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Recently, a U.S. advisory panel declared that it wants the FDA to look at the latest data and reassess its guidance after the agency last year declared the fillings safe.  Mercury has been linked to neurological damage at high exposure levels and makes up about 50% of a metal filling.  “Vulnerable people” such as children and pregnant/nursing women should be especially wary.

Some dentists and trade groups cite data showing that the fillings pose no harm once set in a patient’s tooth.  Other dentists testify that mercury is too risky and that they no longer use such fillings. Dozens of patients also detailed how their health deteriorated after getting amalgams and urged the panel to push FDA to reverse course and initiate strong warnings, especially for children and pregnant or nursing women.

The Environmental Protection Agency lists mercury as a neurotoxin. It can interfere with brain development and cognitive and motor skills. In addition, groups such as Moms Against Mercury and Consumers for Dental Choice say mercury fillings may trigger health problems, including:

• Alzheimer’s disease
• brain damage
• kidney damage
• migraines
• multiple sclerosis
• irritability (erethism)

Short of banning amalgams altogether, patients should at the very least be warned about the dangers of these metal fillings and offered a choice. Amalgams have already been banned in some European countries.

Read more: Rueters, World Dental.org

But aside from that, here are some important things you’ve got to tackle in order to be mentally, physically, and emotionally ready to get pregnant.

image: Saida Online Magazine

Consider genetic testing: Some genetic diseases affect certain ethnic groups, such as Tay-Sachs in the Ashkenazi Jewish community, and sickle cell disease, among African-Americans.  If a disease runs in your family, you may want to get tested to, for your own peace of mind.

Face up to the Scale: Aim for a healthy weight, as being underweight can affect ovulation, and being overweight contributes to problems like high blood pressure and diabetes.

Take a look at your diet: The healthier your body, the better chances you give your baby to start life healthy, too. Cut back on white flour, sugar, and processed food. Add more lean meats, low-fat dairy products, fruits, veges, and whole grains.  Yummy home-made soups and smoothies are great ways to sneak in good nutrition!

Exercise: If you already have an exercise routine, don’t slack off during pregnancy! And if not, well it’s never too late to start, but talk to your doctor about easing into it.  Some benefits of a good workout (or even a nice walk around the neighborhood) include preparing your body for childbirth, higher energy levels, better sleep, stress reduction, and reduction of pregnancy-related discomfort. Plus, if you stay fit during pregnancy, you will regain your figure quicker after the birth.

Take Folic Acid: This all-important B vitamin helps lower the risk of birth defects like spina bifida. These defects form very early in baby’s development, before many women even realize they’re pregnant, so ask your doctor about taking a supplement as soon as you think about wanting to get pregnant.

Talk to your doctor about your medications: Some are best to stop taking during pregnancy, while some are OK– or necessary– to continue with.  You should not make this judgement on your own!

Visit the dentist: Good oral hygiene is one of those things we encourage during pregnancy.  Getting a bacterial infection can lead to premature birth and preeclampsia. Plus, better not to get x-rayed while you’re pregnant.

Cut back on Caffeine: A little bit is OK but too much is no good for a growing baby. The caffeine also affects fertility, so cutting back may increase your chances of conceiving.

Cork up that bottle, and throw the cigarettes in the trash where they belong. A healthy baby needs a healthy environment to grow in!  He should follow your lead and not just for moral support:  Excessive drinking and smoking can lower sperm count, too.

Paint the nursery: And the dining room, pantry, and bedroom too, if you want! But don’t do it while you’re pregnant or have a newborn in the house.  Toxins such as pesticides, oven cleaners, paint, and paint stripper contain chemicals that have been linked to birth defects.

Hand over the kitty litter sifter: Sure, it might just be a good excuse to get out of an unpleasant job. But it is true that litter boxes contain parasites that can make you sick (it’s called toxoplasmosis). So let hubby do the job, or wear gloves and wash up carefully when you’re done.

Work that budget: Finances shouldn’t have to stand in the way of having a family!  Sit down with a financial planner if you  need to, and figure out how you can put some money away for prenatal care and raising your baby.  Also find out about your company’s maternity leave policies,  your health insurance’s prenatal care and childbirth policies, and look into life and disability insurance.

Be emotionally prepared: Women who have given a great deal of thought to what pregnancy and parenting entail are better adjusted later on, compared with those who did not consider the demands their new role will place upon their lives. As a couple you need to think about how a pregnancy and new baby will  impact your family, work, and psyche.

Dr. Dana Keiles, who practices dentistry in Yorktown Heights, N.Y, calls it an old wives tale. “But there are a lot of hormonal things going on during pregnancy that can cause serious problems, so it’s important to practice good oral hygiene.”

On top of that, about 50 percent of women experience pregnancy gingivitis, a gum disease caused by elevated hormone levels, according to the American Academy of Periodontology. The hormones react with plaque at the gum line, causing inflammation. Studies show that women with gum disease are more likely to give birth prematurely or bear full-term babies with low birth weights, which puts the infants at risk of developing serious health problems such as cerebral palsy, blindness and deafness. In addition, a study published in the April 2008 issue of the Journal of Dental Research suggests that women with gum disease are more likely to develop gestational diabetes.

The transfer of bacteria from a mother’s mouth to her unborn child and the rest of her body is probably to blame for these systemic health problems; however, other factors such as stress may come into play as well, says Dr. Jennifer Holtzman, assistant professor of clinical dentistry, University of Southern California, Los Angeles.

In the general population, gum disease has been linked to heart disease and stroke.

“The best way to prevent and control gum disease is to make sure you clean the plaque off your teeth,” Holtzman says, adding that there are over-the-counter “disclosing agents” people can buy to dye and reveal any bacteria they missed while brushing and flossing.

Keiles recommends that women undergo a thorough dental exam if they are planning to get pregnant and that they have their teeth professionally cleaned every three months once they’re expecting.

She also recommends that pregnant women who suffer morning sickness or nausea rinse their mouths out if they vomit because stomach acid can damage tooth enamel.

Source: NY Daily News