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Pregnancy & your mouth

Pregnancy and your mouth. What’s being pregnant got to do with your mouth, I hear you ask?!

 

Well, stranger on the internet, I’m talking all about how Pregnancy can affect your oral health. In this case, my personal experience with both my gums and teeth during my pregnancies. Because how conceiving a baby can send your oral health into turmoil is something that just isn’t spoken about. It’s another one of those ‘pregnancy treats’ that you don’t find out about until you’re struck down!

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My teeth were ground to bits when I was pregnant with Eli – for some reason, being pregnant gives you more of reason to grind those toothies. I’d also clench my teeth together too. As I type this, my teeth are currently clenched. But I think that this current clenching is due to stopping myself from feeling so nauseous. Some women tend to grind their teeth or clench their jaws, especially during deep sleep or times of stress. Teeth grinding is also know by the medical term ‘bruxism’. Sometimes, teeth grinding can lead to several problems. It can wear down tooth enamel, which it had/has in my case and can cause chipping of the teeth, increase the sensitivity of the teeth to heat and cold and cause pain to the face and the jaw. I also tended/tend to wake up with a sore jaw and headache. For this reason, I was fitted with a mouth guard for use when sleeping when I was pregnant with Eli. However, once Eli arrived, my teeth also had a shift about and the guard no longer fit properly!

Your teeth are more sensitive during pregnancy, even from the very beginning. Hormonal changes during pregnancy can make your gums more vulnerable to plaque, leading to inflammation and bleeding. This is also called pregnancy gingivitis or gum disease. Morning Sickness All Day Sickness is another treat that can cause some serious damage to your teeth and gums. During bouts of sickness and nausea, make sure you rinse your mouth with plain water after each time you vomit. This will help prevent the acid in your vomit attacking your teeth. Do not brush your teeth straight away as they will be softened by the acid from your stomach. Wait about an hour before doing so.

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I wasn’t sure if the old wives tale of “you lose a tooth for every pregnancy” rang true – but I did have a wisdom tooth extracted shortly after Eli was born and I’ve had a total carry on with my teeth of recent. All of which is why I am beyond thankful to the amazing NHS for offering their dentist services for free during pregnancy.

Luckily, here in England, Pregnant women can apply for a Maternity Exception Certificate via their Midwife or GP. Details of which you can find, here. 

At time of this blog post being published, in February 2019, if you’re pregnant or have given birth in the last 12 months, you are entitled to:

  • free NHS dental treatment
  • free NHS prescriptions if you have a valid maternity exemption certificate

A maternity exemption certificate:

  • entitles you to free prescriptions
  • can be used to prove your entitlement to free NHS dental treatment

You’re also entitled to continue to use your exception card for 12 months after your baby is born. If you did not apply for a maternity exemption certificate while you were pregnant, you can still apply at any time during the 12 months after your baby is born.

For all commonly asked Pregnancy and NHS related questions, you can find a comprehensive list of answers on the NHS website, here.

 

Can you tell which tooth was causing all this trouble?!

This pregnancy started with swollen, painful gums that bled and a struggle to brush my teeth without borking 😭 I was waking with that pain in my jaw and ear from clenching and grinding my teeth in my sleep and  had impressions done for a new mouth guard; in hope it would bring some relief.

Fast forward to two weeks ago I went to the dentist again about a troublesome tooth that had cracked. It was so painful… or at least I thought it was painful until my dentist went gung-ho with a drill in an attempt to revive the old filling and where the tooth had cracked in half. The dentist filled the gaps and sent me on my way. Taking heed of the NHS advice to avoid painkillers; I basically laid my sad little face on a hot water bottle for a week.

