Caesarean Delivery May Be an Independent Risk Factor for Stroke

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.

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

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

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

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

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.

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.

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

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?

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.

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.

Vegan diet poses greater risk of birth defects

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

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

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

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

Babies at risk if mums do not take Folic Acid

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

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.

More evidence that diet and lifestyle can significantly improve fertility

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

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

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.

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