There is no question that drinking milk in pregnancy improves the growth of the developing fetus. But what about future growth? Does it affect the height of adults too? A new study published online Sept. 4, 2013 in The European Journal of Clinical Nutrition shows that the amount of milk a pregnant woman drinks is not only...
Like most moms-to-be, you want assurances about your and the baby’s health and you want to have the right tests done to ensure you get the information you need. That's where prenatal testing comes in. Seeing your doctor during pregnancy involves many things, but more importantly it includes a whole list of tests to check on the...
Content:  It seems unthinkable to deliberately deprive a newborn baby of 30% to 40% of its blood supply but some delivery experts suggest we do exactly that when the umbilical cord is severed within a minute of its birth. A recently published report indicating a wait of just another minute or two delivers immediate benefits to...
This is an excerpt from a publication: Chemical Exposures During Pregnancy:  Dealing with Potential, but Unproven, Risks to Child Health Under normal lifestyle and dietary conditions, the level of exposure of most women to individual environmental chemicals will probably pose minimal risk to the developing fetus/baby. However,...

A very happy day for Dr.Amos

Today is a very happy day for me. I met 4 children of the same family that I delivered. And the mom of 3 of them is going to have another baby today!  
I found this interesting article describing the author's feelings about controlling pregnant women, birthing plans, homebirth, and birth experience here. The authors describes "birthzillas" as women for whom it's all about the birth experience and not the baby. Or, as someone else describes it, throwing the baby out with the...
Medicine can be complicated. Doctors spend many, many years in College, Medical School, and training to learn about their specialty.   Just because someone writes something and it's on the internet, that doesn't mean it's correct. Below we list some sites and information that publish incorrect information...
Pre-eclampsia has been defined as a disease of first pregnancies. The association between primiparity and pre-eclampsia is so widely accepted that it is at the core of several pathophysiological theories. For example, it has been proposed that pre-eclampsia is the consequence of a maternal immune reaction against paternal...

Typical patient questions about lifestyle

Many of my patients ask me about lifestyle issues and pregnancy, especially about exercise, alcohol, caffeine, and artrificial sweeteners. Here are my straight-forward answers: Exercise When there are no other medical contraindications, I would recommend in pregnancy regular moderate exercise but try to avoid more strenuous,  ...
  January is National Birth Defects Prevention Month, a time to focus on raising awareness about the frequency with which birth defects occur in the United States  Every 4 ½ minutes, a baby is born with a major birth defect in the United States. They are a leading cause of death among U.S. infants, accounting for about 20% of...
PCBs  (polychlorinated biphenyls) are chemicals that have been used as coolants and lubricants in electrical equipment. Since PCBs are found throughout the environment, it is likely that everyone has been exposed to them. PCBs can enter the body by eating or drinking contaminated food, through the air we breathe, or by skin...

Pregnancy and fertility Links 12-31-2012

The Americal Congress of Obstetricians and Gynecologists published a Committee Opinion on obesity in pregnancy and recommendations on weight gain during pregnancy. ABSTRACT: In the US, more than one-third of women are obese, more than one-half of pregnant women are overweight or obese, and 8% of reproductive-age women are...
Up to one in three women experience vaginal bleeding during the firest few months of the pregnancy, and many wonder how they can make sure the pregnancy is viable. In a study published in the Obstetrics & Gynecology journal, the authors reviewed records of patients with first trimester vaginal bleeding who were evaluated...

I took the 12/12/12 12:12 Baby Picture

Wednesday 12/12/12 was a special day. And I was so lucky to take the picture of what seems to be the only baby born in the United States on 12/12/12 at 12:12 pm. The baby was born at the NewYork-Presbyterian Hospital where I am the chief of labor & delivery: Amos Grunebaum, MD The picture was published by many places...

Exposure Before and During Pregnancy

There are more and more studies that show that exposure before and during pregnancy can have a significant impact on fetal development and have an adverse effect on health. In a great review published in the December 2012 American Journal of Obstetrics and Gynecology journal, the authors reviewed agents that could negatively...
According to a study  published in the Australian and New Zealand Journal of Obstetrics and Gynaecology, a third of women surveyed gained too much weight during pregnancy. Another third struggled to gain enough weight with some mothers recording a lower weight just before giving birth than they did before pregnancy. The study...
The #1 question on BabyMed is: "I am having all these symptoms, could I be pregnant and am i pregnant with these pregnancy symptoms and a negative pregnancy test"? If you think you may be pregnant then the first thing to do is to do a pregnancy test. The pregnancy test usually provides you with the best answer. Without testing...

