Monday, January 24, 2011

HSE changes flu policy for pregnant women

By Muiris Houston © 2011 irishtimes.com

IN A SIGNIFICANT change to national influenza vaccine policy, family doctors have been asked to recall pregnant women who have been given the swine flu vaccine so that they can also be immunised with the seasonal flu vaccine.

Following a meeting of the National Immunisation Advisory Committee (NIAC) on Monday, Dr Kevin Kelleher, assistant national director of population health at the Health Service Executive, wrote to GPs yesterday advising them of the policy change which applies to all pregnant women and those who have given birth within the last six weeks.

He advised doctors the change was necessary because of the number of influenza B cases seen in recent weeks as “there is evidence that influenza B can cause significant morbidity for pregnant women”. The latest figures from the Health Protection Surveillance Centre show almost 20 per cent of confirmed flu cases are due to the influenza B virus.

Asked if the advice applied regardless of when pregnant women had received pandemic H1N1 vaccine, Dr Kelleher said the recommendation applied to all pregnant women who were relying on past immunisation with pandemic vaccine designed to combat swine flu.

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Urgent need for pregnant women to get flu jab

By Jane Last © Herald.ie

PREGNANT women who are due to give birth and have not been vaccinated against flu should have the inoculation as soon as possible.

Chief Medical Officer at the Department of Health, Dr Tony Holohan, said the vaccination would improve protection of unborn babies.

And the risks of women contracting flu in the six weeks after they give birth is high.

"If you are pregnant, you should come forward. It is the prudent thing to do," he said.

Worst

Meanwhile, a team of experts has been drafted in to sort out hospitals where A&E overcrowding and trolley gridlock is worst.

Health Minister Mary Harney said around "five or six" hospitals still had problems with overcrowding and that a team of experts from here and the UK had been dispatched to assess the problem.

She said the first hospitals to be visited were Beaumont, in Dublin, Limerick Regional Hospital and Our Lady of Lourdes, Drogheda, with Tallaght Hospital next in line.

On Friday, there were 425 patients waiting on trolleys, according to the Irish Nurses and Midwives Organisation.

jlast@herald.ie

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Could a baby ruin your career

By Fiona Dillon © Herald.ie

Taking too long off on maternity leave can be damaging to a woman's career.

This is the belief of some experts who have been examining whether the longer the maternity leave, the bigger the price women pay in terms of their eventual earning power and career progress.

Recently, feminist Sylvia Ann Hewlett, who fought to get women more time off after having a baby, admits that she is less enthusiastic about long leaves, because of the high price attached to them. She pointed out that: "Clearly, it is very good for a baby to have a parent at home at a young age. In the short run it's great."

However, she went on to say: "If you spend two years out of the workforce -- easy if you have two children -- and return to work full time, you lose 18pc of your earning power over a lifetime. If you're out for more than three years, you lose 38pc. There is a rapidly escalating cost to time out."

There are many factors that Irish women take into account when deciding how much maternity leave to take. Under Irish law, women are entitled to 26 weeks maternity leave together with 16 weeks additional unpaid maternity leave. Add on annual leave and public-holiday entitlements, and some women will be out of the workforce for nearly a year.

Finance

However, financial considerations remain to the fore in many expectant mums’ decisions about the length of their maternity leave.

Last year, a survey, conducted by employers group IBEC, showed that less than half of new mothers in Ireland receive their full salaries while on maternity leave. Just 43pc of private companies here pay mothers their full wages during maternity leave by topping up the State maternity benefit. And only one in four companies with less than 50 workers pays women anything at all on top of their State entitlement. The current maximum payment for maternity benefit is €262 a week.

By contrast, the public service pays new mums their full salaries.

The acting director of the Small Firms' Association (SFA), Avine McNally, believes that our maternity leave is generous compared to many of our European neighbours.

