關於 first trimester of pregnancy ，我們在網路上蒐集到這些相關的討論、資訊與評價

Sending good vibes & support to everyone affected by this EMCO. Hopefully this lockdown makes big changes for the better for us, hang in there guys ♥️

Oh and a little bumpdate...doc said this little one is 2 weeks above the average baby size for her age and she might come out over 3kg 😱🤣
My belly is rounding out now & I am about to finish the first week of my third trimester. Time in lockdown is slow but somehow time with this baby girl in my belly is flying by!
Also, I finally got my first dose of the vaccine and I'm so thankful that me and my family's efforts paid off (see my Vaccine story Highlight for some drama). If you haven't gotten your appointment yet and you're already in Week 30 of your pregnancy, please DM me and I will send you info that might help ♥️♥️

❓醫生，我該不該打COVID-19 疫苗❓

最近，台灣疫情持續三級。許多 備孕中、懷孕中、哺乳中的朋友紛紛詢問，是否可以接種疫苗？疫苗原本的設計與產出，就是為了 緩解疫情、中斷傳遞鏈、保障民眾的健康、維持人類社會文明。因此，「接種疫苗」的策略本身是沒有疑慮的。如今，會有這樣的提問，最主要的原因是，當初各種疫苗臨床試驗都刻意避開 備孕中、懷孕中、哺乳中的族群， 導致無法有足夠的臨床數據，來說明這些族群施打的安全性。

當醫生給予病人諮詢意見時，必須遵循醫學倫理的準則。即 行善原則：在實證、嚴謹、透明和負責的臨床判斷下，醫師提供給病人的臨床處置必須 在預期上 會帶給病人臨床利益的。同時，也要尊重病人的自主權：也就是，透過提供給病人這些善意的臨床判斷訊息，要能夠讓患者就其病情的臨床處置，做出知情和自願的決定。並且，也應遵循謹慎原則：即 當對危險有疑問時，應想辦法預防危險、謹慎行事。

於是乎，世界上不同的政府、不同的專業醫學會，依據醫學倫理的認知與控制疫情的著眼點，對於這三類族群是否施打疫苗，也有不盡相同的指引。

🎈美國疾病管理局(CDC)宣布：如果 被建議接種COVID-19 疫苗的民眾，恰巧又懷孕，可以接種。若有問題，與醫師討論。
🎈美國婦產科醫學會：懷孕中、哺乳中的民眾， 如果在優先接種名單中，可以接種COVID-19 疫苗。
🎈母嬰醫學會(SMFM)：懷孕中、哺乳中的民眾， 如果合乎接種COVID-19 疫苗 的條件， 應予施打。
🎈美國生殖醫學會(ASRM)：接受不孕症治療或懷孕中的病人，應該被鼓勵接種疫苗。但是，在諮詢時，仍應考量醫學倫理的原則，即自主權原則、行善原則、 不傷害原則。
🎈加拿大婦產科醫學會(SOGC)：對懷孕中或哺乳中的民眾，如果不接種COVID-19疫苗的危險機率超過接種的危險機率的話，就應該接種。
🎈奧地利：懷孕或哺乳中的婦女不應該接種COVID-19疫苗。但是其配偶應該接種。
🎈法國：懷孕中的婦女不建議接種，因為安全的資訊仍不足夠。
🎈德國：因為資訊仍嫌不足，懷孕中或哺乳中的婦女必須經過利與弊的評估後，才給予建議。
🎈英國：先前看法，孕婦不應該接種(as of December 30, 2020)。現在的看法，如果孕婦屬於高危險群，應該與醫師討論，考量是否接種。
🎈紐西蘭：孕婦應該延後接種。
🎈以色列：備孕中、懷孕中、哺乳中的婦女應該接種COVID-19疫苗。
🎈日本：因為疫苗的安全資訊不足，孕婦不建議施打。
🎈世界衛生組織 (WHO)：如果是孕婦並且是高危險族群，與醫師討論後，決定是否接種COVID-19疫苗。

✅ 歐洲生殖醫學會 (ESHRE) 與時俱進，於這個月(June 2021) 更新了指引。 對於疫苗的施打，從較謹慎，變成較寬鬆，的建議。大家可以參考我以下的 slides。

