Pregnancy Induced Hypertension, Woman Heal Thyself

I have had this article from the New Statesman (a British magazine) in my files for decades. I’ve given it to many women to underline the importance of daily quality protein in pregnancy. I can’t find any reference to it on the internet and I publish it here in order to have this history preserved. Remember when reading it that no one had home computers in 1984 and there were no search engines. We had to rely on TV, magazines, newspapers and medical libraries back then. There was no email so the British postal service was the way these women contacted each other. For this young woman to undertake this project in those days is truly amazing.

The terms toxemia (spelled toxaemia by the British), and pre eclampsia have both been retired and now all these words are under the umbrella term of “Pregnancy Induced Hypertension” (PIH). Enjoy the read and leave comments. Thanks Gloria

New Statesman 6 January 1984

Health

WOMAN HEAL THYSELF

John Hargreaves on a new approach to toxaemia

FEW PROFESSIONALS care to be lectured in their own field by their clients. But when Dawn James faithfully followed her doctor’s advice during pregnancy and succumbed nevertheless to a disease which kills an average twelve women and hundreds of fetuses every year in Britain, no one could tell her why. This 27 year old woman, living in a council flat in Hackney—‘shy, and not a speaker type at all. . . from a working class background and a secondary modern school’ –determined to find out for herself.

Two years later, she was invited back by the Senior Nursing Officer to the hospital where her baby was born, to explain to the midwifery staff what she believes are the causes of toxaemia of pregnancy and how it can be prevented.

Pre-eclamptic toxaemia (a misnomer because it is now recognized that no ‘toxin in the blood’ is involved) is a condition unique to pregnancy, generally diagnosed upon appearance of two of a triad of symptoms—high blood pressure, swelling, and protein in the urine. Abdominal pains, headaches and blinding flashes of light may alert a pregnant woman that something is seriously wrong. At its extreme, the condition becomes eclampsia, the epileptic-like convulsions that can be fatal to mother and baby.

Diagnosis of pre-eclampsia is confused by the fact that all three of its cardinal symptoms may arise from other causes, many of which are entirely benign. This is often not recognized by doctors, who may begin treatment of healthy pregnant women, sometimes causing problems where none in fact existed. Even in genuine cases, standard medical treatment with bedrest, sedatives, drugs to control blood pressure, and early induction of labour does little to ameliorate the condition. Many doctors believe that the only effective treatment is to end the pregnancy.

Pre-eclampsia is still hailed as ‘the ancient enigma’ in obstetric journals, and a consultant dealing with a reader’s problem for ‘Woman’ magazine wrote recently ‘the cause of pre-eclampsia is not known. . . Because of this it is not possible to give advice on how to avoid it.’ While midwives have taken Dawn James’s findings seriously, the obstetric profession remains obdurate and aloof.

It was in the women’s magazines that Dawn James began her own search, with a request that others who had suffered pre-eclampsia write to her. She had 200 replies. She sent them a questionnaire, and compared her findings with what she had learned from the textbooks. Pre-eclampsia was supposed to be more common in twin pregnancies, overweight women and diabetics, and to run in families. None of these categories fitted Dawn James, and none was common among her correspondents. These women, anxious about their future, had invariably been reassured by their doctors that pre-eclampsia was a disease of first pregnancies only. Yet out of the 32 respondents who had undertaken another pregnancy, 23 had suffered pre-eclampsia again! With the support of many of these women, Dawn established P.E.T.S., the Pre-Eclamptic Toxaemia Society.

DAWN BEGAN a massive educational effort involving correspondence with the experts’ across the three continents and delving through the medical journals reaching back over a hundred years. But alongside continuous reportage of this work in the quarterly P.E.T.S. newsletter, Dawn kept publishing the personal experiences of her members – tragic accounts of unsuspecting women meticulously following their doctors’ orders and yet succumbing quite suddenly to convulsions and coma and having either a premature, low weight baby (with a much higher risk of mental or physical disability) or a stillbirth.

