EXTENDED VERSION
Monday, May 30, 2011
Can Walk In Clinic Prescribe Viagra?
EXTENDED VERSION
What To Wear To My Confirmation
I am often asked:
Sunday, May 29, 2011
How Long Does It Take For A Moped To Charge?
hallelujah
Postscript: The next night he slept from 23:45 to 8:30 NEXT! YEY!!
Thursday, May 26, 2011
White Hard Lump On Palate
Today I heard a friend say that our babies are born with lots of information we already know. So they have more ability to grasp what we, at their age we did not have idea.
Wednesday, May 25, 2011
Sucking Nipple Milk Iphone
Again, life is made of learning ...
Again, each person is a unique individual, with its unique context ...
Again, we refuse to see the facts (that is, until they giant hat in your face) ...
discovered this GREAT online resource on issues during breastfeeding: http://www.mobimotherhood.org/
Exposes the issues clearly and with references.
I've always been anemic. (Well, not always, but for almost all my adult life).
always been accustomed to feel tired (I thought I was lazy), and worst phases, with cramps, nausea, dizziness, ringing in the ears, hair loss, memory loss, tachycardia, pallor, etc.. Fought the thing with Fe supplements, dietary Foods rich in iron (which unfortunately coincide with those rich in cholesterol), taking multivitamins to enhance the absorption of Fe, got on the pill trying to master my ultra-super-mega-hyper-tera monthly losses (and the pill I do not agree but that's another post ...), and there was better or worse.
When I got pregnant, my concern (and I confess that I had more to worry about without anemia) was already not worsen this tendency of mine. But I relaxed. And with no monthly losses, and with the intake of folic acid and iron and one month after the salts homeopathic for pregnancy during the rest of the pregnancy, was "the nines". I found this height
2 secrets:
1) the values \u200b\u200bthat are considered "reference" in the analysis may not correspond to our normal.
2) during pregnancy, the values \u200b\u200bconsidered as "reference" should not be because the blood volume is much higher and our body defends itself from its action by diluting it ( iron inhibits the absorption of zinc, a essential nutrient for fetal growth and is also related with the increase of free radicals that can lead to pre-eclampsia). Data Odent conclude that babies born to mothers with hemoglobin levels between 8.5 and 9.5 had higher birth weight than mothers who were always kept above 10 ... But it also
gave another post ...
turns out that when they told me that breastfeeding could be the boost my anemia, I laughed in the face of these people. Dei breastfeed exclusively for 7 months and my values \u200b\u200bhave never been so good! And "all" we know that one reason for diversifying the food for babies from 6-8 months is precisely the inadequacy of iron in breast milk.
Well, apparently, may be insufficient, but he has Fe and will pick it up to my reservations.
And apparently, anemia can be a major cause LOTS of problems at the start of breastfeeding, as the DPP, sore nipples, clogged ducts, mastitis, insufficient milk production ... (Read the article below).
Of course all that is too bad. But all that is least well.
is true that today the doctors rush to prescribe a supplement not look well for the analysis (I went to three different medical specialties and NO from several doctors remembered refer me to a hematologist, a person who studies blood ). Generally anything that gets out of the values \u200b\u200bof "reference" is run the iron tablets and folic acid.
But the truth is that less iron is not good. It is necessary to oxygenate our cells so that our bodies work properly.
is true that breastfeeding reduces the risk of anemia in mothers during the first months after delivery - see here - (compared to mothers who do not breastfeed because "spend" less Fe in milk than they would spend if menstruating due amenorrhea due to breastfeeding), but all I have found few studies on this subject reveal that prolonged breastfeeding may actually potentiate the anemia in the infant because the recommended daily intake of this mineral increases (between 9 and 18 mg) and generally, if already menstruating can not restore these values \u200b\u200bby feeding.
And it's not worth mentioning any more because This article is so full (do not quite agree with that part of supplementation during pregnancy; think that, like everything else, must be assessed case by case) that it is best to read it yourself ( all here):
Anemia and the Breastfeeding
(...)
Iron Deficiency Anemia
While there are many cause is anemia, the most common reason for lactating and pregnant women is iron deficiency. Iron deficiency is the most common cause of anemia in women of childbearing age worldwide.
Anemia is the Reduction in the number Either of red blood cells or the amount of hemoglobin (iron containing portion) of the red blood cells. This results in a decrease in the amount of oxygen available to the cells of the body. As a result, they have less energy available to perform their normal functions. Important process such as muscular activity and cell building and repair slow down and become less efficient. Iron deficiency can lead to impaired delivery of oxygen to the tissues, to anemia, impaired immune function, decreased energy levels, and to decreased physical performance.
Anemia is the last stage of iron deficiency. Iron-dependent enzymes involved in energy production and metabolism are the first to be affected by low iron levels. Iron is an important factor in anemia because iron is used to make hemoglobin, which is the component of red blood cells that attaches to oxygen and transports it. Iron deficiency can be caused by insufficient dietary iron intake and or absorption, or by significant blood loss. Iron deficiency is more likely to occur at certain times in life such as infancy, adolescence, pregnancy, and breastfeeding.
Pregnant (and consequently lactating) women are amongst the highest groups at risk for iron deficiency. Women become anemic due to the excessive blood losses of menstruation and delivery, increased iron requirements, diminished intake, diminished iron absorption or utilization, or a combination of these factors. Iron deficiency occurs in over 33-58% of young, healthy pregnant women.
