Eating And Drinking During Labor: Queen's University Researcher Says Women Should Choose

Main Category: Pregnancy / Obstetrics Also Included In: Nutrition / Diet; Nursing / Midwifery; Clinical Trials / Drug Trials Article Date: 04 Feb 2010 - 0:00 PST email to a friend printer friendly view / write opinions

Ads by Google

Buy Melanotan Kits Now
Melanotan I Melanotan II
Current Article Ratings:

Patient / Public: Health Professional: Article Opinions:

0 posts

The traditional practice of restricting food and fluids during labour does not provide any benefits, finds a new review co-authored by a Queen's University Associate Professor. "Based on our review, there is no convincing and current evidence to support restriction of fluids, and perhaps food, for women during labour. Women should be able to choose for themselves," says Dr. Joan Tranmer of the Queen's School of Nursing. Practitioners have been concerned about eating and drinking during labour since the 1940s. The restriction is thought to prevent Mendelson's syndrome (named after work by Dr. Carl Mendelson), a rare, but sometimes fatal, condition caused by regurgitation of acidic stomach contents into the lungs when a general anaesthetic is given. "With medical advances over the past 60 years, including the increase use of epidural anesthesia, we thought it was time to question the widespread ban on food and drink now that we are in the 2000s," says Professor Tranmer. "The use of general anesthesia during C-sections is low. And even when used, the techniques have improved since the 1940s, so the risk of maternal death or illness is very, very low" There is tremendous variation in the practice of fluid and food restriction across birth settings (home births versus hospitals).

a snack can provide some nourishment." .K. especially for those who are in labour for more than 12 hours and unable to eat. adds Professor Tranmer. The authors' review looked at the data from five randomized trials that involved 3. who is based out of the Clinical Research Centre at Kingston General Hospital.) were published by the Cochrane Collaboration. Source: Michael Onesi Queen's University . "Instead of eating ice chips." The review findings co-authored by Mandissa Singata (University of the Witwatersrand in South Africa) and Gill Gyte (University of Liverpool in the U.130 women who were in active labour and with a low risk of requiring general anesthesia. an independent."The food and fluid restriction can be stressful and uncomfortable for some pregnant women. not-for-profit healthcare organization. comfort and much needed energy.

" says Professor Sven M. In fact.PersonalPathtoPregnancy." For example. and does so. there is a clear link between testosterone and breastfeeding ability. Nutrition / Diet Article Date: 07 Jan 2010 . "Probably. "Pregnant women who have higher levels of androgens breastfeed less. So why do so many studies associate breastfeeding with better health for young babies. this ability is essentially proof that the baby has already had an optimal life inside the womb.37 (35 votes) Article Opinions: 6 posts Feeling guilty that you didn't breastfeed your children enough or at all? Relax. The answer is simple: If a mother is able to Current Article Ratings: Patient / Public: Health Professional: 1. But apparently it is not the milk that makes the difference. Hormones are a determinant Researchers at NTNU's Department of Cancer Research and Molecular Medicine have recently found a correlation between the level of male hormones (androgens) in pregnant women and how much the women breastfed after birth. the baby's overall health is all determined before he or she is born. this is a direct effect of hormones that simply limit nursing ability.2:00 PST email to a friend printer friendly view / write opinions Ads by Google How To Get Pregnant Fast I Stopped these common mistakes and got Pregnant almost immediately! www. by reducing milk production in the breast. until . Instead.Breastfeeding Is Not As Beneficial As Once Thought Main Category: Pediatrics / Children's Health Also Included In: Pregnancy / Obstetrics.62 (114 votes) 1. New research shows that breast milk is not as important for either the mother or the child's health. Carlsen. It is true that breastfed infants are slightly healthier than bottle-fed babies. Researchers at the Norwegian University of Science and Technology have found that the association between breastfeeding and healthy children is not as strong as has previously been believed.

