pump, and use the milk on your baby’s acne or in their bathwater. Just keep it away from their mouth.

“It’s antimicrobial. It’s antibacterial. It’s moisturizing,” Anderson says, singing the praises of breast milk. “Our babies are in the most perfect environment in the womb. Once they’re born, their world is cold, dark and dry. They can get dry skin, acne or cradle cap [greasy or flaky spots on the scalp]. Breast milk is a great way to prevent or heal those things.”

o    Medication and other health care issues: Anderson says most medication is safe to use while breastfeeding. In fact, it’s important to stay the course – for example, with mental health medication – so you can be the best mom possible. Talk with your health care provider if you have questions.

If you have a medical procedure, also get advice from a professional. For example, Anderson says if you get a hepatobiliary iminodiacetic acid (HIDA) scan for a gallbladder concern, you’ll be radioactive for around 24 hours. Don’t breastfeed during that time. Or if your breasts feel full and you have to pump, dump the milk down the drain.

o    Tobacco: Anderson admits it’s tough to kick the habit. But she reminds moms: infants are very sensitive to nicotine. It can disrupt the child’s sleep and feeding and even interfere with organ development. Secondhand smoke can increase the risk of a respiratory infection and sudden infant death syndrome (SIDS).

If you’re smoking with a new baby at home, do so after breastfeeding, then wait two to three hours before nursing again. Wear one jacket while smoking so you don’t get an odor or residue on a lot of your clothes or the baby.

Learn more

Read more about how to have a successful pregnancy and following years on the OSF HealthCare website.

Interview clips

Related stories

Back to work
The first few weeks
Chow down, new moms!
Later life pregnancies can be successful with planning
Mental health medication and pregnancy

Gym moms, if your child is a future Olympic athlete, you'll always be able to say you were their first-ever gym partner. 

Becoming pregnant doesn't mean you have to toss your exercise plan to the side, says Mfowethu Langeni, DO, a family medicine physician at OSF HealthCare who specializes in Obstetrics. 

In fact, it's the opposite!

As your baby sits and kicks in the womb for nine months, Dr. Langeni says core exercises and strength training like lifting weights are great ways to prioritize both mom and baby's health.

"(Labor) does take a lot of stamina, strength and core strength. But all women are different," Dr. Langeni says. "Some women push for hours during labor; some don't need to push much at all. Either way, strength conditioning and core training before and during pregnancy will help overall."

 Are you a marathon runner? That doesn't have to stop either. 

Dr. Langeni says high intensity cardio and even power squatting are recommended for pregnant moms. 

He recommends talking any exercise plan over with your OB/GYN before getting started, and to make sure you avoid any exercises that could cause trauma to your stomach.

Health Highlights Video Version With Chyrons

Health Highlights Video Version Without Chyrons

Gym moms, if your child is a future Olympic athlete, you’ll always be able to say you were their first-ever gym partner.

Becoming pregnant doesn’t mean you have to toss your exercise plan to the side, says Mfowethu Langeni, DO, a family medicine physician at OSF HealthCare who specializes in obstetrics. In fact, it’s the opposite!

“Whatever you are doing activity-wise before pregnancy, you can keep on doing those as far as your body will let you," Dr. Langeni says. “Early on in pregnancy, you will have that added weight and body changes. But exercising is totally normal and is actually recommended, about 150 minutes per week.”

As your baby sits and kicks in the womb for nine months, Dr. Langeni says core exercises and strength training like lifting weights are great ways to prioritize both mom and baby’s health.

"(Labor) does take a lot of stamina, strength and core strength. But all women are different," Dr. Langeni says. "Some women push for hours during labor; some don't need to push much at all. Either way, strength conditioning and core training before and during pregnancy will help overall."

Keep on running!

Are you a marathon runner? That doesn’t have to stop either.

"You can run! If you're a runner, you can run a marathon, sprints or whatever you feel that your body can comfortably do. If you're a power squatter, that's also recommended. You can lift weights, take walks or do none of it," Dr. Langeni says. “Studies have shown that you get more bang for your buck during cardio when it's at a higher intensity. Everyone's built differently, so cater to what you can and can't do, and what your body can tolerate.”

