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Gentle Nurturing - Lactation Consultant - Childbirth and Doula Services
Gentle Nurturing - Lactation Consultant - Childbirth and Doula Services
 
 
Gentle Nurturing - Lactation Consultant - Childbirth and Doula Services



Pregnancy has room for a little wine or beer, new studies show, but caffeine is a growing concern Print E-mail
Written by Jill U. Adams, Los Angeles times   
Monday, 10 November 2008

Caffeine is a Growing ConcernBased on the latest UK findings, limited alcohol consumption may be OK, but be cautious with caffeine.

As expected, the worst outcomes were seen in children whose moms drank heavily while pregnant. But children of light-drinking moms had fewer behavioral or cognitive problems than those of abstinent moms.

The study, published online in October in the International Journal of Epidemiology, defined light drinking as not more than two drinks (a 4-fluid-ounce glass of wine or 10 fluid ounces of weak beer) on a single occasion and not more than two occasions per week. No difference was seen between women who drank once or twice during their pregnancies and those who regularly enjoyed a weekend glass of wine.

Lead author Yvonne Kelly, an epidemiologist at University College London, says that the links between heavy drinking and fetal alcohol syndrome are undisputed but that little is known about light drinking's effects. That has led to conflicting medical advice from two major UK policymakers, with one urging complete abstinence and the other recommending no more than one to two drinks once or twice a week (if women choose to drink) in the second and third trimesters of pregnancy, but none in the first.

In the U.S., the American College of Obstetricians and Gynecologists advises pregnant women to avoid alcohol entirely.

Caffeine's a concern

The news for caffeine is different. In a study of 2,635 mothers-to-be published online this month in the British Medical Journal, researchers saw effects on babies' birth weights when expectant moms consumed daily doses of as low as 100 mg -- the amount in an 8-ounce cup of coffee. Babies born to women consuming more than 200 mg of caffeine a day weighed an average 2.2 ounces less than those born to moms taking in less than 100 mg. More than 300 mg per day led to a 5-ounce average reduction in birth weight.

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Eating nuts during pregnancy might increase asthma risk Print E-mail
Written by Elena Conis, Special to The Times   
Monday, 21 July 2008

Gary Friedman / Los Angeles Times
NO SURE THING: Asthma and asthma symptoms did occur in some children whose mothers, in a study, rarely or never ate nuts while pregnant.

Children born to mothers who ate nuts or nut products daily were 50% more likely to have asthma than those whose moms avoided the foods, a Dutch study shows.

What's new: A pregnant woman who eats nuts or nut products every day during pregnancy may increase her child's risk of developing asthma.

The finding: A large study by the Dutch government has found that children born to women who ate nuts or peanuts, or items made from them, such as peanut butter, daily while pregnant were 50% more likely to wheeze, have difficulty breathing or have asthma diagnosed by a doctor compared with children whose mothers rarely or never ate nuts or nut products while pregnant. The study, published in the American Journal of Respiratory and Critical Care Medicine this month, is part of a larger, ongoing research initiative, the Prevention and Incidence of Asthma and Mite Allergy study, which is investigating how allergies develop in children and how they can be prevented.

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Postpartum Depression Strikes New Fathers, Too Print E-mail
Written by Dana Scarton, U.S. News & World Report   
Wednesday, 21 May 2008

Male Postpartum Depression

After the birth of a child, both men and women are susceptible. How to respond 

The birth of John Hyman's first child didn't fill him with the joy he might have hoped for. Far from treasuring every minute with his son, the Rockville, Md., college writing instructor reacted by teaching more courses just to get himself out of the house. "I didn't know what my role was there," recalls Hyman, 51. His wife, by contrast, bonded instantly with their son, Jake, now a teenager. "Betsy fell in love. It was primal," he says. "I didn't have that experience. I thought I was broken. I remember thinking this was a dirty little secret I would have to deal with."

Hyman wasn't broken. He was depressed. Long recognized as a problem afflicting some new mothers, postpartum depression can also grip men—though mental health professionals acknowledge that until recently they largely overlooked that fact. Male postpartum depression took a step out of obscurity this month when it was for the first time the subject of a workshop at the annual meeting of the American Psychiatric Association.

