Pregnancy is usually a period of euphoria and expectation, but what if the symptoms of loose stools, stomach pain, and dizziness are warning signs of something far more dangerous? Although morning sickness and fatigue are usual, these symptoms could be the sign of an ectopic pregnancy—a life-threatening condition affecting about 2% of all pregnancies. Interestingly enough, more than 90% of ectopic pregnancies are located in the fallopian tubes, where the implanted fertilized egg is found outside the uterus and can rupture, causing profuse internal bleeding. If this isn't treated, it will result in death. So how do you know when you are in danger, and what should you do if you are?

Although some aches and pains are usual, some symptoms warrant immediate medical intervention. Have you had loose stools and abdominal discomfort in early pregnancy? They may be more than just stomach upsets—they may be indicative of an ectopic pregnancy, which is a dangerous condition needing to be treated promptly.

What is Ectopic Pregnancy?

An ectopic pregnancy is one in which a fertilized egg implants outside of the uterus, usually in the fallopian tubes. These pregnancies cannot be carried to term because only the uterus can provide the necessary environment for fetal growth. Medical professionals estimate that roughly 1-2% of all pregnancies are ectopic, and more than 90% of these occur in the fallopian tubes. Less often, ectopic pregnancies may develop in the ovaries, cervix, or even the abdominal cavity.

As the pregnancy advances, the damaged tube can burst, causing extensive internal bleeding. This is a medical emergency requiring immediate surgery.

Dr. Monica Gupta, Consultant in Obstetrics and Gynecology, clarifies, "An ectopic pregnancy is a serious condition as the pregnancy cannot survive, and there is a high risk of internal bleeding, which can be fatal."

Early Symptoms of Ectopic Pregnancy

The early warning signs of an ectopic pregnancy might be subtle and confusing, simulating early signs of pregnancy, so it can be difficult to detect. Nevertheless, there are some crucial warning signs that must be evaluated immediately:

Vaginal bleeding: It can be light spotting or more significant bleeding other than a normal menstrual period.

Abdominal pain: Sustained or severe pain in the lower abdomen or pelvic region, usually on one side.

Loose stools and abdominal discomfort: Gastrointestinal disturbances, such as diarrhea and pressure in the rectum, may be a sign of a more developed ectopic pregnancy.

Dizziness and syncope: Internal bleeding causes hypotension that leads to feelings of lightheadedness or passing out.

Pain in the shoulder: This abnormal symptom might appear if blood from a ruptured ectopic pregnancy irritates the diaphragm.

Dr. Gupta points out, "Symptoms of ectopic pregnancy can be vague and difficult to differentiate from normal pregnancy, especially in early stages before tubal rupture begins." This is the reason women who have any of the aforementioned symptoms need to undergo medical examination without hesitation.

Who Is at Risk for an Ectopic Pregnancy?

Although an ectopic pregnancy can occur in any woman, there are some risk factors that can make this condition more likely:

Previous ectopic pregnancy: A history of ectopic pregnancy greatly increases the risk of recurrence.

Pelvic inflammatory disease (PID): Infection can lead to scarring of the fallopian tubes, preventing the passage of the fertilized egg.

Previous tubal surgery: Operations including tubal ligation (tying the tubes) or operations for endometriosis may predispose to it.

Use of fertility treatments: Women who have had in vitro fertilization (IVF) are at increased risk of ectopic implantation.

Smoking: Use of tobacco is associated with fallopian tube damage.

Use of IUD at conception: Though uncommon, an intrauterine device (IUD) at the time of conception may raise the risk.

Age more than 35 years: Women older than this age group have a slightly increased risk of ectopic pregnancy.

Notably, as many as 50% of ectopic pregnancies happen in women with no identifiable risk factors, which underscores the importance of caution among all pregnant women.

Why Ectopic Pregnancy Is a Medical Emergency

A growing pregnancy needs room to expand, but fallopian tubes do not have the capacity to stretch like the uterus. If an ectopic pregnancy goes undiagnosed, the tube may rupture, causing heavy internal bleeding, shock, and death if untreated.

Dr. Gupta describes, "In advanced stages, patients have severe abdominal pain, fainting, anemia, a drop in blood pressure, and shock. If rupture happens, immediate surgery is required."

How Is an Ectopic Pregnancy Diagnosed?

