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Eating a variety of foods from all of the food groups is the best way to ensure you are getting the calories and nutrients you need. The USDA's Food Guide Pyramid is a good guideline for pregnant women; it ensures you consume the following minimum number of servings in each food group (about 2,500 calories):

9 servings from the bread, cereal, rice, and pasta group. Examples of a single serving from this group include a slice of whole-wheat bread, 1/2 cup cooked cereal, half a bagel, or 1/2 cup of pasta. Be sure to include whole­grain and whole-wheat starches as well as other starches higher in fiber.

4 servings from the vegetable group. Examples of a single serving from this group include 1 cup of raw leafy vegetables, 1/2 cup of other vegetables, raw or cooked, or 3/4 cup vegetable juice. Choose a variety of vegetables-the darker the color, the more nutrients a vegetable has.

3 servings from the fruit group. Examples of a single serving from this group include a medium apple, a small banana, a small orange, 1/2 cup chopped fruit, or 3/4 cup fruit juice. Choose a variety of fruits daily, as raw fruits are higher in fiber than juices.

3-4 servings from the milk, yogurt, and cheese group. Examples of a single serving from this group include 1 cup of milk or yogurt, 1.5 ounces natural cheese, or 2 ounces processed cheese. Use fat-free or low-fat milk, nonfat or low-fat yogurt, and low-fat cheese.

6-7 ounces (2-3 servings) from the meat, poultry, fish, dry beans, eggs, and nuts group. Examples of a single serving from this group include 3 ounces poultry, fish, or lean meat; 1 ounce meat = 1/2 cup cooked dried beans, a whole egg, 1/2 cup tofu, 1/3 cup nuts, or 2 tablespoons peanut butter. Choose lean meats and trim fat from meat before cooking. With poultry, remove skin. Include cooked dry beans often as the main dish in meals.

A common pitfall to the healthy diet is skipping breakfast. When you skip breakfast, you are forcing your body to go ten to twelve hours without food-and going that long without nourishing your baby. When you are famished, it is easy to choose the wrong foods and eat too much of them, so skipping breakfast may cause you to eat more calories than you intended.

Carving Up the Calories

The calories in all the healthy foods that make up the USDA Food Guide Pyramid are made up of three basic nutrients: carbohydrates, protein, and fat. These three nutrients are known as the macronutrients because we need them in larger amounts. Even though each macronutrient has a particular function in the body, they work together in partnership for good health and for a healthy pregnancy. During pregnancy, the required amounts of some of these nutrients change only slightly.

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fertility specialists news:

Stories of Mothers Saved: African Mothers sending messages to Heads of States - 23 July 2010
It is no secret that in Africa, complications during pregnancy and childbirth are one of the leading causes of death for women of childbearing age. An unacceptable number of women die in pregnancy and childbirth each year, and for every woman who dies, at least 20 other suffer injuries, infections and disabilities. This is why maternal health is one of the key issues to be discussed by Heads of States at the 15th African Union Summit taking place in Uganda 19-27th July. (Source: UNFPA News)
The pill equally effective in obese, thin women
NEW YORK (Reuters Health) - Despite studies suggesting that birth control pills might not work as well in obese women, a new study suggests that they prevent pregnancy the same no matter what a woman weighs. (Source: Reuters: Health)
Zimbabwe: Low Breastfeeding Rates Threaten PMTCT Efforts
Health and nutrition experts in Zimbabwe are worried that one of the lowest exclusive breastfeeding rates in the region could have a negative impact on the country's prevention of mother-to-child HIV transmission (PMTCT) programme. (Source: AllAfrica News: Pregnancy and Childbirth)
Prescribe Aspirin Early in Pregnancy to Cut Preeclampsia Risk: Meta-Analysis
A meta-analysis suggests that women at high risk for preeclampsia, mainly those with a history of preeclampsia, should take low-dose aspirin daily, starting at 16 weeks of gestation. Reuters Health Information (Source: Medscape Today Headlines)
Pregnancy outcome in women with multiple sclerosis: results from a prospective nationwide study in Finland
The objective of this study was to prospectively evaluate the incidence of pregnancy complications and delivery risks, and to follow the natural course of multiple sclerosis during and after pregnancy in a cohort of Finnish patients with multiple sclerosis. Sixty-one patients with multiple sclerosis who became pregnant during the years 2003—2005 were prospectively followed-up from early pregnancy until 6 months postpartum. Multiple sclerosis relapses, Expanded Disability Status Scale rates and obstetric details were recorded. The results were compared with the statistics obtained from Finnish Medical Birth Register from the year 2004. We found that patients with multiple sclerosis were no more likely to experience pregnancy complications than Finnish pregnant women generally, but the...
Angola: UN Workers Defends More Training for African Women
The United Nations Information Department official, Kadi Beye, spoke of the need for higher awareness and training for African women, aimed at reducing infant mortality and improve maternal-infant health in the continent. (Source: AllAfrica News: Pregnancy and Childbirth)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Ghana: Pregnant With Possibility
The news of a pregnancy should ideally be met with joy - but all too often there is justifiable fear. The African Union Summit this week, set to focus on the health of mothers and children, has a chance to transform this fear into hope. (Source: AllAfrica News: Pregnancy and Childbirth)
Pregnancy-related diabetes likely to recur: study
NEW YORK (Reuters Health) - Pregnant women with a history of pregnancy-related diabetes, also called gestational diabetes, have a good chance of developing the condition again, suggests a large new study. (Source: Reuters: Health)
Kenya: Abortion Harms the Woman, the Unborn Child and Even the Father
The Catholic Church has a simple, uncompromising message on abortion: It is harmful to the unborn child, the mother and the father. Ultimately, abortion fatally hurts the whole country. (Source: AllAfrica News: Pregnancy and Childbirth)
Namibia: Pohamba Wants African Union to Prioritise Child and Maternal Health
PRESIDENT Hifikepunye Pohamba called on the African Union (AU) to establish a taskforce on maternal and child health so that the relevant Millennium Development Goals (MDGs) can be achieved by 2015. (Source: AllAfrica News: Pregnancy and Childbirth)
Ectopic pregnancy
(Source: BMJ Online First)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Rising Obesity In Pregnancy Causes Concern For Gestational Diabetes
A NHS watchdog revealed concerns about the rising level of obesity among pregnant women yesterday in order to raise awareness of the associated complications, which includes gestational diabetes. According to The National Institute for Health and Clinical Excellence (NICE), approximately 16 per cent of women in England are obese from the start of pregnancy and half of women of childbearing age or either overweight or obese. Gestational diabetes is a type of diabetes that occurs during pregnancy... (Source: Health News from Medical News Today)
Stories of Mothers Saved: African Mothers sending messages to Heads of States - 23 July 2010
It is no secret that in Africa, complications during pregnancy and childbirth are one of the leading causes of death for women of childbearing age. An unacceptable number of women die in pregnancy and childbirth each year, and for every woman who dies, at least 20 other suffer injuries, infections and disabilities. This is why maternal health is one of the key issues to be discussed by Heads of States at the 15th African Union Summit taking place in Uganda 19-27th July. (Source: UNFPA News)
Prospective Study in 3,000 Consecutive Parathyroid Operations Demonstrates 18 Objective Factors that Influence the Decision for Unilateral versus Bilateral Surgical Approach
Conclusions: High-volume surgeons use a number of identifiable objective factors to determine the best candidates for unilateral versus bilateral parathyroid exploration. Localizing studies such as sestamibi scans ultimately play a minor role in determining how many parathyroid glands are evaluated. (Source: Journal of the American College of Surgeons)
Pre-operative Gynecologic Evaluation of Bariatric Surgery Patients: Improving Cancer Detection in a High-Risk Population
Conclusions: Given the massive increases in morbid obesity and bariatric surgery in women, surgeons could serve a vital role in educating patients about both gynecologic and nongynecologic malignancy risks. With appropriate referral for cancer screening, patient outcomes could improve. (Source: Journal of the American College of Surgeons)
Diet pattern in pregnancy not linked to recurrent wheeze in children
A woman?s dietary pattern during pregnancy does not influence her child?s risk for suffering recurrent wheeze in early life, US study results suggest. (Source: MedWire News - Respiratory)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Fetoscopic laser coagulation for severe twin-to-twin transfusion syndrome: factors influencing perinatal outcome, learning curve of the procedure and lessons for new centres
Conclusions These data indicate that both relatively large numbers treated and experience with FLC minimises any adverse outcome in monochorionic pregnancies with severe TTTS. (Source: BJOG: An International Journal of Obstetrics and Gynaecology)
Role of Endothelin and Inflammatory Cytokines in Pre-eclampsia &#x2013; A Pilot North Indian Study
Conclusion We conclude that pre-eclampsia is associated with increased levels of both endothelin-1 and circulating inflammatory cytokines, which points toward the role of endothelial and inflammatory components. (Source: American Journal of Reproductive Immunology)
Evolution and Function of the Uterine Serpins (SERPINA14)
Citation Padua MB, Hansen PJ. Evolution and function of the uterine serpins (SERPINA14). Am J Reprod Immunol 2010 Uterine serpins (recently designated as SERPINA14) are hormonally induced proteins secreted in large quantities by the endometrial epithelium during pregnancy. The SERPINA14 proteins belong to the serine proteinase inhibitor (serpin) superfamily, but their apparent lack of inhibitory activity toward serine proteinases suggests that these proteins evolved a different function from the anti-proteinase activity typically found in most members of the serpin superfamily. The gene is present in a limited group of mammals in the Laurasiatheria superorder (ruminants, horses, pigs, dolphins and some carnivores) while being absent in primates, rodents, lagomorphs and marsupials. Thus, th...