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Mom's Diet May Influence Her Baby's Sex Print E-mail
Written by Salynn Boyles, WebMD Medical News   
Tuesday, 22 April 2008

Study Shows Women Who Eat Breakfast Cereals Give Birth to More Boys

Mom's Diet May Influence Her Baby's SexIn addition to being the most important meal of the day, breakfast may help determine your unborn baby's sex.

In a newly reported study, women who ate breakfast cereal gave birth to more boys, while those who skipped breakfast had more girls.

Women who ate more total calories also delivered more boys, even though the overall male-to-female birth ratio among the study participants was close to 50/50.

The early findings in no way prove that what a woman does or doesn't eat prior to conception influences her baby's sex.

But they do hint at a sex-selection bias among humans similar to that seen in other animals, favoring male births among well-fed mothers and female births among mothers who are less well nourished.

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Caffeine doubles miscarriage risk, study finds Print E-mail
Written by Julie Steenhuysen, Reuters   
Monday, 21 January 2008

Caffeine linked to miscarriagesCHICAGO -- Pregnant women who drink two or more cups of coffee a day have twice the risk of having a miscarriage as those who avoid caffeine, U.S. researchers said on Monday.

They said the study provides strong evidence that high doses of caffeine during pregnancy -- 200 milligrams or more per day or the equivalent of two cups of coffee -- significantly increase the risk of miscarriage.

And they said the research may finally put to rest conflicting reports about the link between caffeine consumption and miscarriage.

"Women who are pregnant or are actively seeking to become pregnant should stop drinking coffee for three months or hopefully throughout pregnancy," said Dr. De-Kun Li of Kaiser Permanente Division of Research, whose study appears in the American Journal of Obstetrics and Gynecology.

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Fish oil and Pregnancy Print E-mail
Written by WeeksMD   
Sunday, 20 January 2008

Fish oil accelerates immune system maturation in infants

Fish oil COPENHAGEN, DENMARK. Infants are born with an immature immune system. Important characteristics of the immature immune system are an inadequate ability to produce certain cytokines (hormones that activate the immune system), notably gamma-interferon and interleukin-2 (IL-2) and a preponderance of Th2 helper T-cells over Th1 helper cells. Th1 helper T-cells enhance the ability of the immune system to respond to virus, bacteria, fungi and parasites, while Th2 helper T-cells are involved in allergic reactions and, if overactive, can cause inflammation such as seen in rheumatoid arthritis. Th2 cells release interleukin-6 (IL-6), excessive amounts of which are associated with allergic reactions and autoimmune disorders such as wheezing and asthma.

Healthy maturation of the infant’s immune system would thus involve increased production of gamma-interferon and/or IL-2 and an increase in Th1 cells to improve the ratio of Th1 to Th2 cells. Researchers at Copenhagen University report that supplementation with fish oil at age 9 months helps accelerate maturation.

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Repromedix Launches Biological Clock Test For Women Print E-mail
Written by Medical News Today   
Thursday, 10 January 2008

Repromedix Plan AheadRepromedix Corp., the leading national diagnostic laboratory for fertility testing, announces today the launch of Plan Ahead, a new blood test that provides an assessment of a woman's egg supply by combining multiple factors including the measurement of ovary-related hormones AMH, Inhibin B, and FSH with innovative and proprietary technology. The window of opportunity for a woman to have children by natural conception is dependent upon an adequate supply of eggs which inevitably declines as a woman ages and her "biological clock ticks." Plan Ahead enables a woman to compare her estimated egg supply with the normal range expected for women of the same age.

"The Plan Ahead test represents an extraordinary advance in fertility diagnostics compared to what has been readily available to the general population," said Dr. Benjamin Leader, Chief Medical Officer. "Many fertility experts view the gold standard of egg supply measurement to be the number of eggs obtained through egg retrieval, an expensive procedure reserved for specialty fertility clinics involving hormone injections and a minimally invasive procedure. The Plan Ahead test offers similar information to the general public via a simple blood test."

