1 Introduction
Multiple pregnancy poses particular problems for women, their infants, and for their caregivers. Women are likely to experience the common, unpleasant symptoms of pregnancy, such as heartburn, backache, hemorrhoids, difficulty walking, and tiredness to a greater degree than women with a singleton pregnancy. They are more likely to suffer from anemia, hypertension, pre-eclampsia, preterm labor, and operative delivery. The increased risks to the babies include congenital malformations, monochorionicity (both babies sharing one placenta), poor fetal growth, preterm birth, and perinatal death. For the survivors, in the long term there is a greater risk of cerebral palsy.

2 Prenatal care
A wide range of options for regular antenatal attendance are practised, ranging from modified shared care between obstetrician and general practitioner to weekly visits from the 20th week of gestation onwards. There is no evidence to suggest that one pattern of prenatal care is better than another, because this important research question has never been properly addressed. Regular prenatal visits permit screening for hypertension and pre-eclampsia by careful determination of blood pressure, and, if elevated, checking for proteinuria. Care for women with a multiple pregnancy who develop hypertension may be particularly important, and should follow current treatment recommendations.

2.1 Advice and support
Women with a multiple pregnancy need advice and support from caregivers to help them deal with the particular problems of multiple pregnancy and with the common, unpleasant symptoms of pregnancy, such as hemorrhoids, heartburn, and backache (see Chapter 13). They may be especially anxious about the pregnancy, the birth, and their ability to cope with the practical and financial demands of more than one new baby. Assisting women to find support, such as a special antenatal class for women with a multiple pregnancy or referring them to a multiple-birth support group, may help.

2.2 Nutrition
Fetal demands for iron and folate are increased in multiple pregnancy and anemia is reported more frequently than in singleton pregnancies. Routine iron and folate supplementation is often advised from the beginning of the second trimester, although this has not been shown to improve the clinical outcome of the pregnancy.
 
2.3 Ultrasound

If routine ultrasonography is not carried out, an ultrasound examination is indicated when multiple pregnancy is suspected. Routine early ultrasonography results in earlier detection of multiple pregnancies, the detection of mono-amniotic pregnancies (with greater risk), and the detection of some unsuspected congenital abnormalities. Earlier detection of multiple pregnancy has not been shown to improve fetal outcome.
The risk of neural tube defects, cardiac anomalies, and bowel atresias, have all been reported to be increased in twin pregnancies. Conjoined twins and twin reversed arterial perfusion sequence are rare anomalies that are found exclusively in multiple pregnancies. Early diagnosis of fetal anomaly enables appropriate counseling as to the care options available.

The prediction of amnionicity (number of amniotic sacs) and chorionicity (separate or joined placentas) by first-trimester ultrasound is possible, though its accuracy and the relevance to pregnancy outcome remains to be determined. In theory at least, knowledge of amnionicity and chorionicity may be helpful in a number of ways, such as in the differentiation of twin-to-twin transfusion syndrome from a twin pregnancy complicated by intra-uterine growth restriction, in management after a single fetal death, or where one of the twins has a major congenital malformation and selective termination is considered.
If twin-to-twin transfusion syndrome develops, several therapeutic options have been advocated. These include: non-steroidal anti-inflammatory drugs, repeated therapeutic amniocenteses, and techniques that interrupt the pathological placental circulation. The results of controlled trials of these therapies are awaited, although there has been minimal evidence to date that any of these improve infant outcome.
Poor fetal growth of one or more babies is a risk in a multiple pregnancy. No adequately controlled data are available on the value of regular ultrasound or umbilical artery Doppler for assessing fetal growth and well-being in multiple pregnancy.

3 Preterm birth
Preterm birth presents the greatest threat to infant survival. Counseling as to the signs and symptoms of preterm labor with advice to present to the hospital if they occur, together with a written information sheet, may be of value, although this approach has not been subjected to a controlled evaluation.
Prediction of preterm birth is difficult. Cervical assessment by digital examination or by ultrasonography has been reported to provide useful prediction of the risk of preterm birth.
 How frequent these assessments should be made is uncertain, and whether they are more beneficial than harmful is unknown.
Cervical fibronectin may prove to be useful in predicting which women will give birth preterm, although the main strength lies in its negative predictive value. Whether the measurement of fibronectin will be useful clinically to improve pregnancy outcome remains to be established by controlled trials.
Several prenatal treatments have been used in attempts to reduce the risk of preterm birth and its sequelae in women with multiple pregnancy. These include cervical cerclage, beta-mimetic agents, home uterine-activity monitoring, and hospitalization for bed rest. All have been evaluated by controlled trials but, to date, none have proven to be of value in reducing the risk of preterm birth.

