Fertility and Pregnancy Care

Why Essential Fats are so important for you and your baby during pregnancy

2008-07-14T18:50:00.001+01:00

There are many reasons why you should eat oily fish during your pregnancy and / or supplement with omega-3 oils (and especially DHA) if you do not eat fish says, UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Some of the key reasons are listed below:
¨ Omega-3 fats support the healthy development of the fetal brain, eyes, nervous system and immune system;
¨ Omega-3 fats substantially reduce the risk of allergies in young children;
¨ Omega-3 fats improve attention and focus in infants and young children; and
¨ Omega-3 fats taken during pregnancy can decrease a mother’s risk for post natal depression.

If you decide to supplement in the important months of pregnancy and breastfeeding, make sure that the fish oil supplement is the purest and healthiest source of the omega-3 fats, says, UrBod Nutritionist Melody Mackeown. Ideally, you should choose a supplement with 300mg DHA. If the supplement does not break down the different components, then the chances are it may not contain the recommended amount.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet prior to and during your pregnancy, which can be obtained by clicking on my link: http://www.urbod.co.uk/personal/UrPregnancyE-book.htm

Breastfeeding signficiantly cuts death rate in babies

2008-05-15T17:34:00.002+01:00

Image via WikipediaInitiation of breast-feeding within the first hour after birth or during the first day of life is associated with a significant reduction in neonatal mortality, according to results of a study from Nepal, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Breast-feeding was initiated in 3.4% of babies within the first hour of birth, in 56.6% by 24 hours and in 97.2% by 72 hours after birth.

In this cohort study, two hundred and ninety seven neonatal deaths were recorded between the 2nd and 28th days of life.

"There was a trend toward higher mortality with increasing delay in breast-feeding initiation," the researchers reported. Compared with initiation within 1 hour, the relative risk for mortality was 1.95, 2.8 and 4.19 among babies where breastfeeding started during the first day, second day and after the third day, respectively.

The researchers also noted that mortality risk was also nearly twice as high (1.77 times higher) among partially breast-fed neonates as compared to those exclusively breast-fed. This is a particularly important finding for the UK, says UrBod Nutritionist Melody Mackeown, as many mothers choose to use formula and breastfeed.

The researchers estimated that up to 19.1% of all neonatal deaths may have be avoided with universal initiation of breast-feeding within the first hour or day.

Breast milk (called colostrum) produced in the first three days is rich in antibodies and immunoglobulins (which can protect your baby from disease), protein, minerals and vitamins A, E and B12. It is a rich source of probiotics which also help support the immune system, says UrBod Nutritionist Melody Mackeown. It is highly likely the colostrum had a significant protective effect and reduced the likelihood of mortality.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your pregnancy diet to maximise your chances of producing enough milk to breastfeed and on the benefits of breastfeeding, which can be obtained by clicking on my link. http://www.urbod.co.uk/Nutritionist/BreastfeedingCityoflondon.htm

Breastfeeding can reduce the risk of type 2 diabetes

2008-05-13T17:13:00.001+01:00

Breast-feeding has many benefits says, UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

One of these effects appears to be a reduction in the risk for the development of type 2 diabetes. Breast-feeding reduces this risk primarily by reducing children's weight, but the precise means by which this occurs is unclear, says, UrBod Nutritionist Melody Mackeown.

Breast-feeding may set a lower and enduring satiety limit (feeling of fullness and satisfaction) for infants, whereas overfeeding among bottle-fed infants can increase peak insulin levels and prolong the insulin response.

Certain exposures associated with bottle-feeding, particularly to chemicals used to make plastic bottles and nitrates in tap water, can also reduce pancreatic beta-cell function, another reason why breast is best.

To find out more about how nutrition can help with breastfeeding, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have co-authorised a free e-book which can be obtained by clicking on the following link: http://www.urbod.co.uk/Nutritionist/BreastfeedingCityoflondon.htmv

Top 10 Tips for Successful Breastfeeding

2008-05-12T09:13:00.004+01:00

Welcome to National Breastfeeding Awareness Week.

The following are 10 great tips for sucessful breastfeeding, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

1. Breast feed within the first thirty minutes of birth in order to begin establishing feeding while your baby’s suckling reflexes are strong.
2. Avoid over stimulation of baby before the first feed. This means that bathing, dressing weighing and measuring all take second place to breast feeding.
3. When at home, make sure you are comfortable before you begin to breast feed. Have a large glass of water and some snacks close to hand (as breastfeeding can make you very hungry!). Have plenty of pillows to support your baby and your back or buy a breastfeeding pillow (from experience I found the Widgey Nursing Support Pillow invaluable).
4. Don’t worry that your milk supply is little within the first 3-4 days of birth. This initial colostrum plays a valuable role in preventing infection and is designed to coat your baby’s intestine with valuable antibodies. Babies often don’t feed much within the first 24-48 hours in any event.
5. Breastfeeding shouldn’t be painful. If it is, your baby is probable not attached correctly. Ask the hospital breastfeeding nurse, midwife, health visitor or a breastfeeding counsellor (also known as lactation consultant) to check that your baby is correctly positioned and attached.
6. Dark green cabbage leaves (organic) are very effective in relieving engorged breasts. Lightly steam them and let them cool before putting them on your breasts.

Don’t start a feeding routine until your baby is at least six weeks old. Breast milk is digested much faster than formula milk so your baby should feed on demand. This may be anywhere between 1- 5 hourly. Starting a routine too early may reduce your milk flow and create problems.

What should I do if I have problems?

7. Speak to your midwife, health visitor or see your doctor: you or your baby may have thrush (or another condition) which is causing the problem and can be treated medically.
8. See a cranial osteopath for your baby.
9. See a breast feeding counsellor (also called lactation counsellor). They will come to your home (not cheap, but worth every penny). Do not rely on telephone support as you need to be shown how to hold your baby correctly when breastfeeding.
10. See a Nutritionist who can help you improve your diet which may help with milk flow.

If you wish to find out more about how nutrition can help with breastfeeding, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have co-authored a free e-book which can be obtained by clicking on the following link:

Dealing With the Stress of Fertility Treatment

2008-05-08T22:06:00.002+01:00

New research indicates that fertility patients who feel less stressed get pregnant more quickly, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Below are some suggestions that may help you get pregnant and makes treatment more bearable.

- Think of your fertility treatment as a project. Map out a strategy with your partner and your fertility doctor, and stick to it. Decide in advance how many and what kind of procedures will be emotionally and financially acceptable, and attempt to determine a final limit. Try to get in a long-term mindset-hope to be pregnant within a year, rather than obsessing each day.

- Write down questions to bring to your doctor, so you don't forget to ask.

- Consider what you will do if you don't conceive. Having an alternative plan, such as adoption, not having children, or using donor eggs can minimize stress and anxiety.

- Consider taking a break every few months.

- Communicate with your partner, and expect your partner to have difficulties too. Don't expect him to always feel the same way that you do, though-different people respond differently to the strains of infertility.

- Fertility treatment can be hard on every aspect of a relationship. Try to do things together that are fun and unrelated to getting pregnant.

- Don't be surprised at your negative reaction when someone else becomes pregnant-even someone you love. It is hard to be happy for others while you are struggling to become a parent yourself.

- Expect to feel emotional during this process -- often a roller coaster of anxiety, excitement and frustration. Many modern women have never experienced this sort of loss of control over their lives-you have always been able to get what you wanted if you worked hard enough.

- Studies indicate that fertility treatment can be more stressful than cancer therapy-with similar feelings of anger, frustration, anxiety, grief, shame, damaged self-esteem, jealousy, isolation, and loss of control.

- Consider getting counselling, learning some relaxation techniques, or joining a support group. You may find yoga, meditation, guided imagery, reiki, massage therapy and/or exercise helpful.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet prior to and during your pregnancy, which can be obtained by clicking on the following link www.urbod.co.uk/UrBump-Fertility-e-Book.htm

Breastfeeding Awareness Week 11-18 May

2008-05-07T22:36:00.002+01:00

Did you know that if each year all babies worldwide were exclusively fed breast milk for the first 6 months, then the lives of an estimated 1.5million babies would be saved and the health and development of millions of others would be greatly improved. This sobering statistics come from the organisation Unicef, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Only a third of babies in the UK are receiving any breastmilk at all at six weeks old which is way short of the World Health Organisation recommendation that babies should be exclusively breastfed for six months (fewer than 2% of British babies are breastfed up until 6 months!). The UNICEF UK Baby Friendly Initiative is working with the health service so mothers understand more about breastfeeding and are enabled to breastfeed if they wish to.

Next week I will be writing about the Ten Top Tips for Successful Breastfeeding.

In the meantime, if you wish to find out more about how nutrition can help with breastfeeding, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have co-authorised a free e-book which can be obtained by clicking on the following link: http://www.urbod.co.uk/Nutritionist/BreastfeedingCityoflondon.htm

Caesarean Delivery May Be an Independent Risk Factor for Stroke

2008-05-01T14:58:00.001+01:00

According to a study reported in the April issue of the American Journal of Obstetrics & Gynecology, caesarean delivery is an independent risk factor for stroke, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy according to the results of a nationwide, population-based study in Taiwan. This is backed up by the World Health Organization, who state that the risk for postpartum death for caesarean deliveries can be up to 3.6 times higher compared conventional vaginal deliveries.

The researchers state that caesarean section delivery has been associated with a significant increase in maternal death from cardiac arrest, complications from anesthesia, puerperal infection (a bacterial infection following childbirth) and venous thromboembolism. Indeed, stroke has been singled out as a crucial cause of maternal morbidity and death during pregnancy and the first six weeks following birth.