Pregnancy and Fertility Links 12/5/2012

A new technique using an MRI shows twins fighting inside the uterus. If a woman was herself born prematurely (before 32 weeks) and/or she was small for gestational age she herself will have increased pregnancy complications in her pregnancy including increased risks for diabetes and hypertension/preeclampsia. Patients with...
Today, Dr. Grunebaum was interviewed about the pregnancy of Kate Middleton the Dutchess of Cambridge. She was admitted to the hospital with hyperemesis gravidarum, and Dr.Grunebaum commented: “Morning sickness is normal,” he said. “Hyperemesis gravidarum is not.”  Hyperemesis gravidarum (HG) is vomiting during pregnancy that is...
"This study found evidence of a protective effect for increased hospital volume on birth asphyxia in California. If further work confirms the apparent higher risk conferred by delivery of lower-risk pregnancies in a setting of low obstetric volume, providers and patients should consider how to improve outcomes for these lower-...
Preeclampsia, is a deadly disease both for mothers and their fetuses. Recently, preclampsia has not only been considered a disease during pregnancy but also a risk factor for developing diseases later in life. Preeclampsia has become not only a disease that obstetricians and gynecologists are interested in but it halso is...
Children encounter pesticides daily in air, food, dust, and soil and on surfaces through home and public lawn or garden application, household insecticide use, application to pets, and agricultural product residues. For many children, diet may be the most influential source, as illustrated by an intervention study that placed...
When you are finally ready to try and get pregnant with assisted reproductive technology (ART) you should know what your clinic's success rates are. Many people who are considering ART will want to find the “best” clinic, but comparisons between clinics must be made with caution. Many factors contribute to the success of an ART...
Every year, over 15 million babies are born premature (under 37 weeks) and over 1 million die because of prematurity. According to a study in The Lancet , there are five interventions for all 39 countries with higher development that could lead to a 5% relative reduction of preterm birth rate from 9·59% to 9·07% of livebirths...

Pregnancy and Fertility Links 11-29-2012

The American Academy of Pediatrics AAP recommends that emergency contraception be made available to teens. Researchers found a new gene that may explain infertility. An Ottawa scientist has discovered a critical reason why women experience fertility problems as they get older and points to a simple solution that could increase...

Pregnancy and Fertility Links 11-26-2012

This research, just presented at the 68th Annual Meeting of the American Society for Reproductive Medicine, focuses on diet and how it impacts sperm quality or In Vitro Fertilization success rates. Waiting to clamp the umbilical cord until 30–60 seconds after birth may benefit the health of preterm infants, but no evidence...

Pregnancy and Fertility Links 11-24-2012

According to a new study, babies exposed in utero to a mother smoking perform poorly in school on certain tests. In women aged 40-44 years old using single embryo transfer (instead of double embryo transfer) may work better and decrease twins and other pregnancy complications. Selective serotonin reuptake inhibitors (SSRI) are...
When a preterm delivery is expected, parental counseling should be based on accurate data regarding survival rates and the likelihood of major disability among survivors at the given gestational age. This is crucial at the borderline of viability, when management options being discussed with the parents often include...

Male Infertility Links 11/22/2012

Controversy still exists whether varicocele repair is really needed to improve male fertility. In this study, sperm quality decreased over a 20-year period. When are we going to have a male pill to prevent pregnancy? An Australian fertility expert says that men should not delay having children too far beyond their mid-30s...

Fertility Links 11/21/2012

A mother's age at menopause may predict her daughter's fertility in terms of eggs remaining in her ovaries. A Belgian demographer discovered that a State's Fertility Rate was related on whether it voted Republican or Democrat. When women are fertile they choose the sexy guy over the stable guy. Researchers found that women...

Infertility Links 11/19/2012

This new concept needle device could make it easier to inject infertility medication for women with infertility. Quality of life can be improved with adoption in couples with infertility. New research reveals hidden cause of unexplained infertility may be damage of the DNA in spems. This study reveals that couples undergoing...