3.1 Cervical cerclage
In normal pregnancy, the uterine cervix is thought to assume a sphincter-like function to retain the contents of the uterus. A congenital or traumatically-acquired weakness of the cervix, or the unusual physiological circumstance of multiple pregnancy, are factors that may render the cervix incapable of performing this function as efficiently as usual.
The data available from controlled trials of cervical cerclage in twin pregnancy are too few to be clinically useful. They are compatible with both a large beneficial effect and with a large adverse effect of the operation. Cervical cerclage does affect other aspects of clinical care and carries some specific risks. It should not be adopted specifically for twin pregnancy outside the context of further controlled trials of sufficient size and quality.

3.2 Prophylactic betamimetic agents
Trials have been conducted with a number of oral betamimetic agents, including isoxuprine, ritodrine, salbutamol, and terbutaline, in various doses, for the prevention of preterm labor in women with multiple pregnancy. In spite of the diversity of agents and the varying doses used, the results are consistent. No beneficial effect of prophylactic betamimetic administration has been detected on preterm birth, low birthweight, or perinatal mortality. Although prophylactic betamimetic agents have not succeeded in postponing delivery or in improving fetal growth, the four trials that provide information on the incidence of respiratory distress syndrome suggest that the frequency of this adverse outcome may be significantly reduced. No such effect has been found with prophylactic betamimetics in singleton pregnancies, and it might be a chance finding.
In the light of the theoretical dangers of chronic fetal exposure to betamimetic agents, prophylactic administration of these drugs should only be considered in the context of well-controlled clinical trials.

3.3 Home uterine-activity monitoring
Trials of home uterine-activity monitoring in multiple pregnancy have been small, and not enough detail is available to evaluate the potential sources of bias. There are suggestions that babies born to mothers using home uterine-activity monitoring for twin pregnancy may be less likely to weigh less than 1500 g, or to be admitted to a special care nursery. Because of the high potential for bias, these data must be viewed with caution. Home uterine-activity monitoring, if adopted at all, should not be adopted outside the context of adequately controlled trials.

3.4 Hospitalization in multiple pregnancy
Prolonged bed rest in multiple pregnancy, with the aim of increasing the duration of gestation, improving fetal growth, and decreasing perinatal mortality, has been advocated for many years. The general considerations about the use of bed rest (see Chapter 14), apply equally strongly to its use in multiple pregnancy, as the practice is not innocuous.
Hospitalization and bed-rest in multiple pregnancy was introduced into clinical practice without adequate evaluation and the policy has still not been fully evaluated. Only recently have a few trials been conducted and further controlled evaluations are necessary to clarify the effects of this intervention. More information is available from twin than from higher multiple pregnancies.
There is some suggestion from these trials that routine hospitalization of women with twin pregnancies may result in a decreased risk of maternal hypertension, but a positive impact on more relevant outcomes has been negligible. Indeed the data suggest that routine hospitalization may have adverse effects. The risk of very preterm birth (less than 34 weeks gestation) and very low-birthweight babies was increased by routine hospitalization in these trials. No differences have been detected in the incidence of depressed Apgar score, admission to special care nurseries, or perinatal mortality.
Some obstetricians have suggested that hospitalization for bed rest in twin pregnancies should be applied only for women deemed to be at higher than average risk of preterm birth. Although this more conservative advice is possibly justified, there is remarkably little good evidence to support it. Only one such selective policy has been evaluated in a randomized trial. Comparison between the hospitalized and control groups of women with early cervical dilatation failed to show any benefits on the risk of preterm birth, perinatal mortality, fetal growth, or other neonatal outcomes. There is no basis for widespread adoption of the policy.
Only one trial of bed-rest in triplet pregnancies has been published. The results of this trial suggest that a number of adverse outcomes, including preterm birth, perinatal death, and low birthweight, can be reduced by routine hospitalization of women with a triplet pregnancy. The trial was small; the findings were compatible with chance; and further research is required.

4 Delivery
Virtually no data from controlled trials are available to help determine the choice between vaginal birth and cesarean section for women with multiple pregnancy. A single trial has assessed the effect of cesarean section for delivery when the second twin was in a non-vertex presentation. As would be expected, maternal febrile morbidity and need for general anesthesia was increased with cesarean section. No offsetting advantages in terms of decreased fetal or neonatal morbidity or mortality were found.