The best starting point, Dr. Langeni says, is having a conversation with your OB/GYN. Tell them about your exercise goals, and make sure everything is safe for mom and baby. The main thing to avoid, Dr. Langeni says, is any exercise that would inflict trauma to the stomach.

Full body workouts are great if you’re pregnant or not, Dr. Langeni adds. “Doing core strength helps boost your metabolism and immunity and helps to regain your strength. It also helps with your cardiovascular system.”

Prioritize hydration

While hydration is always necessary, it becomes even more important during pregnancy. Good hydration helps provide a healthy blood supply to mom and baby.

"When you're pregnant, the body starts to change physically and physiologically. Women's blood volume increases by about 50% during pregnancy, so it's very important to stay hydrated," Dr. Langeni says. 

It can even help keep moms out of the hospital in the first trimester or early second trimester.

Drop the cigarettes and alcohol

"Cigarette smoking also has some (negative) implications to the baby. People who smoke cigarettes have a higher chance of having complications in pregnancy," Dr. Langeni says. “You increase your risk of preterm labor, smaller baby in size and increase your risk of maternal issues like high blood pressure.”

Drinking alcohol can also harm the fetus. “Zero alcohol is better,” he emphasizes. The baby can develop something called fetal alcohol syndrome, which comes from chronic alcohol use if the mother drinks alcohol during pregnancy.

Electrolyte drinks and pregnancy

While Dr. Langeni is a proponent of electrolyte drinks in general, he urges caution for pregnant moms to drink them, reminding everyone to keep a close eye on the labels. Different electrolyte drinks will have high amounts of sugar, but he recommends sugar free electrolyte substitutions like sugar free Gatorade and Pedialyte.

Dr. Langeni says moms will naturally gain weight in pregnancy. It’s totally normal! He even says your caloric intake should increase around 300 calories per day to keep mom and baby healthy.

Staying away from processed lunch meats, unpasteurized meats and drinks or seafoods that contain mercury is also a must. 

Video Interview Clips

The newest tool for protecting our littlest population is now available in the United States. 

The respiratory syncytial virus (RSV) vaccine was initially approved in summer 2023 for adults 60 and older, quickly followed by a recommendation by the U.S. Food and Drug Administration (FDA) for pregnant women. The goal of vaccinating pregnant women would be to pass on RSV antibodies from mom to baby.

"(Pregnant women should get the vaccine) somewhere between 32-36 weeks of pregnancy. As long as they receive the vaccine and give birth two weeks after or more after getting the vaccine, the baby should be having good protection for their first year of life,” says Kinnera Are, DO, a pediatrician with OSF HealthCare.

When is RSV season?

Dr. Are says RSV season normally starts in October, goes through the winter, and wraps up in March or April.

"We are expecting to see it this year, but hopefully not as bad as it has been the last couple of years,” Dr. Are adds.

What babies are eligible?

Infants eight months and younger are eligible for the RSV vaccine, along with older infants who have serious medical conditions like chronic lung disease and heart conditions.

"Some infants at higher risk are eligible to get the vaccine for their second RSV season. So, the second year October through March. Some things that would put them at higher risk if infants have chronic lung disease and prematurity and needed oxygen or medications within the last six months. Otherwise, we can offer it during that second season to infants from American Indian heritage or Alaskan Native heritage,” Dr. Area says. “Severely immunocompromised infants are eligible for that second season, and infants with cystic fibrosis who have issues with their lungs. Or if they're very small and are having issues with growth, they may also be eligible." 

How to protect infants and others from RSV

Ways to protect infants from RSV are on par with other respiratory illnesses.

-          Stay away from sick individuals

-          Keep kids home if sick (fever, runny nose)

-          Prioritize good sleep

-          Focus on good eating habits, hydration

-          Wash your hands

"RSV will show symptoms like most other respiratory illnesses. So, you may start off with congestion and runny nose, maybe a fever or a cough," Dr. Are says. “RSV, especially in the infant age group, tends to affect the lungs a little bit more than older kids. So, you may see more of that cough or congestion that's not coming out.”