While emergency caesarean sections are necessary when the health of the mother or baby is at risk, the results of this study indicate that mothers should think twice about having an elected caesarean, says UrBod Nutritionist Melody Mackeown.

One of the biggest risk factors for having a caesarean is being overweight prior to or during your pregnancy, says UrBod Nutritionist Melody Mackeown. Addressing your weight prior to becoming pregnant and not putting on too much weight during your pregnancy will therefore reduce the likelihood of having a caesarean section. Exercise and keeping fit may also reduce the risk of a caesarean section.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet prior to and during your pregnancy, which can be obtained by clicking on my link.

Low levels of progesterone may lead to miscarriage

2008-04-23T09:43:00.001+01:00

Progesterone, a steroid hormone, is an important female hormone says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Progesterone is made by the ovary during ovulation. It is also produced by the adrenal glands in small amounts. It is manufactured in the body with the help of the steroid hormone pregnenolone and it in turn helps in the production of most of the other steroid hormones like cortisol, oestrogen and testosterone. In the female body, the most important role of the progesterone hormone is to counter the effects of oestrogen and help provide an environment for a successful pregnancy and a healthy pregnancy.

Progesterone and Fertility
Progesterone helps in reproduction by stimulating changes in the uterus and also supports pregnancy by increasing blood vessel and tissue development in the layer where the embryo attaches itself. The egg attaches itself to the uterus after been released from the ovary. On conception, the egg along with the sperm forms the embryo. Progesterone is the hormone that delays the shedding of the endometrium layer where the embryo implantation occurs.

If there is a significant drop in the progesterone levels during the first few weeks of pregnancy, then it may lead to a miscarriage.

Causes of Low Progesterone
There can be many factors that could cause the progesterone levels to fall, says UrBod Nutritionist Melody Mackeown. Some prominent factors are:
- Dominance of oestrogen. This condition could occur if the individual is exposed to any environmental hormone that behaves like oestrogen or in cases of liver dysfunction.
- Resistance to insulin present in the body
- Chronic stress
- Diet that is rich in sugar or does not contain sufficient nutrients
- Insufficient exercise
- Certain medications

Consequently, dietary and lifestyle changes can help to address the issue of low progesterone and to help increase it to levels that support a pregnancy, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

B Vitamins Ease Painful Pregnancy Leg Cramps

2008-04-16T10:06:00.001+01:00

Almost half of all pregnant women get painful muscle cramps in their legs, usually during the second half of their pregnancies and usually at night says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

A study carried out at Tehran University of Medical Sciences found some interesting results in a study of 84 pregnant women. Calcium supplementation at a dose of 500mg per day proved to be extremely successful in just over half of participants, whilst magnesium supplementation at 182mg twice per day was to some extent successful in all of the participants.
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Meanwhile, the group taking B vitamins had the most positive results: the symptoms of 72% of those taking vitamin B1 and B6 combination were completely resolved; another 19% reported relative improvement, and only 9% experienced no change.

The researchers concluded that supplementation with thiamine plus pyridoxine was significantly effective in improving muscle spasms during pregnancy.

With the urpregnancy nutritional and lifestyle programme we will look at your nutritional requirements and provide you with advice that can help reduce or alleviate painful muscle cramps.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Post pregnancy weight loss: losing too much nor not enough can pose problems for future pregnancies

2008-04-14T08:30:00.004+01:00

Women, who go on a dramatic weight-loss programme after the birth of their first child, are far more likely to have a pre-term birth the second time around, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The greatest risk is among those whose body mass index (BMI) falls by five points or more between pregnancies, researchers have discovered.

By far the healthiest option – for mother and baby – is for the woman to get back to her weight before she first became pregnant, says UrBod Nutritionist Melody Mackeown.

However, researchers warn mothers who keep on the pounds between pregnancies that they greatly increase their chances of complications second time around.

Even an increase of just one or two extra units on the BMI scale significantly increases the risk of pre-eclampsia, gestational diabetes, and gestational hypertension with the second pregnancy. A weight gain of more than three on the BMI scale heightens the chances of a stillbirth.

Excess weight is also a factor in infertility and a number of mothers who try for a second baby find it much harder to fall pregnant than the first time round. Excess weight can cause hormone imbalances in the main fertility hormones (oestrogen and progesterone), says UrBod Nutritionist Melody Mackeown which may in part explain this phenomenon.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

How to avoid Post natal depression and baby blues

2008-04-09T11:22:00.002+01:00

According to Anne Buist, Professor of Women's Mental Health, University of Melbourne, postnatal depression is better termed perinatal depression as it often begins antenatally, although it may not be recognised until the postnatal period.

It is a common disorder, with milder adjustment problems and anxiety affecting some 30% of women while about 15% of women have more significant mood disorders, often with anxiety.

Women are reluctant to seek help, but it is important you do so, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy, as support from health professionals, friends and family is essential to minimise the long-term complications. These include chronic depression (which while rare can lead to suicide) and marital difficulties, and for the child, cognitive, emotional and behavioural problems. And as Professor Anne Buist points out, postnatal depression can start before your baby is born.

It is completely natural to feel anxious about the arrival of your baby, says UrBod Nutritionist Melody Mackeown. Organising support is therefore essential – it isn’t a sign of being a bad mother or that you can’t cope - but in fact the opposite and your baby will enjoy interacting with friends and family and other carers. Support includes discussing how family members can help out if this is an option for you – so that you can catch up on vital sleep during the day. Joining an NTC class or ante and postal natal NHS class are a good way of meeting other mums who are in a similar situation to you. Plus there are often many classes you can join up to in your area such as ante natal yoga and post natal yoga and massage classes for you and your baby. A good website for activities for mums and babies in the London area is http://www.londonmums.org.uk/.

Making sure you eat well prior to the birth of your baby and making sure you continue to eat well (e.g. without skipping meals) when you baby comes will also help reduce your anxiety levels. For example, a deficiency of omega-3 fats has been associated with post-natal depression and low blood sugar levels are associated with extremes in behaviour. Nutritional support can therefore be very helpful during your pregnancy to help avoid nutritional deficiencies which can compound an already stressful situation.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

What exercises can I do during pregnancy?

2008-04-08T16:55:00.004+01:00

Unless you've been advised by your doctor not to exercise for a particular reason, keeping fit and healthy during pregnancy is important for your wellbeing and that of your baby, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Incredibly recent research has indicated that exercise during pregnancy can benefit your unborn baby’s cardiovascular system (i.e you are improving your child’s heart health in utero!). It also means that your body may be more prepared for the physical demands of labour, birth, and those early days with your newborn.

Walking can be a great way of getting exercise and fresh air during pregnancy. Swimming is often recommended by doctors and midwives, as the water supports your weight whilst helping your back and giving your heart, lungs and muscles a gentle workout. Ask your midwife about local aqua-natal classes, specifically offering exercise in water for pregnant women.

You should also take care to look after your back during pregnancy, as (particularly during the latter stages) it starts to take the strain of your growing baby. Good posture will improve the tone of your muscles and avoid hollowing of your spine, which leads to aching in your lower back.
It's a good idea to get the weight off your spine by lying down during rest periods, and also by periodically moving onto all fours and arching your back from time to time (like a cat). Learn how to get up correctly from a lying down position, without putting pressure on your stomach muscles. Roll over to one side, draw your knees upwards, and push yourself up gently with your arms whilst swinging your legs around to sit up. Use your legs, not your back, when lifting anything. Seeing an osteopath or chiropractor can also help or correct bad posture, says UrBod Nutritionist Melody Mackeown.

Many women enjoy pregnancy yoga classes. These provide specific exercises during pregnancy to tone muscles, alleviate aches and pains commonly found during pregnancy, and above all to encourage a sense of relaxation and wellbeing. They also include pelvic floor exercises, which are important both during pregnancy and in the weeks following the birth. Pelvic floor muscles support everything inside the pelvic cavity (such as the uterus, the bladder and rectum) and are like a hammock slung in your pelvis. Awareness of these muscles is important during labour as the baby is travelling down the birth canal. Pelvic floor exercises help you to control these muscles, basically as if holding a stream of urine and pulling the muscles upwards before releasing them. Your midwife and/or antenatal teacher will be able to give you a full set of these exercises, if you are not taking yoga classes.

Exercise in pregnancy can be of great benefit. It not only helps your fitness but also gives you an opportunity to concentrate on yourself and your growing baby. Start gently at first, your body will tell you if you have overdone it, and enjoy looking after yourself. Consider getting a personal trainer who specialises in pre and post natal exercise – a good website is http://www.absolutefitness.co.uk/. Two other useful websites regarding exercise include: http://www.lifestylexperts.com/ and http://www.newbornfitness.co.uk/ which supply pregnancy exercise balls/birthing balls.

Eating well can also help to keep you fit and I have written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link. To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

What are stretch marks and how to avoid them during pregnancy

2008-04-07T08:51:00.003+01:00

According to NHS direct, between 75% and 90% of women develop stretch marks during pregnancy, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. As you put on weight, your abdomen (stomach) is gradually stretched further and further, usually causing stretch marks to appear in the sixth or seventh month. Stretch marks can also appear on your thighs, and on your breasts as they get bigger and heavier.

Stretch marks are lines on the skin that start off as raised red lines. They then turn purple, before slowly fading into flat silvery streaks. The medical name for this type of mark is stria. Stretch marks happen when the skin is stretched a lot over a short period of time, such as during pregnancy.

Doctors think some people get stretch marks because their bodies produce more of the hormone, coricosteroid, than normal. This hormone decreases the amount of collagen in the skin, which is a type of protein in the fibres of the skin that keeps it stretchy.