a portion of the testosterone that would have been converted to oestrogen is in fact not converted. Among other things. That is clearly why it is not as easy to breastfeed. so that the ability to make milk does not develop optimally during pregnancy. not breast milk. it looks as if increased exposure to testosterone as a foetus can lead to an increased incidence of obesity. the older a woman is. This is an energy intensive process. "It's thus not the woman's will to breastfeed. All the women in these groups have higher levels of testosterone in their bodies when they are pregnant. type 2 diabetes and polycystic ovary syndrome in girls. and probably affects both of them". For the child. or who have the hormonal disorder polycystic ovary syndrome (PCOS) tend to breastfeed less than their peers. when more suitable drugs were introduced. and the effects these conditions have on the newborn. or are overweight. they have looked at the relationship between testosterone levels and various risk factors that are believed to affect breastfeeding. he said. Women who had more testosterone in their bodies during pregnancy feel the effects of a hormone that limits breastfeeding. For the mother. Women who are smokers. the more likely she is to breastfeed.if the process goes as it should. In contrast. "This was one of the reasons that we wanted to investigate whether the effects attributed to mother's milk really should be attributed to hormonal factors in pregnant women". Much fuss . Then what happens is that the testosterone goes to both the mother and child. All these relationships can be explained by the level of testosterone. this means reduced development of glandular tissue in the breasts." Placenta is key Carlsen believes that it is the placenta. If the placenta does not have enough energy. that has more of an effect on children's health. Not a matter of will Carlsen and colleagues have for years researched the connections between the conditions for the foetus in utero. "What happens is that there are hormones that come from the foetus that are converted to testosterone and oestrogen in the placenta -. Carlsen says.1980. testosterone was used to stop milk production in circumstances where it was desirable. says Carlsen. This translates into less or no milk breast milk.

"And when you give birth. And even though a child's health risks have already been established at birth." The research adds that if a mother has a hard time breastfeeding. Most studies concluded that the more children are nursed. "Boys are not less loved by their mothers than girls. or in women with PCOS. Message to new mothers: Relax! The researcher stresses that it is inappropriate to blame mothers who are unable to breastfeed as much as they are advised. For example. Carlsen and his colleagues say. you will do the best that you can. the healthier the children which on the surface is correct. All these relationships can be explained by one and the same cause. Carlsen says. cut back on your consumption of coffee and tea. you should live as healthy a lifestyle as possible: quit smoking.Breastfeeding is less common in younger women. women who have had preeclampsia or are overweight. Carlsen says. There are very few studies that have examined the underlying controls on breastfeeding ability" he adds. Carlsen says mothers should not worry about this. the differences are so small that they can only be detected when looking at large groups. it is claimed that the bond between a mother and her child will not be as strong if the baby is a boy than if the baby is a girl." "We find it very interesting that almost all of the factors previously shown to be associated with breastfeeding can be explained by changes in testosterone levels in the mother during pregnancy. "Don't let overzealous health professionals give you a guilty conscience" he says. No breast milk benefit The researchers reviewed more than fifty international studies about the relationship between breastfeeding and health. We can blame biology here." he adds. "But even if this is statistically true. he says. Mothers should not worry that their children will be sicker than children who are breastfed. namely the level of male hormones during pregnancy. smokers. "This is the purest nonsense". and when the child is a boy. it is not because of breastfeeding itself. "If you are pregnant. she should just relax and enjoy her newborn. or with lower birth weight or premature babies. if you want to breastfeed. . not mothers. and avoid alcohol". There are a number of models that are used to explain this erroneously.

The largest study that has been done on breastfeeding and health was undertaken in Belarus. and the energy consumption that goes with sterilizing bottles. or think that they are giving their child a poor start in life if they can't nurse. There is no reason why women who are struggling to breastfeed should have to go around feeling guilty. Carlsen says. More than 17 000 women and children were studied. than to forgo breast milk. "It appears that children who are breastfed have a small IQ advantage". the Belarus study found no signs that asthma and allergies were less prevalent in children who were nursed for longer than children who were nursed less. "But this needs to be confirmed in new. For example. The only area where the study concluded that breastfeeding confers a benefit was in mental abilities. and thus perhaps also on breastfeeding. Baby formula is as good as breast milk". The health aspects of breastfeeding should be left out of political arguments. Breastfeeding is also the right approach for developing countries. hygienic conditions and the lack of natural resources makes breastfeeding superior to bottle feeding. and the children were followed until they were six years old. "There are many good reasons to breastfeed. the researchers say. carefully planned and conducted studies. Breastfeeding avoids the environmental costs of producing bottles and formula. But concern for the child's health is not one of them. "We would also like to have funding to implement a larger study on the effect of diet and . where economics." Breastfeeding should be out of politics The researcher believes it is time for nursing enthusiasts to calm down. stressed-out mother with a guilty conscience. This study cuts the legs out from underneath most of the assertions that breastfeeding has health benefits. Carlsen adds that it is far worse for babies to have a tired. Carlsen says. he says. Exercise and diet A study is underway to see if exercise has an impact on testosterone levels. Breastfeeding environmentally sound Carlsen believes that the strongest reason to encourage mothers to breastfeed is because of the environment.

