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

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.

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

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.

Chlamydia Common in Pregnant Women

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.

IVF may pass on genetic reasons for infertility

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.

Why might maternal stress affect your unborn baby?

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.

More Evidence that Breast is Best

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.

Being overweight reduces your chances of becoming pregnant

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.

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

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

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

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.

Female Fertility

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

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

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

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.