How to propose with newborn twins?

Q. Im wiriting a novel and the boyfriend wants to propse after the girlfriend gave birth to twins. The mother had depression during the pregnancy. Anyway i could fast-forward the story so the kids could be older and able to crawl or something. Please help!

A. Get him to buy T-shirts for the babies. One that says "Will You" and the other "Marry Me". Maybe one word on the front and one on the back? And if they are old enough to roll, that might be cute? Or he could tie a banner between the twins and when they crawl away the message is revealed?

Good luck!

Original Question

Does being depressed during pregnancy make you more likely to have postpartum depression?

Q. Does being depressed during pregnancy make a woman more likely to experience postpartum depression?

Please provide medical links/knowledge or your direct experience, not what you think could happen.

Thanks

A. Yes, according to many articles I found.

Here are some links:

http://pregnancy.about.com/cs/postpartumdepress/a/riskofppd.htm

http://www.medscape.com/viewarticle/408688_5

http://pregnancychildbirth.suite101.com/article.cfm/postpartum_depression_risk_factors

Original Question

Is there any point during pregnancy where the chance of stillbirth dramatically decreases?

Q. Was just wondering if like miscarriages, there is a point during pregnancy where the chance of stillbirth decreases. What are the statistics of a stillbirth happening? Does the chance go up depending on the mother's age or location?

A. Many stillbirths occur without warning, in women without any risk factors. Women at risk for stillbirths -- such as those with diabetes or high blood pressure -- should be monitored closely. They'll usually have a fetal evaluation during the last weeks of pregnancy. If this exam shows something out of the ordinary, early delivery may prevent a stillbirth. Sometimes, there may be a need for an emergency cesarean delivery.

All pregnant women should keep track of fetal movements several times every day, regardless of other risk factors. This is especially important after the 26th week. If the baby kicks or moves less often, see a doctor right away or go to the hospital.

After a stillbirth, you may want to wait some time before getting pregnant again. Some women who get pregnant in the first 12 months after a stillbirth experience high levels of anxiety and depression, both during the pregnancy and up to a year after the birth of a healthy baby.

Depending on the cause of the stillbirth, you may be a "high risk" pregnancy the next time you get pregnant. Seeing a high-risk obstetrician or maternal-fetal medicine specialist may help you map out a plan to ensure close monitoring of you and your fetus in the next pregnancy.

Your chances of having a healthy baby are better if you take good care of your health before you get pregnant and you get early, regular, prenatal care. Your doctor will screen for infections, review your medical history, and make sure any ongoing problems get proper treatment.

These steps can help you have a healthy pregnancy:

Exercise, eat well, and take at least 600 mcg of folic acid daily, starting at least 1 to 2 months prior to conception.
Avoid alcohol and smoking.
Take only medications prescribed by your doctor. Never stop any medication without first discussing it with your doctor.
Install a carbon monoxide detector in your home to help prevent carbon monoxide poisoning.
Avoid food poisoning and other infections. Stay away from ready-to-eat foods such as deli meats and fast foods. If you must eat these foods, be sure they're heated thoroughly. Don't eat soft cheeses or undercooked meats.

Original Question

If you take an anti-depressant, did you continue it during pregnancy?

Q. I am on a very small dose of the anti-depressant Lexapro, only 5 milligrams. Would I be able to keep taking it during pregnancy? I really need it, it's not only for depression, it helps with my interstitial cystitis in my bladder. I don't want to be in pain all through pregnancy without it.
I'm only on 5 milligrams of lexapro.

A. Very likely but you need to discuss it with your doctor. Many people choose to stay on antidepressants during pregnancy, though some do need to switch the antidepressant they are on. As some are safer in pregnancy than others.

Your doctor knows your needs best and can help you make the choice that is right for you.

Original Question

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