The advance could lead to a new generation of polyvinyl chloride (PVC) plastics that are safer than those now used in packaging. Phthalates are the mainstay plasticizers. Unfortunately. Helmut Reinecke and colleagues note that manufacturers add large amounts of plasticizers to PVC to make it flexible and durable. ARTICLE: "Phthalate Plasticizers Covalently Bound to PVC: Plasticization with Suppressed . S.the source of long-standing human health concerns . they say. Plasticizers may account for more than one-third of the weight of some PVC products. There is still much we do not know". people who come into contact with the plastics face possible health risks.nutrition counselling for pregnant women. Laboratory tests showed that the method completely suppressed the migration of plasticizer to the surface of the plastic. the internal structure of PVC so that it will not migrate. a bi-weekly journal. Source: Norwegian University of Science and Technology (NTNU) Toward Safer Plastics That Lock In Potentially Harmful Plasticizers Main Category: Public Health Also Included In: Pediatrics / Children's Health Article Date: 04 Feb 2010 . Their study is in ACS' Macromolecules. Consumer Product Safety Commission in 2009 banned use of several phthalate plasticizers for use in manufacture of toys and child care articles. Carlsen said." the article notes.from migrating from one of the most widely used groups of plastics. "This approach may open new ways to the preparation of flexible PVC with permanent plasticizer effect and zero migration. The U. PVC plastics become less flexible and durable.5:00 PST email to a friend Ads by Google Current Article Ratings: printer friendly view / write opinions Patient / Public: Health Professional: Article Opinions: 0 posts Scientists have published the first report on a new way of preventing potentially harmful plasticizers . they migrate to the surface of the plastic over time and escape into the environment. As a result. and other products. medical tubing. The scientists describe development of a way to make phthalate permanently bond. In addition. toys. or chemically attach to. and colleagues.Migration" DOWNLOAD FULL TEXT ARTICLE Current Article Ratings: Patient / Public: Health Professional: 5 (2 votes) 3.7:00 PST email to a friend printer friendly view / write opinions Ads by Google Schizophrenia Alternative Mental Health Care It will change your mind and life www. Pediatrics / Children's Health Article Date: 03 Feb 2010 . although there is a lot of controversy surrounding the use of current antipsychotic medication to try and prevent . and the Orygen Youth Health Research Centre in Melbourne. As Amminger and colleagues mentioned in their background information.acs.earthhouse.67 (3 votes) Article Opinions: 0 posts A new study suggests that people at very high risk of developing psychotic disorders appear less likely to to do so after taking fish oil for three months. Psychology / Psychiatry. and is reported in the February issue of the JAMA/Archives journal Archives of General Psychiatry.1021/ma902740t Source: Michael Bernstein American Chemical Society Fish Oil May Reduced Risk Of Psychotic Disorders In High Risk Individuals Featured Article Main Category: Schizophrenia Also Included In: Mental Health. The study was conducted by Dr G Paul Amminger from the Medical University of Vienna in Austria.

The daily dose was 1. placebo-controlled trial. given that omega-3 PUFAs are generally considered good for health and have no clinically relevant adverse side effects. These criteria suggest that the risk of a person becoming psychotic could be as high as 40 per cent in the ensuing 12 months. The main outcome that the researchers measured was transition to psychotic disorder.2 g of omega-3 PUFA or placebo. the researchers found that: • 2 of the 41 subjects in the omega-3 PUFA fish oil group (4. Their results showed that that individuals at very high risk of developing psychosis seemed less likely to develop psychotic disorders after taking a 12-week course of fish oil capsules that contained long-chain omega-3 PUFAs. and after analysing the results. as secondary outcomes. There was also some evidence that long-chain omega-3 polyunsaturated fatty acids (PUFAs) could be be beneficial for schizophrenia and a range of other psychotic conditions. 81 individuals considered to be at ultra-high risk of psychotic disorder took part in the study. then underwent monitoring for a further 40 weeks (total study period was 12 months). The participants were double-blind randomized to take either daily capsules of fish oil or placebo (double blind means neither the participants nor the drug administrators knew whether the capsules they were given contained the active ingredient or a placebo). and the ratio of omega-6 to omega-3 PUFAs in "erythrocytes was used to index pretreatment vs posttreatment fatty acid composition". was the psychosis detection centre of a large public hospital in Vienna. The setting for the randomized. The researchers wrote that they set out to determine whether omega-3 PUFAs "reduce the rate of progression to first-episode psychotic disorder in adolescents and young adults aged 13 to 25 years with subthreshold psychosis". and they took the capsules for 12 weeks. they wrote. They also measured. transient psychosis or a there was a family history of psychotic disorders and a decrease in functioning.psychotic disorders.9 per cent) and 11 of the 40 (27.007).5 per cent) in the placebo group transitioned to psychotic disorder (P=. symptomatic and functions changes. they thought it would be worth investigating whether they might help prevent psychosis. which took place from 2004 to 2007. 76 of the 81 participants completed the 12 months of the trial. They either had mild psychotic symptoms. So. double-blind. . there is evidence that early treatment in schizophrenia and other psychoses has been linked to better outcomes. and noted that individuals with schizophrenia may have an underlying dysfunction in fatty acid metabolism.