Pregnancy Information Links 11/17/2012

  New York got a "B" and Alabama an "F", while only four states got an "A" on the March of Dimes Prematurity Report Card. A new blood test from Sweden can predict the risk of preterm birth with 75-80% accuracy.  November 17th was World Prematurity Day. Read what Dr.Lee had to say about premature deliveries. Preterm births kill...
Getting pregnant is not always easy. Below are 15 effective ways on your way to improve your chances getting pregnant. Take a prenatal supplement plus folic acid Track your cycles and make sure you ovulate See your doctor for a preconception visit Get tested Check for fertility signs Have sex when you are most fertile Have sex...
Q: I am 41 years old. How can I have a healthy pregnancy? A woman should never assume that just because she has reached age 40, she cannot have a healthy pregnancy. Getting pregnant may be more difficult, but that doesn’t mean the pregnancy itself will be. Statistically, a woman’s chances to conceive start to decline in her...
One of the major reasons that you receive prenatal care and deliver in a hospital is that you want to identify certain complications in pregnancy early on and prevent them from happening. Here are the ten most common pregnancy complications: Miscarriage: 1 in 3-4 pregnancies GBS Group B Strep: 1 in 3-4 pregnancies Rh negative...
According to new guidelines from the American College of Obstetricians and Gynecologists most women do not need cervical cancer screening more frequently than once every 3 to 5 years. 1. Women under 21 do not need a Pap test 2. Women between the ages of 21 and 29 years should get a Pap test every 3 years. 4. Women age 30-65...

Dyed Pork Sold As Beef

It's difficult to make this up. A report says that meat sold in Sweden as beef is actually pork that has been dyed and made to look like beef. "In Sweden it's difficult to tell how much [doctored meat] there is and we don't know if it has all been sold". "The pigmentation of beef is different - this meat is red, but seems not...
This study shows that assisted reproductive technology pregnancies were associated with increased risks such as preterm birth, placenta previa, and low birthweight infants. In this Japanese study of 242,715 pregnancies published in Fertility & Sterility the authors reviewed pregnancy outcomes after 3 types of assisted...
If you previously had an ectopic pregnancy, your risk of having another one is nearly 1 in 5 and you also have a lower chance of a normal pregnancy. "Women whose first pregnancy is ectopic face an elevated risk for additional ectopic pregnancies and a lower overall delivery rate, Danish researchers reported." "Among women who...
This is a funny and serious article in the New England Journal of Medicine about consumption of chocolate and Nobel prize winners .    The more chocolate was consumed in a given country, the more there were Nobel prize winners. Sweden was the exception, but there is where the Nobel prizes are handed out, so they may have been...
Prolonged formula feeding may increase the odds for pediatric acute lymphoblastic leukemia (ALL), investigators in a case-control study concluded. "Each additional month of formula feeding was associated with a 16% increase in the relative risk of ALL compared with a control group. Every additional month of delay in the start...
Placenta previa is a potentially life-threatening condition during and after pregnancy when the placenta covers the cervix . "In an interview with Us Weekly magazine, the 39-year-old mother of four revealed just how risky her fourth pregnancy really was." "Spelling was rushed to a Los Angeles hospital, where she learned she...
No increased heart risk... The calcium supplements widely prescribed for bone health in women did not appear to be associated with increased cardiovascular risk, researchers found. An analysis looking at outcomes for women who took more than 1,000 mg of calcium each day -- the dose that has been used in many of the trials...
There is now ample evidence that measuring the cervix with transvaginal ulttrasound can identify pregnancies that may be at risk for preterm labor and delivery and treating them with progesterone may decrease preterm labor and delivery. "Term labor is preceded by cervical ripening and effacement by several days. It would make...
"In this large-scale, randomized, placebo-controlled trial among middle-aged and older men, long-term daily multivitamin use had a modest but statistically significant reduction in the primary end point of total cancer after more than a decade of treatment and follow-up." "In this large-scale randomized trial of 14 641 middle-...
Fertility is directly related to age, and counseling a couple about their fertility as they get older is very important. "Women in their 20s and 30s should be counselled about the age-related risk of infertility when other reproductive health issues, such as sexual health or contraception, are addressed as part of their primary...
  A new global television message from Celine Dion calls on families to use social media to connect with each other and ask governments take action to prevent premature births and save babies’ lives. The global toll of preterm birth is harsh. The 2009 March of Dimes White Paper on Preterm Birth estimated that worldwide, 13...
As the number of cesarean sections has risen sharply, with no clear evidence that they improve the health of mothers or babies, experts say that childbirth has become overly medicalized and overly expensive. Now some hospitals are making an effort to reduce those trends. "Massachusetts General Hospital has phased in several...
Though few studies track how often a spontaneous pregnancy after use of assisted reproductive technology occurs, those that do suggest it is not uncommon."Most recently, a French paper published this summer in the journal Fertility and Sterility found that 17 percent of women who gave birth after IVF became pregnant again...
Eating certain types of fish with even low levels of mercury while pregnant can increase the risk for attention-deficit/hyperactivity disorder (ADHD) in offspring, whereas consumption of several other types of fish during pregnancy may protect against the disorder, new research suggests. A cohort study of almost 400 children...

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