Lancet Seminar: Gestational trophoblastic disease
Source: Lancet Area: News The authors of this article summarise strategies for management of gestational trophoblastic disease and address some of the controversies and future research directions. Gestational trophoblastic disease encompasses a range of pre-malignant and malignant pregnancy-related disorders. (Source: NeLM - News)
[Perspectives] Film: Abortion: the view from both sides of the street
A dispassionate discourse on the abortion wars in the USA? Not something that seems possible, at least in the current polarised culture. Almost by definition, any analysis of the politics and practice of abortion is heavily partisan. Even the medical world?the last bastion of any possible objectivity?has been overlaid with politics. Outside of major urban medical centres, pregnancy termination has been sliced off from the greater field of obstetrics and gynaecology, isolated in freestanding abortion clinics that have become the last hope for desperate women and the target for desperate protesters. (Source: LANCET)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Use of Bisphosphonates and Risk of Postmenopausal Breast Cancer [Breast Cancer]
Conclusion The use of bisphosphonates for longer than 1 year was associated with a 28% relative reduction in the risk of postmenopausal breast cancer. Tumors developing under bisphosphonates treatment tended to have a favorable prognostic factors profile. (Source: Journal of Clinical Oncology)
Transgenic overexpression of pregnancy-associated plasma protein-A in murine arterial smooth muscle accelerates atherosclerotic lesion development
Pregnancy-associated plasma protein-A (PAPP-A) increases local IGF-I bioavailability through cleavage of inhibitory IGF binding protein (IGFBP)-4 in a variety of systems, including the cardiovascular system. To test the hypothesis that expression of PAPP-A promotes the development of atherosclerotic lesions, we generated transgenic mice that express human PAPP-A in arterial smooth muscle. Four founder lines were characterized for transgenic human PAPP-A mRNA and protein expression, IGFBP-4 protease activity, and tissue specificity. In study I, apolipoprotein E knockout (ApoE KO) mice, a well-characterized mouse model of atherosclerosis, and ApoE KO mice expressing the human PAPP-A transgene at relatively high levels (ApoE KO/Tg) were fed a high-fat diet. At harvest, aortas were dissected a...
Ethnic differences in resistance artery contractility of normotensive pregnant women
Black women are at a greater risk to develop hypertension during pregnancy, with a 4.5 times higher rate of fatal preeclampsia than white women. Therefore, it is important to identify factors that may affect this risk. Our group previously proposed that high activity of the central regulatory enzyme of energy metabolism, creatine kinase (CK), may increase ATP-buffering capacity and lead to enhanced vascular contractility and reduced nitric oxide bioavailability. Therefore, we assessed microvascular contractility characteristics in isolated resistance arteries from self-defined black and white normotensive pregnant women using a Mulvany-Halpern myograph. Additionally, morphology was assessed with electron microscopy. Resistance-sized arteries obtained from omentum donated during cesarean se...
Meth use in pregnancy endangers mom and baby
NEW YORK (Reuters Health) - New research shows that babies born to methamphetamine-using moms face much higher risks of serious complications, compared to babies not exposed in the womb to this illegal street drug. (Source: Reuters: Health)
Meth use in pregnancy endangers mom and baby
NEW YORK (Reuters Health) - New research shows that babies born to methamphetamine-using moms face much higher risks of serious complications, compared to babies not exposed in the womb to this illegal street drug. (Source: Reuters: Health)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Pregnancy-related diabetes likely to recur: study
NEW YORK (Reuters Health) - Pregnant women with a history of pregnancy-related diabetes, also called gestational diabetes, have a good chance of developing the condition again, suggests a large new study. (Source: Reuters: Health)
Width of the normal uterine cavity in premenopausal women and effect of parity.
CONCLUSION:: We have produced a standard for the measurement of the normal uterine cavity width and have shown that this width varies with gravidity and parity. The mean width of the uterine cavity of nulliparous women (27 mm) is narrower than the width of a standard intrauterine device (32 mm), suggesting that physicians should consider ultrasonography to measure the uterine cavity before inserting an intrauterine device. LEVEL OF EVIDENCE:: III. PMID: 20664389 [PubMed - in process] (Source: Obstetrics and Gynecology)
Ultrasound-detected subchorionic hemorrhage and the obstetric implications.
CONCLUSION:: Women with ultrasound-detected subchorionic hemorrhage before 22 weeks of gestation are at increased risk of placental abruption and preterm delivery but are not at increased risk of other adverse pregnancy outcomes. LEVEL OF EVIDENCE:: II. PMID: 20664390 [PubMed - in process] (Source: Obstetrics and Gynecology)
Maternal folate-related gene environment interactions and congenital heart defects.
CONCLUSION:: Results indicate that functional polymorphisms in folate-related genes increase the risk of having a fetus with CHD when maternal lifestyle factors that alter folate metabolism are present. LEVEL OF EVIDENCE:: II. PMID: 20664391 [PubMed - in process] (Source: Obstetrics and Gynecology)
Methamphetamine use during pregnancy: maternal and neonatal implications.
CONCLUSION:: Methamphetamine use in pregnancy is complicated by more morbid maternal and neonatal outcomes when compared with the general obstetric population. Because the patients in this study were in a variety of ways demographically distinct, attempts to identify these patients early and intervene in an effort to improve pregnancy-related outcomes appears possible and warranted. LEVEL OF EVIDENCE:: II. PMID: 20664393 [PubMed - in process] (Source: Obstetrics and Gynecology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Chorionic villus sampling at 11 to 13 weeks of gestation and hypertensive disorders in pregnancy.
CONCLUSION:: There is no association between performing a CVS in the first trimester and subsequent development of hypertensive disorders of pregnancy. LEVEL OF EVIDENCE:: II. PMID: 20664398 [PubMed - in process] (Source: Obstetrics and Gynecology)
Pregnancy outcomes in women with thyroid peroxidase antibodies.
CONCLUSION:: Antithyroid peroxidase antibodies are present in 6% of the general obstetric population and are associated with a threefold increase in the rate of placental abruption. However, this increase in placental abruption does not currently warrant routine antithyroid antibody screening during pregnancy. LEVEL OF EVIDENCE:: II. PMID: 20664399 [PubMed - in process] (Source: Obstetrics and Gynecology)
Chorioamnionitis and cerebral palsy: a meta-analysis.
CONCLUSION:: The significant association of clinical or histological chorioamnionitis with cerebral palsy suggested that clinical strategies to prevent or reduce chorioamnionitis would lead to a reduction in cerebral palsy. The culture techniques currently used to diagnose the presence of pathogenic microorganisms during pregnancy need to improve, both in their methodology and in the length of time they require. PMID: 20664400 [PubMed - in process] (Source: Obstetrics and Gynecology)
Prevention of Preeclampsia and Intrauterine Growth Restriction With Aspirin Started in Early Pregnancy: A Meta-Analysis.
CONCLUSION:: Low-dose aspirin initiated in early pregnancy is an efficient method of reducing the incidence of preeclampsia and IUGR. PMID: 20664402 [PubMed - as supplied by publisher] (Source: Obstetrics and Gynecology)
Pelvic inflammatory disease.