When asked if it is a burden for small companies with a small staff, having to replace a key worker for an extended period, she says: "While owner managers are very supportive of colleagues taking maternity leave and ensuring they are entitled to their rights, it is natural that there is a period of adjustment as the company facilitates the leave.

Workforce

“There can be additional burdens for a small firm replacing a key worker during the period of maternity leave. In a small company of four, one staff member on maternity leave reduces the workforce by 25pc, and so this can result in additional workload being placed on colleagues.

"Apart from the cost of maternity benefit to the State, the indirect cost to business of replacing absent workers has to be considered, as well as the increased workload placed on colleagues.

"Ireland along with other countries is competing in a global economy with countries that are often completely unfettered by legislation such as maternity leave or payments.

"While it is very important that social protection standards are maintained, there is a balance to be achieved between social and business needs," she says.

McNally says that Ireland's system for supporting pregnant women and families with young children has evolved over time. "Other EU countries have taken different approaches to the issue of maternity leave and support payments. Some have opted for long periods of time with little pay while others have opted for shorter periods of time with full or substantial payments made to the mother.

Ultimately, the amount of leave that a woman takes will depend on her own personal circumstances.

Harmful

Janet Gornick, professor at the City University of New York, says: “Most of the research suggests that relatively short leaves are good for women's career trajectory, but relatively long leaves are problematic. The question is, when does it turn from helpful to harmful?”

The industry that expectant mums are working in will often be factored into the decision about how long to take on maternity leave.

Successful businesswoman Karren Brady, who is the vice-chairman of West Ham football club, took just three days maternity leave after the birth of her daughter. Ultimo founder Michelle Mone has told how she went back to work four days after the birth of her third child -- at that time she was a month away from the London launch of the bra that she'd worked on for three and a half years.

Closer to home, Irish women politicians have traditionally returned to work quite quickly, because it is simply the nature of the job. Meanwhile, mum-of-eight RTE broadcaster Miriam O'Callaghan has recalled returning to work about four weeks after the birth of her twins back in 1993.

Also, within the media industry, Herald columnist Colette Fitzpatrick, who is enjoying being a new mum to baby Milo has indicated that she intends to take six months' maternity leave before returning to her position as co-anchor on TV3 News and Midweek.

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Wednesday, April 21, 2010

Smoking while pregnant found to increase risk of ‘cross eyes’ and reduced fertility in baby

Smoking while pregnant increases the chance of eye problems and low fertility counts in babies, according to two separate scientific studies.

Research on how women who smoke while pregnant affect the development of their child has been going on for decades. Recently published studies in the American Journal of Epidemiology and Philosophical Transactions of the Royal Society B add to the mountain of evidence that smoking while pregnant is detrimental to the developing baby.

Dr. Tobias Torp-Pedersen and his team of researchers at the Statens Serum Institut in Copenhagen, Denmark found that smoking while pregnant increased the risk of strabismus, a condition in which the eyes are unable to align evenly.

Copyright © 2006-2009 By Shawn Douglas

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Avoid junk food during pregnancy!

In their rat-based study, researchers at Georgetown Lombardi Comprehensive Cancer Center showed that pregnant females that ate a high fat diet not only increased breast cancer risk in their female daughters but also in that daughter's offspring – the "granddaughters."

The researchers say they don’t know why this risk is passed on through two generations, but they believe it occurs through as-yet unknown "epigenetic" changes that result in an increase in terminal end buds in the breast tissue – an increase that apparently can then be passed on through generations.

These buds are believed to be the structures where breast cancer can develop, and having more of these structures seems to increase breast cancer risk, says the study’s lead investigator, Sonia de Assis, Ph.D., a postdoctoral fellow in Leena Hilakivi-Clarke’s laboratory at Lombardi. "That is our theory, but we really don’t know how it is happening – just yet."
Copyright © 2010 Bennett, Coleman & Co. Ltd.

Separated twins 'making progress'

Cork twins Hassan and Hussein Benhaffaf are in a stable condition and making steady progress following their separation almost two weeks ago, London’s Great Ormond Street Hospital said today.