Days 3-5 are usually the worst

"Any respiratory illness, but especially RSV, is worse between days three and five. Based on where the infant is when they come in, we'll guide them to see if they're getting better or do we expect it to get worse before it gets better,” Dr. Are says.

When it’s time to go to the emergency department

“Two things that would make me tell someone they need to go to the emergency room; One, if the infant is having respiratory distress like breathing really fast, having trouble breathing or having a lot of wheezing that is not getting better and it's very persistent," Dr. Are says. “You can give us a call (at the pediatrics office) but we'll probably recommend you go to the emergency room. The other thing is dehydration. Severe hydration can be shown in no wet diapers for eight hours and no urine output for eight hours. That's a sign they probably need some IV fluids and need to go to the emergency room for care.”

If a pregnant mother didn’t get the RSV vaccine, your child’s pediatrician will ask if they want the baby to get the vaccine in the first few visits.

Normally, symptoms can be managed at home. Antibiotics aren’t prescribed, since RSV is a virus, but sometimes the virus can cause a secondary bacterial infection like pneumonia, which could call for antibiotics. You can use a nasal suction tool to keep the baby’s nose and airways clean, which is especially important when they’re eating or sleeping.

Video Interview Clips

Almost 90 percent of all cases are deadly. 

40 percent of these episodes are made up by women. While men and women experience different symptoms of heart disease, the risks of sudden cardiac arrest are different, too.

Nancy Dagefoerde, an advanced practice nurse with the OSF HealthCare Cardiovascular Institute, says sudden cardiac arrest can happen to any adult, mostly those 30 and older. 

It depends on risk factors, family history and other issues such as a heart birth defect.

“Sudden cardiac arrest occurs when there's an irregular heartbeat. We call it an arrhythmia that causes the heart not to beat or have electrical activity anymore," Dagefoerde says. "So, in general, there'll be no breathing and no pulse when you come upon a person that's having a sudden cardiac arrest."

Dagefoerde says sudden cardiac arrest is different than a heart attack, which happens when there is a blockage in the coronary artery on the outside of the heart. 

While the stigma around mental health is still present, people are more likely to seek treatment.

A woman who has just become pregnant may wonder, ‘Should I stop taking medicines like Zoloft or Prozac? Will they hurt my baby?’ 

Sarah Shoemaker, a certified nurse midwife at OSF HealthCare, says you should talk to your provider about this early. Ideally, before you get pregnant.

“There are some women who take years to find the perfect combination of medications that keep them stable and healthy. We don’t want to mess with that. Very rarely do we have to completely disrupt somebody’s medication regimen. Nothing in our field is black and white. There’s no such thing as bad medication or strictly dangerous medication. We weigh the pros and cons and decide what’s best for each patient," Shoemaker says.

In the rare case you need to make a change, a provider may put you on a supplement.

Health Highlights Video Version with Chyrons

Health Highlights Video Version without Chyrons

In the 2023 State of the Union Address, President Joe Biden renewed a call to cap the price of insulin for people with diabetes.

Five days later, the condition got nationwide attention again when singer Nick Jonas, a type 1 diabetic, starred in a Super Bowl commercial promoting a product that monitors your glucose level.

And a recent report from the U.S. Centers for Disease Control and Prevention predicted a rapid rise in cases of diabetes in young people over the next few decades.

It’s a good thing that influencers and medical professionals continue to preach diabetes awareness, says Uche Allanah, MD, an internal medicine physician with OSF HealthCare. That’s because if undiagnosed or untreated, diabetes can be fatal.

“It’s alarming,” Dr. Allanah says, referring to the number of patients she sees with symptoms or precursors of diabetes.