5 Conclusions
Additional support may be needed to help women with the emotional, practical, and financial demands of pregnancy and planning for more than one baby.
Routine early ultrasonography results in early diagnosis, detection of fetal abnormalities, and can determine amnionicity and chorionicity. Whether this improves the outcome for the mother or infant is unknown. Regular antenatal attendance permits screening for hypertension. Iron or folate supplementation may help to prevent anemia.
Prediction of preterm birth is difficult and the role of cervical assessment and clinical use of fibronectin remains to be evaluated by controlled trials. Therapies that aim to reduce the risk of preterm birth have not been shown to be effective.
There is currently no sound evidence to support the practice of routine bed-rest in hospital for women with a twin pregnancy; indeed the evidence suggests that this may be harmful. Whether or not such a policy would be justified in women at higher risk of preterm labor, such as those with triplet pregnancy or with early cervical dilatation, remains to be established.
The use of cervical cerclage, oral betamimetics, or home uterine-monitoring, for women with multiple pregnancy cannot be justified outside the context of adequately controlled trials. The indications for cesarean delivery with multiple pregnancy have not been established.

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The Original Post is Located Here: Multiple Pregnancy

Doctors and researchers are increasingly learning that by the time a woman gets pregnant, she may have already missed a critical window of opportunity to give her baby the best start in life. In this friendly and authoritative guide, Dr. Michael C. Lu, an expert in the field, offers a step-by-step prepregnancy plan that will help you have a safer pregnancy and a smarter and healthier child.

Dr. Lu’s plan explains how you can help prevent pregnancy complications such as gestational diabetes or preeclampsia, and minimize the likelihood of many childhood conditions, from asthma to autism. His expert advice includes:

• Ten brain foods you should eat more
• Ten toxic foods to avoid
• Ten steps to strengthen your stress resilience
• Ten steps to tune up your immune system
• Ten steps to detoxify your environment
• And much more!

• ISBN13: 9780061740305
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Tweets on Pregnant
Just saw a sixteen year old pregnant girl at the airport. It always makes me so sad to see that – by J_net2 (Jeanette Dolmetsch)

I Just Wona Get You Pregnant -_- lol – by MrAppenteng (Kwame Kyei Appenteng)

RT @Demxx: what's a burnt pizza, frozen beer, and a pregnant girl have in common?? In each scenario, there's a dumbass who didn't take it out in time.. – by bMaclennan_ (Brandon Maclennan)

The Original Post is Located Here: Get Ready to Get Pregnant: Your Complete Prepregnancy Guide to Making a Smart and Healthy Baby

How long into pregnancy will a home test show a positive answer?
I haven’t had a period for almost two months now. So last week i took two pregnancy tests. One came up negative, but the other one showed a positive result, but was invalid because the line in the second window (that shows up to show that the test worked) never showed up. There is a good possibility im pregnant, but I’m not sure and honestly don’t want to believe I am. How long should it take for a home pregnancy test to say positive?

Best answer:

Answer by mamamama
It should show up as positive around the same time as you would expect your period to come. So it should show up by now. Go buy another test and take it (or two, just in case). They’re most effective in the morning, and make sure you follow the directions exactly. If you still aren’t sure, go to your Dr. and have a blood test done. But if you get a positive result with a pee test, they’re really accurate and you can believe it.

What do you think? Answer below!
Pregnant and In Shape
fitness during pregnancy ebook
Pregnant and In Shape
Glade Curtis - Your Pregnancy Journal Week By (2002) -

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The Original Post is Located Here: How long into pregnancy will a home test show a positive answer?

An ectopic pregnancy is an irregular pregnancy that occurs outside the uterus. Most ectopic pregnancies happen in the fallopian pipe, but implantation can too happen in the cervix, ovaries, and stomach. The causes of ectopic pregnancy are unidentified. There are some speculative specific causes or associations. Smoking, advanced maternal age and prior tubal damage of any origin are well known risk factors for ectopic pregnancy. Ectopic pregnancy occasionally occurs in women who have had a hysterectomy. Rather than implanting in the absent uterus, the fetus implants in the abdomen, and must be delivered via caesarean section. Patients are at higher risk for ectopic pregnancy with advancing age. Vaginal douching is thought by some to increase ectopic pregnancies; this is speculative. Women exposed to diethylstilbestrol in utero also have an elevated risk of ectopic pregnancy, up to 3 times the risk of unexposed women.

