Monthly Archives: September 2006

SPD – Improving all the time

For the first time in I don’t know how long I can actually see an end to the pain I have had since I was 20 weeks pregnant with the SPD. I am still a long way off but since seeing the chiropractor I have been improving all the time and now actually believe I will one day get my normal life back!

While I was on holiday I managed to walk further than I have in ages with the help of either my walking stick or 2 hiking poles. I was recovering quicker from the strain and slept amazingly well (more to do with the sea air than anything!).

Since I’ve been home I have only had to use my walking stick once. I have walked into town twice with Eddie.

I saw the chiropractor yesterday and the receptionist nearly fell off her chair when I walked in unaided. Alison (the chiropractor) is really happy with my progress and is helping me to stay positive. Obviously I am still struggling with the stairs, etc and am still in a fair amount of pain, especially in the evening and at night but I actually feel I am over the worst.

So a HUGE thank you to the Madmums who pushed me to see a chiropractor! I owe you all!

    

Difference between PND and Depression?

    OK, I’m bored and when I’m bored I think!  lolol.  Firstly, I apologise for talking about depression again, but it’s not meant to depress anyone (‘cuse the pun), I’m only curious.

I was wondering what the difference is between PND and depression.  When I first went to see the doctor about my mental state it was assumed that it was depression due to my marriage separation.  I was feeling rather low and worthless.  When I talked about my feelings I realised that they seemed to have been building up over a long period of time.  Looking back it began when we moved to Trinidad about 11 months ago.  This was when Tom was around 5 months old. However, my medical file states PND, I’d only seen it as I walked out the door so didn’t ask.  I’d always assume it was depression and not PND.

It doesn’t matter really as I’m getting the treatment now, but was wondering if anyone knew the difference and how does a doctor make a diagnosis of one or the other?

Fainting and Febrile Convulsions

Has anyone any experience with their child fainting, and then having a small febrile convulsion?

My friend is in A&E at the moment with her boy (23 months) and he’s had a bit of a cold today, but no temperature as such. Earlier this evening, he was playing with his cousins and then just fainted and had a small fit. They called paramedics who wanted him checked out at the hospital, which is where they are. He has a raised temperature now, but having had a nap on his mum, he’s running up and down the corridor waving a pencil and shouting!

He had a convulsion after his MMR and was in hospital for a week with an erratic temperature. The docs then felt that it was an MMR reaction although they couldn’t be 100% sure.

Has anyone else experienced anything like this? Other than this, he’s a perfectly healthy little dude who’s 2 next month.

    

Healthy lunchbox advice offered

    

 
Pupils eating packed lunches
About 4.6 million children eat a packed lunch every day.

Leaflets are to be given to schools, teachers and parents on what makes a nutritious packed lunch – such as wholegrain bread, fruit and yoghurts.

About 4.6 million children eat a packed lunch every day, but the government says many lunchboxes contain too much salt, sugar and saturated fat.

Figures suggest 25% of children may be obese and a diabetes risk by 2020.

The efforts to improve nutrition in packed lunches follows similar moves over cooked meals.

Initiatives, such as hiring TV chef Jamie Oliver to revamp school menus, has seen the introduction of new guidelines.

In England, cooked meals must now include at least two portions of fruit and vegetables and deep-fried foods are restricted.

‘More hot meals’

The School Food Trust, which works with the government, hopes to follow this up with its packed lunch leaflets and steer parents away from chocolate, crisps and fizzy drinks.

It suggests lunches should be made up of a variety of food from the four main food groups.

They should include:

  • one portion of vegetables or salad and one portion of fruit

  • one portion of a milk or dairy item such as milk, cheese, yoghurt

  • one portion of meat, chicken, fish, eggs, peanut butter

  • one portion of a starchy food, such as bread, pasta, rice, noodles or potato

    The BBC’s Breakfast programme has learned these leaflets will be distributed in the next few weeks.

    According to the School Food Trust’s chief executive, Judy Hargadon, it will help improve childrens’ health.

    “A simple leaflet that helps you talk to your children about it, that helps you have a dialogue with the school about it, is what we’re trying to do,” she said.

    SANDWICH IDEAS
    • Cheddar cheese with apple slices
    • Cottage cheese and dried apricots
    • Brie and cranberry sauce or jam
    • Tuna, cucumber, green pepper, sweetcorn and tomato
    • Mozzarella with grilled peppers

      The School Food Trust

    “We’re not trying to patronise, we’re trying to help.”