" G.which include metabolic changes. Miriam R. Gregor E. Schäfer. • There was no difference in side effects between the two groups. and general symptoms (P = . Sue M. public acceptance. but they are largely free of "clinically relevant adverse effects. Berger. The researchers concluded that: "Long-chain omega-3 PUFAs reduce the risk of progression to psychotic disorder and may offer a safe and efficacious strategy for indicated prevention in young people with subthreshold psychotic states. Andrew Mackinnon. omega-3 PUFAs may lead to some digestive complaints." "Long-Chain {omega}-3 Fatty Acids for Indicated Prevention of Psychotic Disorders: A Randomized. In contrast. adding that they have "excellent tolerability.002) compared with placebo. Klier. the authors said it could be that they affect cell membranes and neurotransmitter chemistry in the brain." they wrote. • Compared with placebo. Placebo-Controlled Trial. relatively low costs and benefits for general health".• The difference between the fish oil and the placebo groups in the cumulative risk of progression to full psychosis was 22. Claudia M.8 to 40.4 per cent).01). Paul Amminger.01). sexual dysfunction and weight gain. Based on these results. Cotton. McGorry. Speculating on how consuming fish oil with omega-3 PUFAs may lead to such changes. They noted that: "The finding that treatment with a natural substance may prevent or at least delay the onset of psychotic disorder gives hope that there may be alternatives to antipsychotics for the prodromal [early symptomatic] phase. Susan M. Harrigan.6 per cent (95 per cent confidence interval CI ranged from 4. Patrick D. omega-3 PUFAs also significantly reduced positive symptoms (P=.02)." they noted. Konstantinos Papageorgiou. negative symptoms (P = . It also and improved functioning (P = . Amminger and colleagues estimated that 4 adults would need to be treated with omega-3 PUFAs to prevent one from developing psychosis over a 12 month period. ." Young people are often put off taking current antipsychotics because of the "stigmatization and adverse effects -.

Source: JAMA and Archives Journals. Celastrol. Scientists are just beginning to realize the potential of controlling inflammation-related diseases.5:00 PST email to a friend printer friendly view / write opinions Ads by Google Current Article Ratings: Patient / Public: Health Professional: 4 (1 votes) Article Opinions: 0 posts Medical College of Georgia researchers are seeking to refine cancer treatment with an antiinflammatory plant derivative long used in Chinese medicine. That protein.Arch Gen Psychiatry. chills. is one of many proteins helping the heat shock protein 90.154. by inhibiting HSP90. including cancer. joint pain and inflammation. 67: 146 . Feb 2010. PhD Copyright: Medical News Today Not to be reproduced without permission of Medical News Today Plant Derivative Could Help Refine Cancer Treatment Main Category: Cancer / Oncology Also Included In: Biology / Biochemistry Article Date: 04 Feb 2010 . has been used for centuries in China to treat symptoms such as fever. derived from trees and shrubs called celastracaea. P23. The MCG researchers think it may also play a role in cancer treatment by inactivating a protein required for cancer growth. . Written by: Catharine Paddock.

By taking heat shock proteins away from cells. Chadli." But most HSP90 inhibitors lack selectivity. disabling the functions of all proteins activated by HSP90 rather than only the ones implicated in a specific tumor. "The celastrol induces the protein to form fibrils and clusters it together. biochemist in the MCG Center for Molecular Chaperones/Radiobiology and Cancer Virology." The research was funded by a seed grant from the MCG Cardiovascular Discovery Institute and a Scientist Development Grant from The American Heart Association. Chadli and colleagues at the Mayo Clinic believe celastrol holds the key to specificity. Source: Jennifer Hilliard Medical College of Georgia Low Production Of Serotonin In The Brainstem A Likely Cause For SIDS . Those proteins vary from one tumor to another. "When they are clustered. Dr. they're not available for other functions that help cancer grow. targeting the HSP90-activated protein required for folding steroid receptors."Cancer cells need HSP90 more than normal cells because cancer cells have thousands of mutations." said Dr. Dr. "They can hopefully be used in combination with other therapeutic agents to reduce the probability of cancer resistance. the stabilization is taken away and cell death occurs. "They need chaperones all the time to keep their mutated proteins active." he said." said Dr. whose research was published in the January edition of The Journal of Biological Chemistry. Chadli envisions future studies on cancer patients using even more potent derivatives of celastrol. which inactivates it. Ahmed Chadli.

