RE: [ozmidwifery] Fish oils and postdates
Fish Oil in Various Doses or Flax Oil in Pregnancy and Timing of Spontaneous Delivery: A Randomized Controlled Trial [Obstetrics: Preconception and Prenatal Care] Knudsen, V K.; Hansen, H S.; Østerdal, M L.; Mikkelsen, T B.; Mu, H; Olsen, S F. Maternal Nutrition Group, Department of Epidemiology Research, Statens Serum Institut, Copenhagen S, Denmark; the Department of Pharmacology, Danish University of Pharmaceutical Sciences, Copenhagen, Denmark; and the Biochemistry and Nutrition Group, BioCentrum-DTU, Technical University of Denmark, Lyngby, Denmark BJOG 2006;113:536543 ABSTRACT http://gateway.ut.ovid.com/gw1/ovidweb.cgi#toc#toc Previous studies have suggested that a diet containing long-chain n-3 fatty acids derived from fish oil may delay spontaneous delivery. The investigators, in a randomized, controlled trial, addressed this hypothesis and also sought to determine whether alpha-linolenic acid (ALA), in the form of flax oil capsules, might have the same effect. Participants were 3098 women who reported a low intake of fish and who were randomized to receive one of 5 doses (0.1, 0.3, 0.7, 1.4, or 2.8 g) of eicosapentaenoic acid and docosahexaenoic acid daily, 2.2 g daily of ALA, or no treatment. Supplementation began at 17 to 27 weeks gestation and continued until delivery. The treatment groups were similar with respect to age, parity, gestational age, fish consumption, body mass index, and smoking. Analyzing singleton live-born pregnancies, no significant difference in gestational length was found between control women and any of the treatment groups whether comparing mean gestational ages or hazard rates of spontaneous delivery. This held for both intention-to-treat analyses and analyses based on the participants only. There were no apparent differences in intake of any of the fatty acids between the treatment groups. The difference in time to spontaneous delivery between pregnant women given the highest dose of fish oil and control women was less than 1 day. A majority of women in the treatment groups failed to continue taking their capsules up to the time of delivery. These findings may indicate that there is in fact no meaningful effect of dietary n-3 fatty acids on the timing of spontaneous delivery. It also is possible that there is a rapidly diminishing effect that depends on continued supplementation. _ EDITORIAL COMMENT http://gateway.ut.ovid.com/gw1/ovidweb.cgi#toc#toc (For some time, there has been interest in the potential for the n-3, or omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), to prolong gestation and/or prevent preterm birth. Marine foods are a rich source of both EPA and DHA, and Olsen and his colleagues observed that birth weight and gestational age was higher in the Faroe Islands, which are between Norway and Iceland and where the rate of consumption of marine food is very high, than in Denmark, where it is lower (J Epidemiol Community Health 1985;39:27). Pregnant Faroese women had higher omega-3/omega-6 erythrocyte ratios, and among Danish women, an increased ratio was associated with longer gestation (Olsen SF, et al. Am J Obstet Gynecol 1991;164:1203). This association is plausible. As opposed to omega-6 fatty acids, which are proinflammatory, omega-3 fatty acids are antiinflammatory and suppress the production of inflammatory cytokines and prostaglandins E and F. Thus, the overall intake of omega-3 fatty acids, and the proportion of omega-3 to omega-6 fatty acids in the diet and in various tissue compartments, might influence the onset of parturition. However, the observational data to support that dietary omega-3 intake influences the length of gestation is not all one-sided, because there are studies that report no association (eg, Oken E, et al. Am J Epidemiol 2004;160:774). Whether omega-3 supplementation can prolong gestation or prevent preterm birth has also been the subject of a fair number of randomized studies. The first was conducted in 1938 and 1939 and reanalyzed with an eye to gestational length some 50 years later (Olsen SF, Secher NJ. Br J Nutr 1990;64:599). In this trial, over 5500 pregnant women were randomly allocated to daily supplementation with halibut oil, vitamins, and minerals or to no supplementation. Women allocated to supplementation were 20% less likely to deliver before 40 weeks, but no information was available on preterm delivery, and neither infant birth weights nor perinatal mortality differed between groups. The strongest experimental support for the prevention of preterm birth with omega-3 fatty acids is the trial of Olsen et al (BJOG 2000;107:382) in which 232 women with a history of preterm birth were randomly allocated to a daily fish oil supplement containing 1300 mg of EPA and 900 mg DHA or matching placebo (olive oil). In this trial, women allocated to fish oil had a significantly reduced risk of preterm birth (37 weeks, 21% vs 33%) and early preterm birth (34 weeks,
