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Eating Fish While Pregnant is Good for Baby’s Brain Development

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… infants of mothers who consumed more fish during pregnancy achieved higher scores in verbal intelligence and fine motor skill testing, as well as having a higher pro-social behavior …

Fish oil is the primary source of Omega-3 fatty acids and contains docosahexaenoic acid (DHA), the main component of brain cell membranes … “it contributes to the normal development of the brain and eye of the fetus and breastfed infants” …

Eating fish is good, but it’s also important to eat the right type of fish, as some fish is higher in mercury. As a guide, the smaller the fish, the better in terms of the fish having the lowest possible mercury content. Salmon and other types of fatty fish are also better for baby’s brain development than white fish. That’s not to say that white fish is not good for you and your baby – it’s very healthy – just that fatty fish is better in terms of baby’s brain development. Canned fish is also fine; the fish doesn’t need to be fresh. Enjoy it in a salad, on a sandwich, grilled with veges or in a stew. We can enjoy winter foods given all this winter weather we’re having!

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Sharing the pain of miscarriage

Visit my website to explore home birth, hospital birth and Medicare-funded private midwifery care.

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Rachel looks into the camera, her eyes red and puffy. Tears roll down her cheeks as she wails, “I just can’t get the doctor’s words out of my head: ‘This pregnancy is not progressing. There is no heartbeat.’”

… she was told that, at 14 weeks, her baby had died.

The nine-minute, 51-second video is a very honest and emotional account of Rachel’s experience of her miscarriage, starting with the ultrasound when she heard the bad news, to her appointment with the gynecologist … and then the waiting period until she miscarried naturally.

… “It’s very difficult – I just want to share it and explain a little bit of what I’m going through.

… “It’s so raw,” she says. “But I know women can relate to it, so I’m happy that I can help them.”

… “Around one in four pregnancies ends in a loss, and one in 10 babies is born prematurely, often needing intensive care on a life support system,” …

… It’s all part of National Pregnancy Loss Awareness Month, which aims to shed light on a range of topics that can be difficult to discuss.

… Another couple … say talking about the trauma of miscarriage helped them …

“We went to the obstetrician appointment all excited to get the first photo and have the first glimpse and details about the baby,” … “When we got in there the obstetrician was scanning around my wife’s stomach and he said ‘oh … there’s nothing there, there’s no heartbeat’.

“It’s the last thing you expect, and we were both in shock … ”

… Tony admits that people don’t like to talk about miscarriage, but he has found that being open and upfront about the topic has helped.

… “speak to people who have an understanding of what you’re going through … You feel a million of those thoughts – should I have not gone to work that day? did I lift something wrong? is there some way I could have prevented what happened? …

I have written two articles on miscarriage in the hope that they might help women who have experienced miscarriage, and those who support and care for them:
Women’s experience of miscarriage
Advice on coping with a miscarriage

Bottle-feeding ruining tots’ teeth – says Children’s Hospital’s dental expert

Interested in home birth, hospital birth or Medicare-funded private midwifery care? Questions or comments? Email Melissa Maimann or call 0400 418 448.

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AUSTRALIA’S leading children’s hospital has urged parents to stop bottle-feeding their babies because of rising rates of severe tooth decay in infants as young as 12 months.

… prolonged feeding with bottles of breast milk and infant formula are linked to the problem, especially at night, when children suck on bottles in their cots for extended periods.

… naturally-occurring lactose was present in both breast milk and formula. When combined with plaque in a baby’s mouth, it could erode the enamel of primary teeth.

“Ideally, children should go straight from breast to cup, avoiding bottles altogether,” …

… the hospital had been removing teeth, under general anaesthetic, from babies as young as 12 months due to bottle-feeding infants at bedtime.

Paediatric dentists had noticed a pattern of decay on the back of the upper front teeth, indicating the cause was drink from a bottle that had been held between the child’s tongue and teeth for prolonged periods.

… The waiting time for dental surgeries under general anaesthetic is between nine and 12 months.

… primary teeth were important because they helped children chew food properly, develop proper speech and guide permanent teeth into the right place.

Even when teeth had not formed, it was important to establish good habits and not let a child become accustomed to sucking on a bottle at night …

Melissa Maimann, Essential Birth Consulting 0400 418 448

Coroner warns on babies in bed

Interested in home birth, hospital birth or private midwifery care? Questions or comments? Email Melissa Maimann or call 0400 418 448.

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A CORONER has delivered a damning judgment against the practice of parents sleeping with their infant children.

He concluded that it increased the risk of the child dying.

South Australian Coroner Mark Johns made the ruling after holding an inquest into the deaths of five babies in 2007 and 2008 who had slept with a parent or grandparent.

“The message to be drawn from these five tragic deaths is that the risk of sudden, unexplained death in infancy is greatly increased where a child sleeps in the same bed with one or more parents or other adults, whether the mechanism of death is asphyxia due to overlaying, bedding or otherwise,” Mr Johns said in his findings.