The boys, who were conjoined at the chest when born in December, were successfully separated during a 14 hour operation at the hospital on April 7th and 8th.

The procedure was carried out by Cork-born consultant paediatric Edward Kiely and a team of about 30 other doctors.

In a statement released today, Great Ormond Street Hospital said the twins remained in intensive care but were making progress on a daily basis.

© 2010 irishtimes.com By Stephen Carroll

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Mums-to-be who follow weight gain guidelines more likely to lose it postpartum: Study

Overweight, young, undereducated, Aboriginal and first-time mothers are more likely to gain more weight than recommended during pregnancy, according to a new Statistics Canada study released Wednesday.

They're also more likely to retain that weight five to nine months postpartum, the study found.

"Canadian women's adherence to Health Canada gestational weight guidelines has not been assessed since the recommendations were released in 1999," the study said

"Observational studies in countries with similar guideline have shown that women tend to gain more weight than recommended while they are pregnant.

© 2008 - 2010 Canwest Publishing Inc.

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When to Tell the Boss You’re Pregnant

When I was pregnant with my first child, I kept it a secret from everyone at work for the first three months. That was logistically simple — I was working in the Houston bureau of The Times at the time, and my editors and colleagues were almost all in New York. But it was physically and emotionally exhausting. I was spending as much energy pretending I wasn’t pregnant as I was actually being pregnant, which adds up to an awful lot of energy.

I didn’t tell for many reasons — because I feared the jinx factor, and because I was still absorbing the news myself. I also didn’t want to have to deliver sad news if the pregnancy ran into complications in the early months. The second time around, though, I told everyone early, because I was more confident and really, really tired of acting like I wasn’t nauseous all the time.

Copyright 2010 The New York Times Company By Lisa Belkin

Monday, March 22, 2010

Why men get baby blues

A much-anticipated new baby arrives into the world, full of fresh promise and wonder, carrying its parents’ hopes, dreams and expectations on its tiny little shoulders.

While it’s meant to be the most joyous of all life experiences, for some parents, their newborn baby brings with it an incapacitating psychological illness: postnatal depression (PND).

It affects more than 15 per cent of new mothers and 10 per cent of new fathers.

But the real figures may be much higher, says Belinda Horton, CEO of the Post and Antenatal Depression Association (Panda).

By Lollie Barr © Herald and Weekly Times

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Ellen Pompeo Explains Skipping Maternity Leave for Baby

New mom Ellen Pompeo (pictured) skipped maternity leave from Grey's Anatomy after the birth of her daughter Stella Luna, and she seems to indicate in an interview that she realizes some may have wondered why she had decided it was so important to get right back to work.
She told Self Magazine: "A lot of people couldn't understand why I wouldn't take my maternity leave. I felt like I needed to work while I had this opportunity. The writers and producers were really gracious and wrote my scenes so I could pre-shoot them."

She spoke about some of the other issues that all moms face when she revealed her thoughts after hearing the news. She said: "I got pregnant and I was like, 'Oh God, it worked! Oh, no!' Will I know how to do everything right?"
By Phillipa Bourke ©2004 - 2010

Conjoined twins in London for op

The conjoined twin boys born to a Cork couple last December have travelled to London to prepare for their separation operation next month.

The procedure to separate Hassan and Hussein Benhaffaf is due to take place on April 7 in London’s Great Ormond Street Hospital for Children.

The boys were born in London on December 2 and since then, their progress has been carefully monitored by Great Ormond Street and Cork University Maternity Hospital (CUMH).