In a normal ectopic pregnancy, the embryo does not hit the womb, but instead adheres to the lining of the Fallopian pipe. The implanted embryo burrows actively into the tubal lining. Most usually this invades vessels and will induce bleeding. This bleeding expels the implantation out of the tubal end as a tubal abortion. Many factors are known to increase the risk of having an ectopic pregnancy. Taking hormones, specifically estrogen and progesterone, can slow the normal movement of the fertilized egg through the tubes and lead to ectopic pregnancy. Most women who have had one ectopic pregnancy are later able to have a normal pregnancy. A repeated ectopic pregnancy may occur in 10 – 20% of cases. Women who have in vitro fertilization or who have an intrauterine device using progesterone also have an increased risk of ectopic pregnancy.

Early symptoms are either missing or delicate. Some women thinking they are having an abortion are really having a tubal miscarriage. There is no inflammation of the pipe in ectopic pregnancy. Patients with a late ectopic pregnancy typically experience pain and bleeding. This bleeding will be both vaginal and internal and has two discrete pathophysiologic mechanisms. The pain is caused by prostaglandins released at the implantation site, and by free blood in the peritoneal cavity, which is locally irritant. Sometimes the bleeding might be heavy enough to threaten the health or life of the woman. Later presentations are more common in communities deprived of modern diagnostic ability. An ectopic pregnancy is usually a failing pregnancy and falling levels of progesterone from the corpus luteum on the ovary cause withdrawal bleeding.

An ectopic pregnancy has to be suspected in any woman with lower abdominal pain or unique hemorrhage who is or might be sexually involved and whose pregnancy examination is constructive. If left untreated, about half of ectopic pregnancies will resolve without treatment. These are the tubal abortions. Early treatment of an ectopic pregnancy with the antimetabolite methotrexate has proven to be a viable alternative to surgical treatment. The advent of methotrexate treatment for ectopic pregnancy has reduced the need for surgery, however, surgical intervention is still required in cases where the fallopian tube has ruptured or is in danger of doing so. Surgeons use laparoscopy or laparotomy to gain access to the pelvis and can either incise the affected Fallopian and remove only the pregnancy or remove the affected tube with the pregnancy.

Pid Control Information From John Shaw.
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Your Pregnancy & Birth: Information You Can Trust from the Leading Experts in Wo

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NEW Pregnancy Information For Teens - Magill, Elizabeth

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Your Pregnancy & Birth: Information You Can Trust from the Leading Experts in Wo

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The Original Post is Located Here: Complete Information on Ectopic Pregnancy With Treatment and Prevention

How soon into pregnancy does someone start getting morning sickness?
I have not had a period since February, this is normal for me, however, lately I have had really bad abdominal pain. I feel really hungry all the time but puke when I do eat something. I’ve taken 3 pregnancy test all negative.
One of the pregnancy test was a blood test by a doctor but that was almost a month ago.

Also for the record none up my @$ $ thankyou and only one!

Best answer:

Answer by pink49erfn
It is different for every person, but on both of m pregnancies my morning sickness started around 6 weeks.

Can you go to the dr to get bloodwork to see if you are in fact pregnant?

What do you think? Answer below!

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The Original Post is Located Here: How soon into pregnancy does someone start getting morning sickness?

You’ve got nine months to prepare for the challenge of your life. Use every minute! The Perfect Pregnancy Workout will: -improve your mood -reduce lower back pain -develop mental discipline to control labor pain -tone your lower body to handle the demands of labor and birth -make it easier to lose weight after your baby is born -strengthen your upper body to lift and hold your baby -help eliminate or avoid incontinence and hemorroids

Karyne Steben, a world-class acrobat formerly with Cirque du Soleil, leads us through the sculpting workout, combining strength moves with graceful flexibility.

First time exercisers can feel at ease; Karyne illustrates exercise techniques and explains the dos and don’ts of exercise during pregnancy in a clear, easy-to-understand twelve-minute instructional section.

With options to make it fun for beginners and challenging for advanced exercisers, anyone can do The Perfect Pregnancy Workout!

The Perfect Pregnancy Workout video is a 43 minute pregnancy exercise video: 5 minute warm-up, 33 minute workout, 5 minute cool down. There is also a 12 minute instructional section explaining proper technique for pregnancy exercise.