Prediabetes vs. diabetes

Diabetes is a disorder that affects how your body uses blood sugar, from which our blood cells get energy. Type 1 diabetes is when an autoimmune reaction stops your body from making insulin. Without insulin, blood sugar cannot move out of your bloodstream and into cells. With Type 2, your body still produces insulin but doesn’t use it efficiently. Gestational diabetes occurs in pregnant women. Diabetes symptoms include increased urination, increased thirst, increased hunger and unexplained weight loss.

Dr. Allanah says prediabetes describes when you are at risk for diabetes because your blood sugar is higher than normal. She says a blood test is necessary to diagnose prediabetes because you don’t present with symptoms. In fact, the American Medical Association says of the one in three U.S. adults with prediabetes, more than 80% don’t know they have it.

“It’s important to identify prediabetes because you can stall the development of diabetes and actually prevent a patient from becoming diabetic,” Dr. Allanah says.

Risk factors for prediabetes include obesity, sleep apnea and polycystic ovary syndrome in women. Providers also look at a person’s family history of the disease, and Dr. Allanah says certain groups -- African Americans, Hispanics and Latinos, Asian Americans and American Indians -- are at higher risk.

Dr. Allanah advises everyone to have regular checkups with their primary care provider to keep an eye on the risk factors you can control. Also, practice healthy habits from a young age.

“Eat right. Avoid processed food,” Dr. Allanah advises. “Exercise. A lot of people are sedentary, especially due to the pandemic. People who went to the gym no longer workout. Even now that the stay-at-home orders have been lifted, some people are just not back into their previous lifestyle.”

Dr. Allanah also says a prediabetes or diabetes diagnosis is a lot to handle. Some people may have to learn to safely give themselves shots. Others may have to constantly watch for low blood sugar to avoid fainting. Providers realize this and will be there to answer questions. But Dr. Allanah says it’s not uncommon for someone to see a mental health provider to talk about the emotional toll of the diagnosis.

Learn more

Learn more about diabetes care on the OSF HealthCare website.

Interview clips

After nearly six decades of research, experiments and testing, the U.S. Food and Drug Administration has officially approved the first RSV vaccine.

Respiratory syncytial virus (RSV) is a common respiratory virus that causes mild, cold-like symptoms. While the virus is normally mild in most people, it can be extremely serious for infants and some higher-risk older adults.

Douglas Kasper, MD, section head of infectious disease at the University Of Illinois College Of Medicine Peoria and an infectious disease specialist for OSF HealthCare, says, currently, the Arexvy vaccine is only approved for individuals 60 and older but the hope is to expand who can receive the RSV vaccine by the end of summer.

“There are ongoing trials looking at vaccinating mothers who are pregnant,” Dr. Kasper says. “This would be for potential protection of unborn children, but that has not been approved yet. There’s expected re-evaluation of that data coming this summer. Hopefully by August we get some updated patient groups.”

Dr. Kasper says if the RSV vaccine is successful in pregnant women, it could provide life-saving antibodies for their babies.

“We’re trying to use the mother’s ability to create an immune response, because the baby cannot do that on their own. So if we can vaccinate during pregnancy, which is the study group we’re awaiting data for, there would be a huge benefit for young children that currently does not exist,” Dr. Kasper says.

Dr. Kasper says this vaccine is much different than the COVID-19 vaccine.

“This is not an MRNA vaccine which is something we talked very commonly with COVID-19,” Dr. Kasper says. “This is more of a traditional vaccine. The person is being exposed to a protein from the virus and then they make an immune response that protects them if they were ever exposed to the virus. It’s much more akin to the influenza vaccine that most people are comfortable with.”

Dr. Kasper says most older adults who get RSV experience mild symptoms. But he says doctors have seen a change in RSV symptoms during the COVID-19 pandemic.

“Particularly those with chronic lung disease, RSV can almost mimic COVID-like illness that brought some people to the hospital,” Dr. Kasper says.

Dr. Kasper adds that the late summer timing would be good to expand the RSV vaccine for other high-risk groups, since most cases are normally seen in the fall through spring.

Video Interview Clips

Every year, thousands of babies are born at OSF HealthCare hospitals.

