May 14, 2012
good advice
A couple weeks ago a spot in my lower back started hurting pretty badly and I began to suspect that I might have a compression fracture (lovely prednisone side effect), and it got so bad one day that I went to the doctor. Among her advice, she strongly suggested that I wear athletic shoes at work instead of my usual Dansko's. I have worn and loved Dansko shoes since I was 13 years old so I was skeptical, but I was in enough pain to give her advice a try. I bought a new pair of tennis shoes (all my old ones were too dirty from camping to wear at work) and wore them for a week. Within a day or two I felt immensely better. Then the weekend came, and I wear slippers at home and did wear Dansko's a couple times out and about.
So today it's Monday, and as we're rushing out the door (always happens...) I was hesitating between wearing the tennis shoes or the Dansko's. I decided on the Dansko's, and Sophie looked up from putting her shoes on and said, "Mom, those shoes will make your back hurt, you're supposed to wear your fast shoes." I responded that my back had been feeling better and I thought I would try wearing the Dansko's again. She held my "fast shoes" up to me and suggested I take them with me in case I changed my mind. So I did - mainly just to make her happy so as to get out the door faster.
Fast forward a couple hours and I'm on my feet at work, bending over the counter to write in a chart, and I realize that my back hurts so much that I'm practically stuck bent over and I have to push myself back up to standing. By lunch time I was more than ready to change into my fast shoes that I had left inside the car; another couple hours of wearing my fast shoes and my back was already feeling better and I was so thankful that I listened to Sophie earlier. Thank goodness for bossy, know-it-all almost-five-year-olds!
January 23, 2012
unconventional use of garlic
May 10, 2009
research paper: vitamin d in pregnancy
Vitamin D is not a simple vitamin but a prohormone, a complex molecule that plays many important roles in the body. These roles, in addition to the main function of regulating mineral salt deposition in bones, include regulation of body metabolism, mood, blood pressure, and immune function – maybe even protection against some forms of cancer (Wardlaw & Hampl, 2007). Vitamin D is synthesized in the skin when the right wavelength of sunlight is available, and it is found in a few foods such as cod liver oil and fortified milk. Unfortunately, these two routes of acquisition are seldom sufficient for vitamin D needs, especially for people living in northern climates (defined as above 42 degrees north latitude – a line between northern California and Boston, Massachusetts) and in climates with frequent cloud cover preventing the absorption of ultraviolet light from the sun (National Institutes of Health [NIH], 2008). Location and climate are not the only factors that can limit vitamin D synthesis from the sun; genetics and cultural practices can also play a role. Australian researchers Grover and Morley (2001) reported that among pregnant women who were either dark-skinned or regularly wore a veil, 80% were below reference values for vitamin D.
Insufficient amounts of vitamin D in the body can cause rickets (bone malformation) in children, osteomalacia (bone softening) in adults, and can contribute over a lifetime to the chance of developing osteoporosis in later life. Other health effects caused or influenced by inadequate vitamin D supply in the general population include muscle weakness and inflammation (NIH, 2008). In pregnancy, having an adequate supply of vitamin D is especially important because of the health impacts on the developing fetus. Mothers who do not have an adequate supply of vitamin D cannot provide their baby with an adequate supply of vitamin D. A study by Bodnar, Simhan, and Powers (2007) reports in the Journal of Nutrition that in pregnant women who were vitamin D deficient, newborns were either as deficient as their mother or more deficient (in some cases by as much as 16%) than their mother. This data was taken from women living in northern latitudes of the
Babies who are born deficient in vitamin D have lower birthweights and tend to remain smaller throughout life. Low birthweight is associated with a wide range of complications that can be lasting, including breathing difficulties, heart problems, and increased risk of infection (March of Dimes Foundation, 2009). A recent study showed that children whose mothers had insufficient levels of vitamin D during pregnancy had lower bone mass and mineralization both at birth and at a follow-up study nine years later (Gale et al., 2008), indicating that vitamin D deficiencies can prevent children from reaching their full potential. In a study completed in 1980 Brooke et al. showed that babies born to mothers in the control group (those not receiving vitamin D supplements) were twice as likely to be labeled “small for gestational age,” and they were more likely to have larger-than-normal fontanelles (or “soft spots”) which the authors thought was indicative of incomplete skull ossification during gestation. The authors recommended that all pregnant women be given supplements of at least 1,000 IU of vitamin D daily, but they received little attention at the time.
