Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Posts Tagged ‘pregnancy’

Depressed Pregnant Women Could Face Greater Flu Risk

Thursday, October 29th, 2009

pregnanttip4Women who are pregnant and have significant symptoms of depression could be at greater risk of complications from the flu, an Ohio State University study released yesterday suggests. Researchers had 22 pregnant women complete questionnaires about their depressive symptoms, then took blood samples after the women had received flu shots. They found the women with the most severe symptoms of depression had double the response to the vaccine as those who weren’t depressed.

The researchers suggest that their responses might also be more severe to an actual influenza infection, and that these women might be more susceptible to complications. The study appears online and is scheduled for eventual print publication in Brain, Behavior and Immunity.

The U.S. Centers for Disease Control (CDC) has recommended for several years that pregnant women get vaccinated against seasonal flu, but only about 12-13% actually do. And pregnant women have been more vulnerable to the H1N1 flu circulating since April, accounting for 6% of all deaths in the U.S. from the virus even though they make up just 1% of the population.

Learn more about the study … 

Learn more about the flu and pregnancy …

Fertility Fiction

Thursday, October 22nd, 2009

The Doctors’ Lisa Masterson, M.D., Gives Us the Facts About Getting Pregnant

lisa_plexi_042-r1-finoutIt’s tough when you feel as if you’ve tried everything – and still no baby. I’ve talked with more than one couple about this during my years as a health writer, and heard their desperation as they search for reliable information and answers. To help light the way, I decided to run a few common fertility myths by Lisa Masterson, M.D. She’s an OB-GYN and fertility specialist on staff at Cedars Sinai and UCLA, and a co-host of the popular daytime television show The Doctors. She helped clear up a few misconceptions.

If your period is regular, you’re fertile. It’s true that a regular menstrual period is a good indicator of overall health, and likely means your hormones are in good balance and that you’re ovulating. “A woman’s period is a vital sign for her,” says Masterson. But she’s quick to point out that there are many other factors involved in fertility, including whether your fallopian tubes are working properly, egg quality (especially in older women), and male factors.

If you haven’t become pregnant after three months of trying, something must be wrong. “That’s absolutely a fallacy, because we know usually it takes a year,” says Masterson. If you’re under 35 and don’t have any underlying health conditions, the breakdown goes like this: 30% of couples trying to conceive will be pregnant within three months, 50% within six months and 90% within 12 months. But remember that fertility declines with age. “Over 40, you’re behind the eight-ball,” Masterson says, adding doctors will often have women ages 40 and up start working with a fertility specialist right away. Click here to read about more fertility myths …

Treating Mild Diabetes In Pregnancy Is Worthwhile

Wednesday, September 30th, 2009

gestational-diabetesMore than 100,000 pregnant women in the U.S. develop gestational diabetes each year, and for the past four decades doctors have been debating whether these women should be treated. If you’re one of them, a new study suggests a conversation with your OB-GYN is in order.

Reporting in the Oct. 1 New England Journal of Medicine, researchers out of Ohio State University and the University of North Carolina at Chapel Hill found that treating gestational diabetes halved the number of babies born unusually big and heavy, and reduced shoulder damage to babies during birth as well as the C-section rate. The moms who were treated also gained less weight during pregnancy and had fewer cases of preeclampsia than those whose diabetes went untreated.

Women with gestational diabetes have high blood sugar levels, and send their babies more blood glucose than they need. That means the babies are born larger and fatter, increasing their risk for birthing problems, and for becoming obese and developing type 2 diabetes later in life.

Risk factors for gestational diabetes include:

  • Being Hispanic, African American, Native American or Pacific Islander
  • Being overweight
  • Being related to someone who has diabetes
  • Being older than 25
  • Having gestational diabetes with a past pregnancy
  • Having a previous pregnancy end in stillbirth, or having an abnormally large baby
  • Having a history of abnormal glucose tolerance

 

Read about the study … 

What is gestational diabetes? … 

 

Have Some Water With That Ice

Wednesday, August 26th, 2009

pregnant-waterPregnant women in labor can now have more than the standard cup of ice chips if they’re thirsty, the American College of Obstetricians and Gynecologists said Aug. 21. For decades, laboring women haven’t been allowed so much as a glass of water in the delivery room in case they needed to be anesthetized for an emergency cesarean. Under anesthesia, there’s a chance that anything left in the stomach could be drawn into the lungs – which could be fatal. But experts have now decided that improved anesthesia techniques, along with continuing to restrict solid food during labor, offers enough protection. The new recommendation states that women in uncomplicated labor can have small amounts of water, fruit juice without pulp, carbonated beverages, clear tea, black coffee or sports drinks. And even women preparing for a planned cesarean delivery can drink clear liquids up to two hours before they have anesthesia. Learn more …

 

Pregnancy Massage: There’s the Rub!

