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Why am I Losing my Hair After Giving Birth?

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Why am I Losing my Hair After Giving Birth?

Dr. Jen Lincoln (Bundoo®). Edited by Dr. Kate Dudek • September 22, 2019 • 5 min read

Why am I Losing my Hair After Giving Birth? article image

After giving birth, there are a lot of things you expect to lose. Some, like excess weight, you may hope to shed rapidly; others, like a full night’s sleep, you may really struggle with. One thing you may not expect to lose though, is your hair. An estimated 40-50% of women experience greater-than-normal hair loss in the postpartum period, according to the American Pregnancy Association.

Like many processes in your body, hair growth is influenced by hormones. Typically, at any one time your hormones will stimulate about 90% percent of your hair to grow, whilst 10% of your hair follicles go through a resting phase. This phase of inactivity usually lasts for about 2-3 months, after which, the resting follicles will fall and new hairs will grow in their place. Since you only lose a small fraction of hair at a time, the loss is usually not noticeable.

Pregnancy, however, can change this normal cyclical pattern of growth and rest. The increased hormones in your body mean that your hair grows at a faster rate and remains in the resting phase longer than usual. This is why some women find their hair appears thicker and fuller during pregnancy.

After you have given birth, hormone levels start to decline and the extra hair that did not fall out whilst you were pregnant, starts to shed in greater quantities than you would normally see. Whilst this is nature’s way of helping your hair growth to return to normal, and you are only shedding hair that would normally have been lost in the preceding months, seeing lots of hair come out at a time can, understandably, cause some concern.

Signs of normal postpartum hair loss:

  • Noticing more hairs than usual in your hairbrush
  • Hair loss peaking at around four months after giving birth
  • Accelerated hair loss stopping by your baby’s first birthday.

When to talk to your doctor:

  • If you have hair-free patches of scalp that are approximately 25 mm in size
  • If you feel the loss is excessive and not improving with time.

In addition to following a healthy diet, there are other steps you can take to reduce hair loss after pregnancy. These include avoiding extremely tight hairstyles that can accelerate hair loss, such as cornrows, braids, and hair rollers that are pulled too tightly.

Sources:

  • American Academy of Dermatology
  • Hair Loss Common After Childbirth. American Pregnancy Association
  • Hair Loss & Pregnancy. KidsHealth

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Can Exercise Help to Relieve Postnatal Depression? 