By the Friday of the same week, I had cried every single day with the pain. After all my previous dental treatment (so many tooth extractions, braces, a retainer and my wisdom tooth removed), I’d never had pain like this. Another appointment saw that the nerves were damaged in my tooth where it was drilled earlier in the week. I was offered Root Canal treatment or pulling it out. The best option for me was E X T R A C T I O N. I just wanted the tooth gone, I was in total agony.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Brilliant. Nee bother. I’ve had half of my teeth removed since age 9, so loosing another one wouldn’t be a problem 🤷‍♀️

The anaesthetic soon got to work and my dentist began to pull and tug. She was pulling with such force she knocked my safety goggles off.  25 minutes later and a lot of me moo’ing like a cow (thinking I was being a wimp…) , I went pale, floppy and a first aider was sent in. I’d had a dip in blood pressure, blood sugar and it turned out that I had not been given enough anaesthetic. I was given a tablet, more anaesthetic (5 needles worth in total) and a further 25 minutes later the sodding tooth was out; in around 20 pieces. I’ve never had an extraction like it. I went home, totally shook.

Post tooth-extraction trauma. Notice how all my make up has melted off.

My jaw, cheek, ear, sinuses and the gum were so swollen and I was in such agony. I threw up and eventually I gave in an swallowed two paracetamol and laid my face upon my trusty hot water bottle once again. It looked like we could see my jaw bone in my gum and I didn’t have a blood clot on the gum at all. Because of this, I was religiously, but gently, swilling with warm salt water to be on the safe side.

 

Having a bath to try and distract me from the teething pain.
Having a bath to try and distract me from the teething pain.

 

By Sunday evening, I was still in such pain – but just thought again, I’m being a right wimp, my pain threshold isn’t as high ‘cos pregnant. But Monday morning came and my gum wasn’t right. My mouth tasted vile. The ‘stuff’ we thought was ‘granulation’ on my gum, was in fact infection. Straight back to the dentist I went. As my dentist is beyond cautious of how she treats pregnant women, she diagnosed Dry Socket and cleaned out the infection then injected something into my gum. I was not prescribed antibiotics or painkillers, as my dentist felt that my body was doing a “good job” of attempting to recover the gum itself. Some medicine was packed into the socket and I was sent on my way. The medicine tasted rank – kind of like chewing raw cloves, but I got used to it fairly quickly. I’d say by 3pm, I was more of less pain free. I couldn’t believe the relief. I cried because it was so weird to feel more normal!

 

Image may contain: sky, cloud, tree, outdoor and nature: I was up in pain at 3am, but I did get to witness this glorious sun rise from my bed!
I was up in pain at 3am, but I did get to witness this glorious sun rise from my bed!

 

I went to bed on Monday evening feeling pretty smug that I no longer needed my hot water bottle. But POW, its 3am and your gum and jaw and ear and cheek and sinuses are back to screaming in pain. BRILLIANT. The infection had pushed the gauze and whatever else was packed into my gum, out. The taste was unbearable. I couldn’t fall back to sleep.

So, back to the dentist I went yesterday. After a little clean up I was prescribed Amoxicillin for the next 5 days. Amoxicillin is one of the Antibiotics that are safe to take during pregnancy.

 

Please work, please work, please work!

 

I woke up today feeling sick, lightheaded and my mouth tastes absolutely vile. I’m 5 tablets into my course of Amoxicillin however and I’m bloody hoping they do the trick because there is still pain there too.

Moral of the story? Visit your dentist regularly. Especially when you’re pregnant!

C
✖️✖️✖️

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Guest Post for Wriggly Rascals: Ligament pain during pregnancy.

 

When the lovely ladies from Wriggly Rascals approached me about doing this guest post I knew that it was something I could definitely discuss at length… I’d had ligament pain since the very early weeks of my pregnancy…

To read my full blog post, head over to www.wrigglyrascals.com and straight to Ligament Pain During Pregnancy ! Please do tell us all about your experiences with Ligament Pain during Pregnancy. What helped you out the most? How was your birth and recovery? Did you encounter the pain in subsequent pregnancies?

And don’t forget to sign up to the website to join the conversation!

MM.

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If you need any #pregnancy reassurance, ask @wrigglyrascals for help. www.wrigglyrascals.com

@wrigglyrascals is a new community to help #newmums, join in. www.wrigglyrascals.com
About Wriggly Rascals
Wriggly Rascals was set up by Shona Motherwell, a frustrated mum of twins Mhairi and Archie to get mums together to share pregnancy, baby and toddler advice via quick surveys to get the facts about what other mums do. Our mums pass on loads of great tips to mums who have asked for help. If you would like some advice, get in touch at www.wrigglyrascals.com

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Woe is me… I have SPD.