    But Margaret Morrissey, of the National Confederation of Parent Teacher Associations (NCPTA), said the money should be spent on providing more hot meals for children.

    “We are putting a lot of money into a leaflet when we should be making sure that schools can provide a hot lunch for children,” she said.

    “We are in danger of losing what for many children was the only hot meal they get to eat in a day.”

    Asked if any parents needed guidance on how to provide healthy lunches, she said: “I am sure that there will be some of them that do, but the majority of us have a pretty good idea of what our children want, need and like.”

  • Tantrums – how far do you take it?

    How far to you take your actions to deal with your childs tantrums?

    Ella has a cold, as she has for nearly 3 weeks now although meal times are turning into a bit of a war zone. This morning at breakfast time, she ate 4 mouthfuls of weetabix and then threw a screaming hissy fit refusing to eat any more. I ignored her, and then when she’d calmed down, tried again – no luck, then she started asking for raisins. I refused as I feel that she has to learn that if she doesn’t eat her food, she doesn’t get treats. But how far do you take it when she’s off colour?

    Last night with her tea, she flatly refused to eat anything screaming the house down, throwing the cutlery etc. So she got out of her high chair, and about an hour later I caved and gave her a yogurt as I was worried she’d be up half the night hungry. With hindsight, I shouldn’t have done this really – she was still up in the night regardless!

    Ella’s tantrums mainly happen around food, I don’t know why, but I also don’t know if I’m being too mean when she’s not well.

    What do you think?

        

    Unnecessary Caesareans warning

     
    Image of a baby in an incubator
    Many emergency Caesareans could be avoided, experts say.
    Births by emergency Caesarean may often be unnecessary, a group of senior obstetricians has warned.

    More than one in five of UK babies are born by Caesarean – a third of which are because labour is not progressing.

    Writing in the British Medical Journal, the group says many operations could be avoided if senior doctors were present.

    They quote figures showing that in many cases where labour was not progressing, use of forceps or a ventouse was not attempted or was unsuccessful.

    The experts said better training and more recruitment of obstetricians were needed to address the problem.

    Junior doctors make most decisions on whether an instrument such as forceps or ventouse should be used on a woman in delayed second-stage labour.

    In more than half of emergency Caesarean cases, no attempt was made to use forceps or a ventouse for a normal vaginal delivery and, where an instrument was used, there was a failure rate of 35% for ventouse and 2% for forceps.

    The experts said that although Caesareans were sometimes appropriate, many could be prevented by the attendance of a more skilled obstetrician.

    The experts said: “A consultant obstetrician who performed a vaginal assessment was more likely to reverse a decision made by an obstetric trainee for a Caesarean and proceed to a safely conducted instrumental delivery.

    “Without increases in junior doctors’ experience and recruitment into the specialty, the problems with second-stage Caesareans will rise.”

    Risk factors

    There are several dangers to emergency Caesareans, including the risk of major haemorrhage, bladder trauma and tearing.

    Women are also more likely to have to stay in hospital for longer following the birth.

    The authors added that, despite the inexperience of trainees, the UK was making “great strides” in terms of training and care.

    But they said: “Nevertheless, it is essential to recognise the need for obstetricians to maintain and develop their skills if women are to be offered safe alternatives to Caesarean section when complications arise in labour.”

    The experts were Chris Spencer, a consultant obstetrician at St John’s Hospital in Chelmsford, Essex, Deirdre Murphy, a professor at Trinity College at the University of Dublin, and Susan Bewley, a consultant obstetrician at Guy’s and St Thomas’s NHS Foundation Trust in London.

    Dr Jo Hilborne, chairman of the BMA junior doctors committee, who is working in obstetrics, said: “This research shows why it’s so important for junior doctors to receive high quality training, and for consultants to be as available as possible.

    “Given that junior doctors’ hours are going down, and medical training is in the middle of a major shake-up, it’s vital that new and better ways of training are developed.”

    Virginia Beckett, of the Royal College of Obstetricians and Gynaecologists (RCOG), said the issue was complex.

    She added: “We do have a problem with recruitment in obstetrics and gynaecology and we are working hard on that at the moment.

    “Medical students and newly qualified doctors don’t find it as attractive as other specialisms because it’s intrusive on one’s personal life (such as unsociable hours).”

    She said the RCOG had made recommendations for consultants to be available on maternity wards 24 hours a day rather than just on call as at present.