Friday, July 10th, 2009

Few of us treat ourselves to a massage on anything like a regular basis. But if you’re pregnant, there’s no time like the present to say, “I deserve it.” Need an additional excuse? The American Pregnancy Association says prenatal massage helps with offers a host of health benefits:

Heather Moelter of Kindle Massage

Heather Moelter of Kindle Massage

  • Lower levels of stress hormones like norepinephrine and cortisol.
  • Higher levels of “happy” hormones like dopamine and seratonin.
  • Reduced swelling.
  • Reduced pain in the back and joints.
  • Improved circulation
  • Fewer headaches.
  • Better sleep.

Studies have even shown that women who have regular massage during pregnancy have fewer complications during labor and delivery, and fewer complications (such as low birth weight) for their newborns.

Heather Moelter of L.A.-based Kindle Massage offers mobile massage service, and she says that has additional benefits for expectant and new moms. “A lot of people are surprised by how much easier it is to fit this sort of self-care into your day if you don’t have to go to a spa for it,” she explains, adding that to get to your one-hour spa appointment, you might need to spend as much as an additional hour in transit.

Instead, Moelter handles the transit time, arriving at client’s homes 30 minutes early to set up. Then at the appointed time, all Mom has to do is walk across the room to the massage table. No matter where you choose to get your rubdown, here are some tips from Moelter on making the most of it:

Getting the OK Moelter advises getting clearance from your doctor or midwife for all prenatal massage. Certain conditions, such as circulatory and blood pressure issues can make prenatal massage unadvisable.
Training When making a reservation for your massage, ask if the studio has someone available who is specially trained in prenatal massage, and ask what sort of training they have. In addition to her 10 years of experience, Moelter has taken a special 125-hour certification course in prenatal, postnatal and labor massage.
What to wear “Whatever people are comfortable wearing is what I advise them to wear,” says Moelter. Some people are a little bashful, and nursing moms are worried about leaking milk. She believes people won’t fully enjoy the massage if they’re not comfortable with what they’re in.
Stretching out Make sure the therapist uses side-laying and semi-reclined massage positions, rather than face-down. While massage tables with cutouts for your pregnant belly are available for stomach-lying positions, these can still apply pressure to the abdomen or put additional stress on uterine ligaments.
Oils Request non-scented oils, especially if you’ve been having trouble with nausea. Even natural scents can sometimes upset a woman’s stomach early in pregnancy.
Rocking out Make sure the massage therapist doesn’t use a lot of rocking motions, especially if you’re having trouble with nausea.
Regularity As with any program, regular massage gives you a structure for taking care of yourself. And the therapist is able to address specific physical concerns such as carpel tunnel or sciatica and see what kind of progress they are making. “It makes it easier for us to take care of them,” says Moelter.
In between Women who do home exercise or take yoga classes between appointments are better able to retain their results. Ask your therapist for suggestions about yoga studios, DVDs, and stretches you can do to stretch your benefits. “I have lots of excellent self-care suggestions and other things that people can do,” Moelter says. “I work with people and figure out what they’re looking for.”

From the Wire – Obese Pregnant Women Shouldn’t Gain Weight

Tuesday, June 2nd, 2009

wire1Pregnancy shouldn’t be a license to overeat – especially if you’re already obese – concludes a study out this month in The Journal of the National Medical Association. The study challenges current guidelines from both the American College of Obstetricians and Gynecologists and the Institute of Medicine recommending that pregnant women gain 15 to 35 pounds even if they begin their pregnancy overweight.

Researchers from New York Medical College followed 232 obese pregnant women, placing half on a well-balanced nutritionally monitored program including a daily food diary. Those women gained an average of just 11 pounds (and 23 of them lost weight), compared with a 31-pound gain among the others.

Staying slimmer apparently did no harm, resulting in no fetal deaths or growth-restricted infants, and fewer babies weighing more than 10 pounds at birth – which can be dangerous for both mom and baby. In addition, women who gained less weight had fewer cesarean deliveries, fewer cases of gestational diabetes, and retained less weight after they delivered.

The IOM and the National Research Council have begun a study to update the IOM recommendations on pregnancy weight gain, with results to be released this month.

 

Health-E Books: Get Ready To Get Pregnant

Friday, May 29th, 2009

get-pregnantBuilding a healthy baby starts long before conception, and Get Ready To Get Pregnant, by Michael C. Lu, M.D., offers up a thorough plan to have your body in tip-top shape. It includes 10 brain foods you should eat more, 10 toxic foods to avoid, 10 steps to strengthen your stress resilience, 10 steps to tune up your immune system and 10 steps to detoxify your environment – and more. It’s a thorough, thoughtful, easy-to-follow read that will help you approach getting pregnant with confidence.