Re: [ozmidwifery] Fish oils and postdates
This list is brilliant! I love that you can pose a qustion like this and someone will have the time to investigate or already know! Hi Tiff!! Cheers, Di - Original Message - From: Rene and Tiffany To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 6:34 PM Subject: RE: [ozmidwifery] Fish oils and postdates Fish Oil in Various Doses or Flax Oil in Pregnancy and Timing of Spontaneous Delivery: A Randomized Controlled Trial [Obstetrics: Preconception and Prenatal Care] Knudsen, V K.; Hansen, H S.; Østerdal, M L.; Mikkelsen, T B.; Mu, H; Olsen, S F. Maternal Nutrition Group, Department of Epidemiology Research, Statens Serum Institut, Copenhagen S, Denmark; the Department of Pharmacology, Danish University of Pharmaceutical Sciences, Copenhagen, Denmark; and the Biochemistry and Nutrition Group, BioCentrum-DTU, Technical University of Denmark, Lyngby, Denmark BJOG 2006;113:536-543 ABSTRACT Previous studies have suggested that a diet containing long-chain n-3 fatty acids derived from fish oil may delay spontaneous delivery. The investigators, in a randomized, controlled trial, addressed this hypothesis and also sought to determine whether alpha-linolenic acid (ALA), in the form of flax oil capsules, might have the same effect. Participants were 3098 women who reported a low intake of fish and who were randomized to receive one of 5 doses (0.1, 0.3, 0.7, 1.4, or 2.8 g) of eicosapentaenoic acid and docosahexaenoic acid daily, 2.2 g daily of ALA, or no treatment. Supplementation began at 17 to 27 weeks gestation and continued until delivery. The treatment groups were similar with respect to age, parity, gestational age, fish consumption, body mass index, and smoking. Analyzing singleton live-born pregnancies, no significant difference in gestational length was found between control women and any of the treatment groups whether comparing mean gestational ages or hazard rates of spontaneous delivery. This held for both intention-to-treat analyses and analyses based on the participants only. There were no apparent differences in intake of any of the fatty acids between the treatment groups. The difference in time to spontaneous delivery between pregnant women given the highest dose of fish oil and control women was less than 1 day. A majority of women in the treatment groups failed to continue taking their capsules up to the time of delivery. These findings may indicate that there is in fact no meaningful effect of dietary n-3 fatty acids on the timing of spontaneous delivery. It also is possible that there is a rapidly diminishing effect that depends on continued supplementation. -- EDITORIAL COMMENT (For some time, there has been interest in the potential for the n-3, or omega-3 fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), to prolong gestation and/or prevent preterm birth. Marine foods are a rich source of both EPA and DHA, and Olsen and his colleagues observed that birth weight and gestational age was higher in the Faroe Islands, which are between Norway and Iceland and where the rate of consumption of marine food is very high, than in Denmark, where it is lower (J Epidemiol Community Health 1985;39:27). Pregnant Faroese women had higher omega-3/omega-6 erythrocyte ratios, and among Danish women, an increased ratio was associated with longer gestation (Olsen SF, et al. Am J Obstet Gynecol 1991;164:1203). This association is plausible. As opposed to omega-6 fatty acids, which are proinflammatory, omega-3 fatty acids are antiinflammatory and suppress the production of inflammatory cytokines and prostaglandins E and F. Thus, the overall intake of omega-3 fatty acids, and the proportion of omega-3 to omega-6 fatty acids in the diet and in various tissue compartments, might influence the onset of parturition. However, the observational data to support that dietary omega-3 intake influences the length of gestation is not all one-sided, because there are studies that report no association (eg, Oken E, et al. Am J Epidemiol 2004;160:774). Whether omega-3 supplementation can prolong gestation or prevent preterm birth has also been the subject of a fair number of randomized studies. The first was conducted in 1938 and 1939 and reanalyzed with an eye to gestational length some 50 years later (Olsen SF, Secher NJ. Br J Nutr 1990;64:599). In this trial, over 5500 pregnant women were randomly allocated to daily supplementation with halibut oil, vitamins, and minerals or to no supplementation. Women allocated to supplementation were 20% less likely to deliver before 40 weeks, but no information was available on preterm delivery, and neither infant birth weights nor perinatal mortality differed between groups. The strongest experimental support for the prevention of preterm birth with
RE: [ozmidwifery] Birthskills workshops?