An underlying theme did begin to emerge from Dawn’s reading, and that was the supreme relevance of the mother’s diet. John Lever at Guy’s in 1843 was probably the first obstetric physician to take a dietary history, noting a single daily meal of bread and tea from a woman with puerperal convulsions. The work of Hamlin in Australia, Strauss in North Carolina and, especially, Brewer in California made a strong impression. Here was an account of the aetiology of pre-eclampsia – from inadequate nutrition, through liver dysfunction, low blood albumin and reduced blood volume—which made sense and was supported by the evidence amongst the severely undernourished subjects involved. But how could this apply in Britain in the 1980s?

By the time the next newsletter was compiled, Dawn had made the most significant step of all, by simply asking herself, as so few obstetricians have asked of their patients since John Lever, ‘what exactly had I been eating?’ ‘During the first twelve weeks of my pregnancy, I was constantly vomiting day and night and survived a few weeks mostly on bottles of lucozade. . . then, at about 5 months, I was told I had gained ‘too much’ and that I should cut down on my food. I felt really hungry all the time and would sneak a potato or some bread until my husband would remind me of the expert advice and I would go back to mostly salads. . . . When I was in hospital. . . I hardly ate at all during those two weeks prior to my induction.’

Underweight and premature

Underweight and premature


Again and again, the personal experiences indicated maternal under-nutrition, sometimes instigated by doctors setting artificial weight limits. And more scientific studies, conducted by dieticians and public health physicians rather than obstetricians were given a new prominence in P.E.T.S. They showed that pre-eclampsia could be effectively prevented by thorough nutrition counselling or diet supplementation.

The obstetric profession doesn’t like this idea. ‘I would counsel that you drop any reference to Brewer’s work,’ wrote Professor Ian MacGillivray about the California champion of the nutritional thesis, ‘if you wish to have any support from research workers into this problem in the United Kingdom or for that matter, any part of the world.’

Nancy Stewart, another P.E.T.S. member and recent editor for the Association for Improvements in the Maternity Services, believes that this is inevitable given the training and role of obstetricians. ‘Prevention through good nutrition is a woman-centred approach, which means being in touch with women’s daily lives. And it has to do with health, rather than disease. This is the approach of midwives, as the guardians of normality. Obstetrics is not about health, but about diagnosing and treating disease. It is a male science, and within the political structure of maternity care it is these men, trained to approach pregnancy as a medical event, who have the power to define health care.’

Pre-eclampsia is more prevalent among unskilled working class people and teenaged, Asian and single mothers—those statistically least likely to meet the extra nutritional demands of pregnancy. How can a few informed women hope to change the system of maternity care to benefit these in greatest need? Midwives may learn eagerly from P. E. T. S., and may even recall the days when their duties included baking and delivering egg custards to get concentrated protein into poor pregnant women, but their role as independent practitioners is being rapidly diminished into one of obstetric nurses.

Perhaps P.E.T.S. can work its approach into the health care system through the back door, women taking the lead. But in the meantime as many as 15 per cent of women in pregnancy are diagnosed as pre-eclamptic, and very few of them discover in time the protective effects of sufficient high quality foods. Instead, they are categorized immediately as high risk and referred to the obstetric clinic, where sophisticated, expensive diagnostic procedures chart with scientific precision the worsening and irreversible damage to their babies.

(Transcribed by Gloria Lemay, Vancouver BC Canada from the original magazine article)

Podcast available for download

I had a great time being interviewed by Alain Desaulniers, DC, recently. Enjoy this podcast. Love, Gloria

Thanks so much for sharing about your AWESOME birth story and for your willingness to share so openly and authentically. I hope that millions are transformed through your words and message! I look forward to connecting with you soon! You rock!
I would be honoured if you would share with your circle of influence!

Your Show’s link:
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Dr. Alain Desaulniers

Family Chiropractor, Everyday Revolutions Podcast Host, Educator, Keynote Speaker everydayrevs

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BABIES BORN IN THE CHRISTMAS SEASON–KEEP THEM HEALTHY

It’s a special thing to have a baby in North America at Christmas time. Photos of the new baby under the tree with the gifts, extra time off from work, a time of holiness joy and good cheer, . . . you would think it would be the ideal time to give birth. Unfortunately, many little newborns end up in hospital at this time due to the timing of their arrival.