*The Perfect Pregnancy Workout includes exercise variations for women with diastasis recti.*

Twitter on Pregnancy
http://t.co/k6GqW5B lack of B12 during pregnancy could cause excessive crying in babies. – by AtheistAPMom (Tosha Walker)

#oneborneveryminute puke puke puke. pregnancy. ew ew ew. – by charlottejune_ (Charlotte Godbold)

@OfficialMelB CONGRATS ON YOUR PREGNANCY!!!!! – by JaisonBlaze21 (Julian Summers)

@i_SmileForBiebs please tell me that pregnancy test is for Pattie :| – by JBieberlovaah (Canadian Belieber33)

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The Original Post is Located Here: The Perfect Pregnancy Workout vol. 1

One in 20 Pregnant Women is Dangerously Obese

(PRWEB) January 14, 2011

Shocking new research has revealed that more than 38,000 pregnant women in the UK are dangerously obese.

Figures revealed that five per cent of all pregnant women in the UK will give birth when they are morbidly obese, putting their babies and themselves at risk.

The health implications for overweight mothers are severe with stillbirths twice as likely to occur as well as an increased risk of blood clots, high blood pressure and bleeding after birth.

Many hospitals and maternity units have also revealed that they are not set up to care for severely overweight and pregnant women.

Having recently been named one of the fattest nations in the EU, the UK is in the throws of an obesity epidemic that shows no signs of slowing down.

For those who are worried about their weight, leading weight loss surgery provider,The Hospital Group offer a range of procedures to help people achieve the body they have always wanted.

David Ross, Chief Executive of The Hospital Group said: “Being overweight can have serious implications for your health putting you at risk of heart disease, high blood pressure, strokes and in some cases depression. And women who are obese and become pregnant are also putting themselves and their baby at risk.

“It is important that women who are obese watch their weight and take good care of themselves, especially if they plan on getting pregnant. It is quite safe for patients with a gastric band to become pregnant and in fact overweight women generally increase their chances of becoming pregnant if they are able to lose weight – the health benefits to themselves and the baby are enormous.

###

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The Original Post is Located Here: One in 20 Pregnant Women is Dangerously Obese

Amanda Ireland, a Gloucester, Mass. teen mother urges her peers against pregnancy; and psychologist Lisa Boesky tells Julie Chen about the social problems associated with teen pregnancy.

Teen Mom Talks Pregnancy

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The Original Post is Located Here: Teen Mom Talks Pregnancy

Pregnancy Health Centre Launches Website to Help Women

Edmonton, Alberta (PRWEB) March 9, 2010

The Pregnancy Health Centre announced today the launch of its new website. The new Pregnancy Health website gives Canadian women important and potentially life-changing information about pregnancy health, fertility health, and women’s health.

“The Pregnancy Health website gives women the opportunity to make informed decisions about how to manage their health,” said Cecil Horwitz, owner of the Pregnancy Health website. “Acupuncture complements Western medicine and plays a large role in the health of women, whether they are having fertility problems or are already pregnant.”

Women trying to conceive can get detailed information on the benefits of acupuncture for fertility, as well as statistics showing how it can impact the success of treatments such as in vitro fertilization (IVF), intrauterine insemination (IUI), and other fertility treatments.

For those women who are pregnant and experiencing conditions like pain, morning sickness, fatigue, and depression, the site outlines how acupuncture can help them manage those conditions and feel their best during pregnancy. Acupuncture offers women concerned about their own health and the health of their babies a drug-free alternative for managing pregnancy health. Women can also learn how to ease the labour process and reduce the need for medical interventions.

Visitors to the new Pregnancy Health website can also sign up to receive regular updates relating to women’s health. Women who are experiencing immediate health problems, or women who want to know more about using acupuncture to manage their reproductive health, can get their questions answered by Cecil Horwitz, a practicing acupuncturist specializing in acupuncture obstetrics, gynecology, and reproductive medicine.

Horwitz created the Pregnancy Health website when he discovered that the majority of women in Canada are not aware of the benefits of acupuncture. Once considered an alternative medical procedure, acupuncture is now widely used.

To learn more, please visit http://www.pregnancyhealth.ca.