    Disciplining a 17 month old

    How do you teach your child right from wrong at an age where their understanding is so limited?

    I’ve always said “no” when Ella has done anything dangerous or naughty, but now when you say it to her, she just laughs. If you say “naughty” she smiles and walks round saying “naughty girl” which was funny the 1st time, but has now worn thin…

    Today, she is at my sisters and Ella went up to Joseph (youngest nephew) and pulled his ear, very hard. My sister told her off, and she very deliberately went up to Joe and pulled his ear again whilst saying naughty girl. Now thats just one example. She’s mostly a very good girl, but I need to know how to teach her that no means no.

    Any ideas?

    pneumococcal vaccination

    Ollie had the new vaccination today for pneumococcal it protects against pneumonia and meningitus, he was a bit off his food tonight and spiked a temp straight away so I gave him some Calpol and he has gone to bed as normal.  They are on a catch up programme at the moment for all under 2yr olds, has anyone elses child been called for theirs yet? 

    Pregnancy test cuts risk to baby

     
    Genetic test
    Test looks for pieces of foetal DNA.
    A simple blood test to identify the sex of foetuses at just seven weeks could cut the need for further risky tests during pregnancy, say scientists.

    Many genetic disorders affect only boys or girls – and so knowing a foetus’s sex renders further tests unnecessary in around 50% of cases.

    The UK’s Institute of Child Health successfully trialled the test on more than 70 pregnant women.

    Details will be presented at a British Society of Human Genetics meeting.

    “It avoids the risks associated with invasive testing in about half of the women”
    Dr Lyn Chitty.

    The researchers tested women at risk of having babies affected by X chromosome-linked disorders that usually only affect boys, such as Duchenne muscular dystrophy.

    They also tested women at risk of carrying girls with a condition called congenital adrenal hyperplasia (CAH), which causes the genitalia to develop abnormally.

    If identified early enough, CAH can be treated in the womb using steroids.

    In both cases, the new test revealed the gender of the foetus, weeks before it can be detected by ultrasound.

    Team leader Dr Lyn Chitty said: ‘The advantages of this test are clear when used in women at high risk of a genetic disorder.

    “It allows for earlier determination of foetal sex than was previously possible using either chorionic villus sampling or ultrasound.

    “It avoids the risks associated with invasive testing in about half of the women, and in some cases at risk of CAH patients could avoid taking steroids at all when the foetus was found to be male by seven weeks of pregnancy.”

    Miscarriage risk

    Currently, to carry out a prenatal genetic test, scientists must obtain cells from the foetus, using either amniocentesis or chorionic villus sampling (CVS).

    Both techniques involve injecting a needle into the womb, which can cause a miscarriage in up to 1% of cases. They also cannot be carried out until at least 11 weeks into the pregnancy.

    Because of this, researchers have been trying for some time to develop a non-invasive technique for carrying out genetic tests during pregnancy.

    In the latest study, the scientists worked on tiny amounts of ‘free foetal DNA’ found in the watery part of the mother’s blood.

    “I can foresee ethical problems if the test were to be made widely available”
    Professor Henry Halliday.

    At the moment the technique is limited to identification of genes which are only present in the father and can be passed on to the foetus.

    This includes the sex determining genes or the rhesus gene when the father is rhesus positive and the mother rhesus negative.

    Research is ongoing to find ways of improving the extraction of free foetal DNA so that more conditions can be diagnosed, such as cystic fibrosis or thalassaemia.

    Professor Henry Halliday, an obstetrician at Belfast’s Royal Maternity Hospital, said the test could certainly be useful.

    However, he said: “I can foresee ethical problems if the test were to be made widely available – in some countries such as India and China there are significant imbalances in birth frequencies of boys and girls – probably due to selective termination of pregnancies with a female foetus.

    “Clearly an accurate diagnosis of gender at seven weeks would greatly facilitate early abortion and this modifies one’s enthusiasm for this new test.”

    Professor Nicholas Fisk, of Imperial College London, said similar work had already been reported by a French team.

    But he said the latest study could lead to the test becoming more widely available.

    Alpro Soya

    I gave Rachel a Alpro soya yogurt. Its smooth and its suitable from 6 months. she loved it and I mean her mouth was open like a bird which I haven’t seen for a long long time.

    I was just wondering if I was to see a reaction to the soya how long would it take to show up. (she is lactose intolerant and some kids that are allergic to the milk are allergic to soya as well) ? Can I give it to her every day when introducing it in her diet ?

    She is almost 1.