A Neural Tube Defects Have Fallen. Part 3 of 3

It’s known that high-dose folic acid supplements – 4 milligrams a daylight taken at least four weeks before becoming pregnant and through the first 12 weeks of pregnancy – lower the risk of neural tube defects, the CDC said. Hispanic women are about 20 percent more likely to have a child with a neural tube defect than non-Hispanic white women.

One reason, according to the March of Dimes: wheat flour is fortified with folic acid, but corn masa flour – which is more acclaimed among Hispanics – is not fortified. The March of Dimes says it has asked the US Food and Drug Administration to enrich corn masa flour with folic acid with the goal of lowering the rate of neural tube defects among Hispanic women china. Both studies appear in the Jan 16, 2015 copy of Morbidity and Mortality Weekly Report, published by the CDC.

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A Neural Tube Defects Have Fallen. Part 2 of 3

So “It’s also good to eat foods that contain folate, the natural form of folic acid, including lentils, common leafy vegetables, black beans and orange juice, as well as foods fortified with folic acid, such as bread and pasta, and enriched cereals”. Another CDC study released Thursday found that many American women who had a pregnancy bogus by a neural tube defect and get pregnant again don’t follow folic acid supplement recommendations.

Health-care providers need to do more to encourage these women to boost their folic acid intake, the review authors said. Among women with a neural tube defect in a previous pregnancy, only 35 percent of those who had a neural tube defect in a second pregnancy took folic acid, compared with 80 percent of those with a line defect-free pregnancy, the study found. Women who’ve experienced a neural tube defect are at increased risk for another one, the researchers noted.

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A Neural Tube Defects Have Fallen. Part 1 of 3

A Neural Tube Defects Have Fallen. Serious parturition defects of the brain and spine called neural tube defects have fallen 35 percent in the United States since obligatory folic acid fortification of enriched grain products was introduced in 1998, federal officials reported Thursday. That decrease means 1300 fewer babies are born annually with neural tube defects such as spina bifida, the most everyday neural tube defect that, in severe cases, can cause partial or complete paralysis of the parts of the body below the waist. However, even with folic acid fortification some women don’t get enough of the B vitamin, especially Hispanic women, according to the US Centers for Disease Control and Prevention (CDC).

The intercession said all women of childbearing age – even if they’re not planning to get in a family way – need to get 400 micrograms of folic acid daily from fortified foods, supplements, or both, and to eat foods high in folic acid. “All women qualified of having a baby should be taking a multivitamin containing folic acid every day,” Dr Siobhan Dolan, co-author of the March of Dimes book Healthy Mom, Healthy Baby: The Ultimate Pregnancy Guide, said in a scuttlebutt release from the organization.

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Obesity Can Be A Barrier To Pregnancy. Part 3 of 3

In light of current evidence available, pregnancy after bariatric surgery is safer, with fewer complications, than pregnancy in morbidly obese women,” array co-author Rahat Khan, a consultant obstetrician and gynecologist at Princess Alexandra Hospital NHS Trust in Harlow, England, said in a journal news release. Guidance from a variety of robustness care specialists “is the key to a healthy pregnancy for women who have undergone bariatric surgery. However, this group of women should still be considered high risk by both obstetricians and surgeons” found it for you.

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Obesity Can Be A Barrier To Pregnancy. Part 2 of 3

One enquiry found that gastric band slippage and movement can occur, resulting in severe vomiting, and that band leakage was reported in 24 percent of pregnancies. Based on current evidence, the give one’s opinion of authors recommend that women should not get pregnant for at least one year after weight-loss surgery. They noted that one study found that the miscarriage rate was 31 percent among women who became pregnant within 18 months after having weight-loss surgery, compared with 18 percent to each those who waited longer than 18 months to become pregnant.

The authors also said that women who have weight-loss surgery should receive advice and news before they become pregnant on topics such as birth control, nutrition and weight gain, and vitamin supplements. “An increasing number of women of child-bearing age are undergoing bariatric surgery procedures and fundamental information and guidance regarding reproductive issues.

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Obesity Can Be A Barrier To Pregnancy. Part 1 of 3

Obesity Can Be A Barrier To Pregnancy. Women should heels at least one year after having weight-loss surgery before they try to get pregnant, researchers say. The avoirdupois rate among women of child-bearing age is expected to rise from about 24 percent in 2005 to about 28 percent in 2015, and the number of women having weight-loss surgery is increasing, the researchers noted. In a review, published Jan 11, 2013 in The Obstetrician & Gynaecologist, investigators looked at anterior studies to assess the safety, limitations and advantages of weight-loss (“bariatric”) surgery, and managing of weight-loss surgery patients before, during and after pregnancy.