In the early stages, stretch marks can sometimes be reduced by moisturising creams – especially those containing vitamins A and E, says UrBod Nutritionist Melody Mackeown. Consequently, it would stand to reason that including foods rich in these vitamins during your pregnancy would help to avoid getting stretch marks in the first place. Other important skin nutrients include Zinc, silica and water.

As corticosteroid is a stress hormone, says UrBod Nutritionist Melody Mackeown, taking steps to reduce stress during pregnancy may also help.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Overweight during your pregnancy increases pregnancy risks to you and your baby.

2008-04-05T13:18:00.002+01:00

There have been many studies which demonstrate that obesity during pregnancy is associated with serious pregnancy-related complications, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Problems include high blood pressure, gestational diabetes which occurs in a woman who develops diabetes during her pregnancy, and Caesarean deliveries.

Too much weight can also cause other unpleasant pregnancy health concerns, including: backache, leg pain; varicose veins and excessive fatigue.

Excessive weight gain may also cause problems for the baby. Technically, an overweight baby is one who weighs more than 4500 gm, or 9.9 lbs. Large babies make vaginal deliveries more difficult, increasing the risk for cesarean section. Overweight babies may have an increased risk for health problems later in life, such as obesity; adult rheumatoid arthritis and diabetes.

Nutritional support can therefore be very important during your pregnancy to help you lose excessive weight and to support the health of you and your baby.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Pregnancy: how exercise is an effective as medication in treating gestational diabetes

2008-04-03T08:37:00.004+01:00

As many as one in eight women will develop gestational diabetes sometime during their pregnancies, increasing health risks for themselves and their babies says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. According to Dr Green (please see his excellent website www.drgreene.com) researchers at the University of Southern California School of Medicine studied a group of women who had already developed gestational diabetes and who had fasting blood glucose levels high enough to require insulin. Half of the women in the study received the recommended insulin. The other half got personal trainers instead. The trainers supervised the women while they did simple twenty-minute stints on exercise bikes.

The results, says Dr. Green, were startling: moderate aerobic exercise was equally effective to insulin! Blood glucose levels were statistically the same in both groups.

Studies have already shown that exercise can improve insulin sensitivity and help to manage Type II diabetes, says UrBod Nutritionist Melody Mackeown, This adds to the weight of evidence that exercise is important during pregnancy and if you undertake moderate exercise during your pregnancy, you may avoid gestational diabetes in the first place.

A number of nutrients can also help prevent and alleviate gestational diabetes says UrBod Nutritionist Melody Mackeown as they are important in blood sugar regulation. They include: Magnesium, Chromium, Vanadium, Vitamin E, Vitamin C Zinc, Selenium and other anti-oxidants.

Making the correct food choices can ensure you include foods with the above nutrients which will in turn help you alleviate gestational diabetes or help you avoid this pregnancy health issue in the first place, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

NB. Please talk to your midwife or GP before embarking on an exercise programme during your pregnancy (especially if you did not exercise regularly beforehand). Two useful websites regarding exercise include: www.lifestylexperts.com and www.newbornfitness.co.uk which supply pregnancy exercise balls/birthing balls.

Too much stress during pregnancy can leave a lasting legacy on you and your baby

2008-04-01T11:40:00.005+01:00

A certain amount of stress on your body is generally considered normal and even important in conditions such as when you are ill, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. But the stress suffered by today's expectant mothers, many of whom want to carry on their careers, can be extreme.

Everyone has a certain amount of the "stress hormone" cortisol naturally present in the body but levels rise under stress.

Cortisol is secreted by the adrenal glands and helps the body in stressful situations by providing a burst of energy needed for 'fight or flight'.

The base level of cortisol fluctuates throughout the day. In the morning it is higher and it reduces by evening.

The average level of cortisol is measured in nanomoles per litre and in a healthy adult would be between 150 and 500nmol/l. But under stress – such as a person on the night before an operation – this level could double to 300 and 1,000nmol/l. Sustained exposure to these levels is likely to cause serious health problems, including high blood pressure.

Usually the placenta stops most of the mother's stress hormones reaching the baby. But it is thought that if there are high levels of the hormones, or if the placenta is not working properly, significant amounts reach the unborn child. One theory is that while the developing baby is exposed to the stress hormone their own developing reproductive organs may also be damaged, which would affect the health of future generations.

Dr Lisa Thorn, a researcher from the Psychophysiology and Stress Research Group at the University of Westminster, London, said: "What goes on in your head does impact your health and it impacts on different people in different ways. To what extent depends on the person, the level of stress and how they appraise something as being stressful or not."

Importantly many first time mums-to-be carry on working until 1-2 weeks before the birth of their baby, says UrBod Nutritionist Melody Mackeown, as they do not realise how exhausted they will feel in the last trimester (especially if you have a difficult commute into work or are expected to work long hours). This impacts on any ‘normal’ stress you experience while pregnant (such as back ache etc) and does not give you time to relax sufficiently before the birth of your baby. While many women need to work up to the birth for financial reasons, where you don’t, think twice about starting maternity leave at such as late stage and taking time out for yourself and your baby. Labour is an extremely exhausting event and so are the sleepless nights that are accompanied for the arrival of your bundle of joy.

Making the correct food choices can also reduce the amount of stress you and your baby will experience says UrBod Nutritionist Melody Mackeown, as it provides you with the correct nutrients to deal with stress more effectively. For example, many people become more irritable and feel low or depressed as a result of having a blood sugar imbalance. Further, an estimated 1 in 10 mothers experience some form of post-natal depression and how you feel directly impacts on how your baby may feel. This can be helped or possibly avoided by making the best dietary choices for you. This is especially important when you are about to have a baby. I know from experience that sleep deprivation is a huge stressor!

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Smoking and missing meals during pregnancy triples the risk of childhood obesity

2008-03-30T10:02:00.002+01:00

Japanese researchers observed 1000 children born to smoking and non-smoking mothers. The researchers revealed that children born to smoking mothers were nearly 3 times more at a risk of developing obesity later in their lives, possibly as a result of the damaging effects nicotine has to the baby’s brain says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

There are many ways nutritional therapy can help support you while giving up smoking, says UrBod Nutritionist Melody Mackeown. As smoking can upset your blood sugar balance (which can also impact on weight gain), one of the first things I look at, are ways to regulate your blood sugar. Many foods can also upset your blood sugar levels, as well as other stimulants such as coffee, tea, alcohol and chocolate. There are also a number of supplements that may help reduce your craving for nicotine.

An additional result of the study also revealed that mothers who skipped their breakfast during pregnancy made their children nearly 2½ times more vulnerable to developing obesity in their latter stage of life. This may result in babies developing blood sugar imbalances in utero, which affects their ability to regulate insulin which can contribute to weight gain, says UrBod Nutritionist Melody Mackeown.

Furthermore, depriving yourself of food which in turn deprives the fetus of nutrition is a contributing factor of intrauterine growth retardation. Improper nutrition and food supply to the growing fetus has also been linked with poor nutritional habits in the future which can lead to overweight problems and obesity in children.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Sperm Abnormalities Due to Low Folate Intake

2008-03-26T22:19:00.001Z

A study published in the Journal Human Reproduction has reported that a diet low in folate leads to a higher risk of sperm abnormalities that may cause birth defects like Down's Syndrome or miscarriage.

Numerous studies have advocated women of child bearing age, who are pregnant or thinking about having a baby should supplement 400mcg of folic acid, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. However, researchers are now stressing the importance of folate in men’s diet as low folate levels can be the cause of abnormal sperm.

The researchers found that several micronutrients were associated with a lower frequency of different abnormalities. High folic acid intake was associated with 19% fewer abnormalities (all types) than moderate intake and 20% fewer than men with a low micronutrient intake. There were also reductions in specific types of abnormality. For example, there were 26% fewer sperm with no sex chromosome in the high-intake group compared with the low-intake group. There were also 30% fewer sperm with two X chromosomes (associated with triple X syndrome) and abnormalities on chromosome 21 (associated with Down’s syndrome) in the high-intake group compared with the moderate-intake group.

High total zinc intake reduced the frequency of two X chromosomes by about 50% compared with the moderate-intake group and 39% compared with the low-intake group. Zinc was not associated with lowering the risk of other abnormalities. Vitamin C and vitamin E had no association with sperm abnormalities, but high beta-carotene intake reduced YY abnormalities.

The message is clear, says UrBod Nutritionist Melody Mackeown, a man’s diet is just an important as that of his partner when planning to have a baby.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown. Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your fertility and diet during your pregnancy, which can be obtained by clicking on my link.

Supplementing with fish oil during pregnancy could boost attention spans in children, say researchers.

2008-03-25T12:56:00.001Z

More good news, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy, researchers have established that taking fish oil during pregnancy is both safe and beneficial for a child’s brain development.

Recent research from the University of Western Australia found that supplementation may lead to improved eye and hand coordination in children. The higher eye and hand coordination scores in the supplemented group were positively correlated with increases in omega-3 content in the umbilical cord blood.

Led by Dr Susan Prescott, from the University of Western Australia, the researchers concluded: “Preliminary data indicate that supplementation with a relatively high-dose fish oil during the last 20 weeks of pregnancy is not only safe but also seems to have potential beneficial effects.”

The last three months of pregnancy are thought to be a key time for intake of fish oil because
there is a growth spurt in the human brain during this time, which carries on into the first few months of a baby's life, says UrBod Nutritionist Melody Mackeown.

Other research suggests cod liver oil taken during pregnancy may increase birthweight and reduce the risk of the baby developing type 1 diabetes.

As well as immediate benefits to the child, studies show fish oils can help mums-to-be in a number of ways, including reducing high blood pressure and easing post-natal depression. As omega-3 oils are also essential for good memory, supplementing with fish oils and eating oily fish on a regular basis may help prevent mumnesia, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your pregnancy diet which can be obtained by clicking on my link.