[參考文獻]：
1. Adhikari EH and Spong CY. COVID-19 Vaccination in Pregnant and Lactating Women. JAMA 2021: 325; 1039-1040.
2. Beharier O, Plitman Mayo R, Raz T, Nahum Sacks K, Schreiber L, Suissa-Cohen Y, Chen R, Gomez-Tolub R, Hadar E, Gabbay-Benziv R, et al. Efficient maternal to neonatal transfer of antibodies against SARS-CoV-2 and BNT162b2 mRNA COVID-19 vaccine. J Clin Invest 2021.
3. Chervenak FA, McCullough LB, Bornstein E, Johnson L, Katz A, McLeod-Sordjan R, Nimaroff M, Rochelson BL, Tekbali A, Warman A, et al. Professionally responsible coronavirus disease 2019 vaccination counseling of obstetrical and gynecologic patients. Am J Obstet Gynecol 2021: 224; 470-478.
4. Chmielewska B, Barratt I, Townsend R, Kalafat E, van der Meulen J, Gurol-Urganci I, O'Brien P, Morris E, Draycott T, Thangaratinam S, et al. Effects of the COVID-19 pandemic on maternal and perinatal outcomes: a systematic review and meta-analysis. Lancet Glob Health 2021: 9; e759-e772.
5. Collier AY, McMahan K, Yu J, Tostanoski LH, Aguayo R, Ansel J, Chandrashekar A, Patel S, Apraku Bondzie E, Sellers D, et al. Immunogenicity of COVID-19 mRNA Vaccines in Pregnant and Lactating Women. JAMA 2021.
6. Cosma S, Carosso AR, Corcione S, Cusato J, Borella F, Antonucci M, Marozio L, Revelli A, Preti M, Ghisetti V, et al. Longitudinal analysis of antibody response following SARS-CoV-2 infection in pregnancy: From the first trimester to delivery. J Reprod Immunol 2021: 144; 103285.
7. Davanzo R, Agosti M, Cetin I, Chiantera A, Corsello G, Ramenghi LA, Staiano A, Tavio M, Villani A, Viora E, et al. Breastfeeding and COVID-19 vaccination: position statement of the Italian scientific societies. Ital J Pediatr 2021: 47; 45.
8. Male V. Are COVID-19 vaccines safe in pregnancy? Nat Rev Immunol 2021: 21; 200-201.
9. Shimabukuro TT, Kim SY, Myers TR, Moro PL, Oduyebo T, Panagiotakopoulos L, Marquez PL, Olson CK, Liu R, Chang KT, et al. Preliminary Findings of mRNA Covid-19 Vaccine Safety in Pregnant Persons. N Engl J Med 2021.
10. Stafford IA, Parchem JG, and Sibai BM. The coronavirus disease 2019 vaccine in pregnancy: risks, benefits, and recommendations. Am J Obstet Gynecol 2021: 224; 484-495.
11. ESHRE : COVID-19 vaccination and assisted reproduction – update June 2021

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林時羽醫師の合好之旅 – 向不孕告別
http://www.xn--kjvo3a634c.com/
#試管嬰兒 #胚胎植入 #療程 #林時羽 #醫師 #SuccessIVF #防疫 #疫情 #三級 #COVID19 #疫苗

【懷孕症狀】雖然叫 Morning sickness 但全日都可以吐

⭐懷孕後嗅覺突變靈敏
⭐連味覺喜好都起變化
#星期一踢走BlueMonday

妊娠嘔吐紓緩有法
女生如果出現作嘔作悶徵狀，很快就令人聯想到懷孕，妊娠嘔吐是懷孕初期常見症狀之一，又稱為「害喜」，中醫稱之為「惡阻」，是因為懷孕後胃失和降所致，除了會有胸悶不舒、噁心嘔吐、頭重目眩的情況，聞到特定氣味會出現反感，甚至進食某些食物會嘔吐。如果本身脾胃虛弱或偏痰濕或濕熱都較容易出現害喜情況，一般輕微孕吐不影響胎兒，適量食用陳皮或薑製品等止嘔食材就可紓緩症狀。如果情況嚴重，例如完全無法進食、出現脫水情況就需求醫治理。

紓緩妊娠嘔吐飲食小貼士：
1. 進食屬性平和的食物，少吃多餐
2. 嘔吐後補充水份或飲用米水
3. 不宜進補，宜健脾胃
4. 避免進食肥膩或生冷食物
5. 隨身帶備陳皮或薑製品等止嘔食材

DIY止嘔米水：
材料：紫蘇葉9克、酸柑2枚、大肚婆米水粉1包、冰糖適量
做法：將材料洗淨，酸柑切片、紫蘇葉剪成絲，保溫瓶內加入熱水，然後倒入米水粉及其他材料，焗約15-20分鐘即可。
*米水容易變壞，建議一天內飲用，不要過夜。

✔CheckCheckCin 米水推介：大肚婆米水
材料：紅米、白米
功效：健脾養胎、增進食慾、改善孕吐

歡迎到CheckCheckCin門市及網頁訂購：www.checkcheckcin.com
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Tips to relieve morning sickness
Whenever a woman feels nauseated, we would automatically think of pregnancy. Morning sickness is one of the common symptoms during the first trimester of pregnancy. To Chinese physicians, morning sickness is caused by an imbalance in the stomach, and it is pernicious in nature. Besides experiencing chest discomfort, dizziness, and feeling nauseous, some would find certain smells disgusting and vomit after eating certain food.

Individuals with weak spleen and stomach or those with a phlegm-dampness or damp heat body constitution would develop morning sickness more easily. Mild vomiting during pregnancy would not affect the fetus. Do consume some dried orange peels and ginger products to relieve the condition. If morning sickness persists and severely affects the appetite or causes dehydration, pregnant mothers should consult doctors for medical advice.