As I’ve documented over my recent Weekly Updates, I’ve been suffering with what I thought was just ligament pain. Albeit, with ‘just’ ligament pain I should have probably kicked up more of a fuss (I hate causing fuss and I hate fuss!). But since Saturday last week I’ve been in absolute agony with my coccyx. To the point of screaming to just roll over in bed. And I like to think I’ve got a high pain threshold! Needless to say, I’ve not slept since Friday night (and that was a rubbish night’s sleep anyway!). On top of this, I’ve had a cold… a proper cold. Every single time I’ve sneezed it’s felt like my undercarriage was going to rip out of me. Horrendous.

I’d reluctantly started taking paracetamol on Sunday as the hot baths and heat compresses had failed to ease the pain; and had the long Jubilee weekend to rest. But forced myseld into work yesterday. I cried on the train journey in, just limbering on the edge of the seat. I got to work and was completely drained. I felt emotional and tired out. I couldn’t sit in my chair at my desk. As I’ve mentioned before, I’m the first pregnancy in my department, EVER. So have found it difficult when having even just standard Midwife appointments – people continuously asking why I’m at the Midwife so much. (As if I need to explain my medical situation anyway! I would NEVER ask a colleague why they’d visited the Doctors, would you?!). So when I’d been suffering with the aforementioned ligament pain, I found that people were more or less confused or found my blatant explanation “distasteful”. Goodness knows why! So of course, when I got to work yesterday in obvious pain, explaining that my coccyx were killing me didn’t go down all too well. I don’t think people understand just how sodding painful it is!

So I thought SOD IT. And got myself to the doctors at 5pm. The Doctor examined me and diagnosed me with SPD (Symphysis Pubis Dysfunction). I’ve been referred to a Physio (not sure how long it will be before I get my appointment mind!) and has given me a cream to rub onto my coccyx and upped my paracetamol intake. He did offer to give me Codeine aswell, but refused this as it can affect the baby. He also gave me a sick note. My first sick note. So close to the end of work, before my Maternity Leave begins on 22nd June… so I’m quite disappointed with myself. I’ve never ever had a sick note. I didn’t even know what to do with the damn thing.

So that’s that. I’ve had my first day off work today and literally slept the entire day through. The paracetamol and sitting on a hot water bottle has helped.

I just need to keep on top of resting and relaxing. This is definitely my body’s way of telling me to SLOW DOWN.

Has anyone else suffered with SPD? What are your coping techniques? Did you get better post-partum?

MM.

 

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Hospital Update: Meeting the Consultant and measuring 34 weeks at 28 weeks.

My favourite image of our Baby Boy so far! Taken at 20 weeks, UCLH. 20th March 2012.

Yesterday morning we drove up to Broomfield Hospital for another appointment with our Consultant; to discuss the findings from our last scan –The Bilateral Talipes. But our actual consultant was stuck on the M25 (of course), so we saw someone else and had to go through the whole rigmarole of explaining everything that’s happened in this rollercoaster of a pregnancy!

Fast forward half an hour and I’m on the couch being measured up with a tape measure again. At my Midwife appointment, less than a week ago, my bump was measuring up at 30cm, so 30 weeks – Weekly Update: 28 weeks. So had expected it to be about the same.The two Doctors measured me again… I was measuring 34cm, so one would assume, 34 weeks! UH OH.

I was referred for an emergency scan to check out baby boy’s measurements properly, along with an index of my amniotic fluid. Had to sit around the hospital for 3 hours until the scan. MASSIVE YAWN.

Had the scan and everything was FINE. He’s measuring up at 29 weeks (of which I am 29 weeks tomorrow). He weighs about 2 and a half pounds. He couldn’t be more spot on measurements wise, he’s spot on all the ‘average measurement’ lines on the scan graph. Which is great!

Also, my amniotic fluid is showing up at 6cm at the deepest point, which again, is absolutely normal! So everything is great. I just have a lot of my own water retention and bloating..possibly because I drink far too much water. What can I say? I’m a thirsty girl!