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The Year in Women's Health Print E-mail
Written by Emily Douglas, RH Reality Check   
Thursday, 27 December 2007

Emily DouglasPlanned Parenthood issued a handy guide to the year in women's health, summing up the major events, trends, and studies of 2007, so RH Reality Check spoke with Dr. Vanessa Cullins, Planned Parenthood's vice president for medical affairs, to get a deeper understanding of the health events that made the news. Emily Douglas picked three of the headlines -- long-term use of hormonal birth control resulting in an increase in artery-clogging plaque, the increase in the teen birth rate, and the abnormalities found in the ovaries and reproductive tract tissues of mice that had neonatal exposure to bisphenol A -- and asked for Dr. Cullins to provide the story behind the news.

Planned Parenthood writes,

At a recent American Heart Association conference, researchers presented a study that found that women who use the pill for 10 years or more had an unexpected increase in the presence of artery-clogging plaque, a known risk factor for heart disease. The plaque was found in blood vessels in the neck and leg. They also found that women who stopped using the pill were at increased risk for more plaque, which the researchers claimed is a new finding in birth control pill studies.


Emily Douglas: Could you give me context for the recent study that discovered that women using long-term hormonal birth control had an increase in the presence of artery-clogging plaque? What does that actually mean for women's risk of heart disease?

Dr. Vanessa Cullins: No medication or procedure is without risk. There are serious adverse events that are very rare that are associated with combined hormonal contraceptives, like the birth control pill. Serious adverse events include heart attacks, stroke, plus blood clots like in the legs, called deep vein thrombosis, or in the lungs, called pulmonary embolism. These serious adverse events are more common during pregnancy. All of us have to place risk into our own personal circumstances and contexts. Women readily accept those risks when they decide they want to be pregnant. A woman who is on no hormonal contraception and is not pregnant has the lowest risk for these serious adverse events. A person who is on birth control pills or on NuvaRing or Evra has a higher risk than a woman who is not on any hormonal birth control but her risk - the person taking the birth control pills - is less than that which is seen among women who are pregnant and carry the pregnancy to term.
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Cesareans and breathing problems Print E-mail
Written by Lamaze Institute for Normal Birth   
Wednesday, 26 December 2007

Lamaze Institute for Normal BirthThe Danes and Brits have recently delivered information to the scientific world that is obvious to a lot of us -- that babies delivered by elective Cesarean sections are more likely to have respiratory problems than those delivered vaginally or by emergency surgery. Researchers studied more than 34,000 births at a Danish hospital, 2,687 of which were elective surgical births. It’s no surprise that the younger the gestational age, the greater the chance of respiratory problems the newborn encountered.

"The reason is unclear," The British Medical Journal reports, adding that "researchers theorize that hormonal and physiological changes in labor might help fetal lungs mature properly." This isn’t rocket science: Babies allowed to do their job -- starting up their mother's labor when the time is right -- fare better. One would hope this to be the foundation of Obstetrics 101 classes. No matter how fancy the measuring machine, despite a caregiver's best intuitive gifts, even though a hospital's newborn intensive care unit is state-of-the-art, nature still holds the winning hand. Allow labor and birth to unfold at their intended pace, and most babies will come into the world with their little body systems developed and ready to meet the challenge of life outside mama.

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Calif. Board Suggests Study of Caffeine Print E-mail
Written by Samantha Young, Associated Press   
Monday, 10 December 2007

A state advisory board on Monday called for a study to determine if sodas and energy drinks containing caffeine pose a risk to pregnant women.

Caffeine riskThe review could lead to warning labels on the drinks under Proposition 65, a 1986 ballot measure that requires the state to identify chemicals that could cause cancer or birth defects.

"If I were a pregnant woman or a woman thinking about being pregnant, I would want to know, should I be avoiding caffeine?" said Renee Sharp, a senior analyst with the Environmental Working Group, an environmental research organization that's based in Washington D.C. "It's a really important question, and I think people are looking for answers."