They travelled to London yesterday with their parents Angie and Azzedine and their two sisters, Malika and Iman. The family were flown by the Air Coprs to the RAF airbase at Northolt in London. They were joined on board by a team from Cork University Hospital’s emergency department and a nurse from the neonatal intensive care team at CUMH.
By Deborah Condon Copyright © 2010

Stress during pregnancy can increase the risk of asthma in infants

A recent study has found that the offspring of pregnant women who suffered high stress levels are at a higher risk of developing asthma. According towww.worldnewsnetwrok.com, a difference between the cord blood immune pattern of the offspring born to a stressed mother and an offspring born to a mother with lower stress levels has been found. The difference in the pattern could very well be associated with the risk of becoming asthmatic sometime later in life. The study was conducted by researchers at the Brigham and Women’s Hospital and Harvard Medical School.

As per www.health.am, the research was conducted on pregnant women from about 557 families living in various cities facing different stressors. It was found that the cord blood structure in certain infants was different from certain others depending upon the stress levels of the mothers.

© 2008

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City's maternity hospitals will get cash to move

Dublin's three maternity hospitals will be able to move to new locations as planned -- despite the economic downturn.

There had been fears that a freeze in the Health Service Executive's capital budget could have an impact on the plans.

However, HSE chief executive Brendan Drumm said he was confident that the hospitals would be able to move as planned, in the next five to seven years.

The Coombe Women's Hospital is due to move to the site of Tallaght Hospital, the Rotunda Hospital to the site of the Mater Hospital, while the National Maternity Hospital, Holles Street, is due to move to the St Vincent's University Hospital site.

By Fiona Dillon

© Herald.ie 2008

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Friday, March 19, 2010

Why pregnant women suffer bad memories

Pregnant women would be wise not to lose sight of their handbag or mobile phone, research suggests.

Among the many odd effects that pregnancy can have, one of them appears to be increasing the risk of losing things.

Scientists found women in the later stages of pregnancy tend to suffer a loss of spatial memory -- the memory of locations and positions of objects.

The problem was apparent in the last six months of pregnancy and lasted at least three months after a woman had given birth.

Experts believe it can be traced to the effect of pregnancy hormones on the brain.

© Herald.ie 2008 By John von Radowitz

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Young children call 911, help their mother deliver baby

Two young children called 911 for advice on how to help their mother deliver her baby after she quickly went into labor at home.

Faith and Jabari Sanders were expecting a new sibling to join the family soon, but they didn’t expect on March 9 that they would be the ones bringing their new brother Joseph into the world.

Their mother, Alana Sanders, began having labor pains around 1:30 a.m., shortly after their father, Geoffrey, had left for work.

“She thought it was a bowel movement,” Geoffrey Sanders later told the San Francisco Chronicle. “She sat down and nothing was happening as far as that was concerned.”

Alana Sanders, 36, realized that she was going into labor. Past experience had proven that she was quick to give birth, and it soon became clear that she was going to deliver her baby at home.

Copyright © 2006-2009 By Shawn Douglas

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Dublin Maternity Hospitals will move to new sites

HSE CEO Prof Brendan Drumm has said he is confident that the three Dublin maternity hospitals will be able to move to their new locations as planned in the next five-to-seven years, despite the current economic climate.

The Coombe Hospital is due to move to the site of Tallaght Hospital, the Rotunda Hospital is due to move to the site of the Mater Hospital, while the National Maternity Hospital, Holles Street, is due to move to the site of St Vincent’s University Hospital.

Despite overcrowding and a need for modern facilities being well documented in all three maternity hospitals there have been fears that their development plans would have to be shelved due to a freeze in the HSE’s capital budget.

However, Prof Drumm told IMN the move would go ahead.

By Priscilla Lynch

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Tuesday, March 9, 2010

Baby steps towards empathy


PREPARING CHILDREN for the future is one of the most important tasks any society can set itself. And while the acquisition of skills and knowledge are the fundamentals of an education system, there is a growing body of research which suggests that children need a parallel set of social and emotional skills to help them develop key life skills of resilience and adaptability.