In addition to being smaller, vitamin D deficient babies also have an increased risk for a wide range of diseases later in life that may be linked to the innate immune system. These are mostly chronic, slowly developing diseases such as Type I and Type II diabetes, schizophrenia, autoimmune disorders such as multiple sclerosis and rheumatoid arthritis (Wagner, Taylor, & Hollis, 2008), and maybe even neural tube defects such as spina bifida (Hollis & Wagner, 2006).
The circulating form of vitamin D in the blood, called 25(OH)D, is utilized directly by many cells in the body, including monocytes and macrophages, important immune system components. Tissue cells such as prostate, breast, colon, lung, and keratinocytes (in the skin, hair, and nails) also have direct receptors for 25(OH)D, and there has been speculation about whether all body cells may contain receptors for vitamin D (Wagner, Taylor & Hollis, 2008). Vitamin D acts in the tissue cells to modulate cell proliferation (important in cancer), differentiation, and apoptosis (programmed cell death, also important in cancer) (NIH, 2008). Vitamin D is known to have a regulatory effect on the immune system, and high levels of vitamin D are associated with reduced risk of autoimmune diseases (Hyppönen, 2005).
Preeclampsia, a serious complication of pregnancy, may be related to autoimmune diseases and may be influenced by vitamin D status (Hyppönen, 2005). Preeclampsia causes the mother’s blood pressure to rise and may be fatal to the mother, the baby, or both. Preeclampsia is not uncommon, affecting about 10% of pregnancies in the
The current recommendations for vitamin D intake were made 40 years ago, and were based on the amount of vitamin D contained in a teaspoon of cod liver oil. This amount was thought to be sufficient based only on anecdotal evidence and before it was possible to measure blood levels of 25(OH)D, the usable form of vitamin D in the body (Hollis & Wagner, 2006). The recommendation for pregnancy of 400 IU per day has been shown in numerous studies to either have no effect on blood serum levels of 25(OH)D or to actually decrease circulating levels of 25(OH)D. This explains why women taking prenatal vitamins as directed are still deficient in vitamin D. The upper limits for vitamin D of 2,000 IU per day were also set somewhat arbitrarily based on reports of vitamin D toxicity from the 1920’s, when researchers gave children between 3,000,000 and 18,200,00 IU of vitamin D a day, extreme pharmacological doses (Wagner, Taylor & Hollis, 2008). One brief exposure of the entire body to sunlight can synthesize up to 25,000 IU of vitamin D, and several studies have given subjects up to 10,000 IU of vitamin D daily with no adverse effects (Hollis & Wagner, 2006). It has been found that in most people, between 1,000 and 5,000 IU of vitamin D daily will raise blood levels of 25(OH)D to normal, adequate levels (Wagner, Taylor & Hollis, 2008).
Vitamin D is no longer a simple vitamin to be easily overlooked. It is an important prohormone that regulates many body systems and can decrease the risk of some common diseases, many of which have no cure. Many people worldwide and most people residing in northern climates do not have sufficient levels of vitamin D, and cannot achieve sufficient levels through diet and sun exposure alone. Most people would benefit from taking a vitamin D supplement in order to maximize health. During pregnancy sufficient levels of vitamin D are especially important in order to provide the developing baby with the vitamin D it needs. Pregnant women should make sure to take a vitamin D supplement of at least 1,000 IU per day of vitamin D to reduce the risk of giving birth to a low birthweight or small for gestational age baby, to reduce the baby’s later risk for disease, and possibly to reduce the risk of developing preeclampsia during pregnancy.