Even drinking small amounts during pregnancy can damage your baby

2008-03-17T20:50:00.003Z

The British Medical Association (BMA) recommend that women who are pregnant or trying to conceive should not drink any alcohol, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Complying with the guidance would eliminate fetal alcohol spectrum disorders, which include fetal alcohol syndrome and can lead to learning and physical disabilities and behavioural problems.

Fetal alcohol syndrome is the most clinically recognisable type of fetal alcohol spectrum disorder (FASD) and is characterised by abnormal facial features, growth deficiency, intellectual disabilities, and hyperactivity. FASD are lifelong conditions that can significantly impact on the life of the individual and those around them, says UrBod Nutritionist Melody Mackeown.

Furthermore, they are completely preventable. Even if you drink a little bit during your pregnancy you may be putting your child at risk, as some genetic variables make your baby even more vulnerable to FASD, says UrBod Nutritionist Melody Mackeown.

In 2002-3 a total of 128 cases were recorded in England. However, there is no reliable evidence on the incidence of fetal alcohol spectrum disorders in the United Kingdom, something which needs to change, says the BMA.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link. To find out more about Fetal alcohol syndrome, go to the link below.

http://www.bma.org.uk/ap.nsf/Content/SearchResultsPage?OpenDocument&sid=080317200345BMAW-7CTRJE&FreeText=fetal%20alcohol%20spectrum%20disorders%20

What is a Molar Pregnancy?

2008-03-13T19:00:00.002Z

A molar pregnancy or hydatidiform mole comes about from an abnormal proliferation of foetal rather than maternal tissue, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. It is rare, occurring in around 1 in 2000 pregnancies in the UK.

Most signs and symptoms occur between 9 and 13 weeks and are often confused with symptoms of a normal pregnancy and, thus, are often disregarded.

The two most important diagnostic tools to detect this disease are the ultrasound and a markedly raised beta-human chorionic gonadotropin (BHCG) blood test. Treatment includes dilation and evacuation of the uterus and strict follow-up of BHCG blood levels.

A hydatidiform mole is often harmless. However, it can keep growing and, if left untreated, can bury itself into the organs around it, including the uterus (womb) and even spread via the blood to other distant organs including the lungs, liver or brain. It is, once it has reached this stage that it can have serious effects and is referred to as Persistent Gestational Trophoblastic disease.

What causes it?
Molar pregnancy is thought to be caused by a problem with the genetic information of an egg or sperm. Factors that may increase your risk of having a molar pregnancy include:
¨ Age. Risk for complete molar pregnancy steadily increases after the age of 35
¨ History of molar pregnancy, particularly if you've had two or more
¨ Possible ovulatory disorders
¨ History of miscarriage
¨ A diet low in carotene (a form of vitamin A). Women with low carotene or vitamin A intake have a higher rate of complete molar pregnancy
¨ Living in certain geographic locales (especially Southeast Asia and Mexico)

As it may be an ovulatory disorder and a deficiency of vitamin A may contribute the disorder, nutritional therapy (diet and supplement therapy) may help prevent future recurrences of this condition, says UrBod Nutritionist Melody Mackeown.

To find out more, please contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT). Melody offers pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Chlamydia Common in Pregnant Women

2008-03-11T20:01:00.002Z

Almost 1 in 10 pregnant women (9.4%) studied by Australian investigators had Chlamydia, according to a report in the March issue of the Australian and New Zealand Journal of Obstetrics and Gynaecology. This increased to nearly 1 in 7 (13.5%) among women under 20.

Chlamydia, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy, can lead to complication during pregnancy, leading to risk of premature labour, for example. If undiagnosed, it can put the newborn at risk for conjunctivitis and pneumonia. It is also thought that it can lead to miscarriage.

Testing is simple and can be treated by one course of antibiotics, says UrBod Nutritionist Melody Mackeown. However, antibiotics also destroy good as well as bad bacteria. As it is extremely important to maintain a healthy digestive system throughout pregnancy and to support the immune system, I would advise a course of probiotics if antibiotics are taken during your pregnancy. Furthermore, research has shown that prebiotics taken during pregnancy can lower the risk of babies developing allergies, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

PCOS helped by vitamin B therapy

2008-03-10T13:40:00.001Z

A recent study was undertaken among women diagnosed with polycystic ovary syndrome. It was hypothesised, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy, that intervention using an isoform of inositol (myo-inositol), belonging to the vitamin B complex, would improve the insulin-receptor activity, restoring normal ovulatory function.

PCOS is often characterized by lack of ovulation or an absence of periods. In addition, 30-40% of PCOS women have impaired glucose tolerance, and a defect in the insulin signaling pathway seems to be implicated in the pathogenesis of insulin resistance. PCOS patients are subfertile as a consequence of such ovulatory disorders, which makes pregnancy very difficult and often need drugs, such as clomiphene citrate or follicle-stimulating hormone, for ovulation induction, which increases the risk of multiple pregnancy and ovarian hyperstimulation syndrome.

The outcome of the study demonstrated that twenty-two out of the 25 (88%) patients restored at least one spontaneous menstrual cycle during treatment, of whom 18 (72%) maintained normal ovulatory activity during the follow-up period and a total of 10 pregnancies (40% of patients) were obtained.

It is known says, UrBod Nutritionist Melody Mackeown, that vitamin therapy as well and dietary changes can help with PCOS and glucose tolerance.

To find out more, please contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT). Melody offers pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Why pregnancy massage is good for you and your baby

2008-02-27T08:48:00.001Z

Massage stimulates the acupressure points situated along the meridian lines of the body, say UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Massage also has the following benefits:

v It relaxes: The parasympathetic nervous system is activated and the endorphin ‘love’ hormones are released. This brings the body back into balance by reducing the metabolic rate, blood pressure, anxiety and improving circulation and sleep.
v It promotes growth and development: Stimulation of the tactile nerve endings in the skin provides information about the outside world and helps the brain organise its circuitry. During massage muscular co-ordination is encouraged and growth hormones flowing from the pituitary gland increase
v It stimulates the skin and boosts the immune system: Massage helps to keep the pores open for the skin to eliminate toxins and the therapeutic effects of oils are absorbed through the skin. It also assists the flow of the lymphatic system that transports immune cells through the body and removes waste products.
v It promotes optimum muscular and joint activity: As muscle contracts, metabolic waste is ‘milked’ into the venous and lymphatic systems ready for excretion. Together with gentle joint movements it can also help maintain joint mobility.
v It reduces pain perception: Massage stimulates the brain’s release of endorphin ‘feel-good’ hormones that also act as pain suppressors, and occupies sensory pathways to the brain, ‘gating’ out some of the pain signals. It also lowers levels of stress hormones. This is why having a massage when you have gone into labour (if practical!) can really help.
v It aids digestion: Relaxation through massage can help digestion (stress is known to disrupt it). Abdominal massage can aid the elimination process in the large and small intestines. It also influences intestinal functions by stimulating the vagus nerve to facilitate food absorption. Abdominal pain, constipation and indigestion can be reduced by regular massage of the abdomen and the back.

If you are pregnant and are thinking about having a massage, make sure the massage therapist is qualified or experienced in pregnancy massage, say UrBod Nutritionist Melody Mackeown. To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Think twice about IVF – having twins or multiple births can seriously affect the health of your babies

2008-02-26T20:47:00.003Z

A quarter of IVF babies are twins or triplets and multiple births are nearly 20 times higher as a result of assisted conception than when it happens spontaneously, say UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

However babies who share a womb with siblings (be it twins or triplets) are far more likely to be born prematurely - and this brings with it a series of risks.

Twins are seven times more likely to die in the first few weeks of life than their singleton counterparts, and are six times more likely to develop cerebral palsy.

Care for babies born with disability or who develop them later on can pose a serious financial and emotional strain on parents, not to mention the cost of IVF treatment which can cost between £4,000-£8,000 per cycle.

Improving you nutritional status can help to improve your chances of conception and there is research to prove it, say UrBod Nutritionist Melody Mackeown. Just one example is a study at the University of Surrey consisting of several hundred would-be parents with a history of fertility problems. They were put on tailor-made holistic pre-conceptual care programmes focussing principally on diet, vitamin and mineral supplementation and avoidance of environmental toxins. A stunning 81% of those who took part went on to produce healthy babies. This make the holistic approach 2 ½ times more effective than IVF!

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your fertility and chances of becoming pregnant naturally, which can be obtained by clicking on my link.

Smoking - reduce the risk to your baby by quitting within the first 5 months of your pregnancy

2008-02-25T09:22:00.004Z

Recent research suggests that if mothers to be quit smoking within the first five months of their pregnancy then the damage done to their babies may not be as severe compared to the negative health affects among babies whose mothers have smoked throughout their pregnancy, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The study does not suggest for one minute that smoking is safe, but that most damage is done to babies in the last 4 months where growth of the baby (and brain development) is most evident.

If you smoke throughout your pregnancy says, UrBod Nutritionist Melody Mackeown:

¨ There is a higher risk of miscarriage, complications during pregnancy and complications during labour in women, and
¨ A baby is on average 4lb lighter. As low-weight babies have a higher risk of death (such as Sudden Infant Death Syndrome or SIDS) and disease in childhood, this is extremely serious.

There are many ways nutritional therapy can help support you while giving up smoking, says UrBod Nutritionist Melody Mackeown. As smoking can upset your blood sugar balance, one of the first things I look at, are ways to regulate your blood sugar. Many foods can also upset your blood sugar levels, as well as other stimulants such as coffee, tea, alcohol and chocolate. There are also a number of supplements that may help reduce your craving for nicotine.