Early diagnosis is critical in treating an ectopic pregnancy. Physicians employ the following methods:

Pregnancy test: A positive pregnancy test with abnormal symptoms is suspicious.

Pelvic examination: Physicians can sense tenderness, a mass, or abnormal fullness in the pelvis.

Ultrasound scan: Transvaginal ultrasound can establish the lack of pregnancy in the uterus and detect its location elsewhere.

Blood tests: Testing for levels of hCG (human chorionic gonadotropin) can diagnose abnormal pregnancies.

Treatment Options for Ectopic Pregnancy

The treatment depends on the stage at which an ectopic pregnancy is diagnosed:

Medication: If caught early, methotrexate, a drug that halts cell development, can be administered to dissolve the ectopic tissue without surgery.

Surgery: In the event the condition has progressed or rupture has already happened, immediate surgery must be done to remove the pregnancy and repair or eliminate the affected fallopian tube. This is usually done laparoscopically (minimal invasive procedure).

Ectopic pregnancy is a life-threatening condition, and early diagnosis makes a big difference in outcomes. Any woman with unusual pain, bleeding, or gastrointestinal symptoms during early pregnancy must be evaluated immediately.

Dr. Gupta emphasizes, "A suspicion of ectopic pregnancy should always be made when a patient comes with abnormal bleeding or pain during early pregnancy. Delay in diagnosis can result in serious complications."

Pregnancy should be a time of joy, but unexpected complications can arise. If you are pregnant and experience persistent abdominal pain, loose stools, dizziness, or unusual bleeding, consult a healthcare provider without delay. Ectopic pregnancy is a serious but treatable condition when diagnosed early. Raising awareness and understanding the warning signs can save lives.

Dr Monica Gupta is a Consultant Obstetrics and Gynaecology at Manipal Hospital, Bhubaneshwar In India

The US is facing a long-term decline in the birth rates. As per experts, this raises a concern in terms of what this means for country's future, especially with regard to health of its population, economy, and caregiving systems.

A Slight Rise in 2024

As per the new data released by the US Centers for Disease Control and Prevention (CDC), more than 3.6 million babies were born in 2024. This is just a 1% increase from the previous year, which had been the lowest record in births. While this uptick may seem encouraging, it is not enough to reverse the troubling trend.

The US fertility rate remains around 1.6 births per woman. This is significantly below the 2.1 births that is required to sustain the population growth without immigration.

As per the demographers, this continuous drop began during the Great Recession in 2007. It has continued steadily since.

Shift In Teen Births

One of the biggest shifts is the steep decline in teen births. In 1991, about 62 of every 1,000 teenage girl had a child. This number has now fell to just under 13 by 2024. This is a historic low that reflects a positive shift, better education, access to contraception, and changing attitudes about early parenthood.

Similar trend is seen among women in their 20s, as the rates their too have dropped. In 2007, about 106 of every 1,000 women aged 20 to 24 gave birth. By 2024, the number has dropped to around 57. For women aged 25 to 29, the rate fell from 118 in every 1,000 women in 2007, to 91 in 2024.

Though there has been a slight rise in births among women in their 30s, experts say that it is not enough to offset the overall decline.

Are Births Being Delayed?

“One of the big questions is all these births that haven’t occurred—are they just being delayed?” asked Ken Johnson, a demographer at the University of New Hampshire. “Or are a lot of these births going to be forgone entirely?”

The answer has significant public health implications. A shrinking younger population could lead to fewer caregivers for an aging society, higher burdens on healthcare systems, and a smaller workforce contributing to national health programs like Medicare.

Why Are Fewer Americans Having Kids?

As per experts, while people still want children, there is a lingering financial burden and social barriers too that get in a way. High student loans, debt, and the rising coast of child care, unstable housing, along with limited access to paid parental leave are all major concerns.

“People don’t have kids when they don’t feel good about their own futures,” said Karen Benjamin Guzzo, a family demographer at the University of North Carolina.

Can Policies Help?

Some political leaders are proposing measures to encourage parenthood. Former President Trump, for instance, has suggested “baby bonuses” and scholarships for married couples or parents. However, Johnson believes that without stronger, systemic support, the U.S. birth rate is unlikely to bounce back to replacement level.