A mild decrease in hemoglobin is a normal physiologic response to the increases in intravascular volume and demand for erythropoiesis during pregnancy. Anemia occurs with such frequency during pregnancy that it is referred to as “the most common medical complication of pregnancy.” (28)
Iron Deficiency Anemia and the Breastfeeding Woman
The iron-dependent enzymes involved in energy production and metabolism will be impaired long before anemia occurs. Impaired energy production, lowered energy levels and decreased physical performance may contribute to post-partum depression. Iron deficiency anemia lowers maternal immune response which predisposes the breastfeeding mother to clogged milk ducts, mastitis, thrush, prolonged tissue repair for sore nipple management as well as adversely affecting milk quality and breast milk volume.
Anemia is not a disease but actually is a condition that results in a group of symptoms such as weakness, fatigue, vertigo, dizziness, pallor, headache, ringing in the ears, headache, an inability to catch ones breath after physical exertion, and a racing or irregular heart beat. Some women are asymptomatic, but many become tired easily. Anemic mothers are increasingly susceptible to infection, postpartum hemorrhage, and have poor tolerance for even minimal blood loss during birth. (29) For the breastfeeding woman, anemia presents itself as a contributing factor for low milk supply, plugged ducts and mastitis, and delayed healing of sore nipples.
Under physiologic conditions, only a small amount of iron is lost from the body each day. The source of these iron losses are: the shedding of epithelial cells from the skin, gastrointestinal tract and the urinary tract; and the excretion of small amounts of iron in the sweat, urine, and bile. Women lose approximately 0.8 mg or iron per day from these sources. (4)
Women at the reproductive stage of life are at a higher risk for low iron levels through monthly blood losses. The low level carries over into pregnancy and lactation.
Another group at high risk are women who over-use anti-inflammatories such as aspirin or ibuprofen, as these can cause blood loss through irritation of the digestive tract.
The adolescent lactating mother who eats a “junk food” diet is at an especially high risk for iron deficiency.
The daily losses of iron from the body must be replaced by dietary intake of iron.(4) To maintain an adequate iron store, menstruating women need about 1.2-2 mg a day.(5) Lactating women have much greater iron requirements. They need to restore their iron losses from pregnancy and delivery, as well as meet the demands of infant requirement for iron through breast milk. Pregnant women require 5-6 mg of iron per day in the second and third trimester.
It is important that a physician for the treatment of anemia perform a thorough clinical evaluation. It is imperative that a comprehensive laboratory analysis of the blood be performed. It is critical that the underlying cause for the anemia be uncovered for appropriate therapy to be instituted.
Absorption of Iron from the Diet
The amount of iron absorbed from the diet depends on the form of iron in the food and the presence of other foods and substances in the diet. Dietary iron is present in two forms: heme and nonheme iron. Heme iron is more readily absorbed than nonheme iron (5,6) and its absorption is not affected by dietary factors. The amount of iron absorbed from heme iron is 5-10 times greater than the amount of iron absorbed from non-heme iron. (7) Heme iron is present in meat, poultry and fish. (8)
The absorption of nonheme iron is much more variable than the absorption of heme iron found in meats, and depends on dietary factors. Nonheme iron is found in grains, cereals, eggs, and dairy products. (5,9) Absorption of nonheme is influenced by the presence of other substances in the food.
Substances that inhibit the absorption on noneheme iron include:
- Tannins in tea and some vegetables (10,11)
- Calcium and phosphorus in milk (12)
- Casein and whey protein in bovine dairy products (13)
- Polyphenols in some vegetables and legumes, and coffee
- Phosphoprotein in eggs
- Phytates in grains, eggs and some vegetables and lentils
- Presence of other minerals such as calcium, zinc, and cadmium
- Soy products
- Wheat and maize flour
- EDTA, a food preservative (beer, soda, soft drinks, candy bars
- Foods containing oxalic acid. Oxalic acid interferes with iron absorption. Eat foods containing oxalic acids in moderation or omit them from the diet. Foods high in oxalic acid include almonds, cashews, chocolate, cocoa, kale, rhubarb, soda, sorrel, spinach, Swiss chard, and most nuts and beans.
- Avoid using wheat bran as a source of fiber when eating nonheme iron. Iron is removed through the stool, so it is best to not eat foods high in iron take or iron supplements with bran since it will be removed through the stools.
- Antacids and overuse of calcium supplements also decrease iron absorption.
- All of these dietary factors can interfere with iron absorption, so that even if a diet is high in iron content, the actual bioavailablility of the iron can be quite low. If a lactating woman is suffering from symptoms associated with iron deficiency anemia, it is advisable for her to avoid these foods for approximately 6 weeks as she rebuilds her iron stores through iron supplementation and dietary practices.(2) The absorption of nonheme iron can be increased by the presence of meat, poultry, fish, and vitamin C in the diet. (14,15,16)
Risk factors for Iron Deficiency
Risk factors for iron-deficiency anemia include these factors:
- Low dietary intake of iron
- Low dietary intake of ascorbic acid (Vitamin C)
- Low dietary intake of meat
- Blood loss per month or use of more than 12 sanitary pads or tampons per menstrual cycle.
- Chronic use of aspirin
- Low socio-economic status: African-American, Hispanic, Native American,
- Adolescence
- High parity and multiple gestation (17, 18,12)
Assessment of Anemic Breastfeeding Mother
A thorough assessment of possible anemia is an important breastfeeding history tool for all lactation consultants to incorporate.. Many of the breastfeeding problems that bring a lactating woman to the lactation consultant’s office or her physician’s office are related to iron-deficiency anemia -- sore nipples, exhaustion, plugged ducts, low milk supply, thrush, all these breastfeeding challenges can occur if a lactating mother is experiencing anemia.