To find out more, please contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT). Melody offers pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Hypothyroidism During Pregnancy Linked To Lower IQ For Child

2008-02-23T12:04:00.001Z

According to a study published in the New England Journal of Medicine, children born to mothers with untreated hypothyroidism during pregnancy score lower on IQ tests than children of healthy mothers, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Children born from mothers with hypothyroidism also scored lower on tests measuring attention, language, reading and visual-motor performance.

The thyroid gland is found in the neck and produces a hormone, thyroxine, instrumental to many bodily functions. Hypothyroidism is a condition where the gland does not produce enough of this hormone. Signs and symptoms of hypothyroidism include feeling tired or without energy; coarse, brittle hair; thick, coarse skin; and a lowering of the metabolic rate (which means you put weight on more easily than you might otherwise do).

Hypothyrodism can also contribute to infertility and it is estimated that about 3% of women of child bearing age may suffer from this condition.

The condition can be corrected by medication and / or supported through nutritional intervention and there are some simple ways of assessing whether your thyroid is not functioning at is optimum level, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Now I’m pregnant why am I sleeping so badly?

2008-02-22T19:23:00.003Z

One of the reasons for fatigue and sleep problems during pregnancy are changing hormone levels, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. For example, rising progesterone levels may partly explain excessive daytime sleepiness, especially in the first trimester.

However, according to the National Sleep Foundation, several sleep disorders can be caused or made worse by pregnancy. In a study of over 600 pregnant women, 26% reported symptoms of restless legs syndrome (RLS), a condition characterized by unpleasant feelings in the legs that worsen at night and that are relieved by movement.

The exact cause of RLS is unknown. However, evidence suggests that it is related to an imbalance of a brain chemical called dopamine. Dopamine is a naturally occurring substance which affects movement. In the evening, dopamine levels fall, and this may explain why the symptoms of RLS are often worse in the evening and at night.

Another cause of RLS is a lack of iron which is essential for the production of dopamine. Other nutrients are also involved in neurotransmitter regulation such as B6, B12 and folic acid.

Pregnant women are also at risk for developing sleep apnea, a disorder in which breathing is repeatedly interrupted during sleep. This is particularly true of women who are overweight when they become pregnant. Sleep apnea may also be associated with complications during pregnancy such as gestational hypertension, preeclampsia, or low birth weight.

Consequently, it is important to ensure that you are eating well in order to ensure you are consuming enough nutrients to sleep well, says UrBod Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

How much weight should I put on during my pregnancy?

2008-02-18T13:57:00.002Z

You may be worried about gaining weight during pregnancy, or you may have started the pregnancy with more weight than you would have liked says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy..

However, under no circumstances should you diet while you are pregnant as you may deprive yourself and your baby of important nutrients, says UrBod Nutritionist Melody Mackeown. Further, your body may start to detoxify (losing toxins stored in fat throughout your body) and these toxins may pass through your baby before being excreted.

If you eat a healthy, nutritious diet you will not put on any more weight than is necessary – so avoid the temptation to ‘pig-out’ as it will be harder to lose weight once your baby is born. As a rule of thumb, a healthy weight gain during pregnancy is considered to be no more than 33lb (15kg) and also not less than 11lb (5kg). Women who are underweight prior to pregnancy should gain a little more, and overweight women, a little less.

Women who do not gain enough weight have an increased risk for delivering babies with low birth weight (less than 2500 gm, or 5.52 pounds).

And babies who are underweight are at risk for physical and psychological childhood disorders, says UrBod Nutritionist Melody Mackeown:
· They are more likely to experience asthma, respiratory tract infections, and ear infections.
· Babies who are born weighing less than 1000 gm (2.2 lbs), are at greater risk for cerebral palsy (a neurological abnormality).
· They are more likely to score low on intelligence tests and are more likely to have delayed development.

Conversely though, gaining too much weight can also be a problem. It can make pregnancy an unpleasant experience, causing
· Backache;
· Leg pain;
· Varicose veins; and
· Fatigue.

It may also lead to hypertension and diabetes. Excess weight may also be difficult to lose after delivery.

Excessive weight gain may also cause problems for the baby. Technically, an overweight baby is one who weighs more than 4500 gm, or 9.9 lbs. Large babies make vaginal deliveries more difficult, increasing the risk for cesarean section. Overweight babies may have an increased risk for health problems later in life, such as
· Obesity;
· Adult rheumatoid arthritis; and
· Diabetes.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

IVF may pass on genetic reasons for infertility

2008-02-15T21:04:00.001Z

According to Professor Jens Peter Ellekilde Bonde, a professor of occupational medicine at Aarhus University in Denmark, and Professor Jørn Olsen, a professor of epidemiology at the University of California, countries using IVF such as Britain is facing an infertility timebomb because the increasing use of IVF means that couples with inherited fertility problems are able to have children and pass the condition on to the next generation.

Around one per cent of all births in Britain are the result of IVF or donor insemination, which means that around 11,000 babies are born annually after fertility treatment, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Each cycle of IVF costs between £4,000 and £8,000 and success rates are almost 30 per cent for women under the age of 35.

However, there are many other non-genetic reasons why you may not be able to conceive – such as anovulation (irregular or lack of ovulation) or poor sperm quality, says UrBod Nutritionist Melody Mackeown. Furthermore, there any many nutritional steps you can take to improve your chances of conception and much research to prove it. Just one example is a study at the University of Surrey consisting of several hundred would-be parents with a history of fertility problems. They were put on tailor-made holistic pre-conceptual care programmes focussing principally on diet, vitamin and mineral supplementation and avoidance of environmental toxins. A stunning 81% of those who took part went on to produce healthy babies. This make the holistic approach 2 ½ times more effective than IVF!

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Lack of adequate ovulation may be responsible for up to 40% of women with infertility

2008-02-11T12:54:00.001Z

Ovulation occurs on a regular basis in women that menstruate at intervals between twenty-three and thirty-four days, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Any menstrual cycle length below or above this range is frequently associated with anovulation (i.e lack of ovulation). There are various conditions that can result in anovulation in women including polycystic ovarian disease (PCOS), advanced reproductive age, hypo or hyperthyroidism, elevated levels of the hormone prolactin production, physical and emotional stress, the use of certain medications, in particular medications associated with an increase in Prolactin production and neurotransmitter alteration.

Altering your diet can help with anovulation in many cases by balancing hormone levels, says UrBod Nutritionist Melody Mackeown, and by reducing internal stressors on the body. For example, stress can contribute to high prolactin levels and certain foods or drinks can increase stress such as caffeinated products – coffee, tea, chocolate – eating unrefined carbohydrates such as white rice and bread and insufficient fruit and vegetables (which is very low according to the Foods Standards agency with the vast majority of us not meeting the basic 5 a day principle).

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Obstetric Cholestasis may be helped with nutritional intervention

2008-02-07T21:30:00.000Z

Obstetric cholestasis is an uncommon complication of pregnancy and is thought to affect 1% of all pregnant women. It is a condition which causes a build up of bile acids in the bloodstream and consequently lower levels of bile acids in the gut. The main symptom is persistent itch in the later third of pregnancy, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The main complications appear to be a lack of vitamin K, which is essential for the blood clotting mechanism to work (thereby increasing the risk of hemorrhaging) and potentially a reduction in the absorption of fat soluble vitamins (such as vitamin D). There is also some controversy over whether the risk of still births is increased as a result of this condition.

The most common medical intervention is to give a drug which promotes liver function, as well as frequent ante-natal check-ups to ensure the foetus is not in any distress.

As there are many foods which can support liver function, says UrBod Nutritionist Melody Mackeown and supplements such as digestive enzymes which can be taken to help breakdown fats in your diet, one option would be to seek nutritional advice to optimise your liver function and support digestion during your pregnancy.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Why might maternal stress affect your unborn baby?

2008-02-04T16:28:00.000Z

The answer says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy is the communication of the blood of the mother and your baby via the umbilical cord.

A baby gets both the good (e.g. nutrients and oxygen) and the bad from the mother’s blood. The bad components of the blood can include alcohol, nicotine, illicit drugs, prescription drugs, and stress chemicals, such as cortisol and noradrenaline.

Animal and human studies appear to indicate that stress leads to depression. In other words, chronic stress in the mother's womb (in utero) or early deprivation (separation from the mother by putting a baby into another room and leaving them to cry) can predispose a person to developing clinical depression in later life. Furthermore, stress hormones can actually decrease brain connections and even the number of brain cells in crucial areas, such as the limbic system, which are in part responsible for emotion, behaviour and long-term memory. This loss of brain connections and cells can then lead to further maladaptive (inadequate adjustment) responses to stress. In other words, the stress response is inappropriate and a person may not learn as easily to cope with stressors (which are normal and are part and parcel of growing up) and successfully adapt to them.

Making the correct food choices can also reduce the amount of stress you and your baby will experience says UrBod Nutritionist Melody Mackeown, as it provides you with the correct nutrients to deal with stress more effectively. For example, many people become more irritable and feel low or depressed as a result of having a blood sugar imbalance. Further, an estimated 1 in 10 mothers experience some form of post-natal depression and how you feel directly impacts on how your baby may feel. This can be helped or possibly avoided by making the best dietary choices for you. This is especially important when you are about to have a baby. I know from experience that sleep deprivation is a huge stressor!

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Vegan diet poses greater risk of birth defects

2008-02-03T19:42:00.000Z

Research published in the American Journal of Obstetrics and Gynecology has indicated that sufficient B12 in addition to folic acid is needed in your diet in order to prevent spina bifida says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy. Researcher discovered that mothers with the lowest levels of B12 tripled the risk of spina bifida in their babies.