Exercise help to relieve postnatal depression after the birth of a baby, called [postnatal or postpartum depression](https://nabtahealth.com/what-is-postnatal-depression/) ([PND](https://nabtahealth.com/glossary/pnd/)), is common. Thought to affect between 10 and 20% of new mothers, some of the main symptoms are frequent crying, a feeling of listlessness and tiredness, and an inability to fully bond with their baby. The reasons why some women are more susceptible to [PND](https://nabtahealth.com/glossary/pnd/) than others have not been fully established, but with many reporting that they had unrealistic expectations of what being a mother would feel like and others struggling with low self esteem due to an altered body shape, perhaps the high proportion of women diagnosed with [PND](https://nabtahealth.com/glossary/pnd/) is unsurprising. The vast array of physico-chemical and hormonal changes that occur during pregnancy and beyond probably play a role, however the exact mechanisms and contributing factors are still unclear. #### **The problem** Despite its high prevalence and the long-term health risks it poses, not just to the mother, but also her baby… despite the fact that it can impact a woman’s relationship with her husband, her friends and other family members… despite the fact that in its most severe form, it can [lead](https://nabtahealth.com/glossary/lead/) to suicidal thoughts… despite all of this, and more, current treatment options are limited to say the least. Postnatal health and weight management is important. Following pregnancy, many women are left with excess weight and reduced fitness, at a time when being fit and healthy is vital. The problem is that whilst this is widely known, there are no universal guidelines to support and instruct women on how to maximise their health and fitness post-childbirth. #### **So, can exercise help?** Let’s consider the literature first. There have been a significant number of studies demonstrating that regular exercise is beneficial for the general population. There have even been studies showing the importance of mothers-to-be maintaining a good level of overall fitness throughout their pregnancies. In the general population, physical activity has been shown to reduce stress, anxiety and depression; it has an important role in the promotion of good mental health. The National Institute for Health and Clinical Excellence (NICE) in the UK recommends that for adults with mild/moderate depression a structured group physical activity programme should form part of their ‘facilitated self-help’. The NICE guidelines on the management of [PND](https://nabtahealth.com/glossary/pnd/) make no specific mention of physical activity being used as an adjuvant tool, although they do refer people to the section of facilitated self help under the guidelines for clinical depression. An older version of the NICE guidelines did indicate that moderate exercise could benefit women with [PND](https://nabtahealth.com/glossary/pnd/), but newer versions seem to have removed this statement. Perhaps, this is unsurprising. Literature searches and meta analyses are fairly inconclusive. Data on the benefits of exercise for women struggling after childbirth is conflicting and positive associations are weak. There is a need for more robust, longer-term studies. Without the evidence to support it, few health institutes will be prepared to list the undertaking of physical activity as a viable treatment option. However, with many women reluctant to take antidepressants whilst breastfeeding and caring for a child, alternative approaches are required. It is, of course, important to consider both viewpoints. Not all women will want to exercise after the birth of their baby. Some will have childcare considerations, others will be adhering to breastfeeding and sleeping routines that minimise the opportunities for undertaking physical activity. The general fatigue that accompanies looking after a newborn can make it difficult to generate sufficient enthusiasm for exercising. It is certainly not a solution for everyone, but for some, it may be a good way of relieving some of the stress and anxiety they have after giving birth. #### **Personal Reflection** When I write