Authors: Soper DE Pelvic inflammatory disease (PID) is an infection-caused inflammatory continuum from the cervix to the peritoneal cavity. Most importantly, it is associated with fallopian tube inflammation, which can lead to infertility, ectopic pregnancy, and chronic pelvic pain. The microbial etiology is linked to sexually transmitted microorganisms, including Chlamydia trachomatis, Neisseria gonorrheae, Mycoplasma genitalium, and bacterial vaginosis-associated microorganisms, predominantly anaerobes. Pelvic pain and fever are commonly absent in women with confirmed PID. Clinicians should consider milder symptoms such as abnormal vaginal discharge, metrorrhagia, postcoital bleeding, and urinary frequency as potential symptoms associated with the disease, particularly in women at ri...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Committee opinion no. 462: moderate caffeine consumption during pregnancy.
Authors: PMID: 20664420 [PubMed - in process] (Source: Obstetrics and Gynecology)
Primary iliopsoas abscess and pregnancy.
CONCLUSION:: Primary iliopsoas abscess should be considered in the differential diagnosis of low-back pain among high-risk pregnant women. Clinicians should be vigilant in identifying high-risk factors and aggressive in treating this rare and potentially fatal complication. PMID: 20664425 [PubMed - in process] (Source: Obstetrics and Gynecology)
Propylthiouracil-induced agranulocytosis in the third trimester of pregnancy.
CONCLUSION:: In circumstances in which thionamides are contraindicated, management options of hyperthyroidism in pregnancy are limited. The proximity to term in the third trimester makes expectant management an attractive approach when maternal thyroid indices are stable, allowing for a choice of postpartum therapies without the worry of fetal implications. However, this strategy carries risks, and thyroidectomy in the third trimester can be a safe alternative. PMID: 20664427 [PubMed - in process] (Source: Obstetrics and Gynecology)
Retained viable single intrauterine pregnancy after vacuum aspiration for a dichorionic-diamniotic twin pregnancy.
CONCLUSION:: An underreported complication of vacuum aspiration is a retained viable intrauterine pregnancy. There is a role for postoperative ultrasonography in complicated cases such as twin gestations or in very early pregnancies to avoid retained products of conception or the infrequent case of retained viable intrauterine pregnancy. PMID: 20664430 [PubMed - in process] (Source: Obstetrics and Gynecology)
Spontaneous Methicillin-Resistant Staphylococcus aureus Epidural Abscess in Pregnancy.
CONCLUSION:: Spontaneous epidural abscess is a rare condition and diagnosis is often delayed. The finding of Horner syndrome led to imaging of the cervical spine and diagnosis of epidural abscess. Early intervention resulted in resolution of neurologic symptoms and a successful pregnancy outcome. PMID: 20664432 [PubMed - in process] (Source: Obstetrics and Gynecology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Yolk-sac number in monoamniotic twins.
CONCLUSION:: Yolk-sac number does not predict amnionicity. The diagnosis of monoamniotic twins requires demonstration of entwined cords or an invasive procedure. PMID: 20664434 [PubMed - in process] (Source: Obstetrics and Gynecology)
Neurofibromatosis and pregnancy: a report of maternal cardiopulmonary compromise.
CONCLUSION:: Neurofibromatosis type 1 with malignant peripheral nerve sheath tumors complicating pregnancy requires an experienced, multidisciplinary team of care offering an aggressive evaluation to rule out malignant transformation or recurrence when there is any change in clinical status of a patient, as this may signal a potentially fatal change in the lesion. PMID: 20664435 [PubMed - in process] (Source: Obstetrics and Gynecology)
Diagnosis and management of pancreatic carcinoma during pregnancy.
CONCLUSION:: Delayed diagnosis and treatment are associated with high morbidity of both neonate and mother in cases of pancreatic cancer during pregnancy. Computed tomography scanning and carbohydrate antigen 19-9 levels are useful for diagnosis, after which radical surgery should be performed immediately in late pregnancy. PMID: 20664439 [PubMed - in process] (Source: Obstetrics and Gynecology)
Murine typhus in a pregnant woman.
CONCLUSION:: Although the signs and symptoms of murine typhus can mimic other pregnancy-related complications, a high index of suspicion in endemic areas can lead to the correct diagnosis and prompt treatment. PMID: 20664448 [PubMed - in process] (Source: Obstetrics and Gynecology)
Congenital fetal heart block: a potential therapeutic role for intravenous immunoglobulin.
CONCLUSION:: Our case supports investigating IVIG in the prevention or treatment of this life-threatening condition. PMID: 20664449 [PubMed - in process] (Source: Obstetrics and Gynecology)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Severe hydramnios and preterm delivery in association with transient maternal diabetes insipidus.
CONCLUSION:: The most likely cause of hydramnios in this case is transient maternal diabetes insipidus of pregnancy from excessive secretion of placental vasopressinase resulting in fetal polyuria. In cases of hydramnios of unknown etiology, if a history of maternal polyuria is elicited and confirmed, diabetes insipidus of pregnancy may play a role in some cases. PMID: 20664450 [PubMed - in process] (Source: Obstetrics and Gynecology)
Jarisch-herxheimer reaction triggered by group B streptococcus intrapartum antibiotic prophylaxis.
CONCLUSION:: Beta-lactam antibiotics for group B Streptococcus intrapartum prophylaxis can trigger the Jarisch-Herxhemer reaction in patients with undiagnosed syphilis resulting in unanticipated changes in maternal and fetal well-being. PMID: 20664452 [PubMed - in process] (Source: Obstetrics and Gynecology)
Umbilical artery aneurysm.
CONCLUSION:: Given the high incidence of aneuploidy associated with umbilical artery aneurysm, it is important to consider karyotype analysis of the affected fetus. If a normal karyotype is identified, early delivery may be warranted to decrease the risk of fetal demise. PMID: 20664454 [PubMed - in process] (Source: Obstetrics and Gynecology)
Meth Use in Pregnancy Endangers Mom and Baby
New research shows that babies born to methamphetamine-using moms face much higher risks of serious complications, compared to babies not exposed in the womb to this illegal street drug.Source: Reuters Health Related MedlinePlus Pages: Methamphetamine, Pregnancy and Substance Abuse (Source: MedlinePlus Health News)
Depression and Teenage Pregnancy
Research suggests that childbearing does not necessarily cause psychological distress among teenagers. Dr. Stefanie Mollborn of the University of Colorado and her team investigated stress and depression using a large group of teenage girls and adult women. In the Journal of Health and Social Behavior, they explain that teenage mothers&#8217; high depression rates have received &#8220;considerable research attention&#8221; in small studies, but a larger study of adolescent childbearing and depression was needed. So they used figures from two large long-term surveys, the U.S. National Longitudinal Study of Adolescent Health and the Early Childhood Longitudinal Study-Birth Cohort. The participants completed questionnaires to measure depression, although the term &#8220;depression&#8221; was a...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
UK aid policy focuses on family planning for world's women
(Source: BMJ Online First)
Uganda: AU Resolution Should Not Be a Passing Cloud
The 15th African Union summit has successfully ended in Kampala with heads of state making wide-ranging resolutions beyond the initial theme of maternal, infant and child health and development. (Source: AllAfrica News: Pregnancy and Childbirth)
Zimbabwe: Maternal, Child Deaths - No More Lip Service
The 2010 Fifa World Cup in South Africa from June 11 to July 11 might have been good enough to bemuse the world and push the African Union summit from its traditional June - July, slot but it definitely was not able to shelve some of the major problems affecting the continent. (Source: AllAfrica News: Pregnancy and Childbirth)
Kan. Medical Board Files Complaint Against Abortion Provider
The Kansas Board of Healing Arts has filed an 11-count disciplinary complaint against Ann Neuhaus, a doctor who provided second opinions to abortion provider George Tiller, who was murdered last year, alleging that in some of her second opinions she failed to properly evaluate whether an abortion later in pregnancy was necessary to preserve the life or health of the woman, the AP/Miami Herald reports. Kansas law requires a second opinion be provided for any abortion performed after 21 weeks' gestation... (Source: Health News from Medical News Today)
African Leaders Agree To Expand Maternal Health Campaign As AU Summit Concludes
African leaders participating in the 15th African Union (AU) Summit, which concluded on Tuesday, agreed to expand a campaign aimed at curbing maternal mortality on the continent and adopted other "key actions" in an effort to reduce infant and maternal mortality, PANA/Afrique en ligne reports. Summit attendees agreed to extend the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA), Bience Gawanas, the AU's commissioner for social affairs, said... (Source: Health News from Medical News Today)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Kenya: Doctors Back the Clause On Abortion
A group of doctors has given a thumbs up to the wording in the proposed constitution. (Source: AllAfrica News: Pregnancy and Childbirth)
Nigeria: Make Maternal Health Priority, African Leaders Told
Deputy United Nations Secretary-General Asha-Rose Migiro has called on African leaders to make the issue of improved maternal health a top priority and meet the 2015 Millennium Development Goal (MDG) deadline of drastically improving reproductive care across the continent. (Source: AllAfrica News: Pregnancy and Childbirth)
Maternal affection and adult stress
Conclusion This study?s findings suggest that maternal affection early in life may influence adult distress levels. Strengths of this research include assessment of maternal affection by an independent observer and the following-up of participants from childhood into adulthood. However, there are some limitations: Only a subset of children from the original study was followed up. Inclusion of all of the children might have influenced the results if the children who did not participate differed from those who did. There may be factors other than maternal affection that are influencing results. Although the researchers took some of these into account, there are many others that may be having an effect, including paternal affection or general family affection as a child, or health and...