Vitamin B12 is necessary for the synthesis of red blood cells, the maintenance of the nervous system, and growth and development in children. Deficiency can cause anaemia, Vitamin B12 neuropathy, involving the degeneration of nerve fibres and irreversible neurological damage, can also occur.

This research is especially important for vegans and to a lesser extent vegetarians as they are particularly at risk of a B12 deficiency, as it is exclusively synthesised by bacteria and is found primarily in meat, eggs and dairy products.

According to the Vegan Society, the present consensus is that any B12 present in plant foods is likely to be unavailable to humans and so these foods should not be relied upon as safe sources.

Consequently, I would recommend that anyone following a vegan diet includes foods fortified with vitamin B12, such as breafast cereals and taking a supplement with B12 suitabable for vegetarians and vegans, says Nutritionist Melody Mackeown.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Taking a vitamin supplement can significantly reduce your chances of having a premature baby

2008-02-02T13:18:00.000Z

More evidence has come to light regarding the importance of ensuring your diet has sufficient foods containing B vitamins before and during your pregnancy says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

Research has shown that if you consume sufficient folic acid for a year before becoming pregnant it can cut your risk of having a premature baby. This is important as being born too early is the most common reason for mortality in babies. UrBod Nutritionist Melody Mackeown always recommends a supplement containing 400mcg (micrograms) of folic acid daily and health care professionals have long recommended it to mums because it can reduce the risk of birth defects.

As many women do not know they are pregnant for some weeks it is essential that folic acid is taken all the time and especially if you know that you are trying to have a baby.

Folic acid is in most pre-natal and multi-vitamins. It can also be found in foods like fortified cereal, leafy green vegetables and orange juice. While folic acid is widely accepted by health experts worldwide, says UrBod Nutritionist Melody Mackeown, there are a number of other nutrients that would hugely benefit both mums and babies, especially where there is a risk of allergies (such as eczema, asthma and hayfever) in families. Furthermore, nutrients like folic acid work better if taken with other members of the B vitamin family.

Consequently, seeking pre-conceptual care advice may help considerably to avoid having a premature baby, says UrBod Nutritionist Melody Mackeown.

Poor maternal and infant nutrition can cause long-term health consequences regardless of later nutritional intervention

2008-01-23T12:33:00.000Z

A landmark series of research papers on maternal and child undernutrition published in the leading international medical journal The Lancet early this month shows that children will suffer irreversible damage into their adult life if proper nutrition interventions are not delivered before the age of 24 months, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy.

The below summaries a talk given by Professor Caroline Fall, Medical Research Council Epidemiology Resource Centre, University of Southampton, UK.

The following factors can lead to irreversible damage to a child’s health and economic prosperity, even if nutrition is improved at a later stage:
§ An undernourished mother (during pregnancy);
§ Low birth weight baby (classified as less than 5.5lb); and a
§ Undernourished infant

The consequences of the above lead to:
§ Reduced adult height, which in term reduces muscle mass (and therefore reduces the possibility of doing as much physical work or possibly sport)
§ Poorer school achievement by a year or more
- attributed to failure for brain development in very early life and undernutrition
§ Lower school attainment can then lead to lower income in later life and a lower quality of life
§ Poorer life-long health (excluding cancer, but including heart disease, diabetes, lung function, bone health and cognitive function and health)

“All of this has a knock on effect on the next generation with low-birth weight mothers more likely to give birth to low birth weight children”, which perpetuates the cycle say Professor Caroline Fall.

While malnutrition is most widespread in developing countries, according to National Report on Follow-up to the World Summit for Children, 2000, 8% of all children born in the UK have a low birth rate. This equates to around 50,000 live births each year. Consequently, early nutritional intervention in the UK will also have a profound effect on health and quality of life.

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

Sources:
http://www.statistics.gov.uk
http://www.thelancet.com/online/focus/undernutrition
http://www.sunherald.com/447/story/304842.html

Consumption of caffeine increases risk of miscarriage

2008-01-21T14:44:00.000Z

A US study in the American Journal of Obstetrics and Gynaecology has found that 200mg of caffeine a day - approximately 3 cups of coffee - doubles the risk of miscarriage compared to women who avoid caffeinated products while pregnant. This is in line with other studies which have previously highlighted the risks of caffeine intake.

However, at present the current Food Standards Agency recommendation is an upper limit during pregnancy of 300mg - or four cups of coffee a day.

“As miscarriage is most likely to occur during the first 12 weeks of pregnancy”, says UrBod Nutritionist Melody Mackeown, who specialises in pre-conceptual care, fertility and pregnancy, “I would advise giving up caffeine completely if you are trying to get pregnant or are pregnant. Fortunately, as I know from experience, many women go off the taste of caffeine, so giving up caffeine may not seem as hard as you think. However, as caffeine is present in so many foods and drink sources (see table below), if you have trouble giving up or cutting down on caffeinated products seeing a Nutritionist may help. This is particularly relevant if you have a history of miscarriage.”

According to the Foods Standards Agency, 300mg of caffeine is roughly equivalent to:
Four average cups or three average mugs of instant coffee
Three average cups of brewed coffee
Six average cups of tea
Eight cans of regular cola drinks
Four cans of so-called "energy" drinks
400g (eight standard 50g bars) of normal chocolate
Please note that caffeine content in a cup of tea or coffee varies by different brands and brewing methods

To find out more about Nutritional support during or before your pregnancy, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2. I have also written a free e-book on how you can improve your diet during your pregnancy, which can be obtained by clicking on my link.

http://news.bbc.co.uk/1/hi/health/7195500.stm

Balancing Work and Family: 100 Resources

2008-01-17T11:03:00.000Z

Having recently had a baby myself, says UrBod Nutritionist Melody Mackeown, who specialists in pre-conceptual care, fertility and pregnancy, it isn't always easy to know where to turn to get information about your rights and options. Consquently, when I was emailed the below link, I thought it might of interest to mums and mums to be.

http://www.businesscreditcards.com/bootstrapper/balancing-work-and-family-100-resources-for-pregnant-career-women

Infertility risks high among cancer patients

2008-01-15T12:18:00.000Z

A new report by experts from the Royal Colleges of Physicians, Radiologists, and Obstetricians and Gynaecologists state that the NHS does not have a universal policy to maximise fertility among cancer sufferers.

The four main treatments for cancer — surgery, chemotherapy, radiotherapy and hormonal therapy — can all affect fertility and most doctors advise women not to become pregnant until at least two years after chemotherapy because of the likelihood of the cancer coming back.

What many people do not realise is that cancer in many instances can be avoided, says UrBod Nutritionist Melody Mackeown, specialist in pre-conceptual care, fertility and pregnancy. Incredibly, the World Cancer Research Fund has estimated that 30-40% of cancers could be prevented through correct dietary choices.

Making adjustments to your diet can therefore help your body to work properly and to ward off or reverse ill-health. This is especially important if there is a history of cancer in your family, says UrBod Nutritionist Melody Mackeown.

Consequently, seeking professional dietary advice may help considerably to minimise your risk of getting cancer, says UrBod Nutritionist Melody Mackeown.

To find out more, contact Melody Mackeown

Babies at risk if mums do not take Folic Acid

2008-01-14T14:56:00.000Z

UrBod Nutritionist Melody Mackeown, who specialists in pre-conceptual care, fertility and pregnancy, always recommends 400mcg (micrograms) of folic acid daily. Many women do not know they are pregnant for some weeks so it is essential that folic acid is taken all the time and especially if you know that you are trying to have a baby.

The U. S. Centers for Disease Control and Prevention have again strongly advised all women, especially those between 18 and 24 years of age, to make sure they get the necessary intake of folic acid says Mackeown.

However, according to a number of surveys conducted into the awareness and knowledge of taking folic acid, a surprisingly high number of mums and mums to be did not know about the health benefits which include a significant reduction in the risk of a child being born with neural tube defects, which give rise to abnormalities of the brain and spine.

While folic acid is widely accepted by health experts worldwide, says UrBod Nutritionist Melody Mackeown, there are a number of other nutrients that would hugely benefit both mums and babies, especially where there is a risk of allergies (such as eczema, asthma and hayfever) in families. Furthermore, nutrients like folic acid work better if taken with other members of the B vitamin family.

Consequently, seeking professional dietary and supplement advice may help considerably avoid this debilitating condition, says UrBod Nutritionist Melody Mackeown.

To find out more, contact Melody Mackeown

Nutritional Intervention helps endometriosis pain control

2008-01-10T09:29:00.000Z

A research study published in the Fertility and Sterility Journal, December 2007 published on reuters, supports the use of dietary therapy intervention for women suffering from endometriosis.

Endometriosis affects approximately 2 million women in the UK, most of which are diagnosed between the ages of 25 and 40. Endometriosis can occur in several places in the body, most commonly including the fallopian tubes, the ovaries, the bladder, the bowel, the intestines, the vagina, and the rectum. As a result, endometriosis can cause infertility in some women. In addition, many women with the condition are often thought to have lower immunity to other conditions.

The study looked at women who took hormone suppression, dietary therapy or a placebo. The researchers stated that the latter two groups reported less menstrual pain, non-menstrual pelvic pain, and pain during intercourse at 12 months' follow-up than did women who received the placebo. Women in all treatment groups also experienced significant improvements in quality of life measures.

Consequently, seeking professional dietary advice may help considerably with this debilitating condition, says UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy.

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION

SOURCE: Fertility and Sterility, December 2007.
http://www.reuters.com/article/healthNews/idUSLAU88369420080108

More Evidence that Breast is Best

2008-01-09T10:51:00.000Z

More evidence has emerged (Pediatrics, 2008) that breastfeeding for at least 4 months, compared with feeding formula made with intact cow milk protein, prevents or delays the occurrence of atopic dermatitis, cow milk allergy, and wheezing in early childhood.