Immigration may help slow the effects of falling birth rates. Many immigrants move to the U.S. with plans to start families, Johnson noted. “They bring the potential for babies in the future.”

Not so long ago, childhood was seen as a joyful chapter of life rich with play, discovery, and endless imagination but now, a dangerous shift is underway. More and more number of children and teens are fighting severe emotional struggles that were once considered rare in youth. From depression and anxiety to more serious, more intricate mood disorders, the emotional well-being of the next generation is in shambles.

A study appearing recently in JAMA Pediatrics put a spotlight on a frightening trend: a sharp and consistent rise in mood disorders in children and teenagers over the last six years. Over 1 in 10 kids—10.6%—suffered from anxiety in 2022, compared to 7.1% in 2016. Depression also increased, hitting 4.6% of children in 2022, up from 3.2% in 2016. These statistics are not abstract; they reflect an escalating emotional crisis among our children, one that requires immediate and thoughtful action from parents, medical professionals, educators, and policymakers.

These aren't one-time occurrences. They're indicators of a broader crisis that is occurring in schools, homes, and communities—one which was fueled by the pandemic but was well under way before that. As the stressors of childhood change and escalate, so does the psychological load on our children.

But whereas scraped knees or the flu are tangible and obvious, mood disorders can be intangible, misunderstood, or dismissed altogether. And if left unidentified or unaddressed, the impact can trail a child into adolescence and adulthood, impacting everything from grades to relationships, self-worth, and health outcomes.

Not Just a Post-Pandemic Phenomenon

Although the COVID-19 pandemic shed international light on mental health conditions, scientists explain that the increased prevalence of mood disorders among adolescents is not exclusively a pandemic phenomenon. "Our results highlight the urgent need to address youth mental health, which continued to decline even as we exited the pandemic," says Marie Heffernan, assistant professor of pediatrics at Northwestern University Feinberg School of Medicine.

The research, conducted on the National Survey of Children's Health, shows a bittersweet pattern: although a few physical medical issues such as asthma and migraine are reducing in numbers, mental and emotional ailments are increasing. This contrast serves to emphasize that children's emotional health must command just as much clinical attention as does their bodily well-being.

What Are Mood Disorders?

Mood disorders, or affective disorders, are mental illnesses that encompass major depression, bipolar disorder, and dysthymia. They are marked by disturbances in an individual's emotional state that exceed the normal ups and downs of childhood or adolescence. The emotional changes are persistent, intense, and hard to control, and they tend to interfere with a child's functioning at home, school, and in social relationships.

Some of the most frequently diagnosed mood disorders in children and adolescents are:

Major Depressive Disorder: Ongoing sadness or irritability for two weeks or more.

Persistent Depressive Disorder (Dysthymia): Ongoing low-grade depression for one year or more.

Bipolar Disorder: Intermittent periods of elevated and depressed mood.

Disruptive Mood Dysregulation Disorder (DMDD): Intense irritability and persistent outbursts of temper.

Substance-Induced Mood Disorder: Mood disturbances due to medication, drugs, or toxins.

Mood Disorders Caused by Medical Illnesses: Mood shifts brought on by chronic disease or injury.

How to Identify the Warning Signs

In contrast to adults, children and adolescents tend to convey emotional distress through physical complaints or behavioral problems instead of talking about sadness or anxiety. This can make it more difficult to identify mood disorders. The Children's Hospital of Philadelphia states that symptoms can be:

• Severe or persistent sadness, irritability, or anger
• Substantial changes in sleep, appetite, or energy
• Withdrawal from friends or family, or withdrawal from social events
• No interest or pleasure in activities that they used to enjoy
• Difficulty with schoolwork without an identifiable cause
• Excessive physical complaints such as headaches or stomachaches

More often than not, these symptoms are confused with "phases" or attributed to stress or personality traits. That diagnostic delay can result in escalating symptoms or the emergence of comorbid conditions such as substance abuse or conduct disorders.

Why Are Today's Kids More Vulnerable Emotionally?

Experts cite several overlapping reasons for the explosion of mood disorders in young people:

Heightened Academic and Social Stress: Children today are under enormous pressure to succeed—academically, athletically, and socially—with little time left for emotional regulation.

Social Media and Online Exposure: Ongoing exposure to filtered realities, cyberbullying, and online validation cycles can exacerbate feelings of inadequacy and anxiety.