SOURCES
Bodnar, L.M., Simhan, H.N., & Powers, R.W. (2007). High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern
Brooke, O.G., Brown, I.R., Bone, C.D., Carter, N.D., Cleeve, H.J., Maxwell, J.P., et al. (1980). Vitamin D supplements in pregnant Asian women: effects on calcium status and fetal growth. British Medical Journal, 280(6216), 751-754.
Gale, C. R., Robinson, S.M.,
Grover, S.R., and Morley, R. (2001). Vitamin D deficiency in veiled or dark-skinned pregnant women. Medical Journal of
Hollis, B. W., and Wagner, C. L. (2006, April 25). Nutritional vitamin D status during pregnancy: reasons for concern. Canadian Medical Association Journal, 174(9), 1287-1290.
Hyppönen, E. (2005, July). Vitamin D for the Prevention of Preeclamsia? A Hypothesis. International Life Sciences Institute, 63(7), 225-232.
March of Dimes Foundation (2009). Low Birthweight. Retrieved April 20, 2009 from http://www.marchofdimes.com/professionals/14332_1153.asp#head5.
National Institutes of Health: Office of Dietary Supplements (2008). Dietary Supplement Fact Sheet: Vitamin D. Retrieved April 18, 2009 from http://ods.od.nih.gov/factsheets/vitamind.asp.
Preeclampsia Foundation (2008). About Preeclampsia. Retrieved April 20, 2009 from http://www.preeclampsia.org/about.asp.
Wagner, C. L., Taylor, S. N., and Hollis, B. W. (2008). Does Vitamin D Make the World Go ‘Round’? Breastfeeding Medicine, 3(4), 239-250.
Wardlaw, G.M., and Hampl, J. S. (2007). Perspectives in Nutrition (7th ed.).
March 04, 2009
a doula story
It's the story of a doula working with black teenage mothers in Chicago. While I wouldn't choose the birthing options that she does (hospital birth, medication), I can relate as a teenage mother myself. Unlike a lot of the young mothers in this film, I had great family support and my mom was with me through the whole experience. Rather than having a doula support me and go with me to the hospital when labor began, I had my wonderful midwives who met me at the birth center and took care of me throughout the entire process - acting as doula during labor, catching my baby as she was born, staying with me until I was ready to go home, and coming to my house every few days afterwards to check on us.
What runs through the film is that what young pregnant mothers need is love, trust, and most of all just being - being with them when they need it, not leaving when they're scared, listening when they need to talk, and talking when they need to listen. This is what teaches them how to be a mother. The word 'midwife' means 'with woman.' When you are with the woman, you are not only helping to bring a baby into the world, but bringing a mother into the world as well.
February 05, 2009
November 26, 2008
umbilical cord issues
I've heard so many times things like, "I would've died if my mom hadn't had me at a hospital, because my umbilical cord was wrapped around my neck and I couldn't breathe."
Ok... then how do babies breathe while they're in the womb? This mechanism doesn't just quit as soon as the head is born. Being born with the cord wrapped around the neck isn't an emergency, nor does it really compromise the baby in any way. More damage is done by cutting it prematurely, before the baby's body is born and it has a chance to start breathing on its own. As Pamela points out, you're effectively suffocating the baby by cutting the cord too soon.
I encourage everyone to read her post, it's excellent.
October 09, 2008
why waterbirth?
Giving birth in water is a relatively new practice, although it has its roots in the age-old practice of using water for labor pain relief, and in some cultures of giving birth in shallow coastal waters. Since the first recorded “modern” water birth in 1977, giving birth in the water has gained popularity due to its relaxing, calming, and pain-relieving effects on the laboring mother.
Giving birth in the water (waterbirth) is beneficial to both mother and baby by reducing labor pain and tears for the mother and by creating a calmer transition for the baby.
Some formal studies and lots of anecdotal data report that birthing in the water reduces the number of tears and the amount of blood loss experienced by birthing women. There are also many anecdotal reports of babies born in water receiving higher Apgar scores (a scale of 1-10 used to assess the newborn’s condition at one and five minutes after birth) than “land-born” babies, and water-born babies being calmer and less stressed in the period following birth.