articles, I do not always feel it is appropriate to share my personal feelings. This is not usually the medium for doing that; this is a place to present the facts, supported by the most recent published research. But, this is a topic I feel quite passionately about. I do believe exercise can improve a negative mindset, I am a great advocate of group exercise programmes and this is why. I never had clinically diagnosed [PND](https://nabtahealth.com/glossary/pnd/), but, like many women, I struggled after giving birth; I missed my independence and I found it a very socially isolating experience. In many ways, the second time round was easier, we knew what we were letting ourselves in for; life had changed significantly with our first baby. how much difference would another one really make (the absolute naivety of that statement is a topic for another time!)? What was difficult with round two, was that we had recently moved overseas; we moved when I was 12 weeks pregnant. And so, I found myself living in a different country, with no family, few meaningful friendships, a husband that worked, a toddler and a newborn. I still would not say I was depressed; I did not struggle in the way that some women do, but I was lonely and that can have a big impact on a person’s quality of life. I lived for the weekends, when my husband was home, but by then was too irritable and tired to make the most of it. Things changed hugely for me when I found a postnatal exercise class to join. I could take the baby and nobody minded if I had to stop part way through and breastfeed, but the main thing was, it was something for me; the focus being on me, and not on the baby. Sure, he got to come along, have a change of scene, stare at himself in a mirror and dribble over other baby’s toys; so you could say we both benefitted. I made friends, like-minded women, who were in a very similar position to me; I got fitter and felt better about my own body; I improved my energy levels and, ultimately, improved the relationship I had with my husband and my children. So, yes, I will take on board what the science says, I will not guarantee physical activity as the best and only way of relieving the symptoms of [PND](https://nabtahealth.com/glossary/pnd/). But, I will suggest that if you are struggling, find a type of exercise that works for you, with or without baby (there is no shame in having a break sometimes), and go for it. Nabta is reshaping women’s healthcare. We support women with their personal health journeys, from everyday wellbeing to the uniquely female experiences of fertility, pregnancy, and [menopause](https://nabtahealth.com/glossary/menopause/).  Get in [touch](/cdn-cgi/l/email-protection#463f272a2a270628272432272e23272a322e6825292b) if you have any questions about this article or any aspect of women’s health. We’re here for you. **Sources:** * “1 Guidance: Depression in Adults: Recognition and Management: Guidance.” NICE, [https://www.nice.org.uk/guidance/cg90/chapter/1-Guidance#step-2-recognised-depression-persistent-subthreshold-depressive-symptoms-or-mild-to-moderate](https://www.nice.org.uk/guidance/cg90/chapter/1-Guidance#step-2-recognised-depression-persistent-subthreshold-depressive-symptoms-or-mild-to-moderate). * “1 Recommendations: Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance: Guidance.” NICE, [https://www.nice.org.uk/guidance/cg192/chapter/1-Recommendations](https://www.nice.org.uk/guidance/cg192/chapter/1-Recommendations). * Carter, Tim, et al. “The Effectiveness of Exercise-Based Interventions for Preventing or Treating Postpartum Depression: a Systematic Review and Meta-Analysis.” _Archives of Womens Mental Health_, vol. 22, no. 1, Feb. 2019, pp. 37–53., doi:10.1007/s00737-018-0869-3. * Daley, Amanda J, et al. “The Effectiveness of Exercise as a Treatment for Postnatal Depression: Study Protocol.” _BMC Pregnancy and Childbirth_, vol. 12, no. 1, 9 June 2012, doi:10.1186/1471-2393-12-45. * Saligheh, Maryam, et al. “The Relationship between Postnatal Depression, [Sociodemographic](https://nabtahealth.com/glossary/sociodemographic/) Factors, Levels of Partner Support, and Levels of Physical Activity.” _Frontiers in Psychology_, vol. 5, 14 July 2014, doi:10.3389/fpsyg.2014.00597.