A thorough health history and a complete physical examination are an essential component of the evaluation of the anemic woman. The purpose of the history and physical exam is to: 1) Determine whether there are signs and symptoms of anemia, 2) determine if the anemia is affecting the woman’s current health status, 3) refer the woman to her health care provider to determine whether signs and symptoms of possible medical disorders may be causing the anemia, and 4) to determine if there are familial, environmental dietary or medical disorders that may be the cause of the anemia.
Suggested questions to include in the breastfeeding history intake questionnaire to determine iron-deficiency anemia and its cause should include:
- Determine average daily iron intake
- Determine are there dietary practices that may decrease iron absorption
- Is excessive blood loss a possible cause of iron deficiency?
- Gastrointestinal disorders causing blood loss? Intestinal parasites?
It is best to have a complete blood test to determine if you have an iron deficiency before taking iron supplements. Excess iron can damage the liver, heart, pancreas and immune cell activity, and has been linked to cancer. Iron supplements are to be used only under the supervision of a qualified health care provider.
Inorganic iron supplements are coming under sever attack as the potential cause of many health problems. Nutritional research journals are showing interesting facts and studies about the side effects of iron tablets. Not only can excess iron accumulate in the body to toxic levels, it may also interfere with immunity and promote cancer. Iron is an important mineral for pregnancy and lactation, the question is only how much iron and in what form.
Dosage
Treatment for iron-deficiency anemia should begin with 60-120mg of elemental iron daily during pregnancy. The supplements should be started gradually, because tolerance to side effects is improved when iron is initiated at a lower dose. The dose should be increased gradually over several days until the full therapeutic dose is achieved. (19)
Many clinicians recommend higher dosages of elemental iron but these higher dosages can be problematic with gastrointestinal side effects. The use of high dosages of iron can also decrease the absorption of other important nutrients, such as zinc. (20)
Iron Preparations
There are many types of iron preparations available. When selecting an iron preparation it is good to remember these things:
- The amount of elemental iron present in the supplement
- The form of the iron (ferrous or ferric) in the supplement
- Whether other supplements (vitamins and minerals) are present
- Whether the preparation is enteric coated or in a delayed-release form
Form of iron
Iron comes in two forms: ferrous or ferric salts. Absorption of iron form the ferrous form is three times greater than the absorption of the ferric. There are several types of ferrous salts available: sulfate, gluconate, fumerate, and succinate. The absorption of each of these salts is roughly equivalent. A recent survey determined that the cost of these varying products were approximately the same.
Handy tips to remember for selection and dosing of iron supplements
- Iron is best absorbed when given in a tablet that contains only iron salt. Anemia should not be treated with prenatal vitamin/mineral supplement because the absorption of iron from these supplements is variable and less efficient than the absorption of iron from simple iron preparations.
- It is best not to take iron supplements that are enteric coated. The enteric-coated preparations are less effective because exposure to gastric juices plays an important role in iron absorption.
- It is best not to take a time-released iron supplement since the majority of iron absorption occurs in the upper part of the small intestine. The effectiveness of these delayed release forms varies widely. And they are expensive.
- For the most efficient absorption of iron, it should be taken in a naturally biochelated form, the form that nature supplies.
- It’s best to take the iron supplement on an empty stomach so food components will not interfere with the absorption (as mentioned earlier). When iron supplements are taken with meals, absorption is decreased by 40-50% (19)
- Don’t take iron supplement with coffee, tea or soft drinks since these beverages interfere with iron absorption.
- If iron assimilation is poor, and iron defiency results, it is best to use a good herbal liver tonic to stimulate digestion and absorption. The Iron-Plus-Calcium Tincture below is one suggestion.
- Natural iron supplements such as Iron-Plus-Calcium Tincture or spirulina. Floridax Herbs with Iron or Nature Works Herbal Iron, liquid iron supplements made from wildcrafted and organic herbs are available in natural food stores.
- Women who have trouble swallowing tablets and capsules can be given liquid iron supplements. Since liquid iron supplements can cause staining of teeth, to prevent staining of the teeth these preparations should be diluted in a full glass of water and sipped with a straw.. Avoid swishing before swallowing.
- Caution mothers to keep iron supplements out of reach of children. In 1991 there were 5,144 cases of pediatric iron poisoning in the US. Iron poisoning can be fatal and there are reports of toddler deaths caused by consumption of prenatal iron supplements. (21)
- The two best times to take iron supplementation is upon waking up after the night fast and before bedtime. Iron is better tolerated if it is taken at bedtime. (12)
- And last but not least, cooking foods in the good old-fashioned iron skillet provides maternal blood with an extra boost of iron.
Iron-Plus-Calcium Tincture
Also a Tincture for the Liver and Digestion
3 parts nettle
2 parts yellow dock root
1 part watercress
2 parts spirulina
1 part kelp
1 part lamb’s quarter
Easing Side Effects of Supplemental Iron
Side effects of oral iron therapy include heartburn, diarrhea, bloating, abdominal cramping, nausea and gastrointestinal upset. About 12% of patients experience side effects from oral iron therapy. (19) These tips will help offset these discomforts:
- Take iron supplement at bedtime, it is better tolerated at bedtime.
- Reduce the dose of elemental iron since the side effects are related to the dose.
- Switch to a supplement with a lower concentration of elemental iron in the supplement such as ferrous gluconate or ferrous lactate. (22)
Maintenance of Iron Replacement Therapy
Even though most iron deficiency anemias are usually resolved in six to eight weeks (23), iron therapy should be continued after the hemoglobin returns to normal to replenish iron stores. After the resolution of the anemia, iron is usually supplemented for three to six months. (19, 24) Another option is to have the mother’s primary physician monitor serum ferritin levels monthly and continue treatment until the serum ferritin is greater than 50µg/ L. (24)
Nutritional Support
Increasing iron levels in the food a breastfeeding mother eats may help partially or completely overcome poor iron absorption.