Seven-week-old Hannah Francis died after her father, who was trying to settle her, lay on the couch with her on his chest. It was about 3am and the tired father fell asleep. When he woke up about six hours later he found his baby suffocated, lying between a pillow and the back of the couch.

Naomi Kade was 10 months old when her grandmother joined her in bed to sleep. At some point in the night the grandmother’s arm came to cover Naomi’s nose and mouth, leading to asphyxiation.

James Cleland, four months, went to sleep with his mother and a four-year-old sibling with his head between two pillows. He was found lying slightly on his left, facing into a pillow.

Diesel Phelan, three months, and Jaia Nelson, three weeks, had been sleeping with their mothers when they died.

South Australian SIDS and Kids state manager Colin Cameron said his group had been advocating for 20 years against parents sleeping with their babies.

“We recommend that parents do not co-sleep at all,” Mr Cameron said. “Infants are very vulnerable in those first 12 months.”

… although co-sleeping increased risks of sudden death in babies, there were some benefits to parents sharing a room with an infant where the child slept in a cot.

… infants sleeping in the same room as their parents were more stimulated and therefore would not experience deep sleep, which cut the risk of Sudden Infant Death Syndrome.

Mr Johns said placing an infant in a cot beside the parental bed seemed reasonable …

Professor Byard noted co-sleeping was common in some societies and cultures that had not experienced problems with infant deaths.

But in Western society the situation was different because bedding tended to be softer than some traditional Asian societies and parents tended to be heavily built and often affected by alcohol or other drugs …

Melissa Maimann, Essential Birth Consulting 0400 418 448

Private Midwife listed in the Top 10 Pregnancy and Childbirth Blogs

I was thrilled to recieve an email yesterday informing me that Sydney Midwife has won the 2010 Top Medical Blog award in the Pregnancy and Childbirth category!

After receiving numerous feedback, Sydney Midwife has won the award for Pregnancy and Childbirth blogs. The award recognises quality blogs and bloggers.

Have a look at the top ten Pregnancy and Childbirth blogs and congratulations to the other recipients.

Submit your question for “Question of the day”

Question of the Day
Each day, I will answer a question from readers of this website. Feel welcome to submit a question that you would like to have answered – simply add a comment to this page. Questions are welcome about maternity services in Australia, general information about pregnancy, birth, midwifery and so on.

Forum
I have also created a new forum to stimulate discussion about maternity services and birthing options in Australia and around the world, or to share new research and information about pregnancy, birth or maternity services. The aim of the forum is to increase family’s knowledge of the options that are available to them, especially as maternity services undergo a period of dramatic change this year.

Birth in Sydney Yahoo! Group
A new Yahoo! Group has also been created: Birth in Sydney, for those who prefer to chat via Yahoo! groups. Birth in Sydney is all about sharing information for a safer and more satisfying pregnancy and birth experience. It has been crated for families who are interested in all types of birth such as natural, caesarean, epidural, waterbirth, homebirth and so on. It’s a fun, supportive and friendly place to share information and talk about anything and everything related to pregnancy and birth.

FAQs

Interested in home birth, hospital birth or private midwifery care? Questions or comments? Email Melissa Maimann or call 0400 418 448.

What does an obstetrician cost in Sydney?

Fees vary greatly. As well as considering obstetrician’s fees, also consider costs such as private health insurance co-payment or excess, extra fees and charges associated with private hospital stays, paediatrician and anaesthetist fees and additional costs for ultrasounds and tests. All up, you’re looking at somewhere between $2,000 and $10,000.

Private midwifery care, on the other hand, costs somewhere between $3,000 and $6,000.

Are there any antenatal / prenatal birthing classes in the Westmead area?

Yes, this service provides antenatal classes in the Westmead area.

What is the ceasearan rate in Australia in 2009?

This won’t be known until around 2011. In 2007 it was around the 30% mark and caesarean rates have increased most years. The current caesarean rate is around 30% – 35%.

induction vs cesarean and diabetes

What about another option? What about a natural birth? Provided that there are no complications as a result of the diabetes, this might be a great option to discuss with your care provider. You might also wish to seek a second opinion with a private midwife.

Intervention in midwifery?

Midwives are experts in natural birth, and therefore tend not to intervene in births. If intervention was felt to be necessary, an obstetrician would be consulted.

natural birth in a hospital australia?

Natural birth is far more likely in a homebirth (homebirth has an average transfer rate of 25% and the births that occur at home are 100% natural). In some hospitals in Australia, natural births are around 5%. Private midwifery care dramatically increases the chance of a natural birth in any setting.

Prenatal classes sydney

Yes, this service provides antenatal classes in Sydney.

Melissa Maimann, Essential Birth Consulting 0400 418 448

A Face lift!

I’ve wanted to change the look of Sydney Midwife for a while, and here it is. The “new” look.