Two major groups of hormones play a role in birth: the endorphins and the adrenalines. When a laboring woman is stressed, fearful, or anxious, the adrenalines are in charge; this leads to a tightening of muscles and an increase in pain, as well as making labor slow down or stall out. On the other hand, when a laboring woman is relaxed, calm, and feeling in control, the endorphins are in charge, leading to decreased pain and faster labor.
When a laboring woman can immerse herself in warm water, a much greater degree of relaxation can be achieved than is otherwise possible (save with the use of synthetic drugs). This puts the endorphins in charge and paves the way for a smooth, uncomplicated labor.
The buoyancy of water helps with labor pain as well. When most of the body is supported by water, the laboring mother can let go of everything else and instead focus inwardly on the contractions as they come. In water it is possible to move in ways that would be very difficult on land – for instance, gliding your hips in circles and figure-eights, thus changing the angle of your pelvis and helping the baby move down and out (Kitzinger, 2000).
All of these things help women better handle their contractions and to feel like they are in touch with their bodies and their babies.
Water also decreases labor time - in one study by as much as 40 minutes on average (Geissbuhler & Eberhard, 2000). While 40 minutes may not seem like long enough to matter, when you are in labor, believe me - every last little minute counts!
Giving birth in water leads to fewer tears and less episiotomies. In a Swiss study of more than 6,000 births, the waterbirth group had 22.6% less episiotomies than bed births, hardly any 3rd or 4th degree tears, and many more women experienced no tearing at all (Geissbuhler & Eberhard, 2000).
Some people speculate that the reason so many less episiotomies are performed on women laboring in water is that the caregiver simply has less access to the perineum and is therefore more likely to leave it alone. I think that another factor to both the low number of episiotomies and the lower number of tears is that when a woman is more relaxed, she is better able to open up and let the baby come down without tensing her muscles. Water also gives a greater sense of privacy (than if you were laying exposed on a bed), which adds to a woman’s comfort and relaxation.
Waterbirth also has benefits for the baby. In the womb, a baby is suspended in body-temperature amniotic fluid. Going straight from body temperature fluid to cool room-temperature air is a big shock. Being born instead into a similar medium – body-temperature water – is a smoother transition.
Many parents and midwives report that babies who were born in water cry less after birth, and are calmer and mellower in the hours following birth. Many waterbirth babies (such as Sophie) do not cry at all and simply cough or sneeze to clear their lungs and then look around, observing their surroundings calmly.
Waterbirth may not work out for everybody. In some cases waterbirth is not in the baby’s best interest. Some women will have their contractions slow down or even stop altogether when they get into the water. Just as with any birth method or environment, every woman and every baby is different – one thing will not work for all.
But for the vast majority of women and babies, waterbirth will work – and be beneficial: waterbirth decreases labor pain and the number of tears and episiotomies for the mother, and creates a calmer birth experience for the baby.
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Sources:
American Pregnancy Association (2007). Water Birth. Retrieved April 17, 2008 from http://www.americanpregnancy.org/labornbirth/waterbirth.html.
Geissbuhler, V., & Eberhard, J. (2000). Waterbirths: A Comparative Study: A prospective study on more than 2,000 waterbirths. Fetal Diagnosis and Therapy, 15. Retrieved April 17, 2008 from http://data.memberclicks.com/site/wi/FD_T_Waterbirth-AComparitiveStudy.pdf.
Kitzinger, S. (2000). Rediscovering Birth. New York: Pocket Books.
Robinson, J. (2000). Waterbirth – Looking for Bad News. AIMS Journal, 12 (2). Retrieved April 17, 2008 from http://data.memberclicks.com/site/wi/AIMS_journal.pdf.
Waterbirth International (2007). Waterbirth Research Documents. Retrieved April 17, 2008 from http://www.waterbirth.org/mc/page.do?sitePageId=38565&orgId=wi.