Obesity increases the risk of pregnancy complications, but weight-loss surgery reduces the risk in extremely obese women, the reviewing authors said. One study found that 79 percent of women who had weight-loss surgery experienced no complications during their pregnancy. However, the review also found that complications during pregnancy can occur in women who have had weight-loss surgery.

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High Blood Pressure During Pregnancy. Part 3 of 3

In the end, Magee’s team found no differences in how the two groups fared, except for one: Almost 41 percent of women under looser blood press control eventually developed severe high blood pressure (a reading of 160/110 mm Hg or higher), while just 27,5 percent of women on the tighter regimen developed ruthless high blood pressure. Severe high blood pressure can generally be quickly brought down with IV medication.

The gas main concern is that it can lead to a stroke in some women. But, that didn’t happen in this trial to women with higher blood pressure. However, one woman on the stricter treatment regimen had a stroke. Martin noted that the less-aggressive come nigh can be easier for women, with less blood pressure monitoring at home and the doctor’s office. However, Magee said she believes the risk of severely high numbers is not acceptable if less-intensive healing has no clear benefit for babies.

So “Before this study, I was for less-tight control. Now I’ve changed my practice”. Until now, studies on this issue have been small or lower-quality, according to Magee. She said fashionable professional guidelines vary because of that lack of strong evidence. For now, both Magee and Martin encouraged pregnant women with high blood pressure to keep up with their repair visits and stick with a treatment plan. But Magee suggested advocating for tighter blood pressure control. She noted that more evidence on the issue will be coming baray breast ka dewana khani. Another major clinical trouble – called the Chronic Hypertension and Pregnancy Project – is set to get underway in US hospitals soon.

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High Blood Pressure During Pregnancy. Part 2 of 3

Some of those women go into pregnancy with the condition, but many more demonstrate pregnancy-induced hypertension, which arises after the 20th week. Magee said the long-standing question has been whether doctors should try to “normalize” women’s blood pressure numbers – as they would with a unwavering who wasn’t pregnant – or be less aggressive. The worry is that lowering a pregnant woman’s blood pressure too much could reduce blood flow to the placenta and impair fetal growth.

Some studies have found that to be a risk. But in this trial, the scale of blood pressure control did not affect a woman’s risk of pregnancy loss or having a baby who needed a stay in the newborn intensive anxiety unit. The findings are based on nearly 1000 pregnant women from 16 different countries who had high blood pressure. Half were randomly assigned to “tight” blood pressure control, and half to “less tight”. High blood coerce is defined as above 140/90 mm Hg.

For the tight-control group, the goal was to get that second number (the diastolic pressure) to 85 or lower; for the less-tight group, the aim was 100 or lower, according to the study. Treatment involved regular blood pressure checks and, for most women, medication – with the dose adjusted when needed. Usually, women took a remedy called labetalol, which is the blood pressure medication most commonly used during pregnancy.

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High Blood Pressure During Pregnancy. Part 1 of 3

High Blood Pressure During Pregnancy. When rich women have high blood pressure, more-intensive treatment doesn’t seem to affect their babies, but it may lower the odds that moms will blossom severely high blood pressure. That’s the conclusion of a clinical trial reported in the Jan 29, 2015 issue of the New England Journal of Medicine. Experts were divided, however, on how to elucidate the results. For one of the study’s authors, the choice is clear. Tighter blood pressure control, aiming to get women’s numbers “normalized,” is better, said the study’s create researcher, Dr Laura Magee, of the Child and Family Research Institute and the University of British Columbia in Vancouver, Canada.

And “If less-tight control had no benefit for the baby, then how do you justify the danger of severe (high blood pressure) in the mother?” said Magee. But current international guidelines on managing high blood pressure in pregnancy vary. And the advice from the American College of Obstetricians and Gynecologists (ACOG) is predictable with the “less-tight” approach, according to Dr James Martin, a past president of ACOG. To him, the new findings support that guidance.

So “Tighter blood coercion control doesn’t seem to make much difference,” said Martin, who recently retired as director of maternal-fetal medicine at the University of Mississippi Medical Center. “This basically suggests we don’t have to substitution what we’re already doing”. High blood pressure, or hypertension, is the most common medical condition of pregnancy – affecting about 10 percent of pregnant women, according to Magee’s team.

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