At OSF Saint Francis Medical Center in Peoria alone, roughly 2,200  babies were born in 2022.

This means any day now, parents will be attempting to add solid foods to the breast milk or formula their baby only eats now. This can be a scary idea for new parents!

The Centers for Disease Control and Prevention (CDC) recommends not introducing solid foods to your baby until after they’re at least 4 months old, and there are signs to look for to see if they’re developmentally ready.

Your child should be able to:

• Sit up alone or with support.
• Control their head and neck.
• Opens their mouth when food is offered.
• Swallow food rather than push it back out onto the chin.
• Bring objects to the mouth.
• Try and   grasp small objects, such as toys or food.
• Transfer food from the front to the back of the tongue to swallow.

Anne Orzechowski, an Advanced Practice Nurse with OSF HealthCare who specializes in family medicine has some tips to help parents make a smooth transition.

“The best way to introduce your infant to greens is to pick one vegetable. Then if you have an infant that is above 4-6 months, you can puree it to a consistency that is safe for them to get down. Just give it a try with their rice cereal and see how they do. Pick one at a time, and make sure they aren’t allergic to it,” Orzechowski says.

The American Academy of Pediatrics says most kids don’t need to be given foods in a certain order. By the time your baby is 7 or 8 months old, they can eat from a variety of food groups. This could be infant cereals, meat or other proteins, fruits, vegetables, grains, yogurts and cheeses, and more.

Orzechowski recommends steaming vegetables to reduce the risk of choking.

“You could do carrot coins!” Orzechowski says. “You can steam pretty much anything. As long as it’s cut up into tiny pieces that they won’t choke on.”

Not sure what food group to introduce to your child first? Orzechowski has some suggestions.

“I think introducing veggies before you introduce fruits is helpful. It’s exciting to them, they start to like it, they look forward to it. Then once you introduce a fruit, they’re like ‘wow!’ she says.

Orzechowski says vegetables and fruits have plenty of health benefits for kids, like fiber. She says the fiber from fruits and vegetables will help keep your child regular and benefit their digestive tract.

The CDC has additional tips for preparing food for your children.

• Mix cereals and mashed cooked grains with breast milk, formula, or water to make it smooth and easy for your baby to swallow.
• Mash or puree vegetables, fruits and other foods until they are smooth.
• Hard fruits and vegetables, like apples and carrots, usually need to be cooked so they can be easily mashed or pureed.
• Remove all fat, skin, and bones from poultry, meat, and fish, before cooking.
• Remove seeds and hard pits from fruit, and then cut the fruit into small pieces.
• Round foods like hot dogs, sausage and string cheese should be cut into short thin strips instead of round pieces that could get stuck in the airway. Grapes, cherries, berries and tomatoes should be cut into small pieces.

Anne Orzechowski interview clips

Legalization of cannabis has led to increased use by the general population, in addition to a rise in use by pregnant women. Cannabis is the most used drug during pregnancy in the United States and yet many doctors don’t talk about it with their patients who are pregnant or thinking about conceiving.

One study found about 20% of pregnant women age 24 and under screened positive for cannabis. Dispensaries that sell the drug for recreational, and in some cases medicinal use, promote various strains for mood enhancement, sleep issues, loss of appetite, and in some cases, relief of morning sickness.

“One study using hidden shoppers found that cannabis dispensaries were actually giving advice to pregnant women to use cannabis for their nausea and pregnancy. So that type of advice is very much concerning to us.” 

William Bond, MD, is a physician in the emergency department at OSF HealthCare Saint Francis Medical Center and director of simulation research at Jump Simulation which is a collaborative effort with the University of Illinois College of Medicine Peoria. He is co-lead investigator on a project to recruit approximately 200 women ages 21-40 to create and test media messages about cannabis risk in pregnancy. The women will evaluate each message for believability, persuasiveness and the potential to increase intention not to use cannabis during pregnancy.