In many cases, these skills are learned naturally through everyday life at home and in school. But, what happens if they aren’t? Canadian social entrepreneur Mary Gordon says the absence of these social and emotional skills results in bullying and disruption and also impedes children’s learning. “Children’s emotional intelligence is now known to be a predictor of positive life outcomes such as good mental health, successful relationships, academic and career success and civic responsibility and engagement,” she says.

Gordon was in Dublin recently to give a classroom demonstration of her internationally recognised programme, The Roots of Empathy. The programme is based on the simple premise that children can learn empathy by observing the close interactions between a parent and baby. While here, Gordon introduced two classes of school children in Tallaght to a mother and her six-month-old baby. The children sat around a mat on the floor watching and chatting about the baby with her mother and Gordon. They smiled, giggled and asked lots of questions as they watched the baby grab and play with soft toys, pull herself along the mat and gurgle with joy.

By Sylvia Thompson © irishtimes.com

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Obesity leads to 'alarmingly' high risks in pregnancy

WOMEN WHO are significantly overweight while pregnant suffer an “alarmingly” high rate of medical complications, new Irish research has found.

The study of pregnant women, carried out by researchers at UCD’s Centre for Human Reproduction in the Coombe Hospital in Dublin, confirms the risk to pregnancy outcomes associated with obesity.

The study, which analysed data from 5,824 women who delivered a baby at the Coombe in 2007, found pregnancy in severely obese women was complicated by hypertension in 35.8 per cent of cases, and by gestational diabetes in 20 per cent of women.

The complications necessitated an extremely high rate of obstetric intervention, the study noted, with the hospital witnessing an induction rate of 42 per cent in obese women, and a Caesarean rate of 45 per cent.

By Eoin Burke-Kennedy ©2010 irishtimes.com

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Foods Pregnant Women Should Shun

CBS News Medical Correspondent Dr. Jennifer Ashton, a practicing OB-GYN, said on "The Early Show" pregnant women should have a well-rounded nutritious diet. But in that diet, they shouldn't eat certain foods that may harm the baby.

One of those foods is cooked seafood high in mercury. Ashton explained the bigger and older the fish, the more mercury it may contain.

According to Food and Drug Administration (FDA) and the Environmental Protection Agency (EPA) guidelines, women should avoid swordfish, shark, king mackerel and tilefish during their pregnancies.

The same goes for raw seafood.
By Dr. Jennifer Ashton ©2010 CBS

Wednesday, March 3, 2010

In Defense of Baby Einstein: The Educational DVDs May Not Teach Kids, But They Help Parents

Another day, another study showing that “educational” programming for babies isn’t. The latest research, which came out yesterday, shows that infants between 1 and 2 don’t pick up any language skills from Baby Wordsworth, a DVD in the Baby Einstein series. The paper adds to a huge body of evidence that, with very few exceptions, TV shows and videos are at best no help in teaching anything to young kids.

I have an 11-month-old, so I’ve spent the past 11 months—scratch that, 20 months—being inundated with messages about how best to raise a child. Also, before my daughter was born, I made an extensive study of Baby Einstein and other supposedly enriching media for infants as part of a cover story for our Japanese edition. The story isn’t online, but here is what it said about the DVDs:

They probably don’t harm kids, per se, unless they’re used at the expense of parent-child interaction. But that’s the problem—too often, they are serving as the latest variation on the “electronic babysitter” ... Every developmental psychologist interviewed for this story had harsh words for [Baby Einstein]. All of them pointed out that it isn’t interactive—it bombards young kids with images and sounds but doesn’t give them feedback when they respond ... Rather than plop your baby in front of a DVD—even an educational one—psychologists say it’s far better to read to him.

By Mary Carmichael © 2010 Newsweek, Inc.

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Assisted reproduction does not affect baby

Whether a woman gets pregnant the ‘traditional’ way or by assisted reproduction appears to have no effect on the birthing process or the baby, the results of a new study indicate.

Norwegian researchers looked at the pregnancies of more than 1.2 million women who gave birth between 1984 and 2006. Of these pregnancies, over 8,200 were as a result of assisted reproduction, such as IVF (in vitro fertilisation).

