The influencer Bia Miranda 20, announced on Sunday (29) that she is pregnant with her second child, three months after the birth of her first baby. In a video published on Instagram on Monday (30), she commented that she is “terrified” about what could happen from now on. The second baby is the result of her relationship with Samuel Sant’anna, 31, better known as Black Cat .
Gretchen’s beloved granddaughter and runner-up in A Fazenda 14 gave birth to Kaleb on June 5 of that year, as a result of her relationship with DJ Rafael Buarque. The two announced the end of their relationship on August 16, shortly after the baby was born. Days later, Bia announced her relationship with Gato Preto, but that has also come to an end.
According to Carla Paladino, gynecologist at Grupo NotreDame Intermédica, the return of ovulation can occur from six weeks after giving birth and, therefore, there is a need for medical monitoring of the woman at this stage to recommend a contraceptive method.
“There are methods available to be used in the immediate or late postpartum period, including being safe for women who are breastfeeding,” he says. CNN .
Risks for the baby and mother
But, after all, are there risks in having two pregnancies close together, as in the case of Bia Miranda? According to Paladin, yes, there are risks . “When the interval between pregnancies is less than 6 months, the pregnant woman may experience anemia, uterine rupture (rupture of the uterus) or premature detachment of the placenta, vaginal bleeding and urinary or genital tract infections”, he states. For the fetus, risks include prematurity and poor growth.
According to the specialist, the risk of complications is greater the shorter the time since the previous birth, if it was performed by cesarean section and in women over 35 years of age.
Therefore, the recommendation of the World Health Organization (WHO) is that minimum interval between birth and a new pregnancy is at least 12 to 18 months .
The entity’s guidance is in line with a study released in 2018 and published in the newspaper JAMA Internal Medicine. According to the work, the safe interval between childbirth and a new pregnancy may vary according to the woman’s age, but is generally, on average, a year and a half .
Also according to the study, women over 35 years of age, who became pregnant within a six-month interval, had a 1.2% chance (12 cases for every thousand pregnancies) of maternal mortality or serious morbidity. However, when the space increased to 18 months, the risk decreased to 0.5%. The risk of premature birth fell from 6% (in an interval of six months) to 3.4% (in an interval of 18 months).
Second pregnancy close to the first requires special care
Despite the risks, it is possible to have a healthy second pregnancy even after a short period of time after giving birth to your first child. To achieve this, the guideline is to reinforce nutrition and prenatal care.
“It is recommended that she has a balanced and healthy diet and some restrictions may be imposed if symptoms occur that may suggest an increased risk for the reported complications”, advises Paladino.
How to prevent a new pregnancy before the safe interval?
According to the gynecologist, there are several safe methods for the postpartum phase that should be indicated according to the woman’s wishes. This is the case of reversible (long or short-term) or definitive methods. They are:
- Reversible : use of condoms and contraceptive pills and intrauterine devices (hormonal or non-hormonal IUD);
- Definitives : tubal ligation in women and vasectomy in men.
“Although exclusive breastfeeding may represent some degree of protection against a new pregnancy, it is not considered a contraceptive method”, he warns.
The choice of contraceptive method must be made by the woman together with her gynecologist, who must evaluate the correct indication considering the woman’s individual needs and related clinical aspects.
This content was originally published in Is it dangerous to have two pregnancies close together, like Bia Miranda? Understand on the CNN Brasil website.
Source: CNN Brasil
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