researchers at Children's Hospital Boston have linked sudden infant death syndrome (SIDS) with low production of serotonin in the brainstem. serotonin helps regulate some of the body's involuntary actions. heart rate and blood pressure during sleep. 3 issue of The Journal of the American Medical Association.2:00 PST email to a friend printer friendly view / write opinions Ads by Google Current Article Ratings: Patient / Public: Health Professional: 5 (1 votes) Article Opinions: 0 posts Taking the next step in more than 20 years of research. may give a concrete approach to identifying babies at risk for SIDS. Kinney and colleagues showed that SIDS is associated with abnormalities in the number of cells and receptors related to serotonin in the brainstem. putting a baby at risk for sudden death from stresses such as rebreathing carbon dioxide when sleeping in the face down position. but it wasn't clear whether SIDS may .Main Category: Neurology / Neuroscience Also Included In: Pediatrics / Children's Health. and to develop preventive treatments that would correct the serotonin deficiency. The future goal of this work is to devise a test to identify infants with a serotonin brainstem defect early. In the brainstem. such as breathing. led by Children's neuropathologist Hannah Kinney. based on a comparison of brainstem samples from infants dying of SIDS compared to brainstems of infants dying from other. the leading cause of death for infants between 1 and 12 months old in the United States. The researchers. believe that a low serotonin level impairs the function of the brainstem circuits that regulate these activities. In 2006. known causes. published in the Feb. Clinical Trials / Drug Trials Article Date: 04 Feb 2010 . The findings. MD.

A baby with low serotonin levels in the brainstem may never stir." In a normal baby rebreathing carbon dioxide. a contributing author of the paper. The consistency and correlation of these findings with each other reinforce the idea that SIDS in the majority of cases is a disorder of serotonin the caused by overproduction or underproduction of the chemical. which we believe is in serotonin circuits: the baby experiences some kind of stress during sleep. such as rebreathing carbon dioxide in the face-down position or increased temperature from over-bundling. who has studied SIDS for more than 20 years. while the tryptophan hydroxylase levels were 22 percent lower. Levels of binding to serotonin receptors were also lower by more than 50 percent. such campaigns haven't completely solved the problem. the serotonin levels in the lower brainstem were 26 percent lower in the SIDS cases compared to controls. serotonin pathways in the brainstem would stir the baby awake long enough to turn its head. However. prompting ongoing research to find a biological component to SIDS. in Kinney's lab. the team measured the levels of serotonin and tryptophan hydroxylase. Of the SIDS infants in the current study. In the new study. Compared with controls. While this study provides strong evidence for a biological cause of SIDS. and 5 hospitalized infants with chronic hypoxiaischemia (insufficient oxygen supply to tissues). in 35 infants dying from SIDS and two control groups (5 infants dying acutely from other causes. there's nothing that would tell you that baby is going to die of SIDS that night. but once the medical community recognized that a baby's position while sleeping affects the risk for SIDS. allowing it to breathe fresh air. The next step in this research is to find out what causes abnormally low serotonin levels in the first place. it also shows that other risk factors. that cannot be compensated for by the defective brainstem circuits. "There's something about sleep that unmasks the defect. Kinney adds. 95 percent died with at least one risk factor. the researchers say. says neuroscientist David Paterson. such as sleeping on one's stomach. . national awareness campaigns sprouted to persuade parents to place babies to sleep on their backs. the enzyme that helps make serotonin. "The baby looks normal during the day. Kinney's lab is searching for such variations. Genetic variations may be partly responsible. Tissue samples from the brainstem were obtained from autopsies and provided by research partners at the San Diego County Medical Examiner's Office in California. and 88 percent died with at least two." says Kinney. can aggravate the risk. and the baby then goes on to die. PhD. SIDS has puzzled doctors and families for decades.

and the Developmental Disabilities Research Center at Children's Hospital Boston. CJ Foundation for SIDS. there is no safe level of alcohol a mother can drink and no safe level of smoking. Source: Children's Hospital Boston . and without toys. Kinney says. babies should sleep on their backs in a crib with a firm mattress. both firsthand and secondhand. During pregnancy. excessive blanketing or excessive clothing. Until 12 months of age.In the meantime. CJ Martin Overseas Fellowship. the National Institute of Child Health and Development. This study was supported by funds from the First Candle/SIDS Alliance. soft pillows. parents should remove unnecessary SIDS risk factors. the CJ Murphy Foundation for Solving the Puzzle of SIDS.

Sign up to vote on this title
UsefulNot useful