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Posts Tagged ‘Pregnant Women’

September 14th, 2009

H1N1 Swine Flu is Contagious and Dangerous to Pregnant Women

Irving

Just yestersay came this tragic story out of Israel; A 35-year-old woman died in Hadassah Ein Kerem Hospital due to complications of H1N1 swine flu. She gave birth to a still born earlier in the day, apparently a victim of the illness too. She is survived by her husband and 10 children, the eldest being 14 and the youngest 18 months.  (YWN News)

Dr. Gene Burke is the vice president and executive medical director for clinical effectiveness for Sentara Healthcare and he offers the following cautionary advice to pregnant women:

Dr. Gene Burke (hpiresults.com)

Dr. Gene Burke (hpiresults.com)

H1N1 is more contagious than seasonal flu. People haven’t built up resistance to it like the seasonal flu, which comes around every year.  What’s also unusual is that children, pregnant women and young adults are especially susceptible to H1N1. This is not your typical flu that normally impacts the very young and the very old. Because H1N1 didn’t die down this summer, and because a vaccine for it won’t be available until at least late October, health officials are expecting an early flu season, especially now that schools and colleges are back in session. If you think you have H1N1, seek medical attention if you’re considered at high risk for complications. That includes pregnant women, children under 5, people with chronic medical conditions, such as diabetes and asthma, and people with compromised immune systems.

Health officials don’t want to overuse anti-virals because viruses can become resistant to drugs, Burke said. If you get sick, stay home, drink clear liquids and get plenty of rest. Everything your mom would’ve told you. H1N1 has the power to spread like wildfire. If you do get sick with this, stay home. Don’t be the tough guy and say, I’m going to go in and do my work anyway.

Dr. David Trump, a preventive medicince specialist and director of Peninsula Health District in Virginia gives the following advice:

If it seems to be the flu and you’re tolerating it OK, you may not need to go to the physician. You may not need Tamiflu, one of the anti-virals used to lessen the symptoms of H1N1. Your prescription may be time and some TLC to get better. You can take acetaminophen or ibuprofen to lessen pain and fever, but avoid aspirin for children under 18, he said.

Vitals.com has more information on Dr. David Trump and Dr. Jennifer Ashton

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September 6th, 2009

Pregnant Women will wait for Epidurals with National Healthcare

Irving

Dr. Ronald Dworkin is an anesthesiologist at the Greater Baltimore Medical Center. Dr. Dworkin has authored the book  Artificial Happiness: The Dark Side of the New Happy Class. His essays on religion, medical science, and healthcare have appeared in The Weekly Standard, Commentary, Public Interest, and Policy Reviews.

Dr. Dworkin has uncovered a desire to skimp on anesthesia in the healthcare bill that Congress’s is proposing. On one of the health-care bills in Congress, H.R. 3200, the public option would reduce reimbursement for anesthesia by over 50%.

Dr. Ronald Dworkin (mentalhelp.net)

Dr. Ronald Dworkin (mentalhelp.net)

There is an old adage: You can skimp on some medicine, but you can’t skimp on obstetrics or anesthesiology. An elderly surgeon explained it to me this way, “In surgery, people die in days and weeks—a doctor has time to fix a mistake. But in obstetrics and anesthesiology, they die in minutes and seconds.”

Quality of anesthesiology care will inevitably decline. A woman in labor should not wait much more than five minutes for her epidural.  During an obstetrical emergency, a short-staffed anesthesia departments will scramble to send someone to perform the C-section. Don’t forget, a baby has only nine minutes of oxygen when the umbilical cord prolapses, so time is of the essence.

 

So we should expect that pregnant women will be waiting a lot longer for epidurals. But more pain on the labor floor is only the beginning. If hospitals delay the administration of anesthesia because Congress skimped, needless deaths will certainly result.

In 1996, he co-founded the Calvert Institute for Policy Research, a Maryland public policy center directed at looking at the entire range of state and local public policy issues. In 1998, he was Ellen Sauerbrey’s senior health policy advisor during her gubernatorial campaign and chairman of her health policy task force. In 2000, Dr. Dworkin joined the Hudson Institute as a senior fellow.

READ MORE ABOUT DR. RONALD DWORKIN

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June 24th, 2009

Dr. Lesley Williams Talks Pregorexia - Pregnant Women Obsessively Dieting & Exercising to Stay Thin

diane

Physicians are seeing an alarming rise in Pregorexia, a condition in which pregnant women diet and exercise excessively to keep their weight down. Their babies are at risk for birth defects, low birth weight and growth retardation, among other more serious conditions.

Dr. Lesley Williams, Director of Medical Services at Remuda Ranch, feels that pregnancy can be a vulnerable time.

“All of a sudden now there’s a lot of focus on your body. Where before people didn’t typically comment, now people are saying oh how you’re gaining weight and touching you.”

According to Vitals.com, Dr. Williams received her medical degree at the University Of Kentucky College Of Medicine. She treats women with eating disorders at Remuda Ranch in Arizona, an inpatient and residential facility for women, girls, and boys suffering from anorexia, bulimia and other eating disorders.

The Institute of Medicine and National Research Council has issued stricter guidelines on pregnancy weight gain, but up to 20% of women don’t gain enough weight. A former patient at Remuda Ranch, Maggie Baumann, had been disgusted with herself for gaining 33 pounds during her first pregnancy. For her second pregnancy, 5 foot 8 Maggie gained only 18 pounds. Still she obsessed about losing her post pregnancy weight, finally ending up in the ER and then sent to Remuda Ranch.

“It’s like this goal of within a few days of giving birth you’re supposed to be back to the way you were before you ever had the baby,” comments Dr. Williams.

With proper intervention and treatment Pregorexia can be beaten. Maggie Baumann went back to school to get her counseling degree and now runs several support groups for women with eating disorders.

CLICK HERE FOR MORE INFORMATION ON DR. LESLEY WILLIAMS

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