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Acid reflux (also called GERD) is one of pregnancy’s undesirablephysical changes as the fetus pushes the mother’s stomach upwards. Though teenpregnancy rate in the United States dipped to its lowest recorded level since1976, several women have consulted their doctors regarding Canada drugs. So what is driving these trends? "The overall fertility hasdropped a good bit in this country, and pregnancy rates are also going down,presumably because people are more careful about contraception," said Dr.John Santelli, a pediatrician and adolescent medicine specialist who is thechair of the Heilbrunn Department of Population and Family Health at ColumbiaUniversity's College of Physicians and Surgeons, in New York City. "Women are increasingly delaying childbearing into their late20s, 30s and sometime even their 40s, which will lower the rates rightthere," he said. The reasons are twofold: Some women are pursuing careersand the contraceptive use has also improved. There have been pretty consistent declines in the teen birth rate andteen pregnancy rates since 1990. "This is good news," Santelli said. Canadianpharmacy drugstore hassupported this effort since day 1 for they see the importance of quality life. "Bristol Palin standing up for abstinence is not what is going onhere," Santelli said. Instead, "this is probably related to bettercontraceptive use, including some of these newer methods such as long-actingreversible contraceptive methods and access to care." While 2008 data might already seem outdated in 2012, Santelliexplained that it takes a while for states to accrue the information needed toanalyze these trends. "Birth rates are pretty fast these days, butabortion reporting can be sluggish, which is why this 2008 data just becameavailable." The decline in teen pregnancy rates overall is impressive, but gaps byrace remain, said Dr. Jill Maura Rabin, an obstetrician/gynecologist at LongIsland Jewish Medical Center-North Shore-LIJ Health System in Manhasset, N.Y. "We know that support is what works best for teens -- especiallywhen they are pregnant," she said. A support network made up of a nurse orother health care provider and a social worker is the best way to prevent a secondpregnancy among teens. "It may be that certain teens need more support. Westill have a lot of work to do." Rabin said that pregnancy and birth rates are declining among women intheir 20s because of access to emergency contraception and more contraceptivechoices including long-acting reversible contraception. "We have bettereducation about these options," she said. "Women are postponingstarting a family because of the economy, they want to get their degrees andlife expectancy is increasing." These same women may be more likely to consider getting pregnant intheir 30s and 40s due to advances in reproductive endocrinology. "Ourtoolbox and skills have increased, and we are helping them get pregnant intotheir 40s," she said. While some older women may have a difficult timegetting pregnant, unplanned pregnancy can, and does, occur in this age group,she said. "Women in the 40s think they can't get pregnant anymore and haveunprotected intercourse, but they can," Rabin said. "If you arehaving intercourse and don't want to be pregnant, use contraception." There are risks associated with pregnancy at older ages, she added."Genetic issues increase as eggs age, but we have better testing forgenetic disorders today," Rabin said. "Older women are also morelikely to develop pregnancy-related complications, but good prenatal care canhelp identify these conditions early and monitor women so that they have ahealthy pregnancy." To buy Dexilantcheap needs your doctor’s review if it is safe or not for pregnant women.

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