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:: June 2009 Welcome to our Monthly Online Newsletter!Highlighted ArticleProblems for Babies of Obese Mothers Start in Womb “A pre-diabetic condition -- insulin resistance -- is more often present at birth in babies of obese mothers than in those of lean mothers, according to a new report. Insulin resistance means that glucose processing is impaired, so there's a risk of developing diabetes. While it's recognized that children of obese women may have metabolic irregularities when they become adolescents and adults, "our study supports the contention that this may have its onset during pregnancy," Dr. Patrick M. Catalano told Reuters Health.” Clinical GuidelinesACOG Issues Guidelines on Managing Obesity in Pregnancy (2009) AHRQ - Perinatal Depression: Prevalence, Screening Accuracy, and Screening Outcomes (2005) AHRQ - Screening for Lead Levels in Childhood and Pregnancy (2006) Institute of Medicine Sets New Guidelines for Weight Gain During Pregnancy (2009) New Guidelines Shed Light on Use of Psychiatric Medications During Pregnancy NGC - Anemia in pregnancy. (2008) NGC - Assessment of risk factors for preterm birth. (2001) NGC - Caesarean section. (2004) NGC - Chronic hypertension in pregnancy. (2001) NGC - Diagnosis and management of preeclampsia and eclampsia. (2002) NGC - DoD/VA clinical practice guideline for management of uncomplicated pregnancy. (2003) NGC - Gestational diabetes. (2005) NGC - Hypertensive disorders of pregnancy: pre-eclampsia, eclampsia. (2005) NGC - Interventions for postpartum depression. (2005) NGC - Management of labor. (2007) NGC - Preterm birth prevention. (2004) NGC - Pre-eclampsia community guideline. (2004) NGC - Routine prenatal and postnatal care. (2006) NGC - Routine prenatal care. (2007) NGC - Screening for asymptomatic bacteriuria: recommendation statement. (2004) NGC - Screening for Rh(D) incompatibility: recommendation statement. (2004) NGC - Systemic diseases in pregnancy. (2006) NGC - The management of severe pre-eclampsia/eclampsia. (2006) NGC - The investigation and treatment of couples with recurrent miscarriage. (2003) NGC - Trial of Labor After Cesarean (TOLAC) (2005) NGC - Ultrasound scanning during pregnancy. (2004) NGC - Vaginal birth after cesarean. (2004) NGC - Vaginal birth after previous cesarean delivery. (2004) NICE - Caesarean section (2004) Internet SitesFeatured siteFDA - Mercury Concentrations in Fish: FDA Monitoring Program (1990-2004) FDA - Mercury Levels in Commercial Fish and Shellfish NIH - NIEHS Drinking Water Contaminants, Gene Polymorphisms, and Fetal Growth NIH - Medical Encyclopedia Eclampsia NIH - Medical Encyclopedia Pre-Eclampsia Related InfoMedSearch TopicsRelated Topics - Highlighted Articles
Vitamins: B9 (Folic Acid)Epidemiology of neural tube defects. (Am J Med Genet C Semin Med Genet. 2005) "The epidemiological investigation of the common open neural tube defects (NTDs), anencephaly, and spina bifida, has a long history. The most significant finding from these past studies of NTDs was the identification of the protective effect of maternal, periconceptional supplementation with folic acid."
Food: FishMethyl mercury exposure in Swedish women with high fish consumption. (Sci Total Environ. 2005) "We studied the exposure to methyl mercury (MeHg) in 127 Swedish women of childbearing age with high consumption of various types of fish, using total mercury (T-Hg) in hair and MeHg in blood as biomarkers. ? Hair mercury levels exceeded the levels corresponding to the EPA reference dose (RfD) of 0.1 microg MeHg/kg b.w. per day in 20% of the women. Thus, there seems to be no margin of safety for neurodevelopmental effects in fetus, for women with high fish consumption unless they decrease their intake of certain fish species."
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