Additionally, the Sonographer also said that we no longer need to go back to have a scan at 32 weeks. She’s more than happy with the progress of everything and doesn’t see why we should have to go back to the hospital to review baby boy’s Talipes. Which is also fine by us! We’re over the moon! But at the same time, I’m also a little bit sad that we won’t be seeing our baby boy for a little while… in fact, the next time we see him will be when he’s ARRIVED! Which to be honest, is also a little bit scary! It’s all very very very REAL now. EXCITED.

So the moral of this story is, don’t believe the measurements! It was never going to be an exact science, measuring your bump – who thought it would be?!

MM.

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Hospital Update: Baby Boy bump has (mild) Bilateral Talipes.

Wednesday 18th April: Re-scan at UCLH, Fetal Medicine Unit.

This morning we visited the Fetal Medicine Unity in UCLH (University College London Hospital) for the re-scan of baby boy bump’s feet – to confirm or exclude Talipes (Club Foot). Since my worrying Midwife appointment the other week, I’ve thought about nothing other than the results we might find at the scan today. Not about his feet though, I was thinking about everything else that it could be linked to. Yesterday the panic set in again and I started googling all sorts, which we all know, is probably the worst thing you can do – ever! Based on the, err, google search findings, I’d really worried myself about how his spine might be developing, as Talipes can be the result of other genetic disorders. This all combined with the Midwife appointment made me really really quite anxious in that waiting from this morning.

Appointment was for 9am, we arrived early, as always, at 8:30am. We went into see the FMU and Speciality Doctor who has performed our most recent scans at UCLH, at about 9:15am. Our Speciality Doctor is beyond thorough, so started off with checking the progress of the brain and heart. Then he went on to check other internal organs for size and function, making the necessary measurements and notes as he went along. (See below for measurements from this scan!) He muttered that “everything is developing beautifully”. Then he turned to the back, looking at the spine and ribcage. He pondered over the spine and I clenched onto OH’s hand. The Doctor didn’t say anything so I asked “Is his spine ok?”. He smiled and said “Of course, he’s beautifully in proportion and developing as he should be. It’s a good thing!”. PHEW. I was happy at that point 🙂

As baby boy bump has proven at every single scan, he’s a wriggler. He moves non-stop. Which is amazing! But not great when the Doctor is trying to desperately get a good view of his feet! It was at this point that he got the 4D scanning images up again – which is just incredible. It’s so amazing to see your baby’s face like that – unbelievable to be honest! But he was really wanting to get a good view of his feet… so it was a quick look at his cute-as-a-button face and then back to business.

The Doctor scanned his feet for about 15 minutes using both the 4D and 2D imaging. He then turned to us and said that he was “convinced there is a degree of Bilateral Talipes. But is extremely mild”. He then went on to discuss corrective methods and said he’d like the Consultant to take a look. The Consultant arrived and said that the Talipes was so mild that “I probably would have missed it to be honest!”.

So with all this in mind, we’re over the moon. Couldn’t be happier. We always knew this baby boy of ours would be a character, and he’s certainly that!

We”ve now been discharged from UCLH and referred back to the care of Broomfield. We will have another scan (YES!) at 32 weeks to see the progression of the Talipes. This will be our 8th scan, although these scans have not been under happy circumstances (mostly), we’re extremely grateful that we’ve been lucky enough to see our baby boy growing at every single stage. As long as the Talipes has progressed as it should (or hopefully, not at all) then we’ll remain within the care of Broomfield. We will not be treated any differently for the birth, so there is no reason for me not to have the Water Birth I’m planning! Once baba is born, we’ll obviously review the extent of the Talipes and take it from there.

Measurements at 25 weeks and 5 days.

Biparietal Diameter (BPD): 67.9 mm

Head Circumference (HC): 243.9 mm

Abdominal Circumference (AC): 213.3 mm

Nuchal Fold Thickness (NT): 5.6 mm

Nasal Bone: 7.4 mm

Femur Length: 45.5 mm

Estimated Fetal Weight (BPD, HC, AC, FL) :842 g / 1 lb 14oz

4D scan of baby boy’s face. He has my nose and chin and OH’s eyes. He’s playing hide and seek here though unfortunately! 

MM.