Iron is readily available in dark, leafy vegetables and in dark-red vegetables such as red chard, beets and red cabbage. It is found abundantly in black strap molasses, apples, dried apricots, asparagus, bananas, broccoli, egg yolks, organ meats, lean meat, shell fish, kelp, leafy greens, okra, parsley, peas, plums, prunes, purple grapes, raisins, rice bran, squash, turnip greens, whole grains, and yams. It is good to eat foods high in Vitamin C to enhance iron absorption. Vitamin C supplementation has been shown to greatly enhance the absorption of dietary iron. (1) Vitamin C alone will often increase body iron stores. 500mg of vitamin C with every meal will assist with the absorption of dietary iron.
Calf liver: Probably one of the best sources of natural iron available, it is rich not only in iron but also in the B-vitamins that stimulate red blood cell production, in addition to other vitamins and minerals. 4 to 6 oz of calf liver per day is recommended. Liquefied liver extracts are an even better source of highly bioavailable nutrients than regular liver. These extracts have the benefits of liver but are free of fats, cholesterol, and fat-soluble vitamins. The recommended dosage for a high-quality aqueous (hydrolyzed) liver extract would be 4 to 6 mg of heme iron content.
Green Leafy Vegetables: Green leafy vegetables are a benefit for any type of anemia. These vegetables contain natural fat-soluble chlorophyll as well as other important nutrients, including iron and folic acid. The chlorophyll is similar to the hemoglobin.
Black Strap Molasses: 1 Tablespoon of Black Strap Molasses twice daily is highly recommended because it is a good source of iron and B vitamins.
In addition to black strap molasses,
Brewer’s yeast is another good food supplement. Use as directed on the label. Brewer’s yeast is rich in basic nutrients, is an excellent source of protein and a good source of B vitamins, amino acids and minerals. It is one of the best immune-enhancing supplements available in food form. It helps speed wound healing through an increase in the production of collagen. It has anti-oxidant properties to allow the tissues to take in more oxygen for healing. (3)
Brewer’s Yeast also contains naturally occurring nucleic acids (DNA and RNA), that are said to enhance the activity of the immune system. Brewers yeast is not toxic and can be taken daily without any side effects. Brewer’s yeast comes in tablets and powder form. It can be sprinkled on food or drink.
Other tips to remember that enhances iron absorption include:
- Eat low-mercury fish at the same time as vegetables containing iron (this increases iron absorption)
- Omitting all sugar from the diet increases iron absorption as well.
- Avoid drinking black tea, coffee or soda at mealtimes as this interferes with iron absorption.
Recommended Vitamin and Mineral Supplementation
The following supplements can be used by breastfeeding mothers to treat iron deficiency:
Use Ferrous Gluconate, Iron Succinate or Iron fumarate twice per day between meals. If this results in abdominal discomfort, take 30 mg with meals three times per day.
Or: Floridax Iron , or +Herbs from Salus Haus contains a readily absorbable form of iron that is nontoxic and a natural source.
Vitamin C: 3,000 to 10,000 mg daily (1,000mg 3X a day with meals) Use it with iron supplement to enhance absorption.
Folic Acid: 800 mcg to 1,200mg daily. Is needed for red blood cell formation.
Vitamin B12: 2,000mcg 3 times daily. Vegetarians should take extra B12 daily. It is essential for red blood cell production. It breaks down and prepares protein for cellular use.
Vitamin B complex: Take 50 mg 3 times daily
Vitamin B5 100mg daily . It is important in red blood cell production.
Vitamin B6 (pyridoxine) Take100 mg daily. It is involved with cellular reproduction.
The following herbs are all good for anemia: Alfalfa, bilberry, cherry, dandelion, grape skins, hawthorn berry, mullein, nettle, Oregon grape root, red raspberry, shepherd’s purse, watercress
Nettle tea is rich in iron; drink it daily.
Beet and carrot juice are excellent to help treat anemia.
Homeopathic Remedies
Ferr.phos. (Ferrum phosphoricum, iron phosphate) helps assimilation of iron from food.
Nat.mur.(Natrum muriaticum) Take for anemia with constipation, headache and a tendency to cold sores.
Balch, Balch, Prescription for Nutritional Healing, 1997
Murray, Pizzorno, Encylopedia of Natural Medicine, 1998
Norman Shealy MD, Ph.D., The Illustrated Encyclopedia of Natural Remedies
Written by Cheryl Renfree Scott RN, PhD, IBCLC, 20041. Fairbanks , Beutler, ”Iron” in M.E. Shils and V.R. Young eds., Modern Nutrition in Health and Disease, 7th ed. (Philadelphia, PA: Lea and Febiger, 1998), 193-226.
2. J.E. Morley, ‘Nutritional Status of the Elderly,’ Am, J Med 81 (1996): 679-95.
3. L. Page, ND, Ph.D, Healthy Healing; 1997, pg.189
4. Bothwell, Baynes, MacFarlane, MacPhail, Nutritional iron requirements and food iron absorption. J Intern Med 1989; 226:357-65
5. Hallberg L, Bioavailabilty of dietary iron in man. Ann Rev Nutr 1981:1:123-47
6. Finch, Huebers, Perspectives in iron metabolism. N Engl J Med 1982; 306: 1520-8.
7. Cook, Adaptation in iron metabolism. Am J Clin Nutr 1990;51:301-8
8. Bothwell, Charlton, Iron deficiency in women. New York: International Anemia Consultative Group, Nutrition Foundation, 1981
9. Kelton, Cruickshank, Hematologic disorders of pregnancy. In Burron GN, Ferris TF, editors. Medical complications during pregnancy. 3rd ed. Philadephia; B Saunders, 1988
10. Lee, Nutritional factors of erythrocytes. In Lee GR, Bithell TC, Foerster J, Athens JW, Lukens JN editors. Wintrobe’s clinical hematology. 9th ed (vol 1) Philadelphia: Lea & Febiger, 1993.