No Finer Gift

No Finer Gift

Photo credit http://www.gracemogadamphotography.com/2015/05/08/newton-newborn-photography-william/

1. This is sugar time. The chocolate, cookies and candies are everywhere you look and sugar undermines the immune systems of the family members leading to colds and flu.
2. Staying up late. Parties given by neighbours, school, church, etc., tend to go late and the older kids in the family are affected and can get sick at this time by the late nights AND THE SUGAR.
3. The pregnant parent is either nesting in with the new baby or is hugely pregnant and doesn’t want to go to events, so the other parent takes the bigger kids and doesn’t pay close enough attention to the sugar or the late hours.
4. The children at school tend to be getting coughs, colds, flu and they spread it to the siblings of the new baby. Those older siblings sneezing or coughing on the new baby leads to trouble.
5. Christmas travel. A lot of pressure can be put on the family of a new baby to drive 100 miles (or more) for Christmas day family dinners. No matter how much the family thinks this is a good idea, IT IS NOT. The newborn should be kept warm and cozy at home because those long car trips are exhausting, no matter how much planning happens in advance. The nursing parent has to take care of her breasts/breast milk supply. All this is best done at home.
If the breast feeding gets thrown off at this season of the year, it can result in the newborn baby failing to thrive and/or the nursing parent getting mastitis, sore cracked nipples or a diminished production of milk.

What can you do to make sure that your new baby stays out of the hospital during this season?

1. Screen all visitors by asking them “Are you sure you are completely well? We don’t want any bugs around the new baby.”
2. Buy lots of grapefruit, kiwi fruit and oranges and make them the whole family’s dessert through this time. Keep a big bowl of this healthy Vitamin C-packed fruit out and visible. Keep stocking it up. Don’t bring sugar-y foods into the house.
3. If you have older kids in school, pay close attention to their diet and sleep. Keep them healthy. Both parents need to be responsible and communicate with each other about this.
4. Both parents need to watch their own health. Stay away from alcohol, take your vitamins, keep your schedule calm, have afternoon naps, avoid annoying people, etc.
4. Take a year off from the hype and pretend you’re in a stable with cattle lowing. In the big scheme of things, you’ll be glad you did. Have a really peaceful Christmas giving thanks for the miracle of your very own healthy newborn Christ child.Christmas warmth

Keeping the Umbilical Cord Intact

These photos are a great demonstration of how the placenta, cord and baby keep working together after the birth when left intact. They were donated by a family to their midwives and I share them here with permission. If you’d like to see them on the original website, the link is http://www.nurturingheartsbirthservices.com/blog/?p=1542

The first picture was taken within the first minute or so of the birth….and then, pictures were taken “every so often” about every 3-5 minutes when the cord had changed a little more. The last picture was taken about 15-20 minutes after the birth.

Please credit or link to the original website if you share any of these photos. Thanks, Gloria.

One minute after birth

One minute after birth

cord begins to thin a little and not so tightly coiled

cord begins to thin a little and not so tightly coiled

Blood still travelling back and forth through the vessels

Blood still travelling back and forth through the vessels

Flow of blood  stopping----around 10 mins after birth

Flow of blood stopping—-around 10 mins after birth

Pulsing stopped and the jelly in the cord is collapsing.

Pulsing stopped and the jelly in the cord is collapsing.

Cord is thin after 15 to 20 minutes of being intact.

Cord is thin after 15 to 20 minutes of being intact.

Quote

“Adaptation to life outside the womb is the major physiological task for the baby in third stage. In utero, the wondrous placenta fulfills the functions of lungs, kidney, gut and liver for our babies. Blood flow to these organs is minimal until the baby takes a first breath, at which time huge changes begin in the organisation of the circulatory system.