This blog will contain the same sort of information that you’re used to reading – articles of interest that relate to pregnancy, birth and breastfeeding; contemporary issues in midwifery; and of course promotion of home birth, continuity of care and private midwifery in Australia.

Enjoy the new look of Sydney Midwife!

Smoking May Lead to SIDS

Link to article
For further information, contact Melissa Maimann at Essential Birth Consulting.

By Robert Preidt

Smoking by mothers has replaced infants sleeping on their stomachs as the greatest modifiable risk factor for sudden infant death syndrome. When mothers smoke, the sleep arousal process of infants, which awakens them in response to a life-threatening situation, is altered, increasing the risk for SIDS.

Infants who are exposed to smoke had reduced sub-cortical activation to cortical arousal, lower rates of full cortical arousals from sleep, and higher rates of sub-cortical activations than infants of non-smoking mothers. Maternal smoking can impair the arousal pathways of seemingly normal babies, which may explain the increased risk for SIDS.

- Yet another reason to quit!

Melissa Maimann, Essential Birth Consulting.

Sex after baby

As published on Essential Baby

For further information, contact Melissa at Essential Birth Consulting

Sex after baby
Melissa Maimann
January 12, 2009

Welcome to parenthood! New babies are amazing, wondrous beings, aren’t they? But, for someone so small, they can bring with them endless tasks. Is there any time or desire for sex?

Your new to do-list reads something like: nappies, feeding, settling, general household chores, shopping, washing, more nappies, more washing, feeding, tending to the older kids, work – the life of a parent is busy indeed. Sleep seems a pretty tall order, let alone sex. After the birth, it might be the last thing on your mind!

Both men and women can have issues with sex after birth. For men, the concern is often, “What if I hurt her?” Women, too have concerns about sex after birth, such as “will my stitches open up?” or “will it hurt or feel different for us both?” Women may not feel like sex for several weeks, months or even a year or more after birth. After giving birth, some women feel detached from their sexuality whilst they adjust to motherhood. This is a very normal response to having a new baby.

Women who have experienced physical trauma from birth are more likely to experience painful sex in the months and sometimes years after birth. In particular, a forceps birth and/or an episiotomy can often result in vaginal and perineal pain. Some other reasons why you might not feel like having sex are:

- Recovering from a long labour
- Exhausted from lack of sleep
- Sore and tender stitches
- A baby who is unsettled, perhaps having problems with feeding
- Experiencing an emotionally or physically traumatic birth
- Changing hormone levels
- Fear of another pregnancy

All of these concerns are normal and valid. It is important for couples to talk to each other about their fears and be sure to allow yourself the time you need.

When can we have sex again?
As a guide, it’s best to wait for any bleeding to stop before having intercourse, to minimise the risk of infection. This can take two to six weeks. Some women wait until they have their 6-week check with their doctor or midwife. Others wait longer. For some women, sexual desire returns soon after birth, while for other women, it takes many months. Generally speaking, you can resume sex as soon as you feel physically and emotionally comfortable to do so. It’s important not to have sex purely to please your partner as this can help resentment to build. Have sex when you’re both ready.

Australia is not so baby friendly

For further information, contact Melissa Maimann at Essential Birth Consulting.

Ms Randa Saadeh, a Senior Scientist with the World Health Organization (WHO), is speaking at the Australian Breastfeeding Association’s national seminar series … [she] is stressing the need for hospitals, workplaces and the community to support mothers and babies to continue breastfeeding.

Current infant feeding practices in Australia are resulting in unnecessarily high hospitalisation rates. Early weaning increases, by five fold, the risk of respiratory disease, gastro, middle ear infections and obesity.

The Baby Friendly Health Initiative (BFHI) improves breastfeeding rates which result in fewer child health interventions, including costly hospital admissions. In Australia however, the number of BFHI accredited hospitals is just 20%. New Zealand boasts 90% of their hospitals with BFHI status as a result of strong government support.

Melissa Maimann, Essential Birth Consulting.

Breast-Feeding May Reduce Risk for SIDS by Half Throughout Infancy

For further information, contact Melissa Maimann at Essential Birth Consulting.

Breast-Feeding May Reduce Risk for SIDS by Half Throughout Infancy
Author: Laurie Barclay, MD
CME Author: Penny Murata, MD

Breast-feeding reduces the risk for sudden infant
death syndrome (SIDS) by approximately 50% … Exclusive breast-feeding at age 1 month was associated with half the risk for SIDS. Although partial breast-feeding at age 1 month was also
associated with lower risk for SIDS, this risk was not significant …

SIDS is a leading cause of death in infants … [the] SIDS risk was 2-fold higher in formula-fed vs breast-fed infants … However, breast-feeding is not universally included in SIDS prevention guidelines.

- Yet another benefit of breastfeeding!

Melissa Maimann, Essential Birth Consulting.