11. Disler, Lynch, Charlton, Torrance, Bothwell, Walker, Mayet. The effect of tea on iron absorption. Gut 1975; 16: 193-200.
12. Institute of Medicine, Nutrition during pregnancy. Washington DC; National Academy Press, 1990.
13. Hurrell, Lynch, Trinidad, Dassenko, Cook, Iron absorption in humans as influlenced by bovine milk proteins. AM J Clin. Nut 1989;49:546-52.
14. Morris, An oveview of current information on bioavailabililty of dietary iron to humans. Fed Proc 1983; 42: 1716-20
15. Slatkatvitz, Clydesdale, Solubility of inorganic iron as affected by proteolytic digestion. AM J Clin Nutr 1988; 47: 487-95
16. Hunt, Mullen, Lykken, Gallagher, Nielsen, Ascorbic acid: effect on ongoing iron absorption and status in iron-depleted young women. Am J Clin Nutr 1990; 51:649-55.
17. Kim, Hungerford, Yip, Kuester, Zyrkowski, Trowbridget, Pregnancy nutrition surveillance system_United States, 1979-1990. MMWR 1992;41(SS-7):25-41
18. Cook, Adaptation in iron metabolism, Am J Cli Nutr 1990,51: 301-8
19. Lee GR, Iron Deficiency and iron-deficiency anemia. In: Lee GR, Bithell, Foerster, Athens, Lukens, editors. Wintrobe’s clinical hematology, 9th ed (vol 1). Philadelphia: Lea & Febiger. 1993 ,
20. Hambridge, Krebs, Sibley, English, Acute effects of iron therapy on zinc status during pregnancy. Obstet Gynecol, 1987; 70:593-6.
21. Centers for Disease Control and Prevention. Toddlers deaths resulting from ingestion of iron supplements~Los Angeles. 1992-1993. MMWR 1993; 42 (6):111-3
22. Bridges, Bunn, Anemias with disturbed iron metabolism. In: Wilson JD, Braunwald, Isselbacher, Petersdorf, Martin, Fauci, Root, editors. Harrison’s priniciples of internal medicine. 12th ed. New York: McGraw-Hill, 1991.
23. Perry, Morrison, Hematologic disorders in pregnancy. Obstet Gynecol Clin North Am 1992: 19: 783-99.
24. Hoffbrand, Pettit, Essential haematology. 3rd ed. Oxford:Blackwell Scientific, 1993
25. Baker, Combleet, Erythrocyte disorders In: Howanitz, Howanitz, editors. Laboratory medicine: test selection and interpretation. New York: Churchill Livingstone, 1991.
26. Janet Engstrom, Claudia Sittler, Nurse-Midwivery Management of Iron-Deficiency Anemia During Pregnancy, Journal of Nurse-Midwivery,Vol,39, No.2, 1994
27. Henly, Anderson, Avery, Hills-Bonczyk, Potter, Duckett, Anemia and Insufficient Milk in First-Time Mothers, BIRTH, 22:2, June 1995.
28. Bobak, Jensen MD, Maternity and Gynecological Care. St. Louis; Mosby, 1993
29. Murphy, O’Riordan, Newcome, et. al. Relation of haemoglobin levels in first and second trimesters to outcome of pregnancy. Lancet, 1986; 2: 992-994.
Monday, May 23, 2011
Spider Solitaire Not Solvable
Since we knew we were going to be parents, 3 years ago, we reviewed our stance on almost everything. The food was no exception. Although
already had some attention to diet, avoiding fatty foods or too elaborate preparation (fried, stewed), started to be more careful with the intake of sugars, better hydration and think twice before succumbing to the temptation;)
However, having already the notion that too much meat to eat our daily nutritional requirements (just see the Portuguese diet common in homes 50 years ago, much more geared to the vegetables and fish), and taking into account the resources that are spent to produce a kilo of meat (usually full of antibiotics, toxins, etc.): see the movie Food, Inc, I have been changing our eating plan family. After spending a week eating lacto-ovo vegetarian meals last August (each one better than the other, by the way!) And have learned many recipes in order to vary the ingredients, flavors and nutrients we eat, gave us sense to change our food this sense, for our health * (since we eat more calories than those who spend), the sustainability of the planet and also for ethics (there are other animals that we eat).
thus ceased to consume as much processed food, avoid transgenic and refined foods (flour, sugar), chocolate, cream of animal origin, etc.. I read a book Francisco Varatojo and everything seemed to make sense: we have longer intestines than carnivorous mammals so that the meat rots in there before you get to be excreted, we have dedicated more teeth to chew than the tear which indicates that we are more prepared to eat cereal ... Just found it strange to reference so many foods that are not native (he learned from the Japanese school), because it would make sense was that the body was prepared for more foods that are here and we're already accustomed to consuming several millennia .. .
Therefore we started to eat more fish, more vegetables and whole grains, reduced drastically the amount of red meat (and even white, encircled to birds, and often organic production or under the open field) and we started to notice positive changes in our metabolism, we continued with energy, more regularity in the toilet, his breath has improved, reduced cholesterol, decreased weight, etc ...