Dr. Lu, an obstetrician with UCLA’s Center for Healthier Children, Families & Communities, was kind enough to answer a few of my questions.

How long before they actually plan to conceive should a couple start thinking about pre-pregnancy health?

The earlier, the better. I usually tell my patients to give themselves at least three months, but for some it may take them up to six months or even a year to get ready, especially if they need to lose some weight, quit smoking, change medication, or get their blood pressure or diabetes under control before they actually plan to conceive. Read more of Dr. Lu’s advice, including foods to eat and avoid …

From the Wire – April 20

Monday, April 20th, 2009

Imaging Techniques Tell Whether Chemo’s Working

Eilber__Fritz

Cancer patients have traditionally had to wait months, enduring difficult side-effects, to tell whether their prescribed course of chemotherapy is having an impact. Now researchers from UCLA’s Jonsson Comprehensive Cancer Center have used computer imaging to make that call in as little as a week. Dr. Fritz Eilber (pictured) and colleagues used PET/CT scans to determine how much sugar cancer cells in the 50 patients in their study were consuming. A decrease in sugar consumption would mean the cells weren’t growing as fast and the treatment was working. That happened in 22 of the patients. For the other 28, a quick determination that the chemo wasn’t helping meant they could change to a more effective treatment. Learn more …

Even Low Lead Levels In Kids Potentially Dangerous

We’ve known for decades that lead is dangerous for children, with blood levels of 10 micrograms per deciliter or higher identified by the CDC as cause for concern. But a study presented at this year’s meeting of The American Physiological Society in New Orleans found that even levels as low as 3.8 micrograms or lower can impact a child’s ability to respond to stress. Researchers from the State University of New York at Oswego gave 140 children ages 9-11 a stressful computer test to complete. Those with the highest blood lead levels (though none were near 10 micrograms) experienced increased tension within the blood vessels, and a decrease in a key hormone that regulates blood pressure. The researchers speculate that if these issues persist it could predispose the children to hypertension. Learn more …                 Learn more about lead … 

Pregnant Exercisers Just Better At Time Management

Yep, moms – even moms to be – are busy. But when it comes to exercise during pregnancy, the number of things a woman has to juggle has less of an impact than her ability to juggle them. Researchers from Kansas City University of Medicine and Biosciences and University of Kansas Medical Center studied almost 40 pregnant women ages 23-39. Women who didn’t exercise cited lack of time as their reason, yet 85% spent more than an hour a day at the TV or computer, and 77% spent more than an hour reading or writing. Meanwhile, those who did exercise (at least 30 minutes, three days a week) got less screen time and more sleep. More exercise and more sleep? Good for Baby and Mom! Learn more … 

From the Wire – February 18

Wednesday, February 18th, 2009

12 Million Kids Have Trouble Getting To the Dentist

While 82% of U.S. children get to the dentist at least once a year, many of the rest face serious financial hurdles, according to a report released Feb. 9 by C.S. Mott Children’s Hospital National Poll On Children’s Health. Around one in four parents in the report cited cost as a difficulty in getting dental care for their kids. The report found that 16% of children have no dental insurance coverage at all, and almost half of those kids receive no dental care. Among kids with public dental insurance, many parents reported that they couldn’t find a provider who accepted their plan. Tooth decay left untreated in childhood can lead to lifelong tooth and gum problems, making dental coverage an obvious target for healthcare reform. Learn more … 

Are You Really Allergic to Penicillin?

If you are, you certainly wouldn’t want to be treated with this antibiotic. But a study reported online Feb. 12 in the Annals of Emergency Medicine found that 91% of people who show up in the emergency department saying they’re allergic to penicillin actually test negative for the allergy. And all it takes to find out is a 30-minute skin test. Doctors prefer to treat patients with penicillin because it’s cheap, and because it targets a narrow group of bacteria types. Giving a broader-spectrum antibiotic costs more, and because those drugs target a broader group of bacteria types, they are thought to contribute to antibiotic resistance. Learn more …

Pregnant Moms Should Watch Vitamin E Intake

Too much vitamin E during pregnancy could increase the risk of heart defects in the baby, a study from the February issue of BJOG: An International Journal of Obstetrics and Gynaecology found. In a study of 600 moms, Dutch researchers found that those with the highest vitamin E intake from diet alone were 70% more likely to have a baby with a heart defect. And those who had high dietary vitamin E intake and also used vitamin E supplements increased risk of congenital heart defects in their babies five to nine times. Researchers speculate that too much vitamin E could modify genes involved in heart development, or imbalance the oxidant/antioxidant state of embryonic tissue. Vitamin E is found in several nuts and nut oils, and in spinach, broccoli, mango and kiwi. Learn more about vitamin E …