About the Pregnancy Health Centre

Located in Edmonton, Alberta, Canada, the Pregnancy Health Centre offers women the opportunity to be proactive in their pursuit of a healthy life and lifestyle. The Pregnancy Health Centre educates women about the benefits of acupuncture throughout their reproductive cycles. Owner Cecil Horwitz is a registered acupuncturist (R.Ac) specializing in women’s health with post-graduate training in fertility, conception, labour, menstruation, and postpartum-related issues. He is currently enrolled in Obstetrics postgraduate training and stays current with advancements in research in Eastern and Western medicine.

For more information, please contact Cecil Horwitz at 780-850-7737.

###

©Copyright 1997-

, Vocus PRW Holdings, LLC.
Vocus, PRWeb, and Publicity Wire are trademarks or registered trademarks of Vocus, Inc. or Vocus PRW Holdings, LLC.

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The Original Post is Located Here: Pregnancy Health Centre Launches Website to Help Women

Corinth, KY (PRWEB) August 13, 2007

With unplanned pregnancy, especially among U.S. teens, ranking the highest in the developed world, the launch of the new ebook ”How to Avoid Unplanned Pregnancy Every Time You Have Sex – WITHOUT Using Contraceptives” has never been more appropriate. Now in electronic downloadable format, readers can attain straight-forward, practical advice in the privacy of their own home, with no need to stand in line or face sales clerks.

An astounding 750,000 teen girls get pregnant every year, according to the National Campaign To Prevent Teen Pregnancy. In fact, 31 percent of all young women become pregnant at least once before they reach the age of 20 (1), with four-fifths of these unplanned (2). Oftentimes, contraceptives are too expensive, risky or inconvenient. As a result, unplanned pregnancies can lead to poverty, lost opportunities, social and cultural stigma.

But ”How to Avoid Unplanned Pregnancy Every Time You Have Sex – WITHOUT Using Contraceptives”, now available in ebook format for download and in hard copy at http://www.prevent-unplanned-pregnancy.com http://www.lulu.com/content/1349342 in English and http://www.lulu.com/content/1344444 in Spanish, aims to reduce this statistic by educating women about safe, holistic non-contraceptive prevention techniques. The enlightening 23-page ebook is presented in an understanding and conversational tone, assisting readers of all ages, from young adults to pre-menopausal women. ”How to Avoid Unplanned Pregnancy…”‘ explores both the physical and emotional sides to intimacy, ways to assess a relationship and its longevity potential, actions that can sabotage a relationship and techniques you can use to help prevent unplanned pregnancy safely and naturally.

“There are countless healthy ways women can enjoy sex while preventing unplanned pregnancy,” explains Pett, Author of ”How to Avoid Unplanned Pregnancy Every Time You Have Sex – WITHOUT Using Contraceptives”. “I’m proof positive! For the past 24-years, I’ve enjoyed an active sex-life with long-term partners and my husband, never once experiencing an unplanned pregnancy, never spending exorbitant amounts of money on contraceptives and never suffering from a single health issue related to my reproductive organs and in general.”

”How to Avoid Unplanned Pregnancy Every Time You Have Sex – WITHOUT Using Contraceptives” helps women take a more active role in their healthcare and reproductive cycle. So they’re able to avoid common and serious medication side-effects including blood clots, stroke, heart attack, migraine headaches, high blood pressure and gall bladder disease. In addition to the serious risks, women can also avoid contraceptive-related weight gain, spotting, nausea and bloat.

This book provides step-by-step guidance so women can take control over their body and their life. The small, one-time book purchase can also save thousands of dollars in contraceptive pills and products.

To download the ebook or buy a hard copy, visit http://www.prevent-unplanned-pregnancy.com http://www.lulu.com/content/1349342 The book is also available in Spanish, http://www.lulu.com/content/1344444

1. Source: National Campaign to Prevent Teen Pregnancy analysis of Teen Pregnancy Data, 2006.

2. Source: The Guttmacher Institute’s U.S. Teenage Pregnancy Statistics National and State Trends and Trends by Race and Ethnicity, 2006.

About the author

Pett has used the techniques in her book throughout her adult life. At 40, she’s never experienced an unplanned pregnancy and has never used conventional contraceptives even through several long-term relationships and her marriage to her husband. She has always enjoyed a healthy, active and daily sex life, carefully planning her one and only pregnancy and conceiving within just two months of trying.

Contact:    

Pett

Unplanned.Pregnancy@yahoo.co.uk

http://www.lulu.com/content/1349342 in English

http://www.lulu.com/content/1344444 in Spanish

# # #

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The Original Post is Located Here: New eBook Offers Natural Techniques To Prevent Unplanned Pregnancy