Dr. Bond is working with co-lead Erin Berenz, PhD, at the University of Illinois at Chicago (UIC) on a Community Health Advocacy (CHA) grant as part of a joint initiative to address health and wellness challenges in urban communities. Berenz is an associate professor in the UIC Department of Psychology and directs research at the Chicago Alcohol and Trauma Laboratory.

Cannabis laws are changing at a rapid pace across all 50 states and U.S. territories. Dr. Bond says the challenge is that traditional media and social media are saturated with positive messages about recreational or medicinal use of cannabis, and many people think it's safe because it’s marketed as being “natural.”

There is also evidence that doctors don’t have the same conversations about cannabis as they do about alcohol and tobacco.

Dr. Bond points out, “We need to come to the point that we realize that cannabis use is every bit as prevalent as alcohol and tobacco, and in fact, in some populations maybe more prevalent, so we need to have that conversation with our pregnant patients as early as possible in pregnancy, if not before pregnancy.” 

The risks of prenatal cannabis use are not completely understood, but it is associated with lower fetal growth, preterm birth and neonatal intensive care unit admission. Dr. Bond says more research is needed, but women need to consider the unknown risks.

“Modern cannabis products have a much higher THC concentration than older products so the old research may not be applicable. Also, there may be co-ingestions of tobacco, and so if someone has smoked tobacco, then that also has bad effects on the baby.” 

The cognitive impact on infants isn’t well known because there are few long-term studies of the development of babies of women who used cannabis while pregnant.

The research team of Dr. Bond, Erin Berenz, and other UIC Psychology faculty members, Mayra Guerrero, PhD, and Robin Mermelstein, PhD, will use focus groups, surveys, and software to extract themes and principles relevant for creating messages and figuring out the best way to deliver them.

The research will address what information sources women trust. The messages will be structured for women, but providers can use them to help start conversations about the unknown and known risks.

“If use in pregnancy hurts the developing baby or makes a mother less able to care for her just-delivered child, then you create a disadvantage for that child that may follow them for the rest of their life. Thus, there are equity issues in the risk of exposure, in getting the message and believing the message, and then the ability to mitigate the risk through access to counseling.” 

Dr. Bond says the year-long effort is about building healthier individuals and communities and giving patients the best information to make an informed decision.

Video clips with Dr. William Bond, director of simulation research, OSF Jump Simulation

As many as 2 billion people worldwide will be exposed to hepatitis B during their lifetime, says David Rzepczynski, MD, a gastroenterologist at OSF HealthCare in Urbana, Illinois. Around 250 million people have chronic inflammation of the liver from hepatitis B or are carriers of the virus without inflammation. And around 890,000 people will die from hepatitis B. Asia and Africa are hepatitis B hotspots, Dr. Rzepczynski says, while the United States doesn’t have it as bad.

The statistics might make eyeballs widen, but Dr. Rzepczynski says they are not a reason to panic.

“The majority of people who get exposed to hepatitis B in the adult age – after age 10 – it’s typically a condition you recover from without chronic inflammation,” he says.

The reason for the optimism? There’s a vaccine for hepatitis B that’s been around since the 1980s.

“There has been an aggressive program of initiating vaccines with kids, sometimes even as young as infants, to have protection,” Dr. Rzepczynski says. “And when those [vaccines] are administered at a young age, it’s a highly effective vaccination. This vaccination has an efficacy of 95%-plus in the general population.”

The three-shot series is sometimes given soon after birth due to concerns that the mother may pass along hepatitis B to their child. But older children and adults can and should get the vaccine, too.

A hepatitis B immune globulin shot (HBIG for short) may also be appropriate in cases of hepatitis B exposure, either in adults or newborns. The particles in the shot attack the virus.

The next best way to avoid hepatitis B is to avoid risky behaviors.

Don’t share needles, toothbrushes or any other object that can transfer bodily fluids. Practice safe sexual relations. And if you’re bleeding, bandage it up right away.

