ObG Watch

1. ObG Watch July 2004

2. K A G U Y A Has 2 Mummys but No Daddy!

3. Meet Zoe Koz, the smallest baby to survive Born in Jan 2004 & weighing just 10 oz (284 gms), Zoe Koz fitted into his father’s palm. He went home on 4th June after eye surgery & is still on Oxygen.

4. Cochrane Review 2004 Massage to Promote Growth, Decrease Stress & increase Tactile stimulation in Preterm & LBW Conclusion: ‘Evidence is weak’ Massage

5. 812 Deliveries in women with Periodontitis DNA probe of oral pathogens / PP Mat bld / fetal cord bld Preterm 19.9% vs 6.9% (high IgM) C. rectus culprit? Ann Periodon Dec 2001 366 Women with Periodontitis Preg <35 wks Blinded RCT 84% less Preterm in Scaling + Root planning + Placebo Group compared to Group trted with post op metronidazole J Periodon Jan 2003 What has Tooth got to do with Preterm Labour?

6. What has Fish got to do with Preterm Labour? • Incidence of 7.1% of PTL & FGR in Group never consuming Fish to • 1.9% in Group eating Fish • as hotmeal atleast once a week • In a study of 8729 women • Maternal Nutrition Group • Danish Epidemiology Science Center, Copenhagen • BMJ Feb 2002

7. N-3 Fatty Acids: Docosahexaenoic Acid ( DHA ) And Prevention of Preterm labour DHA Gestational Duration PG Synthesis Uterine Contractions Preterm Labour Biol Med vol226(6)2001 Am J ObG Apr 1997 BMJ Feb 2002

8. DHA & Brain Development ‘Intake of DHA-PUFA during Pregnancy&Lactation (Cod liver Oil) may improve child’s IQ’ -Helland et al Paed Jan2003 Breast-fed Babies have a Higher IQ ( 8 points ) -Lancet 1994

9. DHA & Sleep Prenatal exposure to higher concentration Of DHA results in Mature pattern of Sleep Suggesting better CNS integrity - Am J Clin Nutr 2002

10. Early Learning • Fetal Neural Activity • Begins at 10 weeks • Neurons spin out Axons • Electrical activity fine • -tunes Brain circuitry • Learning begins at Birth • with sensory experiences

11. Tips for 'Hands on' Parenting

12. WHAT GOES ON? • Babies can see at Birth • Knack of Focussing comes later • What Parents can do? • Regular eye exam • From 2 weeks onwards

13. What goes on? • Emotion circuits are • Constructed early • Distress & Contentment • Followed by • Joy, Sadness,envy, • Empathy, Pride, Shame • What parents can do? • Loving care provides Emotional Stimulation • Neglect & Abuse lead to Anxiety & abnormal stress response

14. What goes on? • Tunes to Mother’s voice • Even before Birth • Deciphers & reproduces • Lyrics in 6 years • Can recognize vowels • (Building Blocks of Speech) at 6 months • What parents can do? • Talking a lot speeds up Learning process • High pitched sing song style help connect objects with words

15. What goes on? • Movements jerky at Birth • Refined circuits for Reaching • Grabbing, Sitting, Crawling. • Walking & Running in 4 years • What parents can do? • Give • Freedom to explore safely • Engage in Activities for • Hand-eye coordination

16. "Newfangled abonimable heathenish liquor called coffee..." -Womens petition against coffee 1674 "Coffee must be a slow poison, for I am 84 and am not dead yet" -Voltaire

17. IMPLICATED IN: Cancer Cardiac Mental Osteoporosis Impotence Infertility Abortion Preterm FGR “Coffee gives me warmth, Waking and an Unusual force”

18. NO EFFECT ON: CV Problems MI, Arrhythmias, Atherosclerosis Hypertension Cholesterol Acid Peptic Disease Osteoporosis Ca Breast / Bladder Quality of Sleep Fertility Male/Female Fetus/Neonate Teratogenesis Abortion Uterine Contractions BENEFITS: Increased Alertness Better Work Performance Elevates Mood ( More after Meal ) Anti oxydants Less: Suicides RTAccidents colorectal Ca Gall stones Cirrhosis Asthma Parkinson’s Type II DM Adverse Effects: Less Sleep More Anxiety Crosses Placenta Secreted in Milk

19. Pat Skinner with her X Ray A 17-cm Scissors left inside abdomen at Surgery for Ca Colon at St George Hospital, Sydney in 2001 – Retrieved 18 months later -Sky TV

20. Have a Good Evening!