Thanks for that Diane, I’ve just been reading on her website and got the gist of the programme, have met GDR myself, bit of an odd bod, but like his thought processes on pain and fear… Tania x _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Monday, 15 January 2007 6:12 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Birthskills workshops? Hi Tania Calmbirth, HypnoBirthing and Birth Skills are all very similar programs. Shari was a HypnoBirthing Practitioner who like many of us wanted to create the Aussie program so calmbirth and Birth Skills were born. All have the same really good underpinnings of Grantly Dick Read. warm regards Diane Gardner - Original Message - From: HYPERLINK mailto:[EMAIL PROTECTED]Tania Smallwood To: HYPERLINK mailto:ozmidwifery@acegraphics.com.auozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 3:06 PM Subject: [ozmidwifery] Birthskills workshops? Hi everyone, Just wondering if anyone has attended Shari Read’s Birthskills workshops? I’ve just spoken to two women who went, and both were pretty impressed, but I’m wondering from a midwives perspective whether they would be beneficial? Any ideas or comments? Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007
[ozmidwifery] Pregnancy and Crohns
Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy
RE: [ozmidwifery] Pregnancy and Crohns
In the hospital I work in the woman is considered to be high risk but only needs a consultant review to make sure all is ok before going to midwifery led care. So at her first appointment she has to ask if she can then go to midwifery care instead of doctor care. Cheers sharon _ From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Amy Rigano Sent: Monday, 15 January 2007 7:59 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] Pregnancy and Crohns Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 8:29 PM -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.432 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 8:29 PM
Re: [ozmidwifery] Pregnancy and Crohns
At the community Midwife Program at Wangaratta we have no exclusion criteria. All women see a Dr at the clinic once during the preganancy and more on an as needs basis in consultation with the Drs. For example women with a previous LUSCS go once at about 14-18 weeks then again at 36 weeks after we have done the care in between to inform the doctor of whether or not they are going to VBAC. Note this is the womans decision not the midwives or drs. Women with a more complex medical history may see a doctor at every visit or just once or twice if everyhting is OK. It is completely flexible and often changes during the course of the pregnancy. I personally think it is wrong to confine midwife only care to only low-risk women. All women need midwife care and arguably those labelled higher risk by the medical profession need it even more. How exactly do you percieve, or does the woman percieve her crones to complicate her pregnancy? In answer to your question..We have had from memory a women in our program with Crones and I dont recall it actually making her pregnancy and birth more complicated. My answer would be YES! have her in midwife care and consult with Drs on an as needs basis. If Drs insist she not eligable for Low Risk Midwife Care Ask them exactly what it is they are going to do differently that you cant do. What care, monitoring, testing, scedule of visits... exactly what is it Drs can offer her that you can't. And what about the women? What does she want.?? Hope this is useful. Wendy - Original Message - From: Amy Rigano To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 8:29 PM Subject: [ozmidwifery] Pregnancy and Crohns Hi all you smart people Just wondering if anyone has provided Midwifery Led Care for a women who has crohns. I have a friend who has been told that she is 'HIGH RISK' due to her 'condition'. It is her first pregnancy and I understand that she takes very good care of herself and is careful with her diet. I will try the website for crohns and ulcerative collitis, but if anyone has any first hand experiences that would be great. Cheer Amy -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 1/14/2007
Re: [ozmidwifery] job
Anke, Give Ingrid Steed or Jan Smith a call at Mareeba on 0740922322. - Original Message - From: Anke Dalman To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 9:25 PM Subject: RE: [ozmidwifery] job Hi Di, The birth centre is only a dream at this point and when I see how fast they work here it might be another 1 or 2 years until it's up and running, and then it will still be running under the medical model, since it is on hospital grounds. I don't think that it will be run as a true midwifery model. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 11 January 2007 8:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] job I suppose the birth centre in Townsville has staff picked already ? Di
[ozmidwifery] Attention Anke
Anke, Please contact me on [EMAIL PROTECTED] re work. ASAP. Megan - Original Message - From: Anke Dalman To: ozmidwifery@acegraphics.com.au Sent: Thursday, January 11, 2007 9:25 PM Subject: RE: [ozmidwifery] job Hi Di, The birth centre is only a dream at this point and when I see how fast they work here it might be another 1 or 2 years until it's up and running, and then it will still be running under the medical model, since it is on hospital grounds. I don't think that it will be run as a true midwifery model. Love Anke -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of diane Sent: Thursday, 11 January 2007 8:56 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] job I suppose the birth centre in Townsville has staff picked already ? Di
Re: [ozmidwifery] Birthskills workshops?
Yes I guess many of the inovators of our time and past were odd bods as you say but maybe their minds were so entrenched in the technical fields they are in that social skills were not a priority. Lovely to hear that you met him though. His concepts have cetainly changed the way many of us think abour birth preparation and heaven knows in the medical times we are in now that has to be a big plus. warm regards Di Gardner - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 7:19 PM Subject: RE: [ozmidwifery] Birthskills workshops? Thanks for that Diane, I’ve just been reading on her website and got the gist of the programme, have met GDR myself, bit of an odd bod, but like his thought processes on pain and fear… Tania x -- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Diane Gardner Sent: Monday, 15 January 2007 6:12 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] Birthskills workshops? Hi Tania Calmbirth, HypnoBirthing and Birth Skills are all very similar programs. Shari was a HypnoBirthing Practitioner who like many of us wanted to create the Aussie program so calmbirth and Birth Skills were born. All have the same really good underpinnings of Grantly Dick Read. warm regards Diane Gardner - Original Message - From: Tania Smallwood To: ozmidwifery@acegraphics.com.au Sent: Monday, January 15, 2007 3:06 PM Subject: [ozmidwifery] Birthskills workshops? Hi everyone, Just wondering if anyone has attended Shari Read’s Birthskills workshops? I’ve just spoken to two women who went, and both were pretty impressed, but I’m wondering from a midwives perspective whether they would be beneficial? Any ideas or comments? Tania x -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.410 / Virus Database: 268.16.10/626 - Release Date: 14/01/2007