Namibia: Student Accused of Abortion Re-Appears
THE case of a student nurse at the Rundu Health Training Centre, who allegedly terminated a five-month pregnancy, has been postponed to August 9. (Source: AllAfrica News: Pregnancy and Childbirth)
Does exercise training during pregnancy influence fetal cardiovascular responses to an exercise stimulus? Insights from a randomised, controlled trial
In this study, the effects of maternal physical activity level on several fetal haemodynamic parameters such as pulsatility index of the fetal middle cerebral and umbilical arteries and cerebral-to-fetal ratio, as well as on fetal heart rate responses to one bout of moderate exercise (20 min cycle-ergometry at ~60% of age-predicted maximum heart rate) during the third pregnancy trimester were assessed. 26 Sedentary and 26 physically active gravidae aged 29 (3) and 30 (2) years, respectively, were studied. Maternal exercise did not have a deleterious effect on fetal haemodynamics (particularly, cerebral-to-fetal ratio remained within normal limits with exercise). Overall, maternal training status did not influence the fetal cardiovascular variables studied. (Source: British Journal of Sport...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Antenatal screening and predicting hypertension in pregnancy for midwives
Conclusions: Further research should be focused on the factors observed by midwives during history taking and the antenatal course in the second and third trimesters and whether or not these can be synthesised in to a hypertension-specific diagnostic tool for use in midwifery practice. (Source: Women and Birth)
Women's experiences when ultrasound examinations give unexpected findings in the second trimester
Conclusion: Eliminating the anxiety and anguish experienced by women following a diagnosis of fetal abnormality is impossible. It must be possible, however, to mitigate their distress. Further research should develop methods to prepare women for coping in crises like these. (Source: Women and Birth)
Rejoinder to Smith, R., Leap, N. & Homer, C Advanced midwifery practice or advancing midwifery practice?
We are pleased that our paper, ?Reducing the length of stay for women who present as outpatients to delivery suite: a clinical practice improvement project? has generated debate. Smith et al. applaud the work of the midwives we reported on who are providing independent care for women when they present to delivery suite with pregnancy-related concerns. These authors have however, challenged our use of the term ?advanced practice midwife?. We acknowledge that the choice of the term ?advanced practice midwife? is contentious given the different professional philosophical views held around the notion of levels of midwifery practice. Our justification for doing so lies in the reality that currently midwifery exists under regulatory and legal frameworks, including industrial awards, ...

Jenny is just completing her PhD on the impact of childbearing on women's sense of self. The stories in this book arose out of that PhD. ?Feelings of Change? is a collection of fourteen Australian women's unique and individual stories about their first birthing journey. The stories chronicle this journey through pregnancy, birth and the first few months post-birth. The first part of the women's stories explores their relationships and sexuality. The women examine aspects of their past which have impacted upon who they are as individuals and as a couple. It looks at how these aspects of self have influenced their preparation for their birthing journey and their expectations of birth: the environment and the people they want present. An important theme in this part of the book is the wo...
Stories of Mothers Saved: African Mothers sending messages to Heads of States - 23 July 2010
It is no secret that in Africa, complications during pregnancy and childbirth are one of the leading causes of death for women of childbearing age. An unacceptable number of women die in pregnancy and childbirth each year, and for every woman who dies, at least 20 other suffer injuries, infections and disabilities. This is why maternal health is one of the key issues to be discussed by Heads of States at the 15th African Union Summit taking place in Uganda 19-27th July. (Source: UNFPA News)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Moms can reduce risk of eczema in their babies by taking probiotics
(NaturalNews) About 20 percent of babies and toddlers have the condition known as eczema which causes red, swollen and intensely itchy skin. It usually develops on the forehead, cheeks, and scalp, but it can spread to the arms, legs, chest and other parts of the body. According to the National Institutes of Health (NIH), 65 percent of eczema cases develop in the first year of life and 90 percent develop symptoms before the age of five.While many babies with eczema get better before they are two, others have cases of eczema that persist into adulthood. Evidence has accumulated over the past decade that this common skin problem is connected to something going on in the gut -- and that probiotics, beneficial microorganisms similar to the "friendly" bacteria found naturally in the body's diges...
Making Families Complete At Chapel Hill Tubal Reversal Center
A Patient of Chapel Hill Tubal Reversal Center announces the birth of her healthy baby boy. Christy T. writes, "I had my tubal reversal in August of 2009 and was pregnant in November of 2009. I just delivered on July 21st a healthy baby boy. I was running out of hope and Dr. Berger restored that hope." You too can restore that hope by calling Chapel Hill Tubal Reversal Center. Call (919) 968-4656 for a free phone consultation and the tubal reversal staff will be able to assist you with questions regarding pregnancy after tubal ligation and your chances of pregnancy after a tubal reversal. (Source: Tubal Ligation Reversal News)
Review: Management of diabetes during Ramadan
This article in 'Diabetes Care' on the management of diabetes during Ramadan addresses the following topics: &nbsp; .&nbsp;Pathophysiology of fasting &nbsp; .&nbsp;Risks associated with fasting in patients with diabetes: hypoglycaemia, hyperglycaemia, diabetic ketoacidosis, dehydration and thrombosis &nbsp; .&nbsp;Management: frequent monitoring of glycaemia, nutrition, exercise, breaking the fast, pre-Ramadan medical assessment, Ramadan-focused structured diabetes education &nbsp; .&nbsp;Management of patients with type 1 and type 2 diabetes &nbsp; .&nbsp;Management of diet-controlled patients &nbsp; .&nbsp;Diabetic medication adjustment during Ramadan &nbsp; .&nbsp;Pregnancy and fasting during Ramadan &nbsp; .&nbsp;Management of hypertension and dyslipidae...
NHS Choices assessment of press reports about IVF death risk
Source: NHS Choices Area: News NHS Choices has published an assessment of a report in the Daily Telegraph that "the risk of women dying during pregnancy increases more than threefold after IVF." &nbsp; The report was based on findings from a cross-sectional study published in 'Human Reproduction' that determined the rate of deaths due to IVF treatment or pregnancies in the Netherlands between 1984 and 2008. It found 6 out of 100,000 deaths were related to IVF treatment itself. However, no IVF treatment-related deaths have occurred there since 1997 when practices changed, so these deaths rates do not apply to IVF today. For IVF pregnancies, there were a relatively low 42.5 estimated deaths out of 100,000 women. The assessment notes that the Telegraph had written a short article about t...
Expression and activation of the oxytocin receptor in airway smooth muscle cells: Regulation by TNFalpha and IL-13
Conclusion: Taken together, we show that cytokines modulate the expression of functional oxytocin receptors in HASMCs suggesting a potential role for inflammation-induced changes in oxytocin receptor signaling in the regulation of airway hyper-responsiveness in asthma. (Source: Respiratory Research)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Decongestant use during pregnancy and its association with preterm delivery
We examined this association in more detail.Using a population-based random sample of 3271 Massachusetts live-born births without major malformations, we categorized decongestant exposure according to timing, frequency of use, route, and indication. Preterm birth was defined as a gestational age of (Source: Birth Defects Research Part A: Clinical and Molecular Teratology)
Thromboxane Synthase Inhibitors and Thromboxane A(2) Receptor Antagonists: A Quantitative Structure Activity Relationships (QSARs) Analysis.