Treatment

Dr. Rzepczynski says blood tests and watching symptoms can gauge how the virus is behaving. That will determine whether the person just needs monitoring. Or the patient may need medical treatment to suppress the virus and prevent cirrhosis of the liver. These medicines are taken by mouth, and side effects are generally not significant. A vaccine to eliminate hepatitis B hasn’t been discovered yet.

Treatment plans for hepatitis B may be life-long.

“If you stop taking the medicine, it’s like taking the brakes off the system,” Dr. Rzepczynski explains. “The virus will end up reactivating. And in fact, that reactivation might cause liver failure because the virus level skyrockets. And your body’s immune system senses that and starts attacking the liver to get rid of the virus. And that can lead to very serious and acute inflammation of the liver.”

Should I test?

Dr. Rzepczynski says a blood test for hepatitis B isn’t something that constantly needs to be on the mind of the average person. But the following people should consider getting tested:

·       People who come from areas of the world with a high prevalence of hepatitis B

·       Pregnant women

·       If you plan to donate blood or organs

·       People who’ve had an exposure to the virus

·       People getting chemotherapy for cancer treatment

That last one is something medical professionals have looked closely at in the last five years.

“Unfortunately, some of these powerful cancer agents also have the ability to affect the immune system in such a way that a person who’s had hepatitis B and maybe even has gotten over it can have a reactivation of hepatitis B when these particular agents are used,” Dr. Rzepczynski says.

In that case, your cancer doctor would alter the treatment to allow it to proceed without the hepatitis B risk.

Be proactive

If you have questions about hepatitis B, want to get the vaccine or think you may have been exposed to the virus, talk to your primary care provider right away. The OSF HealthCare and U.S. Centers for Disease Control and Prevention websites also have information on hepatitis.

Interview clips

Previous coverage

Know your risk for hepatitis

Importance of vaccinations

Common gastrointestinal ailments are a pain, but treatable

If you’re pregnant and looking for a New Year’s resolution, maybe take a look at the amount of caffeine you’re consuming these days.

Children who were exposed to small amounts of caffeine before birth were shorter on average than those who were not, according to a recent study published in the Journal of the American Medical Association (JAMA).

The gaps in height, while not significant, were detected at age 4 through age 8, researchers said. The findings were reported even in the children of pregnant women who consumed less than 50 mg of caffeine per day on average, which is well below the current guidelines.

According to the American Academy of Obstetricians and Gynecologists, pregnant women should consume no more than 200 mg of caffeine a day.

A mug of filtered coffee has about 140 mg. Caffeine is also found in tea, soft drinks, energy drinks, cocoa, chocolate and some medications.

“That is about 12 ounces of coffee a day. So that would be larger amounts of tea, and tea doesn't have as much caffeine," says Dr. Jamie Plett, an OB/GYN with OSF HealthCare. "There is some caffeine in chocolate but that's a negligible amount, typically. But that's way less than what’s found in energy drinks and things.”

When it comes to growth in children there are, of course, other factors at play including gender, health conditions, nutrition and environmental conditions.

“Obviously genetics is going to be the biggest one as to the height of the child," says Dr. Plett. "But also, there have been studies before that show that nutrition during pregnancy is going to change the height of the child as well.”

According to the researchers of the most recent study, there is no way to know if the difference in height would continue into adulthood. If it did, the biggest concern would be the possibility of heart disease, obesity and diabetes, which are often associated with smaller stature.

Dr. Plett makes a point of talking with her pregnant patients about caffeine intake during an initial visit and the importance of staying around the 200 mg mark daily.

“It seems like just people are more aware of what they're putting into their bodies when they're pregnant. So they think a little bit more about ‘oh, do I really need this extra cup of coffee today?’ So I don't know that there's necessarily a decrease in a craving because I think if people are used to drinking that caffeine, they like it. Also, it's harder to sleep when you're pregnant. So people sometimes want that extra caffeine because it makes a little bit easier to get through their normal day. But I think people do think about it a little bit more before they ingest anything whether that’s food or drink or whatever during pregnancy.”

Dr. Plett cautions parents not to overthink any one study, and to talk with your provider if you have questions or concerns.