Within the baby’s body, blood becomes, over several minutes, diverted away from the umbilical cord and placenta and, as the lungs fill with air, blood is sucked into the pulmonary (lung) circulation. Mother Nature ensures a reservoir of blood in the cord and placenta that provides the additional blood necessary for these newly-perfused pulmonary and organ systems.”

Sarah Buckley, M.D.
Source: http://sarahbuckley.com/leaving-well-alone-a-natural-approach-to-the-third-stage-of-labour

CHEAT SHEET FOR PARTNERS –Breast feeding support

CHEAT SHEET FOR PARTNERS

    Breastfeeding Support

This is a brief list of ways to make a big difference for the woman who is breast feeding. Do one, some, or all, everything matters.

1. When the breast comes out, you run to get a big glass of something for her to drink. (Trust me, the minute the baby latches on, her throat will go dry).
2. Find (or buy) a low foot stool for her. (Rubbermaid makes a good one and Ikea has a cheap, functional one). Putting her feet on a stool brings baby up to the breast so she doesn’t have to hunch forward.
3. Watch her shoulders, if they are hunched forward, she’s not relaxed. Find some soft pillows to bring baby up higher or support her arms. She’ll forget about this so you keep on top of it.
4. Tell her what you authentically appreciate about her feeding the baby. E.g. Thank you for all you do to make our baby healthy. You look so beautiful when you’re feeding the baby., etc etc.
5. Put a snack beside her, she needs extra calories to produce milk. A plate of sliced apples, toast with almond butter, cheese and crackers, etc.
6. While she’s feeding, scan the environment she’s looking at. When she’s sitting, you’re moving. Empty the trash, clear the clutter, mop the dust bunnies, water the plants.
7. Give her a shoulder massage.
The partner being an active participant in the breast feeding support can strengthen the family. Please add your ideas in the comments section.

A partner who actively works to make the breast feeding go smoothly is a treasure.

A partner who actively works to make the breast feeding go smoothly is a treasure.


Gloria Lemay, Vancouver BC Canada

6 Point Recipe for Making New Parenthood as Difficult as Possible

4 Days old and the milk is in. Continuous skin to skin in bed with mother.

4 Days old and the milk is in. Continuous skin to skin in bed with mother.

1. Start with giving the birthing woman antibiotics in high doses so that the baby develops candida (thrush) and colic. Then mix in a lot of stitches, either to repair the perineum or the lower belly/uterus.

2. Separate the mother and newborn. Make the mother walk a long distance (with her stitched body) to be able to see/feed her newborn.

3. Teach her that the best (and only) way to feed her baby is to sit upright in a chair

4. Discourage sleeping together as a family. Don’t let her know that lying down to nurse will enable her (and her partner) to get much more sleep.

5. Tell her that the baby is not getting enough milk and don’t give her the tools to increase her supply.

6. Scare her into thinking that her instincts about caring for her baby are not to be trusted and that she should listen to professionals for all things to do with her baby’s health.

Vaccines and babies in NICU

Journal of the American Medical Association

JAMA Original Investigation | June 01, 2015
Adverse Events After Routine Immunization of Extremely Low-Birth-Weight Infants FREE ONLINE FIRST
Stephen D. DeMeo, DO1; Sudha R. Raman, PhD2; Christoph P. Hornik, MD, MPH1,2; Catherine C. Wilson, DNP, NNP-BC, FNP-BC3; Reese Clark, MD4; P. Brian Smith, MD, MPH, MHS1,2
[+] Author Affiliations
JAMA Pediatr. Published online June 01, 2015. doi:10.1001/jamapediatrics.2015.0418

Importance Immunization of extremely low-birth-weight (ELBW) infants in the neonatal intensive care unit (NICU) is associated with adverse events, including fever and apnea or bradycardia, in the immediate postimmunization period. These adverse events present a diagnostic dilemma for physicians, leading to the potential for immunization delay and sepsis evaluations.

Objective To compare the incidence of sepsis evaluations, need for increased respiratory support, intubation, seizures, and death among immunized ELBW infants in the 3 days before and after immunization.

