Archive for the ‘Pregnancy and Parenthood’ category

Pregnancy: Eating for two

May 13th, 2009

A sensible balanced will help give your child a healthy start in life. Below shows where your nutrition comes from, but you may also benefit from some supplements. Talk to your doctor about your needs.

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Iron

  • Produces haemoglobin, which makes oxygen in both mother’s and baby’s red blood cells. A lack of oxygen can cause tiredness.
  • Prevents anaemia.
  • Helps the baby gains sufficient weight and helps prevent premature delivery.

Sources: lean red meat, fish, dried beans and peas, whole grains and green leafy vegetables.

Vitamin C

  • Helps improve iron absorbtion.
  • Increases folic acid absorbtion.
  • Reduces risk of pre-eclampsia.
  • Helps maintain a healthy immune system.

Sources: oranges, lemons,spinach,limes, broccoli, capsicums, tomatoes and other dark leafy greens.

Vitamin E can also help reduce the risk of pre-eclampsia.

Vitamin C is easily destroyed, so cook these food lightly.

Protein

Protein is essential for a baby’s development.

Sources: fish, lean meat, peas, nuts, milk, yogurt, cheese, eggs and beans.

Vitamin B6

Helps in the breakdown and use of protein.

Sources: eggs, meat, nuts, bananas and avocados.

Folic acid

  • Aids in the development of baby’s major organs and tissues, particularly the central nervous system. It reduces the risk of spina bifida, anencephaly and related birth defects.
  • Helps prevent premature births, low birth weight and miscarriages.

Sources: multivitamin supplements, fortified bread and grain products (such as cereal), chicken liver, legumes, spinach, fruits and juices.

Note:

  • Synthetic folic acid (supplements) is more easily absorbed than that found in foods.
  • Folic acid works best when combined with Vitamin C and B12.

Vitamin B2 (RIBOFLAVIN)

  • Release energy from protein, fat and carbohydrates. A deficiency can increase the risk of pre-eclampsia.
  • It is needed to utilize folic acid.
  • Helps the immune system.
  • Necessary for the maintenance of good vision, skin, hair and nails.

Sources: liver, millk, egg whites, almonds, whole grains, wild rice, mushrooms, soybeans and spinach.

Calcium

  • Vital for heart, muscle, nerve function, blood clotting and enzyme activity.
  • Protects against lead from being released from the bones during pregnancy. Too much lead can lead to  demineralization of the bones.
  • Helps baby’s bone and teeth development.

Sources: milk, cheese, dark green leafy vegetables, dried peas, beans and sardines.

Note:

It works effectively only in the presence of Vitamin D.

Salt, caffeine and liquor are linked to calcium depletion and poor calcium absorbtion.

Zinc

  • Protects against premature delivery.
  • Helps muscles contract, a deficiency can prolong labor.
  • Protects against miscarriages and growth retardation in the baby.

Sources: meat, seafood, whole grains, dried beans and peas. Take about 15mg of the mineral daily.

Carbohydrate

  • Provide energy.
  • Carbohydrate from starches can ease morning sickness.

Sources: bread, sugar, cereals, pasta, rice and potatoes.

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you can either eat like this

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Pregnancy: High tech or home comfort?

May 13th, 2009

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Whether you’re planning on having your baby in hospital with all the high-tech back-up it offers, or prefer the comforting familiarity of home, the following are important considerations.

One of the most important factors when considering your hospital is its location.If you will be working throughout your pregnancy and your office is not near your home, do you choose a hospital near the office so it’s convenient for check-ups plus ante-classes if you’re taking them at the same place or do you choose one near to home in case you have to make a sudden dash to delivery room?

TAKE A TOUR

If you plan to attend classes regularly, arrive early for one of them and find out if you can go on a tour of the hospital. These are usually made by appoinment, so arrange an appropriate day and time to look round; don’t forget to bring a list of the queries that you and your husband have drawn up between you. Find out about hospital policies on rooming in with baby, the presence of your birth partner or your husband and the hospital’s willingness to conform to your birth plan.

CHARGES

Delivery and hospital charges can add up quite significantly. If, like most people, you have to keep an eye on finances, you may want to consider the choice between a government and private hospital.

HELP AT HAND

Needles to say, a hospital has all the equipment and expertise to deal with pain relief (if this is what you want), and with any complications should they arise. After the birth, you will stay in the hospital for about 48 hours. This should give you some time to rest and recover before coping with the demands of motherhood full-time. This is an unlikely luxury for those who choose home births, and for first-time mothers this extra assistance can mean a lot.