Dr. Kate DudekDecember 19, 2022 . 7 min read
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Getting started with Nabta Health; Your 101 Guide to Maternal Health

![](https://nabtahealth.com/wp-content/uploads/2022/09/pexels-ivan-samkov-8504293-scaled.jpg) #### What is maternal health and why is it so important? Pregnancy and childbirth are exciting, scary, life-changing events. They can be joyful experiences, and they can be fraught with anxiety, and physical and emotional challenges. Maternal health is about the wellbeing of women and their babies during pregnancy, childbirth, and the postnatal period. Women should feel comfortable and confident in the medical care and attention they receive each stage of their pregnancy journey. Lack of awareness about the potential complications associated with pregnancy and childbirth can [lead](https://nabtahealth.com/glossary/lead/) to devastating outcomes. Most maternal complications are preventable with prompt support by trained maternal health professionals. The goal for maternal health is always positive outcomes for both mother and baby. #### What are maternal health services?  A pregnant woman will usually meet some or all the following skilled healthcare practitioners during and after her pregnancy:  * Doctor or General Practitioner (GP): Provides basic pregnancy care. Doctors with added expertise may share pregnancy care with a hospital. * [Obstetrician](https://nabtahealth.com/glossary/obstetrician/): A doctor qualified in specialist antenatal and postnatal care for women and their babies. Obstetricians deliver babies and manage high-risk pregnancies and births.  * Midwife: Medically trained to care for women during pregnancy, labour and after childbirth. Often a pregnant woman will be cared for by a team of midwives. * Doula: Some women choose a Doula as a companion for support during pregnancy and labour. A Doula is not a medically trained professional. * [Lactation](https://nabtahealth.com/glossary/lactation/) consultant: Helps mother and baby establish breastfeeding and overcome difficulties with latching, low milk supply, and sore nipples. * Maternal and child health nurses: Monitor the child’s development and growth from newborn until around 3.5 years old. #### Antenatal checks, tests, and screenings Routine antenatal checks and tests are an important part of a woman’s pregnancy care. As the pregnancy progresses, blood tests, urine samples and ultrasound scans are accompanied by scheduled check-ups to assess the mother’s health and wellbeing, and the baby’s development.  Screening and scans during pregnancy typically include a full blood count, infectious disease screen, urine culture, dating scan, screens for genetic abnormalities, [gestational diabetes](https://nabtahealth.com/glossary/gestational-diabetes/) screening, and Group B strep screen.  It’s a personal choice to have all the antenatal tests. A mother’s healthcare team will recommend that she has all tests and scans as scheduled for a complete picture of her health and her baby’s development. The tests are also designed to pick up any medical problems and identify possible genetic conditions affecting the baby. This will enable the mother and her doctors to make informed decisions about further testing or actions.  #### What are maternal health concerns during pregnancy? Major maternal health problems can [lead](https://nabtahealth.com/glossary/lead/) to serious illness or death for both mother and baby. Complications can include excessive blood loss during labour, infections, [anaemia](https://nabtahealth.com/glossary/anaemia/), high blood pressure ([hypertension](https://nabtahealth.com/glossary/hypertension/)), obstructed labour, and heart disease. Maternal mental health is also an important consideration. Pregnancy and childbirth are different for every woman. Access to the right healthcare before, during and after pregnancy will reduce the risk of complications. #### – Before pregnancy Medical history and pre-existing conditions: The healthcare team should be made aware of any medical conditions, medications, or family history that may affect the mother’s health, or the unborn baby’s health during pregnancy. #### – During pregnancy The mother should attend all recommended check-ups and screenings. The maternal health team will monitor and treat pregnancy-related health issues including [anaemia](https://nabtahealth.com/glossary/anaemia/), urinary tract infections, [hypertension](https://nabtahealth.com/glossary/hypertension/), [gestational diabetes](https://nabtahealth.com/glossary/gestational-diabetes/), mental health conditions, excess weight gain, infections, [hyperemesis gravidarum](https://nabtahealth.com/glossary/hyperemesis-gravidarum/) (severe and persistent vomiting). #### – After pregnancy The postpartum period usually refers to the first six weeks after childbirth. While there’s (understandably) lots of focus on the new arrival, postpartum health is just as important:  * Physical recovery: Allow time for physical recovery from a vaginal birth or C-section. Mothers should prepare for perineal pain, vaginal bleeding (lochia) and uterine [contractions](https://nabtahealth.com/glossary/contraction/). * Postpartum or postnatal depression: Take care of emotional health. It’s normal to experience the ‘baby blues’ when hormones dip a few days after giving birth. Prolonged low moods and feelings of helplessness should be raised with the healthcare team.  * Rest is best: Try to sleep or rest when the baby sleeps. Rest will help with recovery. * Eat regularly: Eat regular, healthy meals. What a mother eats, her baby eats. * Hydrate: Drink water, lots of it. Hydration will aid milk supply. * Feeding routines: Get support establishing feeding routines, whether breast-feeding or bottle-feeding. * Physical exertion: Avoid heavy lifting for the first 4 to 6 weeks after delivery and especially after a C-section. Exercise should be gentle walks with the baby. Try not to do any physically demanding activities (no running up and down the stairs and definitely no gym sessions!). * Vitamins: Continue taking antenatal vitamins #### What are postpartum complications? Postpartum complications to be aware of include mastitis, postnatal depression, excessive bleeding (hemorrhage) after giving birth, infection or sepsis, [hypertension](https://nabtahealth.com/glossary/hypertension/), pulmonary [embolism](https://nabtahealth.com/glossary/embolism/), cardiomyopathy, and cardiovascular disease.  Postpartum mothers should be counselled to recognise the signs and symptoms of a problem. Contact a doctor at once at any sign of high fever, flu-like symptoms, a red and swollen breast, a headache that doesn’t improve with medication, chest pain, shortness of breath, seizures, bleeding through one maternity pad in an hour, and a red or swollen leg painful to touch.  #### What happens at a postpartum check-up?  Postpartum maternal checks are about the mother’s health. At your postpartum check-ups your doctor will check your abdomen, [vagina](https://nabtahealth.com/glossary/vagina/), [cervix](https://nabtahealth.com/glossary/cervix/), and [uterus](https://nabtahealth.com/glossary/uterus/) to make sure you are healing well. They will talk to you about when it is safe to have sex again and birth control (remember that even if you don’t have your periods while you breastfeed you can still become pregnant). And your doctor will also talk to you about your emotional health, whether you are getting enough rest, eating well and how you are bonding with your baby. Use these check-ups to raise any concerns you might have with your recovery and emotional wellbeing. #### Getting started with Nabta Health Nabta’s marketplace and resources are designed to support mothers at every stage of their maternal health journey.  From at-home tests to prenatal courses; on-demand Doulas to hypnobirthing courses; maternity pads to nursing bras; prenatal yoga to postpartum care packages… Nabta’s team of healthcare and wellness experts has carefully selected products to meet a woman’s maternal health needs.

Iman SaadAugust 31, 2022 . 6 min read
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Lung Disease in Premature Infants