There are a vast array of other reasons why breast is best for your baby says UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy, including having a higher IQ, developing fewer colds, ear infections, gastric infections and pneumonia. Breastfeeding is also best for you as it can help you lose weight more easily – breastfeeding uses up 500 calories a day! It also promotes greater bonding between mum and baby.

Sadly, less than a third of mums in the UK are still breastfeeding at 4 months. One of the key reasons appears to be insufficient milk and that new mums find it too exhausting.

However, optimising your diet during your pregnancy and while breastfeeding may help ensure you have the correct nutrients to provide a plentiful supply of milk and give you enough energy to keep going while your breastmilk flow is established and you and your baby learn how best to breastfeed – this takes around 6 weeks!

I have written a free e-book on how you can improve your diet during your pregnancy. To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

More evidence that diet and lifestyle can significantly improve fertility

2008-01-07T12:38:00.000Z

According to Dr Jorge Chavarro, lead author of the study, which was published in November 2007 in the journal Obstetrics & Gynecology, following a "fertility diet" may favourably influence fertility in healthy women and that the majority of infertility cases due to ovulation disorders may be preventable through modifications of diet and lifestyle.

What this means says UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy is that certain foods and lifestyle factors can significantly affect hormone levels and improve fertility in women with ovulation problems - a common cause of infertility.

A combination of five or more low-risk lifestyle factors, including diet, weight control, and physical activity are important, according to the Harvard based researchers.

The ‘best diet’ appears to be one with more fruit and vegetables, less meat and carbohydrates, more healthy fats and few or no trans fats. The fertility diet may influence ovulation because of the affect it has on insulin levels. Insulin levels, in turn, can affect sex-hormone-binding globulin, which can affect the amount of free androgen in a women's body – and too much can suppress ovulation. “The most surprisingly result was that fat from diary products appeared to increase fertility”, says UrBod Nutritionist Melody Mackeown Dip.ION. “However, this may not appear as counter-intuitive as it seems, as it is important to remember that saturated fats in moderation are essential for your body to operate effectively”.

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Being overweight reduces your chances of becoming pregnant

2008-01-04T11:14:00.000Z

It is well known that if you are overweight it affects your fertility and chances of becoming pregnant naturally and another study published last year by researchers at the Academic Medical Center in Amsterdam have again drawn the same conclusion.

It is known that obesity disrupts ovulation and many women who are overweight do not ovulate regularly. However, what was not known for certain is it that fertility also declines among overweight women who are ovulating regularly.

After following over 3,000 couples, the study found that women with a body mass index (BMI) of 30 or higher (which is considered obese) had a significantly lower probability of becoming pregnant naturally than women with BMIs between 21 and 29 (which is considered normal weight).

Further, the more obese the woman was, the harder time she had with conception. Compared with normal weight women, women with a BMI of 35 had a 26 percent lower chance of getting pregnant naturally, while women with a BMI of 40 had a 43 percent lower chance. This means that the more overweight you are, the harder it becomes to get pregnant.

Obese women may have disturbed hormone levels, which decrease their chances of successful fertilization, researchers said.

Fortunately, there was also recent review into the most effective diet to lose weight and it was concluded that you lose more weight on a low glycaemic diet, which is the diet (or healthy eating pattern) that I promote to all my clients whether or not they are overweight.

To find out more, contact UrBod Nutritionist Melody Mackeown Dip.ION (mBANT), specialist in pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Smoking – what to do if you would like to quit

2008-01-03T12:32:00.000Z

It is well known that smoking can adversely affect your fertility rate and can harm your baby. “So, now would be a good time to quit, if you are planning on having a baby this year”, says Nutritionist and Foresight Practitioner Melody Mackeown.

With the introduction last July of a smoking ban, excellent NHS Stop Smoking services and the availability of a wider range of treatment products (such as Nutritional Therapy or hypnosis), finding the right support to help you stop smoking is extremely good.

So why is stopping smoking so hard?
If you have ever unsuccessfully tried to give up smoking in the past, then you will know that it is fraught with difficulties. Firstly, when you are deprived of nicotine, smokers experience withdrawal symptoms such as depressed mood, irritability, poor concentration, sleep disturbance, hunger and cravings to smoke. Using tobacco puts an immediate end to these, which explains why the relapse rate is so high.

How can Nutritional Support help?
As smoking can upset your blood sugar balance, one of the first things I would look at, as a Nutritionist, are ways to regulate your blood sugar imbalance. Many foods can impact negatively on your blood sugar levels, as well as other stimulants such as coffee, tea, alcohol and chocolate. There are also a number of supplements that may help reduce your craving for nicotine.

You may be interested to know that a blood sugar imbalance can also mirror many of the symptoms above, such as irritability and poor concentrations. Consequently, stabilizing your blood sugar is a must.

Tips for successful quitting
Tips for success include:
§ Pick a date to quit that will be stress-free and stick to it
§ Book an appointment with your local NHS Stop Smoking service, who will advice you on aids to stop smoking or call the NHS Smoking Helpline 0800 169 0 169 for support or visit your GP
§ Book an appointment to see a Nutritional Therapist, who can advice you on ways to reduce your nicotine cravings via food and supplementation
§ Plan ahead and avoid stressful situations or people that could tempt you back to smoking
§ Take it one day at a time and congratulate yourself for every smoke-free day
§ Keep back the money you are saving – and treat yourself (e.g. book yourself in for a massage)
§ There’s no such thing as having ‘just one’ cigarette (remember it normally takes 90 days or 3 months to effectively quit). Don’t do it!
§ Think positively – tell yourself – I can and will do it!

UrBod Nutritionist Melody Mackeown Dip.ION (mBANT) offers pre-conceptual care, fertility and pregnancy care in the city of London, EC2.

Source: www.jfhc.co.uk

Maternal shortage of vitamin D linked to an increase in rickets among children

2008-01-02T11:41:00.000Z

Recent research has shown that doctors fear a resurgence of rickets – particularly in Asian or dark skinned children, where the incidence may be as high as 1 in a 100 - due to a lack of vitamin D.

Rickets is a bone disease mainly caused by a lack of the vitamin. It can lead to deformities, stunted growth and general ill-health.

"If a pregnant or breastfeeding woman is lacking in vitamin D, the baby will also have low vitamin D and calcium levels which can lead babies to develop seizures in the first months of life." Further complications mean that there is a chance that your child may become anaemic (when the blood is unable to carry enough oxygen around the body) and this not only affects your child’s behaviour, but may lead to lack of attention and the inability to concentrate at school.

Dr Colin Michie, a paediatrician at Ealing Hospital, says the biggest problem is maternal shortage of vitamin D. "Mothers and babies are simply not getting enough of this important vitamin.
Pregnant or breastfeeding women have been urged to boost their vitamin D intake particularly in the winter months amid warnings that cases of rickets in children are increasing. There are two ways of getting sufficient vitamin D – one is through sunlight and the other is through certain foods or supplementation.

It is thought that most people in the UK may get enough vitamin D from sunlight – from 15-20 minutes of sun exposure to the arms, head and shoulders each day during the summer months - to make enough vitamin D for good health. However, research has shown that in winter months at latitudes of 52 degrees north (above Birmingham), there is no ultraviolet light of the appropriate wavelength for the body to make vitamin D in the skin. Furthermore, there is no accurate way to assess what is adequate sunshine exposure for any given infant or child.

Melody Mackeown, Nutritionist & Foresight Practitioner, says as vitamin D also helps calcium to be absorbed and this has implications for the normal development of bones, teeth, and nerves, as well as heart health. If you are pregnant or are trying to conceive and do not obtain sufficient vitamin D from your diet or lifestyle then this may adversely affect your children later on. You may also be affected directly by developing soft bones.

UrBod Nutritionist Melody Mackeown Dip.ION (mBANT) offers pre-conceptual care, fertility and pregnancy care right in the city of London, EC2.

Sources: http://news.bbc.co.uk/1/hi/health/7161458.stm
http://pediatrics.aappublications.org/cgi/reprint/111/4/908
http://www.cochrane.org/reviews/en/ab006164.html
http://whqlibdoc.who.int/publications/2004/9241546123_chap3.pdf

Improving Male Fertility

2007-12-17T11:13:00.000Z

UrBod Nutritionist Melody Mackeown Dip.ION (mBANT) offers pre-conceptual care, fertility and pregnancy care right in the city of London, EC2. Melody has written this great e-book on how you can improve Male fertility with nutrition.

Here's just a sample of what you'll discover inside:

Ten dietary factors that improve male fertility
Three lifestyle factors to improve fertility

To get this FREE e-Book click here.

Chlamydia – without treatment it can cause infertility

2007-11-14T12:34:00.001Z

There is alot being said in the media about Chlamydia and its affect on fertility at the moment with good cause. With up to one in ten sexually active young people having Chlamydia in the UK, it's a real problem facing couples trying to have a baby.

'A study published in 2004 involving Swedish couples seeking infertility treatment found that men with chlamydia infection were less likley to father a child. But researchers have lacked good evidence about why men with the disease develop fertility trouble and how to reverse the problem'

'Men with chlamydia have more than three times the normal level of DNA fragmentation in their sperm, report researchers.' taken from new scientist article

http://news.bbc.co.uk/1/hi/programmes/panorama/4347858.stm

http://news.bbc.co.uk/1/hi/health/7044602.stm

http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2007/10/15/ncmlydia115.xml

What is it?

is one of the most commonly sexually transmitted infections (STIs). It's a bacterial infection, which is found in semen and vaginal fluids.

