Thursday, February 11, 2010

nzmidwife@gmail.com sent you a link to content of interest

nzmidwife@gmail.com sent you a link to the following content:

New Born screening 2
http://www.homebirth.net.au/2010/02/new-born-screening-2.html

The sender also included this note:

Watch Gattaca for the sci-fi version of the end result of testing. DNA from the metabolic screen has been used in NZ for court cases. I usually remember to tell parents they can request the test card back.

Posted via email from nzmidwife's posterous

Osteopathic care may ease late-pregnancy back pain | Reuters

Osteopathic care may ease late-pregnancy back pain

Wed Feb 10, 2010 3:17pm EST

NEW YORK (Reuters Health) - Gentle manipulation from an osteopathic doctor may relieve late-pregnancy back pain that frequently hinders bending, lifting, or walking, findings from a small study hint.

Health

Doctors in osteopathic medicine (DOs) are medical doctors additionally trained in gentle manipulative techniques to help restore function, range of motion, and lessen pain in bones and adjoining muscles supporting the neck, back, chest, shoulders, and hips.

Osteopathic manipulation may particularly benefit pregnant women seeking medication-free back pain relief, note Dr. John C. Licciardone and colleagues at University of Texas Health Science Center in Fort Worth.

The study, in the American Journal of Obstetrics and Gynecology, included 144 otherwise healthy pregnant women, about 24 years old on average, with moderate levels of back pain and related movement difficulties during late pregnancy.

The women were randomly assigned to one of three groups: usual obstetric care only, usual obstetric care plus weekly 30-minute osteopathic manipulation treatments from the 30th week of pregnancy through delivery, or usual obstetric care plus sham ultrasound skin stimulation sessions.

Over the course of the study, women in the osteopathic group reported improved back pain and related symptoms, Licciardone noted in an email to Reuters Health. The sham ultrasound group reported no pain improvement and those in the standard care group reported increased pain. However, none of these differences were statistically significant.

Late pregnancy back-related movement problems generally worsened until delivery, but did so to a lesser degree in the osteopathic manipulation group.

Overall, these results suggest osteopathic manipulation may compliment conventional obstetric care, Licciardone and colleagues conclude. They call for further, larger investigations to assess the benefits and costs of this form of combined care.

SOURCE: American Journal of Obstetrics and Gynecology, January 2010

Nice to know research is reiterating what we already know and suggest to pregnant women.

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Wednesday, February 10, 2010

Age of mother affects child's autism risk: study | Reuters

Age of mother affects child's autism risk: study

CHICAGO
Mon Feb 8, 2010 5:35pm EST

CHICAGO (Reuters) -

Being an older mother significantly increases the risk of having a child with autism, but being an older father only increases the risk when the mother is under the age of 30, U.S. researchers said on Monday.

Health  |  Lifestyle

They found that a 40-year-old woman's risk of having a child later diagnosed with autism was 50 percent greater than that of a woman between 25 and 29.

But being an older father -- 40 or older -- only contributes significantly to autism risk when the mother is under 30.

"The older the mother, the more the risk that the child will develop autism, regardless of whether the father is young or old," said Irva Hertz-Picciotto of the University of California Davis MIND Institute, who worked on the study published in the journal Autism Research.

The findings contradict a 2006 study of children born in Israel that suggested paternal age played a much larger role.

"There has been a debate over whether it is maternal or paternal risk. A lot of people were thinking it's not really mom's age," Hertz-Picciotto said in a telephone interview.

Researchers and policymakers are increasingly looking for causes to explain the growing numbers of children diagnosed with autism, which affects 1 percent of U.S. children.

There is no cure for autism, a spectrum of diseases ranging from severe and profound inability to communicate and mental retardation to relatively mild symptoms such as with Asperger's syndrome.

The current study, which incorporates data on 4.9 million births and 12,159 autism cases in California, helps to clarify the contribution of age from both parents.

"We have such a very large database we were really able to disentangle the mother's age very well," Hertz-Picciotto said. This can be a challenge because older mothers and fathers tend to have children together.

"We found it does vary for the father, but not for the mother," she said.

For example, among babies born to mothers under 25, children whose father was over 40 were twice as likely to develop autism as those whose father was between 25 and 29.

This could be because when both parents are older, the risk conferred by the father is outweighed by the risk from the mother, Hertz-Picciotto said.

OLDER PARENTS

She said the point of the study is not to blame parents, but to gain clues about what is going on in older parents that could increase a child's risk of developing autism.

Older parents, for example, are more likely to have infertility problems and have used fertility treatments; the mothers are more likely to have autoimmune conditions, including gestational diabetes; and both have accumulated more toxins over their lifetimes, so the sperm and egg are more likely to have some changes that could increase risk.

"We see these age findings as clues for where to look next," Hertz-Picciotto said.

Autism researchers are looking at a broad range of potential environmental factors, including household products, medical treatments, diet, food supplements and infections.

And the National Institute of Mental Health, one of the National Institutes of Health, is looking at potential genetic causes of autism and has plans to sequence the entire genomes of hundreds of children and their parents to gain a better understanding of the role genes play.

(Editing by Cynthia Osterman)

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Blood pressure, rich blood affect baby's growth | Reuters

Blood pressure, "rich" blood affect baby's growth

WASHINGTON
Tue Feb 9, 2010 5:53pm EST

WASHINGTON (Reuters) -

Women with high blood pressure and blood over-rich in red blood cells are more likely to give birth to babies who are too small or born too early, researchers in the Netherlands reported on Tuesday.

Health

Mothers who smoked or who did not take supplements correctly also were more likely to have babies who were underweight or born too early, the study found -- and these factors seem to affect the fetus during the first three months of pregnancy, before a woman has had much prenatal care.

But early ultrasounds may help identify the babies most at risk, the study, published in the Journal of the American Medical Association, suggests.

Dr. Dennis Mook-Kanamori and colleagues at Erasmus Medical Center in Rotterdam studied 1,631 pregnant women, doing ultrasound scans of their fetuses between 10 and 13 weeks gestation.

Babies that were the smallest during this period of early, rapid growth were also more likely to be born early or to be underweight at birth, Mook-Kanamori's team reported.

But as they grew into toddlers, these babies tended to grow too fast -- a pattern that can cause such children to become obese.

"Higher diastolic blood pressure and higher hematocrit levels were associated with a shorter crown to rump length," the researchers wrote. Hematocrit is a count of red blood cells in the blood.

A low hematocrit means anemia, but levels can be too high if a person is dehydrated, smokes or has some kinds of heart disease. The researchers suggested that if a woman was dehydrated, perhaps not enough blood was getting to the placenta to nourish the fetus.

Smokers and women who did not take folic acid supplements also tended to have small fetuses during the first trimester, the researchers found.

And these children, when born, grew at quicker than optimal rates. "Shorter first-trimester crown to rump length was associated with accelerated growth rates in early childhood," the researchers wrote.

"Complications of late pregnancy may, at least for some women, already be determined in the first 3 months postconception, even before a woman has sought prenatal care," Dr. Gordon Smith of Britain's University of Cambridge wrote in a commentary.

"Combined ultrasonic and biochemical screening in early pregnancy may be able to identify women at high risk of complications in late pregnancy."

(Editing by Eric Walsh)

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