Tips on food that can help relieve morning sickness:
1. Consume mild-natured foods, have more frequent meals and eat less during each meal
2. Be sure to hydrate after vomiting with water or rice water
3. Avoid nourishing the body inappropriately, it is suitable to strengthen the spleen and stomach
4. Avoid oily, raw and cold foods
5. Moderately consume anti-nausea food such as dried orange peel or ginger-products

DIY anti-nausea rice water:
Ingredients: 9g purple perilla tea leaves, 2 calamansi, 1 pack pregnant rice water powder, rock sugar to taste
Preparation: Rinse all ingredients thoroughly. Slice the calamansi into pieces. Shred the purple perilla tea leaves. Add hot water into the thermos and add all the ingredients. Steep for 15-20 minutes and ready to serve.
*Rice water should be made fresh daily and should not be stored overnight as it may spoil easily.

✔ CheckCheckCin Rice Water Recommendation: Pregnant Rice Water
Ingredients: Red Rice, White Rice
Effects: Strengthen spleen and nourish the baby. Stimulate appetite. Relieve morning sickness.

Welcome to order through our website: www.checkcheckcin.com
Comment below or like 👍🏻 this post to support us. ❤️ Follow us for more healthy living tips.

#女 #孕婦 #痰濕 #嘔吐

A 15 minute Prenatal Yoga sequence led by Roxanne Gan.
This easy-to-follow sequence is suitable for beginners and all trimesters.
Learn how to breathe properly to connect with your baby as we stretch and release tight lower back and hips.

Roxanne is a Certified Yoga Instructor, Pre and Post- Natal Yoga Instructor and a Certified Personal Trainer.

More Yoga and Fitness tutorials:
Instagram: https://www.instagram.com/roxannegan_
#foxyroxyyoga
Facebook: https://m.facebook.com/roxannegan
email: hello@roxannegan.com

Disclaimer:
By participating in this Yoga session, you acknowledge and represent that:
1. to the best of your knowledge, you suffer from no medical or physical condition or disability that will or might increase the normal risks associated with exercise.
2. 2. Your doctor/ gynae/ obgyn has approved your participation in any physical activity.
3. Roxanne does not represent, warrant, undertake or guarantee that you will not suffer from any injury upon participation, and will not be responsible for any injury sustained.

#prenatalyoga #pregnancyyoga #yogaforpregnancy #pregnancy

♡ OPEN ME ♡ Like & click SUBSCRIBE to be a part of #FaaFam!

Timeline ☟
01:18 - "Is this pregnancy planned, intended and wanted? If yes. what's yours tips to try to get pregnant?"
17:31 - "What supplement did you take?"
18:20 - "How did you find out that you're pregnant?", how I told Afif & how we told our families
22:00 - "What will you miss the most about pregnancy?"
22:17 - "What gender were you guys expecting?"
22:29 - "What's your weirdest craving so far?"
22:38 - "Any 'allergies' during your pregnancy? Did your face break out?"
23:03 - "Where did you go for checkups? When is your expected due date (EDD)?"
23:28 - "Did you exercise during your pregnancy?"
23:45 - "How many kids do you plan to have?"
23: 53 - "What did you practice/amalkan since your first trimester?"
24:05 - "What was the first thing you bought and did when you found out you're pregnant?"
24:15 - "Did your pregnancy hormones changed your way of life?"
24:34 - "Is your cat jealous with your baby?"
24:43 - "What are your preparations for delivery?"
25:46 - "When did you start buying baby stuff?"
26:03 - "Who cleans the cat litter box?"
26:14 - "Are your pregnancy hormones as crazy as they said it would be?"
26:37 - "Did your hair grow fast?"
26:45 - "Do you struggle with your body image?"
27:32 - "How does it feel like when your stomach started growing?"
27:50 - "What's your birth plan?"
27:59 - "What's the hardest experience for this pregnancy?"

Reach me at ☟
☻ Instagram:
http://instagram.com/faafirds
☻ Email:
[email protected]
☻ Twitter:
http://twitter.com/faafirds
☻ Facebook page:
https://www.facebook.com/pages/Faafirds

Music credit ☟
Music by Visceral Beats - Best Friends Forever - https://thmatc.co/?l=0CDA4A44
Music by frumhere, kevatta - late night bump - https://thmatc.co/?l=E7607B6B
Music by Milky Day - Take It Slow - https://thmatc.co/?l=A917CB9F

DISCLAIMER ☟
This video is not sponsored. All opinions are my own. There may be affiliate links used above. Most of the items I have purchased myself but some may have been gifted to me by companies.

Debbie is in the final lap of her pregnancy! Fake contractions, mummy instincts and breastmilk? Leave a comment if you'd like to see more of Debbie's journey to becoming a first time mum!

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Debbie - https://www.instagram.com/debbwie

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