Design, Setting, and Participants In this multicenter retrospective cohort study, we studied 13 926 ELBW infants born at 28 weeks’ gestation or less who were discharged from January 1, 2007, through December 31, 2012, from 348 NICUs managed by the Pediatrix Medical Group.

Exposures At least one immunization between the ages of 53 and 110 days.

Main Outcomes and Measures Incidence of sepsis evaluations, need for increased respiratory support, intubation, seizures, and death.

Results Most of the 13 926 infants (91.2%) received 3 or more immunizations. The incidence of sepsis evaluations increased from 5.4 per 1000 patient-days in the preimmunization period to 19.3 per 1000 patient-days in the postimmunization period (adjusted rate ratio [ARR], 3.7; 95% CI, 3.2-4.4). The need for increased respiratory support increased from 6.6 per 1000 patient-days in the preimmunization period to 14.0 per 1000 patient-days in the postimmunization period (ARR, 2.1; 95% CI, 1.9-2.5), and intubation increased from 2.0 per 1000 patient-days to 3.6 per 1000 patient-days (ARR, 1.7; 95% CI, 1.3-2.2). The postimmunization incidence of adverse events was similar across immunization types, including combination vaccines when compared with single-dose vaccines. Infants who were born at 23 to 24 weeks’ gestation had a higher risk of sepsis evaluation and intubation after immunization. A prior history of sepsis was associated with higher risk of sepsis evaluation after immunization.


Conclusions and Relevance
All ELBW infants in the NICU had an increased incidence of sepsis evaluations and increased respiratory support and intubation after routine immunization. Our findings provide no evidence to suggest that physicians should not use combination vaccines in ELBW infants. Further studies are needed to determine whether timing or spacing of immunization administrations confers risk for
the developing adverse events and whether a prior history of sepsis confers risk for an altered immune response in ELBW infants. http://archpedi.jamanetwork.com/article.aspx?articleid=2300376&utm_source=silverchair+information+systems&utm_medium=email&utm_
campaign=jamapediatrics%3aonlinefirst06%2f01%2f2015

____________________________________________________________________
Source: this blogpost http://www.jeffereyjaxen.com/
blog/new-jama-study-confirms-nurse-whistleblowing-routine-hospital-vaccine-damage-happening-to-infants

Q & A: Caring for my son’s intact penis

    Question from a mother:

Obviously our little guy is not getting circumcised (unless he decides he wants to when he’s older and can make that decision independently) but I was wondering how to go about cleaning him, moreso when he is a bit bigger, but like I have heard you are not supposed to pull the foreskin back, but surely at some point that will need to happen to clean in there right? I don’t want to hurt/harm him, but i want to make sure that area doesn’t get full of bacteria. What is your advice on this?

    Answer from Gloria:

Oh, so glad you asked, Karin. Right now, and until he is about 4 years old, his foreskin is actually attached to the glans just as the fingernails are attached to the nail beds. You only clean what is seen. Never retract the foreskin or you could damage that natural attachment and don’t let any medical professionals do it either.

When he’s about 4, he’ll reach into his pants and find that “toy” and then he will start playing with it. (They continue that till about age 80). That is the only way that the foreskin should come back—the boy doing it himself. Most boys/men simply retract their own foreskin in the shower and rinse with plain water and replace the foreskin. That is all the cleaning that is needed. It’s very easy.

This is a link to the brochure that I give out to mother’s of boys as a pdf. http://www.nocirc.org/publish/4pam.pdf Congratulations on your new little son. Love, Gloria

sonandmom

Additional comment, June 12,2015 Bodies are designed for pleasure. Only a big meanie would deprive anyone of having fun with their own body. Part of my education on boys having fun with their toy came from my brothers. When we were little, my mom would plunk all 5 of us kids (we were 18 months apart in age) in the bathtub. My brothers would do very impressive tricks with their toys,– popping out the shiny purple surprise from inside the foreskin. There was no need for my mom to clean anything, All that bathtub play took care of things. Gloria