Until I went to do blood tests and came across a strong anemia. Yes, I know it can have other causes and that the culprit is not just the food. But after talking with several doctors and specialists, they recommended me to go back to eating red meat. And Fe supplements? "I said. Apparently (search the site Dr. Mercola ), iron supplements are not easily assimilated by our body, it reduces our capacity to assimilate (Fe exists in such abundance that the body does not need to strive to assimilate and even worse) and the unbalanced ratio of other minerals in our blood, including that the Zn is in inverse correlation with Fe Apart from the fact that, okay, it works while we are taking, but after awhile, if the root problem persists, hemoglobin levels back down ... Outside
anemia, meat consumption has also been recommended to me because Weston A. Price Foundation, supposedly (read this article) a suitable foundation research in nutrition has analyzed data on moderate consumption of meat of good quality and have found that 1) the Fe present in the flesh is very well assimilated by our body and 2) the fat of animal origin (meat, butter) are more similar to our so our body can excrete the simple form, and 3) the most controversial: that high cholesterol is not associated with, such as medicine seems to affirm the highest risk of atherosclerosis (ok, even here I suspect) .. .
I was also told (I think they are also the conclusions WAPF) that he tried not to involve the carbohydrate to meat consumption because that is what makes the body absorb fats and that we are not prepared to digest their own grains, needing to process the animals for us.
Damn, this is difficult. And now? Veggie veggie or not?
I come from a lineage of families who were omnivorous, and possibly my body, at least at this point, I need to be well. Never had that feeling of rejection that some people report when they say they stopped eating meat for a long time, so I went back to eating more meat. I know that's not much, but we always try to buy organic (in respect to animals and to safeguard our nutrition) and before eating, always thank the animal that was sacrificed so that I can benefit from their nutrients. It may be that when you stop breastfeeding and discover the causality of my anemia, can change my eating habits again ... We get
the human diet in Western societies abuses in consumption of meat and animal products. So we reduce. Now realize that there is a business that profits through the exploitation of animals, producing them, creating them and killing them in unsuitable conditions and the cost of depleting and polluting soil and water. Therefore we prefer, when we consume products and certified organic source. Even the UN has come rule on reducing consumption of animal products for all these reasons (note that this video is a manipulation of information on title and final part, which says that the UN recommends that "the population world to become Vegan and stop consuming animal products, "when in fact they only warn of excessive consumption and the reduction thereof)
realized that there should be fundamentalisms: usually in the middle is what is virtue, and every metabolism is unique and may vary throughout the various stages of life, so there must be an awareness that you may need an adjustment, depending on the nutritional needs of the moment.
* taking into account the "dogmas" of that the meat has toxins, fat and low nutritional values \u200b\u200b
Saturday, May 21, 2011
Marie Antoinette 1793
Opened in 1902, its ground floor is located on Calle Elias on the slopes of Cerro Concepción. The total length of the vertical frame is 40 mts. and reaches a height of 30 meters in height. Has a slope of 57 ° degrees and a capacity for 10 people. Its rails are supported on the same hill, anchored by sleepers. personal images taken from different perspectives of the city. It is one of the few lifts that are currently in the city.
Wednesday, May 18, 2011
Removing Holograms From License
This text is tãooo good, for so many reasons ... I advise all moms and future mothers-to take a look.
Today Childbirth for the retreat this thought (which I took the liberty of translating), so let us reflect on our strengths and what we think are our weaknesses:
Women today exert strenuous physical work in gyms, in their yards and maybe even your job. "No pain, no gain". Anesthesia would help this type of work? No, just avoid them to do the job as well. Women today understands the notion of strenuous physical labor as well as their mothers to understand and are fully equipped to the physical effort of having a baby. What they fear, perhaps, is the loss of control that comes from doing work that they are not familiar. Thus, they relinquish all control, becoming spectators in their own labors. But TU can you make this work! YOU were born to do this, YOU are built to do it, all sensations are coming from your own muscles, and if ever looks into the face of a woman to give birth by themselves, completely on his terms, you can see this is one of the highest points that a woman can experience.
add that not all births are to have pain and that not all pains are bad. The "pain" or sensations that you experience during the contractions of labor, are guides to what is happening. Warn the woman that the baby is on the way, teach you what position to adopt, explain that you should use periods of no sensation to relax, alert them when something is not right. As I read in another text one day, someone will want an epidural qie for the act of falling in love? I think not: it could avoid feeling the pain of heart break, but do not feel the happiness of love fully ...
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found this Blog of a doula and it found this fantastic acronym for the women to think what they want for their delivery (excellent questions to put to your service provider to health)
B - what are the potential B enefits of the action?
R - R which are baits arising from such action?
A - what are the The lternativas this action?
I - what my ntuição I suggest?
N - which can happen if you do decide N ada?
Use your BRAIN!
Aqui está o texto original:
BRAIN is a simple acronym to assist you in the decision-making process – whether it be “Should I get the quad screen test?” during pregnancy or “Should I get an epidural?” during labor. Unfortunately, there is a “standard of care” with many providers which makes a series of tests and interventions routine - without considering the specific needs of the individual.
In order to achieve more personalized, individual care, A Birth Smart woman asks questions.
B ~ What are the potential BENEFITS of the action?
R ~ What are the RISKS?
A ~ What are some ALTERNATIVES to this action?
I ~ What does my INTUITION suggest?
N ~ What happens if I decide to do NOTHING?
When it comes to birth, emotional benefits and risks can also play a huge role in the outcome and should be considered. Also remember that the preceding questions produce very different answers if you ask an anesthesiologist vs. a natural childbirth instructor vs. your best friend. You should consider where the information is coming from and the biases that it may carry. It’s about who you are, who you trust, and making the best decision for you and your baby.