Authors: Kontogiorgis C, Hadjipavlou-Litina D Thromboxane A(2) (TxA(2)), a bioactive metabolite of the Arachidonic acid (AA), is a potent mediator of platelet aggregation, vasoconstriction and bronchoconstriction. It plays an important role in major human diseases, such as myocardial infraction, unstable angina, pregnancy-induced hypertension and preeclampsia, thrombosis and thrombotic disorders, pulmonary hypertension, asthma, septic shock, atherosclerosis, lupus nephritis, and Raynaud's phenomenon. Thus, TxA(2) is a therapeutic target for many research groups. A number of TXA(2) receptor antagonists as well as thromboxane synthase inhibitors have been developed. In this research we review and evaluate new quantitative structure activity relationships of thromboxane synthase inhibitor...
Excessive iodine intake during pregnancy in Somali refugees
In conclusion, excessive iodine intake was evident in the Dadaab refugee camps. Further research needs to be conducted to investigate the source of excess iodine, to determine the measures needed to address excessive iodine intake and to reconsider the World Health Organization/World Food Programme/United Nations Children's Fund guidance on supplementation of vulnerable groups in emergencies. (Source: Maternal and Child Nutrition)
Idiopathic Recurrent Pregnancy Loss Tends to Strike at Similar Points in Gestation
In women with idiopathic recurrent pregnancy loss, subsequent pregnancy losses tend to occur in the same gestational age period, new research shows. Reuters Health Information (Source: Medscape Medical News Headlines)
Africa: Maternal, Infant and Child Health and Development
The following is full text of the opening speech of the 15th African Union Summit in Kampala as delivered by Malawi President and AU Chairman Bingu Wa Mutharika. (Source: AllAfrica News: Pregnancy and Childbirth)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Mom's pregnancy diet not tied to wheezing risk
NEW YORK (Reuters Health) - A woman's overall diet during pregnancy may not be related to her child's risk of developing wheezing problems by preschool age, a new study suggests. (Source: Reuters: Health)
Nigeria: Controversy Over White Baby
It was an impromptu gathering as usual just as the topic of discussion bordered on what was perceived as a controversial news report. (Source: AllAfrica News: Pregnancy and Childbirth)
New weight advice for pregnancy
Many newspapers have reported on new official guidelines for how women can manage their weight before, during and after pregnancy. The advice comes from the National Institute for Health and Clinical Excellence (NICE). The importance of the guidelines are borne out by figures suggesting that more mothers than ever are overweight. The Guardian suggests that, ?15-20% of women getting pregnant are overweight or obese?. The Daily Mail puts the number higher, saying that ?almost half of expectant mothers are overweight or obese?. It goes on to spell out the dangers of being obese or overweight during pregnancy, which include ?fatal health conditions such as blood clots, pre-eclampsia, miscarriages and stillbirths?. The newspapers also dispel the myth that women should eat for two du...
Sierra Leone: Defining New Role for Traditional Birth Attendants
Posseh Sesay will never be able to bear children again following a tragic birthing experience at the hands of her village traditional birth attendant (TBA). (Source: AllAfrica News: Pregnancy and Childbirth)
Africa: Pregnant With Possibility
The news of a pregnancy should ideally be met with joy - but all too often there is justifiable fear. The African Union Summit this week, set to focus on the health of mothers and children, has a chance to transform this fear into hope. (Source: AllAfrica News: Pregnancy and Childbirth)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
New NICE Guidance On Weight Management Before, During And After Pregnancy
Women should be encouraged to achieve a healthy weight before they become pregnant and advised that there is no need to 'eat for two' when pregnant. These are just two of the recommendations included in new public health guidance published by NICE on dietary and physical activity interventions for weight management before, during and after pregnancy. The aim of this new guidance is to help health professionals support women who are pregnant or who are planning a pregnancy, and mothers who have had a baby in the last 2 years... (Source: Health News from Medical News Today)
At Summit, AU Leaders Discuss Funding Challenges For Maternal, Child Health
African leaders focused on the theme of the 15th African Union (AU) Summit on Sunday: maternal and infant mortality on the continent, PANA/Afrique en ligne reports (7/26). Leaders expressed concern that women continue to face health challenges that are easily treatable, according to Daily Nation/allAfrica.com. "All leaders and participants agreed that there was more political will in Africa today to improve the welfare of women and children than at any other time in the history of the continent," the publication writes... (Source: Health News from Medical News Today)
Kenya: Jury Still Out on Traditional Birth Attendants
The government of Kenya has been encouraging women to deliver in hospital. Home deliveries by traditional birth attendants are considered to be a major contributor to maternal deaths. (Source: AllAfrica News: Pregnancy and Childbirth)
Africa: Body urges Leaders to Invest in Maternal and Child Health
An organization that cares for children in need around the world is urging African leaders to recognize that investing in maternal and child health is critical to development including economic development in their countries. (Source: AllAfrica News: Pregnancy and Childbirth)
Challenge pregnant women to manage their weight, NICE says
(Source: BMJ Online First)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Liberia: Kick Out Teenage Pregnancy
Montserrado County Superintendent Grace Kpaan has challenged teenage girls in the country to prepare themselves to continue the legacy of Madam Ellen Johnson Sirleaf. (Source: AllAfrica News: Pregnancy and Childbirth)
Africa: Time to Act On Infant Mortality, Makuza Tells AU
PRIME Minister Bernard Makuza has challenged African leaders to lay strategies for putting an end to maternal and child deaths, which he said has continuously dogged the health status of Africans. (Source: AllAfrica News: Pregnancy and Childbirth)
DIATHERIX Laboratories Launches STD And HSV Test Panel
DIATHERIX Laboratories, adds a Sexually Transmitted Disease (STD) panel and Herpes Simplex Virus (HSV) panel to its line up of highly sensitive, rapid response diagnostic panels. The HSV panel identifies herpes simplex viruses 1 and 2 and the STD panel identifies 10 sexually transmitted diseases simultaneously, many of which cannot be accurately identified by current testing methods. These STD organisms, if not appropriately treated, can cause diseases such as syphilis, gonorrhoeae, chlamydia, bacterial vaginosis, etc. and may lead to blindness, infertility or complications during pregnancy... (Source: Health News from Medical News Today)
Stories of Mothers Saved: African Mothers sending messages to Heads of States - 23 July 2010
It is no secret that in Africa, complications during pregnancy and childbirth are one of the leading causes of death for women of childbearing age. An unacceptable number of women die in pregnancy and childbirth each year, and for every woman who dies, at least 20 other suffer injuries, infections and disabilities. This is why maternal health is one of the key issues to be discussed by Heads of States at the 15th African Union Summit taking place in Uganda 19-27th July. (Source: UNFPA News)
Dichorionic twins and monochorionic triplets after the transfer of two blastocysts
Conclusion&nbsp;&nbsp;Few other reports have described the occurrence of a quintuplet gestation after the transfer of two blastocysts generated by ICSI. Our case is unique in that the two blastocysts underwent two different splitting processes, which occurred possibly at a similar time giving rise to MZ dichorionic twins and MZ monochorionic triplets. Content Type Journal ArticleCategory Assisted ReproductionDOI 10.1007/s10815-010-9446-zAuthors Marcelo Ferreira, Nilo Frantz Research and Human Reproduction Center Porto Alegre RS Brazil CEP:90.480-003Adriana Bos-Mikich, ICBS, Federal University of Rio Grande do Sul Department of Morphological Sciences Porto Alegre RS Brazil CEP: 90.050-170Marcos Höher, Nilo Frantz Research and Human Reproduction Center Porto Alegre RS Brazil CE...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Folic acid improves both mother and baby?s bone health
Supplementation with folic acid for the duration of pregnancy appears to inhibit bone resorption and promote bone formation in mothers and their newborn infants, a study of bone turnover markers shows. (Source: MedWire News - Bone Health)
Weight, exercise and pregnancy confusion
NICE have issued new guidelines on women's weight during and after pregnancy. (Source: BBC News | Health | UK Edition)
Comforting a Friend Who Has Had a Miscarriage
According to the American College of Obstetricians and Gynecologists, about 15-20% of pregnancies end in miscarriage, usually within the first 13 weeks of pregnancy. For the woman who has miscarried, this can be a difficult time emotionally, both in coping with the loss and thinking about its impact on her marriage and her ability to conceive in the future. Even among the best of friends, it's hard for a friend to know what to say or how best to provide support to someone who is grieving the loss. In 1981, Robbie Miller Kaplan gave birth to two children: a son Aaron, in January and a daughter Amy, in December. Both babies died in infancy from the same heart defect. It is her own experiences with loss as well as a passion to make a difference with others that motivated her to write a book o...