They found no differences between the birth weight and gestational age of the babies who had been conceived spontaneously and those who had been conceived following assisted reproduction. There were also no differences between the risks of having a small baby or having a premature baby.

The team did find a slightly higher risk of breech births among the assisted pregnancies. However their findings suggest that this is due not to the technology used in assisted reproduction, but to other factors – namely the fact that mothers who undergo assisted reproduction tend to be older on average, have shorter pregnancies and fewer previous births.

By Deborah Condon Copyright © 2010

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Should you eat eggs when pregnant?

Very early on in my pregnancy I found myself heading towards Bayswater for no other reason than a need to satisfy a sudden intense craving for a parmesan custard from Le Cafe Anglais. My desire was so strong I could smell it - £4.75 worth of wobbly, cheesy goodness was going to be mine, and nothing was going to keep me from it. No one would know, I reasoned, so why not, just this once?

I'd got as far as the Whiteleys escalator before I realised with a flush of shame that this behaviour was identical to that of a secret smoker. Not only might I compromise my own health and that of my baby, but I was also contemplating doing it behind my partner's back. The sneaking around was particularly heinous as he had, unprompted, also given up all the favourite foods of mine I was unable to eat. We had agreed I should be mindful of the risks of contracting salmonella from partially cooked eggs, so there was no way I could justify eating Rowley Leigh's custard. Was there?

By Catherine Philips © Guardian News and Media Limited 2010

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Monday, February 22, 2010

Fun ways to guess your baby's sex

YOU could easily wait on ultrasound confirmation, but we're sure you'll agree that guessing your baby's gender and hearing the odd explanations from friends about why it's one sex and not the other can sometimes be much more fun. There is no guarantee of course that the guesses will be accurate, but there are so many who swear by these old wives tales, that it's hard to believe that some are not true. So if you are an expectant mom, don't be surprised if you find your relatives and friends start measuring your tummy -- it could be that they are just trying to find out what colours to buy.

1. The shape of your tummy: It is said that you are having a boy if your belly looks like a basketball and a girl if your belly looks like a watermelon.

2. How sick do you feel: The frequency of your morning sickness is something that some use to determine gender. Little or no morning sickness means that you are having a boy and being sick in the first trimester or throughout your pregnancy means you are having a girl.

3. It's all in the heartbeat: Your baby's heartbeat is considered a definite give-away. If the heart rate is less than 140 beats per minute, then you are having a boy. If they are over a 140, then it's a girl.

Copyright© 2000-2001 Jamaica Observer

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Just because I'm pregnant doesn't mean I have to give up workouts, says fitness trainer

FITNESS trainer Sarah-Jane Hunter is not letting her pregnancy bump stand in the way of her workouts.

The expectant mum plans to keep working at her private health, fitness and wellbeing club as near to her due date as possible.

And she is making plans for a prompt return to the studio after giving birth.

As a personal trainer qualified in ante and post-natal exercise, Sarah-Jane is well aware of the dangers of highimpact exercise and risks it poses to her unborn baby and her own health.

By Laura Coventry © 2010 Scottish Daily Record and Sunday Mail Ltd.

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Real food: Tall tales and truths about drinking coffee

All parents tell their kids fibs to prevent them from eating unhealthy foods. My dad told me a doozy: drinking coffee would give me fleas in my tummy!

But there are many other widespread myths about coffee that recent scientific studies have dispelled.

The Coffee Science Information Centre says the most common misconception is that it is a diuretic. It does increase the frequency of urination, but not the amount of water you excrete. Coffee has now been included among the fluids that count towards our recommended daily intake of water by the British Dietetic Association.

The most surprising fact I learned is that it is not addictive. We over-use that word. Coffee does not work along the same neural pathways in the brain as an addictive drug or even nicotine would.

By Rozanne Stevens ©Independent.ie

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