[Cindy Crosby]
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Encontrei este texto , que fala sobre the power that "Choice" or "Luck" may have in the course of a delivery. And our choices (or lack thereof) can really influence the fortunes that have been in the course of a delivery, especially to our doctor. pathologies aside, childbirth is a physiological measure, such as menses, have sex, defecation, etc.. , so it annoys me deeply misinformation that comes to most women and IGNORANCE (sometimes conscious) of them, both in public and private care. There's a disclaimer
pregnant (the power is delegated to health professionals, "who studied for it" and that infantilize pregnant women and sometimes their partner). What more is heard throughout pregnancy is that "everything will go well," we'll do our best, "we have all the necessary equipment," etc., etc.. And then you hear the newly moms say: "They treated me very well," if they had not done X [you think a speech] had been worse, "was cesarean section / episiotomy / epidural / forceps / suction [choose one or several!] because it had to be. " Usually the sentence ends with one of the following "apology":
- because the baby went into fetal distress (this is not always well calibrated)
- because the cord was wrapped (not problem for an experienced professional)
- because the baby was not in position
- because there was incompatibility-pelvic
- etc, etc..
How does anyone think that getting to the hospital and being "tied" to a bed (in whatever stage of labor is) is NORMAL?? Look! Labor! WORK! is not to come, sit and read magazines or play cards (such as an anesthesiologist told me once, so as to convince me to take the epidural). Yes, it takes more work to pregnant women and also for professionals who assist the delivery, but that's what they're there are and what are PAID! And if you're worried about "noise" that is NORMAL during labor, soundproofing the rooms! The money was better spent on interventions that appliances and often unnecessary.
I'm not against hospital birth, I am not against intervention needed, but it annoys me a woman who goes to the hospital, thinking that "has" to put a drip, or ongoing ctg, or to undergo scaling and enema and sometimes be forced to epidural (because then "it will not be able to take") and find that its NORMAL to end in cesarean delivery / etc, because the labor after "not changed". OF COURSE NOT EVOLVED! Their basic needs were denied him! The same as if no one bothered to explain:
- calm environment, preferably with little movement and low light
- companion (s) always present, if desired
- food / drink available
- freedom of movement, greater incidence of vertical positions (squatting, standing, kneeling, sitting)
- minimum of chatter and questions (you do if someone you send a question or sign a paper while copulated, what would you do??)
- feel safe to scream, waving, chanting a curse or just sound ...
- take the time to give birth, are 20 minutes or 3 days ...
- alternative methods of pain relief: massage, shower, dry heat, moist heat ...
please women! Let no one deceive you! Inform yourself!
Tuesday, May 17, 2011
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Saturday, May 14, 2011
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This project and tour as most of what I do is 100% self managed.
warmly thank Manuel Rivera and his family, too, Matias Zavala and his family for having stay in their homes and all those who get by in the session.
This edition presents: new school (children of the new generation of Antofagasta), Axel "Rapa" Cortes, assembly of friends and Manuel "blond" Rivera.
100% instrumental music.
Wednesday, May 11, 2011
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continues to sleep with us but we set up the travel cot in the room and fall asleep after I lay there for the first part of the night (wakes up around 4 am to nurse and comes into our bed). This is because although we continue to want her around, she now moves much more, uncovers itself (and us) a lot during the night and woke her with his feet crossed in the face of one of us ...
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is increasingly crazy about makeup. I do not make up (I barely have time to shave!) But my only guilty-pleasure in these times is the occasional painting of nails. Anyway, always ready for any of these things. And sometimes, to convince it to go potty when you paint a fingernail: P Now lipsticks and found it was the way I found him to cut hair without her complain or run away or you inadvertently jab the scissors ... See what happens when you give a baton to a toddler! Unfortunately
day has to eat. It has very favorite meal: in a few days just want to eat vegetables and fruit, and others only potatoes and rice and other meat and fish only ... Just do not refuse anything that is oval, boiled eggs, olives, grapes ... We have attempted to establish schedules for meals, eat at the table, sometimes with no TV, and she has her chair, her plate and its cutlery. Nepia. Some days it refuses to eat whatever it is. Soup, who a few months ago went so well, now only in his grandmother's house. Only sometimes, then nurse eats a mouthful there. So although I'm against it (because I read a study that says this could be determinant in the future), I have yielded to the temptation to give him food with her to see on tv ... Ruca is automatic: not take eyes off the TV, merely open their mouths when they feel the approaching harvest. You can see an example of the look "empty" here.
Tuesday, May 3, 2011
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11 years in the city of Antofagasta. Reflecting the new school of the second part of our country. During my last tour in Antofagasta noticed this child who excelled in their various tricks and consistency on the table. I asked if I could record some tricks before starting to record street within the city and managed to capture some lines. If the child continues to skate I predict a great future for him.
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for that ... that we are here. With great sadness I inform you that I leave the blog and after that leave hours and hours of effort / work / dedication and a few friends who no doubt is my greatest reward and what I'm most proud of my career in this corner. I will not name anyone in particular but every one know very well who I mean .. safe and quiet that we shall always find the hyper-space
XD I will not get to analyze and the goals accomplished and the results ... it is up to you ... for those who have completed those 25,000 visits (which and I think is amazing) and that in time you will either best and worst happened to me spells all again .... THANK YOU for the good times that's what I'm staying.