Don't diet during pregnancy, but aim for healthy weight before, NICE says
Women should not diet while pregnant, but should aim for a healthy weight before and after pregnancy, NICE has said. (Source: HealthcareRepublic Independent Nurse News)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Tubal Reversal of Tubal Clips Provides Excellent Pregnancy Results
One method of tubal blockage are tubal clips. This method of closing the fallopian tubes is currently being discussed by members of the message board of Chapel Hill Tubal Reversal Center. There are two types of tubal clips: Hulka and Filshie clips. The tubal blockage procedure using clips is done through a laparoscope. The clips are usually placed across the narrow muscular segment of the fallopian tube close to the uterus. The tubal clip damages the least amount of fallopian tube of any tubal ligation method, therefore, making this method of tubal ligation ideal for tubal reversal. Dr Berger and Dr. Monteith have provided statistics showing the chances of pregnancy after reversal of tubal clips is approximately 76% within the first year of tubal clip reversal. (Source: Tubal Ligation Reve...
Ultrasound Testing And HCG Level Monitoring After Tubal Reversal
Chapel Hill Tubal Reversal Center message board member 'Sherry-John' reports "I saw the heartbeat and the baby!!!" after having a vaginal ultrasound when her HCG levels were above 3053. Dr. Berger and Dr. Monteith recommend early pregnancy monitoring due to a 10-15% risk of tubal pregnancy after tubal reversal surgery. HCG levels are drawn twice a week once a positive pregnancy test is detected. HCG is the pregnancy hormone. In a normal pregnancy, HCG levels double every week, and an ultrasound is recommended when the level reaches 1500. A vaginal ultrasound will show a gestational sac within the uterus in a normally developing intrauterine pregnancy. By closely following this early protocol, the risks associated with a tubal pregnancy can be minimized after having a tubal reversal. (Sourc...
Women with diabetes in pregnancy have increased arterial stiffness
Women who have gestational diabetes mellitus or Type 2 diabetes in pregnancy have increased arterial stiffness compared with nondiabetic pregnant women, say researchers. (Source: MedWire News - Diabetes)
Ultrasound Testing And HCG Level Monitoring After Tubal Reversal
Chapel Hill Tubal Reversal Center message board member 'Sherry-John' reports "I saw the heartbeat and the baby!!!" after having a vaginal ultrasound when her HCG levels were above 3053. Dr. Berger and Dr. Monteith recommend early pregnancy monitoring due to a 10-15% risk of tubal pregnancy after tubal reversal surgery. HCG levels are drawn twice a week once a positive pregnancy test is detected. HCG is the pregnancy hormone. In a normal pregnancy, HCG levels double every week, and an ultrasound is recommended when the level reaches 1500. A vaginal ultrasound will show a gestational sac within the uterus in a normally developing intrauterine pregnancy. By closely following this early protocol, the risks associated with a tubal pregnancy can be minimized after having a tubal reversal. (Sourc...
A primary health-care intervention on pre- and postnatal risk factor behavior to prevent childhood allergy. The Prevention of Allergy among Children in Trondheim (PACT) study.
Conclusions: The dietary intervention seemed to be successful. The observed reduced smoking behavior could not be attributed to the intervention program, and the latter had no effect on indoor dampness.(Current Controlled Trials registration number: ISRCTN28090297) (Source: BMC Public Health - Latest articles)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
NICE costing report on public health guidance for weight management in pregnancy
Source: NICE Area: News A costing report accompanying the NICE public health guidance on weight management before, during and after pregnancy. has been issued. &nbsp; The report makes the following statements (taken directly from report): .&nbsp;It is not possible to quantify the direct costs and potential savings to the NHS or local authorities by implementing this guidance, as practice varies significantly between geographical locations, and no data are available on current service provision. .&nbsp;However, as women who are obese when they become pregnant face an increased risk of complications during pregnancy and childbirth it is reasonable to assume that a reduction in obesity has the potential to result in savings. .&nbsp;The costs and savings will depend on the type of...
Prognostic value of follicular fluid 25-OH vitamin D and glucose levels in the IVF outcome
Conclusion: The data suggests that excess serum and follicular fluid vitamin levels in combination with decreased follicular fluid glucose levels have a detrimental impact on the IVF outcome. (Source: Reproductive Biology and Endocrinology)
Audit of severe acute maternal morbidity describing reasons for transfer and potential preventability of admissions to ICU
Conclusions: An audit of SAMM cases describing reasons for transfer to ICU and preventability is feasible. We recommend that a prospective national SAMM audit process be introduced in New Zealand as a quality of care measure. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology)
Obese women should lose weight before pregnancy
NICE issues pregnancy weight management guidanceRelated items from OnMedicaNHS unprepared for obese pregnant womenObesity problems begin before conception Symptoms don?t reliably predict ovarian cancerWomen with small babies can safely wait for labourLack of exercise for children with asthma (Source: OnMedica Latest News)
NICE issues public health guidance on weight management before, during and after pregnancy
Source: NICE Area: Evidence > Guidelines NICE has issued public health guidance on weight management before, during and after pregnancy. This guidance is for NHS and other commissioners, managers and professionals who have a direct or indirect role in, and responsibility for: &nbsp; .&nbsp;women who are pregnant or who are planning a pregnancy .&nbsp;mothers who have had a baby in the last 2 years. &nbsp; It is particularly aimed at: GPs, obstetricians, midwives, health visitors, dietitians, community pharmacists and all those working in antenatal and postnatal services and children's centres. In this guidance the term 'weight management' involves: &nbsp; .&nbsp;assessing and monitoring body weight .&nbsp;preventing someone from becoming overweight (body mass index [BMI]...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Ambient air pollution exposure and full-term birth weight in California
Conclusions: This study indicates that maternal exposure to ambient air pollution results in modestly lower infant birth weight. A small decline in birth weight is unlikely to have clinical relevance for individual infants, and there is debate about whether a small shift in the population distribution of birth weight has broader health implications. However, the ubiquity of air pollution exposures, the responsiveness of pollutant levels to regulation, and the fact that the highest pollution levels in California are lower than those regularly experienced in other countries suggest that precautionary efforts to reduce pollutants may be beneficial for infant health from a population perspective. (Source: Environmental Health)
Causes of Heartburn
You've just enjoyed a big meal and are relaxing in front of the TV when it happens. A burning sensation begins to build in the upper abdomen, behind the breastbone, and makes your chest feel like it's on fire. The burning and pain may travel from your diaphragm all the way to your throat, and may be accompanied with a sour taste and the sensation of food re-entering your mouth. You're suffering from severe heartburn. Despite the name, heartburn has nothing to do with the heart. It's a digestive problem that occurs when stomach acid comes into contact with the lining of the esophagus, causing irritation. Most people suffer from heartburn occasionally, usually after a meal. For others, heartburn occurs more often, and is considered chronic. The following is a list of causes or underlying ...
Induced abortion among HIV-positive women in Quang Ninh and Hai Phong, Vietnam
Conclusions Awareness of HIV-positive status is related with an increased tendency to have an induced abortion. (Source: Tropical Medicine and International Health)
Increased Renal Phosphodiesterase-5 Activity Mediates the Blunted Natriuretic Response to a Nitric Oxide Donor in the Pregnant Rat.
Authors: Sasser JM, Ni XP, Humphreys MH, Baylis C Pregnancy is characterized by plasma volume expansion and renal sodium retention with loss of natriuretic response to ANP due to increased medullary PDE5. Here, we determined if natriuretic responses to NO are also blunted in pregnancy due to increased PDE5. Anesthetized 16-day pregnant and virgin rats were studied at baseline and during intrarenal (IR) infusion of the NO donor spermine NONOate (2.5 nmol/min), the PDE5 inhibitor sildenafil (SILD, 0.5 microg/min), or a combination. The right (non-infused) kidney served as a control. IR NONOate had no effect on mean arterial pressure (MAP); however, SILD reduced MAP in virgin rats, and the combination of NONOate+SILD reduced BP MAP in both virgin and pregnant rats. Neither NONOate nor SIL...