Lung Disease in Premature Infants, Premature infants are at risk for a variety of lung problems and diseases, in part because infants can survive birth at earlier ages than ever before. According to the New England Journal of Medicine, infants today “consistently” [survive birth at 23-26 weeks](https://nabtahealth.com/articles/your-pregnancy-week-23/)’ gestation. However, as a result, their lungs are less developed than a [full term](https://nabtahealth.com/glossary/full-term/) baby’s lungs, potentially leading to problems down the road. Here are a few conditions that premature babies may face both in the [neonatal](https://nabtahealth.com/glossary/neonatal/) intensive care unit (NICU) and after discharge. Respiratory distress syndrome (RDS) ----------------------------------- Premature babies often lack adequate surfactant, a special substance inside the lungs that makes it easier to breathe by preventing the lungs from collapsing. This condition, known as respiratory distress syndrome (RDS), is the most common lung problem affecting premature babies. Premature babies (usually those born before 36 weeks’ gestation) with RDS generally require treatment with surfactant immediately after birth. This medication coats their air sacs and enables them to breathe easier. Some babies with RDS require more intervention. They may need a temporary ventilator or continuous positive airway pressure (CPAP), which offers adequate airway pressure until their lungs mature and get stronger. Bronchopulmonary dysplasia (BPD) -------------------------------- Bronchopulmonary dysplasia can occur in premature infants who suffer from RDS. BPD is typically seen in premature infants born at or before 30 weeks gestation who need supplemental oxygen for a prolonged period of time. Infants with BPD have lung scarring and abnormal lung development. Fortunately, many babies outgrow BPD. However, others might need medications or lung treatments for years to come, including diuretics, inhaled steroids, and bronchodilators (a type of medicine that helps open up the lung passages to allow air to flow through more freely). According to the National Heart, Lung, and Blood Institute (NHLBI), between 5,000 and 10,000 new cases of BPD occur every year in the U.S. Apnea ----- Sometimes, premature babies have erratic breathing. In fact, even full-term healthy babies have moments when their breathing is uneven, referred to as periodic breathing. However, premature babies with infant apnea require close monitoring. The American Academy of Pediatrics ([AAP](https://www.aap.org/)) defines apnea as “an unexplained episode of cessation of breathing for twenty seconds or longer, or a shorter respiratory pause associated with bradycardia (low heart rate), cyanosis (blue color to the skin), pallor (paleness), and/or marked hypotonia (baby becomes floppy).” While in the NICU, the baby may require CPAP or even an infant form of caffeine to stimulate the baby to breathe regularly. Premature babies with infant apnea will oftentimes go home from the NICU unit with monitoring equipment. Sensors located in a special vest will detect and monitor both breathing and heart rate, and an alarm will sound if either of these fall below a safe range. Persistent pulmonary [hypertension](https://nabtahealth.com/glossary/hypertension/) of the newborn (PPHN) --------------------------------------------------------------------------------------------------------- Premature infants can have high blood pressure in their lungs called persistent pulmonary [hypertension](https://nabtahealth.com/glossary/hypertension/) of the newborn (PPHN). This condition most often occurs when babies aspirate [meconium](https://nabtahealth.com/glossary/meconium/) during labor. These infants are likely to require the use of mechanical ventilation until the condition resolves. They may require high-frequency ventilation, which is a specialized ventilator to help the lungs heal more quickly. They will also receive medication to help them breathe, including surfactant. PPHN can also occur in [full term](https://nabtahealth.com/glossary/full-term/) infants (approximately 2 per 1,000 babies) and is actually more common in [full term](https://nabtahealth.com/glossary/full-term/) infants than premature infants. Infections ---------- Lung infections can be dangerous for any baby but [premature infants](https://nabtahealth.com/articles/anemia-in-premature-infants/) are at a much higher risk of complications from either viral or bacterial causes. Respiratory syncytial virus (RSV) is the most common cause of viral lung infections in [premature babies](https://nabtahealth.com/articles/11-things-that-can-cause-preterm-labor/). (RSV) can infect anyone, but is a cause for concern in premature infants because their lungs are weaker. Treatment is usually just supportive, including oxygen and IV fluids. Viral infections can sometimes be complicated by bacterial pneumonia. Newborns with pneumonia will likely require supplemental oxygen until they get over the insult to their already fragile lungs. IV antibiotics are also used to combat the infection. Reviewed by Dr. Sara Connolly, December 2018 **Sources:** * American Lung Association * Understanding Bronchopulmonary Dysplasia (BPD). Baraldi, E., and Filippone, M * Chronic Disease after Premature Birth * N Eng J Med 2007:1946-55. Centers for Disease Control and Prevention * Respiratory syncytial virus (RSV). Committee on Fetus and Newborn * American Academy of Pediatrics * Apnea, sudden infant death syndrome, and home monitoring * Pediatrics * Apr 2003;111(4 Pt 1):914-7. March of Dimes * Common Conditions Treated in the NICU. Powered by Bundoo®

NabtaMay 29, 2022 . 4 min read