The advisory panel, the Science Advisory Board Developmental and Reproductive Toxicant Identification Committee, also requested an immediate review of Bisphenol-A, which could lead to warning labels on plastic baby bottles, water bottles and reusable food containers. The chemical Bisphenol-A has been shown to affect hormonal levels.

It was unclear Monday whether the state would follow the board's advice.

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Pregnant Women At Risk Of Bipolar Recurrence With Interruption Of Medication Print E-mail
Written by Medical News Today   
Monday, 10 December 2007

Women with bipolar disorder who stop taking their medication -- such as lithium, antipsychotics and anticonvulsants prescribed as mood stabilizers -- before or shortly after becoming pregnant appear to be much more likely to suffer a recurrence of the disorder, according to a study reported in the December issue of The American Journal of Psychiatry (AJP), the official journal of the American Psychiatric Association (APA).

The episodes of recurring illness spanned on average more than 40 percent of the duration of pregnancy for those women who discontinued mood stabilizer medication ...

In the prospective study of 89 pregnant women with bipolar disorder, Adele C. Viguera, M.D., and colleagues at Harvard Medical School and Emory University found that 85 percent of the 62 women they studied who stopped their mood stabilizer medication-up to six months prior to becoming pregnant or in the first 12 weeks of pregnancy-experienced a recurrence of the disorder. In comparison, only 37 percent of the 27 women who continued taking their medication through at least week 12 of pregnancy experienced a recurrence. In addition, Viguera and her colleagues report in "Recurrence Risk in Women With Bipolar Disorder During Pregnancy: Prospective Study of Mood- Stabilizer Discontinuation" that abrupt discontinuation of medication greatly increased and hastened the recurrence, confirming earlier observations by the same researchers.

The majority of the women studied were taking lithium as a mood stabilizer (55 of the 89, or 62 percent) followed in frequency of use by an anticonvulsant mood stabilizer (32/89; 36 percent) or an antipsychotic mood stabilizer (24/89; 27 percent). About half of the women in this study were also taking an antidepressant medication.

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Reproductive Health Goes Environmental Print E-mail
Written by Carole Joffe, University of California   
Tuesday, 02 October 2007

Carole Joffe, UCLAOne does not expect a featured speaker at the annual meeting of the Association of Reproductive Health Professionals to begin her lecture with a glowing tribute to Rachel Carson. The ARHP, after all, is a group mainly composed of clinicians who offer the full range of reproductive and sexual health services -- prenantal, contraceptive and abortion care, sex education, treatment of HIV and other sexually transmitted infections, and so on. While Carson, who wrote The Sea Around Us in 1951, was one of the pioneers of environmentalism and remains a revered figure in sectors of that movement, it is safe to say that she is no longer a household word in American culture.

But the presence of the speaker, Charlotte Brody -- there to receive ARHP's "Preserving Core Values in Science Award" -- and the connections she drew between Carson's legacy and the concerns of ARHP members reflect a very promising new direction for the reproductive health movement. Brody, a distinguished environmental health advocate, is the executive director of Commonweal, a nonprofit health and research institution in Bolinas, California, and a founder of the group, Health Care without Harm.

Brody took the audience through Carson's early work on the dangers of pesticides and other chemical agents. When she mentioned the rage Carson evoked from various quarters, including the chemical industry -- she was called "a fanatic defender of the cult of the balance of nature," a "Communist," and a "spinster" who had no right to "worry about genetics" -- I thought of the similar demonization of Margaret Sanger and Emma Goldman, some of the earliest voices for reproductive freedom in this country, and of course the harassment and abuse directed at contemporary ARHP members who are involved in abortion care.

But the most relevant part of Brody's talk for this audience was her discussion of the specific threats to reproductive health posed by various widely used chemicals in the United States. There is mounting concern in the scientific community about the impact of these chemicals on rising infertility rates and on hazards to early fetal development. Consider the chemical compound bisphenol A (BPA), used in many plastic products, including baby bottles and microwave containers. BPA has been under increasing scrutiny because of its alleged health effects, and animal studies have linked this compound to a host of reproductive problems.

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