Africa: African Leaders Pledge Action on Maternal, Newborn, and Child Health
Save the Children commends African heads of state for pledging at the African Union summit to take concrete actions to reduce maternal and child mortality in their countries.  Now they must follow through, the international humanitarian agency said. (Source: AllAfrica News: Pregnancy and Childbirth)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Smoking may worsen outcome of pregnancy complication
NEW YORK (Reuters Health) - A new study suggests that smokers who develop preeclampsia during pregnancy are at particular risk of suffering the complications associated with the disorder -- including preterm delivery, low birth weight and stillbirth. (Source: Reuters: Health)
Sudden (reversible) sensorineural hearing loss in pregnancy
Conclusions&nbsp;&nbsp;Our case demonstrates that pregnancy can lead to hearing loss in two sequential pregnancies. Mechanisms are discussed in detail. Clinically it appears that the hearing loss and tinnitus associated with pregnancy can spontaneously recover. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11845-010-0525-zAuthors R. Kenny, Sligo General Hospital Department of Audiology Sligo IrelandN. Patil, Sligo General Hospital Department of ENT Sligo IrelandN. Considine, Sligo General Hospital Department of ENT Sligo Ireland Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 (Source: Irish Journal of Medical Science)
Smoking May Worsen Outcome of Pregnancy Complication
A new study suggests that smokers who develop preeclampsia during pregnancy are at particular risk of suffering the complications associated with the disorder -- including preterm delivery, low birth weight and stillbirth.Source: Reuters Health Related MedlinePlus Pages: High Blood Pressure in Pregnancy, Pregnancy and Substance Abuse (Source: MedlinePlus Health News)
Respiratory Morbidity in Late Preterm Births [Original Contribution]
Conclusion&nbsp; In a contemporary cohort, late preterm birth, compared with term delivery, was associated with increased risk of respiratory distress syndrome and other respiratory morbidity. (Source: JAMA)
Williams Obstetrics [Book and Media Reviews]
(Source: JAMA)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Mozambique: Garrido Defends AU Debate on Mother and Child Health
Mozambican Health Minister Ivo Garrido has assessed as positive the debate on mother and child health at the Heads of State summit of the African Union which ends on Tuesday in Kampala (Source: AllAfrica News: Pregnancy and Childbirth)
In brief
(Source: BMJ Online First)
Nigeria: 'Delivery-Related Deaths Have Reduced Drastically in Bauchi'
Dr. Alkali Mohammed is the Chief Medical Director of Abubakar Tafawa Balewa University Teaching Hospital Bauchi - formerly Specialist Hospital, by the official gazette of the Federal Government in 2009. In this interview with journalists including Special Correspondent Patience Ogbodo, Mohammed speaks on efforts to upgrade the hospital, its staff strength and challenges, among other issues. Excerpts: (Source: AllAfrica News: Pregnancy and Childbirth)
Namibia: World Breastfeeding Week Next Month
First Lady Penehupifo Pohamba will attend the official opening of the weeklong World Breastfeeding Week to be held from 1-7 August. (Source: AllAfrica News: Pregnancy and Childbirth)
Less stress is best: taking the anxiety out of pregnancy is better for you?and your baby
As a pregnant mother, there?s always something to worry about. You worry about the health of the baby. You worry about what you should or shouldn?t do (because you are worried about the health of the baby). You worry about the delivery. You worry about paying for everything a child needs. You worry about finding good childcare. You worry about whether you?ll be a good parent. Now there?s a study in the journal Pediatrics telling us that pregnant mothers have something else to worry about: the worrying itself. Researchers in the Netherlands measured the stress and anxiety of 174 pregnant women using questionnaires as well as by measuring their cortisol levels (certain kinds of elevations of this hormone are associated with stress). After the babies were born, they got information ...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
MRC did not fund IVF pioneers' research because they weren't in "medical establishment"
(Source: BMJ Online First)
AU Leaders Summit Kicks Off, Focus On Maternal And Child Health
Heads of state from the African Union (AU) started a three-day meeting in Kampala, Uganda, on Sunday as part of the 15th AU Summit, People's Daily Online reports. Leaders will focus on maternal and child health and will discuss several other issues, including agricultural development, food security, infrastructure development and economic integration (7/26). VOA News reports on the opening of the summit where U.S. Attorney General Eric Holder delivered prepared remarks. Holder "pledged strong American support of [the AU peacekeeping mission] AMISOM and the Kampala bomb probe... (Source: Health News from Medical News Today)
11 Million African Lives Could Be Saved By Just A Small Investment
In the next five years, 11 million African women and children could be saved by creating near-universal availability of key life-saving interventions, according to The Partnership for Maternal, Newborn & Child Health and the Countdown to 2015 Decade Report (2000-2010). The Countdown report estimates that these interventions -- antenatal care, emergency care at the time of birth, post-natal care, treatment of childhood illnesses, and immunization, among others -- will cost an additional $32 billion, or about $8 per person per year over the next five years... (Source: Health News from Medical News Today)
Predisposing, Enabling and Pregnancy-Related Determinants of Late Initiation of Prenatal Care
This study aims to analyze the effects of predisposing, enabling and pregnancy-related determinants of late prenatal care initiation. In this prospective observational study, 333 women were recruited consecutively at the beginning of their prenatal care trajectory. Data was collected on the timing of the first prenatal visit and on socio-demographic and pregnancy-related characteristics, using a semi-structured interview. A multivariate binominal logistic regression was applied to analyze independent effects on late initiation of prenatal care. Bivariately late initiation of care was associated with being inactive on the labor market, non-European origin, not having lived in Belgium since birth, low income, receiving welfare benefits, not having a regular obstetrician and experiencin...
A comparison of the effect of short-term aromatase inhibitor (letrozole) and GnRH agonist (triptorelin) versus case control on pregnancy rate and symptom and sign recurrence after laparoscopic treatment of endometriosis
Conclusion&nbsp;&nbsp;Pregnancy rate and endometriosis recurrence rate are comparable among the 3 groups. Content Type Journal ArticleCategory General GynecologyDOI 10.1007/s00404-010-1599-6Authors Saeed Alborzi, Shiraz University of Medical Sciences Division of Infertility and Endoscopic Surgery, Department of Obstetrics and Gynecology, School of Medicine P.O. Box 71345-1818 Shiraz IranBahareh Hamedi, Shiraz University of Medical Sciences Division of Infertility and Endoscopic Surgery, Department of Obstetrics and Gynecology, School of Medicine P.O. Box 71345-1818 Shiraz IranAzizeh Omidvar, Shiraz University of Medical Sciences Division of Infertility and Endoscopic Surgery, Department of Obstetrics and Gynecology, School of Medicine P.O. Box 71345-1818 Shiraz IranSedigheh Dehbas...<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Eritrea: Significant Drop in Mother Mortality Rate Reported in Southern Red Sea Region
Mother mortality rate during pregnancy and delivery has significantly dropped in Southern Red Sea region thanks to the growing awareness of the society in general and mothers in particular. (Source: AllAfrica News: Pregnancy and Childbirth)
Stories of Mothers Saved: African Mothers sending messages to Heads of States - 23 July 2010
It is no secret that in Africa, complications during pregnancy and childbirth are one of the leading causes of death for women of childbearing age. An unacceptable number of women die in pregnancy and childbirth each year, and for every woman who dies, at least 20 other suffer injuries, infections and disabilities. This is why maternal health is one of the key issues to be discussed by Heads of States at the 15th African Union Summit taking place in Uganda 19-27th July. (Source: UNFPA News)
Ethiopia: Maternal, Child Health Budget 80 Percent Below Maputo Plan
An open letter signed by 10 African celebrities, written to Prime Minister Meles Zenawi as well as many African leaders, called the continent's performance in maternal and child health scandalous for the continent, the future of which lies with women and children. (Source: AllAfrica News: Pregnancy and Childbirth)
Africa: Celebrities Criticize Govts Over Maternal, Child Health Budgets
An open letter signed by 10 African celebrities, written to Prime Minister Meles Zenawi as well as many African leaders, called the continent's performance in maternal and child health scandalous for the continent, the future of which lies with women and children. (Source: AllAfrica News: Pregnancy and Childbirth)
Antiphospholipid Syndrome: A Challenging Hypercoagulable State with Systemic Manifestations
Antiphospholipid syndrome (APS) is a systemic disease that causes venous and arterial thrombosis in virtually any organ and is responsible for fetal losses and pregnancy disorders. Previously, APS was thought to be present mainly in patients with systemic lupus erythematosus. The spectrum of clinical manifestations is wide, because the thrombotic process may involve arterial and venous vessels of any size in any organ. At present, there is no evidence to support or refute specific treatment strategies for primary prophylaxis of thrombosis. (Source: Hematology/Oncology Clinics of North America)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Can A Uchida Tubal Ligation Procedure Be Reversed?