A hug for everyone and as I always say: Good luck with what you carry! ;)
@ nickfaldo
spoken Inglés *** To my friends: thats all folks! this is the end of the road for this blog Which Has Been a part of my life diary for a long time. Pretty sad as ive wasted a lot of my time / effort "/ dedication on this blog but very happy to Have Achieved Goals ... some of my friends is one of Those MOST important thing and i can name Some Of Them ... but im They sure know-who im talking about! thanx to all of them to coz i just remember happy dog \u200b\u200bevents / Things and ill try to keep fresh Them Wherever i go. Happy to Meet all of u!!
king regards,
@ nickfaldo / @ Nadalin
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Monday, May 2, 2011
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Stakhovsky Pick 1 - Isner
Stak @ 2.6
stake: 5 euros
House: betfair
Time: 14.00
I'm still in my quest
Isner against .. although ended yesterday by winning the 2 tie-breaks to Fish and know that your game does not go fine .. "only" his serve allows you to reach these sudden deaths that handles so well and will have hold back some good percentages to survive today as a player in front has similar characteristics. Stak got rid of a born and Montanes win claycourter also 2 ties in his party as today's meeting can be converted back into a battle of nerves to see who holds pressure better this time .... with esn shares I have a clear mind who I'm;)
Pick 2
Ljubicic - Simon
Lubo wins 1st set @ 2
stake: 5 euros
House: betfair
Time: 12.15
The usual approach to the "semi-retired "Croatian. We may be at his last appearance in Madrid and is sure to give the maximum to leave a good image in a tournament that has always liked (semis final 04 and 05) .. now it is true that we are in other times and hence we have to look for gasoline left in the tank ... so I think that after seeing a 3-1 French dominated most of his opportunities will be done with this first set because of losing the comeback is complicated with the physique of Lubo. The Madrid height conditions do nothing to help the Croatian's serve which must base all your game and wait as usual until you see your opportunity
Pick 3
GGL - DeBakker
DeBakker @ 2 3
stake: 2.5 euros
House: betfair
Time: 16.30
unbalanced to me ..... Vale shares that English local acts and comes loaded with Wawrinka but do not forget that the "baker" debakker fully acclimated after playing the qualis and yesterday broke into 3 sets of Ferrero walks while not 100% yet is always a tough nut to crack and more in this area. Already last year he won his only land battle in RG leaving at 5 sets and now that I think the height of Madrid primarily benefits the baker with his serve I think that small advantage is sufficient. The stake is low because Debakker can accuse some tiredness after their 3 games played this week at 3 sets but is well physically see clear value in that we offer
2.3
Pick 4
Monfils - Monaco
Andujar - Bellucci
Monfils + @ 2.4 Andujar
stake: 2.5 euros
home: Combined bet365
"favorites" if you can call well. Monfils The match should be the banker of the 2 penalty for Monaco is French and is gradually regaining its level after his injury ahead of getting ready to RG. If everything goes normal paths are very opposed and even if it is clay and I say that Monaco is not right and besides this is not a clay like the rest.
Andujar's party is conditioned by his back problems that made him leave last week but that should have gone after a few days of rest. It will be a tough match as the Brazilian has class to spare to make a good game and aguarnos the party but the fitness of both players have made me decide by the English that at his age will give everything to continue building this great 2011 season.
Tsonga was the "other" for the combined candidadato and surely should be the most logical but something tells me that a bully like Riba claycourter will sell you face defeat ... just a hunch! Pick
Sunday, May 1, 2011
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Isner - Fish Fish
@ 1.72 stake
: 5 euros
House: betfair
Time: pte.
not only found in top form on "pescaito" but also their H2H dominated by a clear 2-0. Now is the highest ranked American and after their good results in America should do well in a tournament where he has participated for several years and the conditions suit his game well enough
Pick 2
Falla - Baghdatis
Falla sets +1.5 @ 1.71 stake
: 5 euros
home: betfair
Time: pte. Baggy
not been playing well and with a player Failure in this area as I think it should be one match played. Failure comes from qualis and is more acclimated to the special conditions of these tracks, I hope you go to 3 sets so do not look so little wrong that bet.
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the unfurling is going well and yesterday we tried to keep it all day and night without a diaper!
We did our normal life: He got up and just wanted to do their potty poo and pee. Tails washed and dry diapers at night, and put panties before going to the pool again to poo and pee on the potty. went to the pool. Asked twice to pee but when I took her to the toilet did not want to do (she prefers to sit on the potty). We went straight to the supermarket and when we got home she asked to pee. I sat on the potty: ok! Lunch and played and before going to a birthday party turned to go pee. At the party was when I had more fear, because when there is much agitation and children she forgets to ask to be too late. But at some point I asked and she said yes, then we went to do a big pee on the toilet, held it above the toilet and ran well. Then we went right to Sintra Forum and had dinner there. He walked very well and did not want to go to toilet. After MP spent by grandparents and there made his big pee on the potty cousin. Came home to sleep and decided not to put her diaper to sleep. This morning I woke up and was there to make your poop and pee in the "peak". Let's see if it continues like this has gone very well because 1) loves panties (and already seems to be rejecting put diaper), 2) loves the potty (from 6 months to sit there, so not surprised); 3) Never force: if you do not want, let it for later. Though sometimes have to be somewhat satisfied (both out how to sit on the potty), 4) the fact of using cloth diapers most of the time causes discomfort there is a faster (I do not The tabs used a lot of micro-fiber to keep the dry bottom lately) and a desire not to be in contact with a wet diaper.
It's been lots of phrases and word combinations! The other day I'll post some of them:) You know
humming the "Happy Birthday" and eating some notes a few words;)
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the H2H is for the Japanese to 3-1, but 4 games Hard are the final was played this year where he won Hantuchova, 7-6 6-3. The Japanese is not playing very well on clay this year lost in Barcelona in 1 round in Stuttgart on 2 qualification. Hantuchova is not much better fell into 2 round of Stuttgart, Date q I can win a set, see if Hantuchova tampers or relax out the first set and lost:).