MISSING THE PERSONAL TOUCH

Because you have a team attending to you, there’s no guarantee that you’ll see the same nurse or doctor throughout the course of your labor. The experience can therefore be a little impersonal, and some women find that as just one of many women having a baby in the same premises at the same time, some of the significance of the experience is lost. The hospital staff will, of course give you the best medical assistance they can, but there will undoubtedly be other mothers requiring attention,too.

YOUR GYNAECOLOGIST

Find out at which hospitals your gynaecologist usually does his/her deliveries and be sure to consider this when narrowing down in your list of preferred hospitals.

HOME DELIVERY

Women who choose this option often cite the fact that it is the most relaxing and familiar setting and that nothing beats the intimacy og giving birth alone with a midwife and loved ones in your own home. Although many ob/gyns may be opposed to home deliveries owing to the risks to both mums and babies, others are more open to home births when a pregnancy is a relatively low-risk.

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Some pre-requisite conditions for a home-delivery:

  • You are in a good medical health and are not experiencing gestational diabetes, pre-eclampsia or any other complications.
  • You do not have a history of a difficult deliveries.
  • Your caregiver/midwife is someone reliable and has all the necessary emergency medical supplies.
  • You have a back-up plan for emergencies and are prepared to stop the home birth immediately.
  • You live relatively close to a hospital.
  • Other than your midwife, other support is available, either from your partner or other family members. These people will be available before, during and after the birth.


Pregnancy: Leaving it late

May 11th, 2009

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Becoming pregnant after the age of 35 is not unusual anymore in the fast paced modern world. But later-age pregnancies can put you at higher riskof a number of health complications and managing risk is easier if you are aware of them. The following are some of the issues your gynaecologist will discuss with you.

CAESAREAN DELIVERY

Natural birth becomes more difficult, the older you get. The risk of a first-time mother over the age of 40 needing a Caesarean is nearly 50% compared to 14% for a first time mum in her 20s.

CHROMOSOMAL ABNORMALITIES

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The most common problem is Down Syndrome, a condition caused by the presence of an additional chromosome that is associated with mental retardation and other physical abnormalities. The risk of a baby being born with Down’s increases with the age of the mother. It has been estimated that some 66% of Down Syndrome cases occured in babies of women who were 35 years and older, and more than 40% of the cases happened to babies of mothers aged 38 and above.

DIABETES AND HIGH BLOOD PRESSURE

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Both these conditions are more common in women in their 40s than in younger women. They can complicate a pregnancy and increase the risk of pre-eclampsia (higgh blood pressure), pre-term delivery, placenta problems, stillbirth, or birth defects in the child.

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DIFFICULT LABOR

First-time mothers over 35 years old are more likely than women in their 20s to have difficulties in labor, including a prolonged second stage of labor and more foetal distress.

LOW BIRTH WEIGHT

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Some studies suggest that women who delay childbearing until 35 years or older are at an increased risk of delivering a baby with low birth weight (less than 2.5kg) or premature (born at less  37 full weeks of pregnancy). These risk rise modestly but proressively with a woman’s age.

MISCARRIAGES

The rate of miscarrying during pregnancy is significantly greater for older women than younger ones. Studies show an estimated risk of miscarriage of 12 to 15 percents for women in their 20s and this increases to about 25 per cent by the time the woman is 40.

MULTIPLE BIRTHS

The possibility of having twins or triplets increases with age.

PLACENTA PROBLEMS

Placenta praevia is a condition whereby the placenta is incorrectly placed inside the uterus, covering either a part or all of the opening of the cervix. It can cause severe bleeding during delivery and can endanger mother and baby during birth. A Caesarean is usually needed. Compared to a woman in her 20s, a first-time mother in her 40s is eight times more likely to suffer from placenta praevia.

MINIMIZING THE RISKS

If you do get pregnant in your late 30s or 40s:

  • Control existing health problems such as high blood pressure or diabetes.
  • If you are overweight, lose the excess weight. Overweight pregnant women are more likely to develop health problems.
  • Take vitamins containing folic acid before getting pregnant. This can help prevent neural tube defects such as spina bifida, a condition in which the tissue over the baby’s spinal cord doesn’t close.
  • Read up about your health risks and the diagnostic tests you want to have to detect chromosome abnormalities.