Can the Uchida tubal ligation be reversed? The tubal reversal doctors of Chapel Hill Tubal Reversal Center exclusively specialize in tubal surgery. As a result of their unique specialization, they have extensive experience with all types of tubal ligation procedures. A Tubal Reversal Message Board participant asks if her Uchida tubal ligation can be reversed and if any message board members have had pregnancy success after reversal of a Uchida tubal ligation procedure. A Uchida reversal patient volunteers she has had a successful reversal of her Uchida tubal sterilization. Her remaining tubal lengths are long and she is currently five weeks pregnant! Although the Uchida tubal ligation is one of the most effective tubal ligation techniques, this tubal ligation is not commonly performed beca...
Africa: AU Leaders Pledge to Reduce Child Deaths
African leaders have pledged to eliminate maternal and child mortality before 2015. (Source: AllAfrica News: Pregnancy and Childbirth)
Altered levels of insulin-like growth factor binding protein proteases in preeclampsia and intrauterine growth restriction
Intrauterine growth restriction (IUGR) and preeclampsia (PE) are leading causes of perinatal and maternal morbidity and mortality. Many studies have found association between low levels of insulin-like growth factor binding protein (IGFBP) proteases in the first trimester maternal circulation and the risk of subsequent development of PE and/or IUGR. These results are generally interpreted to reflect decreased production of the proteases by the placenta, leading to reduced proteolysis of IGFBPs and lower free levels of insulin-like growth factor (IGF), resulting in diminished feto-placental development. However, the association between low circulating levels of placental proteins early in pregnancy and the subsequent development of IUGR and/or PE could be due to low exchange in the placenta...
Parental Consent for Abortion and the Judicial Bypass Option in Arkansas: Effects and Correlates
CONCLUSIONS: States that convert a parental notification statute to a parental consent statute are unlikely to experience a decrease in abortions among minors. (Source: Perspectives on Sexual and Reproductive Health)
Operational evaluation of a service for prevention of mother-to-child transmission of HIV in rural Uganda: barriers to uptake of single-dose nevirapine and the role of birth reporting
Conclusions The uptake of PMTCT services was unacceptably low. Asking PWH with less advanced pregnancies to return to collect NVP leads to missed opportunities especially if PWH are less educated. Birth reporting enabled the programme to provide NVP to some infants who otherwise would have missed. Antenatal, delivery and PMTCT services should be integrated. (Source: Tropical Medicine and International Health)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Plasmodium falciparum parasites causing cerebral malaria share variant surface antigens, but are they specific?
Conclusions: In conclusion, this study suggests the existence of serologically distinct VSACM and VSAUM. CM isolates were shown to share common epitopes. Specific antibody response to VSAUM was predominant, suggesting a relative low diversity of VSAUM in the study area. (Source: Malaria Journal)
Quality of maternity care in rural southern Tanzania: a reality check
Conclusion: Linking danger signs to clinical and laboratory examination results during ANC with the appropriate follow up and avoiding delays in emergency obstetric care are crucial to the delivery of coordinated, effective care interventions. (Source: BMC Research Notes)
Large pseudocyst of the umbilical cord detected in the second trimester
We present a case of a large umbilical cord cyst detected at 21&nbsp;weeks of gestation. Serial ultrasonographic examination revealed a single umbilical artery and progression of the cystic mass. A 2,842-g male infant was delivered at 37&nbsp;weeks of gestation, and we confirmed that the umbilical cord cyst was a pseudocyst in our pathological examination. This case demonstrated an uneventful course of pregnancy despite the large umbilical cord pseudocyst. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10396-010-0272-9Authors Kazufumi Haino, Niigata University Medical and Dental Hospital Department of Obstetrics and Gynecology 1-757 Asahimachi, Chuo Niigata 951-8510 JapanTakehiro Serikawa, Niigata University Medical and Dental Hospital Department of Obstetrics and G...
Treatment of Cocaine Abuse During Pregnancy: Translating Research to Clinical Practice
Abstract&nbsp;&nbsp;In the late-1980s and early-1990s, much attention in America was focused on cocaine abuse. In particular, the effects of prenatal cocaine use on mothers and infants were in the news spotlight. Risks of adverse effects prompted funding for novel treatment programs. More recently, media attention has shifted elsewhere, and specialized treatment resources have grown scarce. This redirection of funding is unfortunate, as social stigma and fear of legal consequences continue to encourage cocaine-abusing pregnant women to hide drug use and avoid prenatal care. The purpose of this article is to summarize the most prominent adverse maternal and fetal/infant effects associated with prenatal cocaine use; review treatment options, focusing on comprehensive care programs of t...
Urban Air Pollutants Can Damage IQs Before Baby's First Breath
In a sweltering summer in New York City back in 1999, Yolanda Baldwin was eight months pregnant with her first child. She lived near a gas station and across the street from an intersection choked with exhaust-spewing cars and buses. Sometimes the air was so thick with pollution that she could see it, breathe it, smell it, even taste it. And she often wondered what it might be doing to her unborn child.Now Baldwin and several hundred other mothers whose sons and daughters have been monitored for a decade have an answer: Before children even take their first breath, common air pollutants breathed by their mothers during pregnancy may reduce their intelligence . [More] (Source: Scientific American - Official RSS Feed)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
Kenya: Jury Still Out on Traditional Birth Attendants
The government of Kenya has been encouraging women to deliver in hospital. Home deliveries by traditional birth attendants are considered to be a major contributor to maternal deaths. (Source: AllAfrica News: Pregnancy and Childbirth)
Miscarriage Tough on Men, Harder on Women
Many men suffer emotionally when their partner loses a pregnancy, new research shows. But they recover more quickly from their distress than women do, the study shows. Reuters Health Information (Source: Medscape Today Headlines)
Africa: Deputy UN Chief Issues Calls to African Leaders to Make Maternal Health a Priority
Investing in maternal and child health results in outsized benefits, Deputy Secretary-General Asha-Rose Migiro said, urging African leaders to make the issue a top priority and meet the 2015 Millennium Development Goal (MDG) deadline of drastically improving reproductive care across the continent. (Source: AllAfrica News: Pregnancy and Childbirth)
Role of endoscopic ultrasound/SpyScope in diagnosis and treatment of choledocholithiasis in pregnancy.
We describe an alternative management strategy to conventional ERCP in a pregnant patient with choledocholithiasis and cholangitis detected using EUS and choledochoscopy. PMID: 20653072 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)
East Africa: Sharp Focus On Maternal Health
In a large corner of one of the open spaces at the Commonwealth Resort, Munyonyo, is a photo exhibition of armed conflict in Africa. (Source: AllAfrica News: Pregnancy and Childbirth)<div id="medworm"><p><b><i>MedWorm Message:</i></b> Register for <b><a href="http://www.medmatcha.com" target ="_self">MedMatcha, MedWorm's medical advertising network</a></b>, and receive $5 free advertising.</p></div>
A risk model for congenital syphilis in infants born to mothers with syphilis treated in gestation: a prospective cohort study
Conclusions The risk of CS could be predicted by the interaction between GWxlog (1/T). Early treatment given to women with syphilis during antenatal care may be the only effective method to decrease the risk of CS. (Source: Sexually Transmitted Infections)
Whistlestop tour
(Source: Sexually Transmitted Infections)
Association between smoking and genital warts: longitudinal analysis
Conclusions Smokers experienced a moderately increased risk of being diagnosed with genital warts. This finding could be explained by the immunosuppressive effects of nicotine, or by confounding not accounted for in the adjusted model. (Source: Sexually Transmitted Infections)
Congenital syphilis: refining newborn evaluation and management in Shenzhen, southern China
This study aimed to assess the evaluation and management of infants at high risk of congenital syphilis with an antenatal syphilis-screening programme in the Shenzhen SEZ and to develop feasible definitions for the detection of congenital syphilis in China. Methods A retrospective study was conducted of all standardised records of pregnant women with positive syphilis between 2003 and 2007. Infants at high risk of congenital syphilis were evaluated by laboratory tests at birth and longitudinal follow-up. A screening test-positive congenital syphilis case was defined based on a positive 19S-IgM-FTA-ABS result at birth. Assuming that 19S-IgM-FTA-ABS was the gold standard, the sensitivity and specificity of the ascertainment methods were calculated. Results During the study period, 1010 liv...