Family Life and Stress: Domestic instability, economic struggles, or family conflict can have a significant effect on a child's emotional resilience.

Deficiencies in Mental Health Infrastructure in Schools: Most schools do not have adequate psychological support staff or school programs emphasizing emotional well-being.

Stigma and Lack of Awareness: Mental health, in most communities, is still stigmatized, and its underreporting and underdiagnosis follow accordingly.

Managing Mood Disorders with Early Intervention

Mood disorders in children can be treated—if caught early. Treatments include:

• Cognitive Behavioral Therapy (CBT) to assist in coping with detrimental thought patterns in children
• Medication, as needed and very closely monitored
• Family Therapy to treat systemic stressors
• School-Based Support Services, including counseling and emotional wellness programs

Experts have said that continued concern and resources are justified at a national level to explain and treat the array of possible reasons for increasing anxiety and depression.

What Can Parents and Schools Do?

The awareness is the beginning, parents need to notice not only the changes in behaviour, but also emotional and physical signals that indicate distress. Schools, in return, require improved mental health education for teachers and more accessible support systems for pupils.

Promoting open dialogue about mental health, safe emotional release, and decreasing stigma can help children get through their feelings. As has been proven through research, numerous children benefit immensely from early, long-term intervention—and go on to live strong, healthy lives.

The emotional well-being of our children is not a specialty concern—it's a global public health imperative. With anxiety and depression levels steadily increasing, the time to take action is now. Being able to provide children with the proper resources, attention, and support systems can influence not only their emotional well-being in the short term but their capacity to thrive in the future.

The Talk. If you are an adult, a parent, or in your early adulthood, you must have heard about "The Talk". This conversation, as important as it is to have, could also be anxiety inducing.

What Exactly Is "The Talk"?

The question that may loom over parents is when is it the right age to have "The Talk"? But, before we get to that, let us discuss what "The Talk" is?

By "The Talk", people mean to drop the bomb, or address the elephant in the room. This conversation involves talking to your kids about puberty that will bring about many changes in their bodies, their minds, how they fell, and much more.

"The Talk" is not just one conversation that can happen only once in your life. It is an on-going discourse. However, having "the Talk" at least once, sets the foundation for kids and tells them that they can reach out to their parents whenever they wish to.

As per the CS Mott Children's Hospital National Poll on Children's Health, about 41% of parents reported that they approached talking with their child about puberty only when prompted by child. Only 36% of parents think it is best to have this conversation before the age of 10. So, what is the right age?

If experts are to be believed, it is best to bring this conversation up before your child brings it to you.

However, it is an anxiety-inducing process. But why is this important to talk?

“It’s easy to assume a child is too young for conversations about puberty, but many parents are surprised to find their tween already showing signs,” said Sarah Clark, Mott Poll Co-Director.

Early discussions, she explains, allow parents to present the information in an age-appropriate way, easing confusion and anxiety. If parents don’t begin the conversation, kids may seek answers from classmates, social media, or television.

Different Approaches, Different Comfort Levels

The poll revealed a wide range of parental approaches:

Proactive Parents: About half said they start conversations before questions arise.

Reactive Approach: Two in five wait until their child brings it up.

Avoidance: Around 5% avoid the topic altogether.

Many parents feel uneasy: one in five worry about embarrassment, and one in six fear saying the wrong thing. Some children resist as well—25% of parents with 10- to 12-year-olds say their child doesn’t want to talk about puberty, and a third of parents with 7- to 9-year-olds feel their child is too young to understand.

Parental History Shapes Comfort

Parents' past experiences with “The Talk” also play a role. Fewer than one in three received adequate information from their own parents. More than a third never had the conversation at all.

“Whether they realize it or not, parents may bring their own childhood experiences into how they handle this now,” Clark noted.

Navigating Topics of Sex and Reproduction

Another common challenge: knowing whether to include discussions about sex and reproduction, and if so, how much to share. Clark advises starting with the basics—physical and emotional changes—then layering in more detail over time.

Confidence in spotting puberty varies. About half of parents say they can recognize signs of puberty, and 60% of parents with 10- to 12-year-olds say they’ve already seen them. Among parents of younger children (ages 7–9), 17% have noticed early signs, while nearly a third remain unsure what to look for.