“I think some of it is taking this a little with a grain of salt," says Dr. Plett. "Knowing that there is still data pending, but knowing that this is a possibility, and all findings in science have to start somewhere. So this may be something just to keep an eye on in the future. Maybe think about that cup of coffee every morning, maybe have one every other day or a couple times a week instead. But I also have found that almost naturally people decrease their caffeine intake in pregnancy. The most common cause I’ve found in headaches early in pregnancy is caffeine withdrawal; they’re so used to having that first cup of coffee and if they don’t have it anymore, it’s pretty common to have those headaches.”

As with any major lifestyle or dietary change, remember to talk with your health care provider first, as changes can affect your mood or medical conditions.

 

Interview Clips 

There is a lot for women to digest during a pregnancy. One thing that can often be overlooked, however, is the possibility of gestational diabetes.

Kelly Osbourne knows this all too well.  The reality star is expecting her first child, but was recently diagnosed with gestational diabetes. In a recent interview, Osbourne revealed that she was suffering from “terrible heartburn,” acid reflux and was quickly gaining weight. After consulting with doctors, Osbourne learned of her diagnosis in her third trimester.

“Gestational diabetes is just like diabetes of any other sort," says Dr. Jamie Plett, an OB/GYN with OSF HealthCare. "It's where your body doesn't produce the correct amounts of insulin to deal with the amount of glucose or sugar that's in your blood. The difference with gestational diabetes is that it happens only during pregnancy and tends to resolve after the pregnancy is over.”

According to the Centers for Disease Control and Prevention, every year, between 2% and 10% of pregnancies in the country are impacted by gestational diabetes. In her practice, Dr. Plett says she often treats as many as three or four patients with gestational diabetes a day.

The causes of gestational diabetes really aren’t known. Doctors will rely on your medical history and testing to know for sure if you have gestational diabetes. Dr. Plett says if a patient had gestational diabetes during a prior pregnancy, or has multiple family members with diabetes, she will order an early glucose test. Every patient will get tested at 28 weeks if they have not been previously diagnosed.

“There are controllable risk factors and then risk factors that are really not under your control," says Dr. Plett. "So genetics plays a large part in whether development of gestational diabetes will occur or not, but also things like exercise, how much weight you gained during the pregnancy, and also what types of foods you eat during the pregnancy can lead to higher risk for gestational diabetes.”

If managed properly, Dr. Plett says the risk factors associated with gestational diabetes are not any different than with any pregnancy. However, if it’s not well-controlled, it can lead to a number of potential issues for the baby including pre-term birth, having low blood sugar and developing type 2 diabetes later in life. There are possible problems for the mother, too.

“Sometimes it leads to an increase in baby's weight which can lead to things like high risk for C-section," says Dr. Plett. "But with the mother, again, if it's well controlled, it doesn't really change things long term except for the fact that they're at higher risk to develop diabetes later in life. But during the pregnancy, obviously it is going to depend a lot on their changing their dietary habits. Moms also have to check their sugars to see if they're within range to know what dietary habits need to be changed or what exercise can help control that.”

Typically after the mother has delivered the baby, she will return to her physician’s office eight to 12 weeks later to retest and make sure the gestational diabetes is gone. If they are at a risk for developing diabetes later in life, Dr. Plett says they will follow up with their primary care physician.

As for treatment, Dr. Plett says the easiest fix is to make small dietary changes, avoid certain foods, and incorporate more exercise into your daily routine. A simple walk following dinner can make a big difference.

“I think the biggest thing that comes away from a diagnosis of gestational diabetes is that women are frustrated that it's happened to them because a lot of times it's things that are out of their control," she adds. "Also that it's very easily treatable and manageable. Most people realize that it's not as big of a deal as they think it's going to be. Some women do end up on medication, but a lot of it is a few small dietary changes, and so it's not as cumbersome as they thought it would be to treat and take care of themselves during pregnancy.”

For more information about gestational diabetes, visit OSF HealthCare.

Interview Clips