(http://www.bbc.co.uk/relationships/sex_and_sexual_health/stis_chlam.shtml).

You can buy tests from most chemists, but it is a good idea to see your doctor and to ask to be tested for Chlamydia if you or your partner is experiencing problems getting pregnant. Alternatively, you can visit your local hospital GUM clinic where you can receive a full health screen for free to see if you have any infections that might be affect your fertility. A further list of potential causes of infertility can be found here.

To find your nearest Hospital GUM clinic. Please note that both partners need to be tested as it is easily transmissible.

What's the treatment?

As it is a bacterial infection, it means that it can be easily treated by antibiotics and this is a highly effective way of dealing with this infection. However, as antibiotics can also kill friendly gut bacteria it is always a good idea to take a course of Probiotics (friendly gut bacteria) after your course of antibiotics. Please note, that if both couples are infected and are giving a course of antibiotics, they should refrain from sexual intercourse until the course of antibiotics is completed.

What are the symptoms?

As Chlamydia sometimes has no symptoms, in both men and women, it can often go undiagnosed, unless it leads to complications. Some women may have 'non-specific symptoms' such as:

Cystitis
A change in their vaginal discharge
Mild lower abdominal pain
Unusual vaginal discharge
Bleeding between periods or during or after sex
Pain with sex or when passing urine; and Lower abdominal pain

However, when complications arise it can lead to infertility. In women, Chlamydia can cause pelvic inflammatory disease. This can lead to:

Miscarriage;
Ectopic pregnancy (when a pregnancy develops outside the womb, usually in the fallopian tube);
Blocked fallopian tubes (the tubes that carry the egg from ovary to womb); and
Long-term pelvic pain

Chlamydia can also be passed from a mother to her baby during childbirth. Although no obvious symptoms are immediately apparent, the infection will often develop two weeks after birth, and can result in complications such as pneumonia.

Men might notice:

White/cloudy, watery discharge from the tip of the penis
Pain when passing urine or painful testicles

Chlamydia can also cause fertility problems in men, approximately half of all men with symptoms have impaired fertility, such as epididymitis.

Pre-eclampsia - long-term risk of hypertension?

2007-11-09T08:05:00.000Z

In a recent study in the British Medical Journal (http://news.bbc.co.uk/1/hi/health/2955489.stm) those women who had experienced raised blood pressure in pregnancy had a long-term risk of hypertension (high blood pressure), an increased risk of stroke and a slightly increased risk of heart disease.

Pre-eclampsia is a condition that occurs during pregnancy (normally in late pregnancy), or immediately after the delivery of a baby.

Women develop high blood pressure, together with protein in their urine (leaked from their kidneys) and fluid retention (oedema).

Although pre-eclampsia is usually mild, it should always be taken seriously because, in a few cases, it can cause complications, such as growth problems in the baby and can in some instances result in the death of the mother or child.

Female Fertility

2007-11-08T13:42:00.000Z

From a medical perspective, the two most common identifiable problems for women are:

Problems with ovulation (such as irregular periods)
Damage to fallopian tubes (e.g. from an infection)

However, almost a third of all problems can not be identified and are therefore classified as ‘unexplained’.

Subclinical nutritional deficienciesProblems with fertility may be down to a lack of certain vitamins, minerals and essential fats due to poor digestion or a diet that is not as good as it could be. This is because essential nutrients aid the working of the endocrine glands responsible for fertility and responsible to regulate ovulation and normalise periods. Essential nutrients can also help ensure that the fallopian tubes are in good working order.

Want to know more

Vitamin B6 may boost conception

2007-10-28T09:44:00.000Z

A study, published in the American Journal of Epidemiology, may see vitamin B6 become as important as the current "Big 3" of pregnancy nutrition: folic acid, calcium with vitamin D, and omega-3 fatty acids.

Researchers in China looked at blood levels of homocysteine, folate, and vitamins B6 and B12 in over 350 women to see if there was a link between B vitamin status and ease of conception. The women had an average age of 25 years and had all conceived at least once between 1996-8. Daily urine samples were taken for 12 months and tested for human chorionic gonadatropin (hCG) to detect conception and early pregnancy loss.

It was found that women with an adequate vitamin B6 status (>30nm/l) had a 40% better chance of conception and a 30% lower risk of miscarriage early in pregnancy compared with women with a low vitamin B6 status. Having high vitamin B6 levels in the blood improved these chances further with a 120% increased chance of conception at 38nm/l and a 50% lower risk of early pregnancy loss at 46nm/l. The results suggest that increasing vitamin B6 levels prior to conception could boost conception rates and decrease the risk of early miscarraige.

Melody Mackeown, Nutritionist & Foresight Practitioner, says 'These results are very promising but further research is needed to support the observations. We know that Vitamin B6 is a key nutrient in many functions within the body'

Source: American Journal of EpidemiologyVolume 166, Number 3, Pages 304-312; doi:10.1093/aje/kwm078 "Preconception B-Vitamin and Homocysteine Status, Conception, and Early Pregnancy Loss"Authors: A.G. Ronnenberg, S.A. Venners, X. Xu, C. Chen, L. Wang, W. Guang, A. Huang and X. Wang

Having an older brother may decrease Fertility

2007-10-11T16:46:00.000+01:00

Research looking at historical data by The University of Sheffield has concluded that having boys takes more out of a mother and may reduce her lifespan. One theory is that male fetuses produce more of the sex hormone testosterone and the stress hormone cortisol. Both these hormones may make a mother’s immune system weaker, thereby making her more vulnerable to illnesses and disease.

Surprisingly, it was also found that offspring to mothers whose first child was a boy were likely to have fewer children, than those in families where the first child was a girl. This was true regardless of the gender of your second or subsequent child (i.e. whether you have a boy or girl). This may also be a result of the mother having a weaker immune after first having a boy. It may also be due to the first born boy depleting more nutrients from the mother’s stores. Consequently, younger siblings may not receive the same nutrients throughout pregnancy.

“What this suggests”, says UrBod Nutritionist Melody Mackeown, “is that optimizing your diet before and during all pregnancies is vital for a mother’s immune system (especially if you are having a boy) and then for your children for their reproductive health later in life (especially it would seem for younger siblings).

The best way to do this is to eat a good, balanced diet rich in fruit and vegetables (at least five portions a day) and protein sources such as meat, poultry and fish. Meat is a good source of animal protein and important minerals such as iron and zinc, with zinc being especially important for male fertility. Fatty fish is a very good source of essential fats, which are important in the development of the foetus.

Welcome to Nutrition, Fertility & Pregnancy in the City Of London

2007-10-11T07:35:00.000+01:00

Over the coming months we hope to bring you lots of information on how you can improve your health and fertility.

Who are we?

Our company is called UrBod, we are a team of qualified nutritionists. All of the team are fully insured and members of the British Association of Nutritional Therapists.

Kenny Tranquille Nutritional Therapist & NLP Coach, in Canary Wharf and the City of London.

Melody Mackeown, Nutritional Therapist & Foresight Practitioner, City of London.

Amanda Michie, Nutritional Therapist & Foresight Practitioner, City of London.

Free Healthy Bump' Tasters City of London EC2

2007-10-06T22:29:00.000+01:00

Melody Mackeown, UrBod Nutritionist & Foresight Practitioner, City of London is offering free fertility sessions.

By choosing a Free 'Healthy Bump' Taster you'll learn all about the possible underlying causes to your health issue, which foods will be beneficial and you should increase and which foods to cut down on. To book or find out more click here

Free UrBump e-Book- Conceiving by design, not chance

2007-10-06T00:02:00.000+01:00

UrBod Nutritionist Melody Mackeown Dip.ION (mBANT) offers pre-conceptual care, fertility and pregnancy care right in the city of London, EC2. Melody has written this great e-book on how you can improve your fertility with nutrition.

Here's just a sample of what you'll discover inside:

Ten dietary factors that improve Fertility

Three lifestyle factors to improve fertility

Why improving your diet may well make UrBump healthier

To get this FREE e-Book click here.

The Right Food Can Improve Fertility

2007-10-04T23:35:00.001+01:00

Roasted red peppers, mini crab cakes and Brazil nuts can all help to increase fertility. They will all feature in a special Fertility Buffet, laid on by Dr Margaret Rayman, Director of the MSc Course in Nutritional Medicine at the University of Surrey, on 3 July 2003.

A good, balanced diet rich in fruit and vegetables (at least five portions a day) and protein sources such as meat, poultry and fish, is necessary to optimise fertility. Meat is a good source of animal protein and important minerals such as iron and zinc, the latter being especially important for fertility. "Oysters are by far the best source of zinc, but they are not included in this meal, as they are out of season," Dr Rayman explained. "Fatty fish is a very good source of n-3 fatty acids, which are important in the development of the foetus' brain and vision."
To give yourself the best chance of conceiving, alcohol and smoking should be avoided. This applies to both men and women, as there is evidence that sperm damage through smoking can predispose to cancer in the offspring. Full details

Unable to conceive or are having a difficult pregnancy?

2007-10-04T23:30:00.000+01:00

It is well known that alcohol and smoking have a detrimental effect on fertility. Sadly, few recognise that there are many dietary and lifestyle changes you can take to improve your chances of conceiving and having a healthy baby.

A recent study at the University of Surrey demonstrated this among several hundred would-be parents with a history of fertility problems. They were put on tailor-made pre-conceptual care programme, which focused on three aspects: diet, vitamin and mineral supplementation and avoidance of environmental toxins. A stunning 81% of those who took part went on to produce healthy babies. Foresight, the Association for the promotion of pre-conceptual care, also has similar fantastic success rates.