September 30, 2008
a beautiful day in the neighborhood

July 01, 2008
a slow day in the neighborhood
singing sophie to sleep for her morning nap
taking laundry off the line and folding it
reading books
studying for my biology midterm tomorrow.
and that's probably about as much as we'll get accomplished today.
but there is more exciting news!
check it out:
our new car. for real - 2008 mazda 3.
June 05, 2008
earache
so i'll call it an 'earache', since i guess that's probably what it is... i've been doing the hot/cold hydrotherapy and using willow/garlic ear drops, and last night we did the 'cold sock therapy' to increase her circulation and white blood cell production, and i'm also doing 'ear exercises' to encourage them to open up and drain........... she hates the hydrotherapy but she LOVES the ear drops, she fell asleep earlier when i was massaging them into her ears.
i saw a rheumatologist on tuesday and she put me on methotrexate - a drug that's used to treat leukemia patients, greeeaat. i see my opthamologist tomorrow, i sure hope it's working. anyways even if my eyes get totally better i have to keep taking the drugs for 2 YEARS afterwards...
this is when we were out camping last weekend, see how dirty her face is!
she waves bye-bye to him and then cries when he leaves in the morning now....
sophie still doesn't really say any words, although she did say DAISY once when we were in juneau. they said if she still doesn't say words by 15 months then they will start doing hearing tests and whatnot...
March 08, 2008
protein
breakfast - 3 scrambled eggs and a piece of whole wheat toast
then a protein drink with soy milk - tastes nasty
then a turkey sandwich on whole wheat and some almonds
and another protein drink... i put double the powder in this one
dinner - whole wheat lasagna
and then i had to eat a few handfuls of soy nuts for the last like 10g of protein.
i haven't been keeping as close track as that anymore though, i just follow that basic routine and try to drink at least one protein drink a day. otherwse it's just too much work counting up every little gram of protein all day...
we are going to have a picnic lunch somewhere today, dwayne already made lunch and it's in the fridge ready to go - he took a loaf of french bread and made a big subway-style sandwich.
March 05, 2008
i did it!
it was a stretch though.
probably won't be able to pull it off everyday.
March 04, 2008
baby stuff
we met with the midwife today, her name is dana and she seems really cool. i have my first official prenatal visit on march 31.
now sophie and i are going to brave the wind and walk to the store to get protein shake powder (pregnant women are supposed to get 120g of protein a DAY!), liquid iron, liquid chlorophyll, and envelopes. haha kind of a strange grocery list i guess.
or maybe we'll wait until dwayne gets home and then we'll drive... the wind is really whipping out there and sophie's poor little cheeks get windburned so bad.
here is a picture of the twin giraffes nursing from yesterday:
February 21, 2008
updates
1. dwayne can no longer be deployed because of his hearing, so he is re-enlisting and we're not sure right now where we're going to go or when or for how long.
2. dwayne got a desktop computer, where the internet and my homework now live, and where he plays the stupid game "half-life 2" alll the time and it drives me crazy.
3. burt's bees is no longer a trusted brand - i put the baby bee beeswax lotion on sophie sunday after her bath and her skin broke out in a rash that is still there, 4 days later now.
4. sophie was diagnosed with excema after waiting 2 freaking hours just to talk with a nurse for less than 5 minutes.
5. i am putting steroid drops in my eyes (still), taking oral steroids, in a week i might have to get steroids injected behind my eyes, and i'm waiting to get in to see a rheumatologist to figure out what the heck is wrong with me.
6. sophie crawls... big time....
7. i made zucchini-apple muffins this morning that were bomb, i used the recipe from jane brody's good food book and did half apple half zuchhini. it is:
3/4 c. whole wheat flour
3/4 c. white flour
1/2 c. sugar
1 t. baking powder
1/2 t. baking soda
1/4 t. salt
1 t. cinnamon
1/4 t. nutmeg
1/4 t. cloves
2 eggs
6 T. vegetable oil
1 1/4 c. grated unpeeled zucchini (or apple or both)
1 t. vanilla extract
350 degree oven for almost 30 minutes.
dwayne is not pleased that my insistence on eating meals together as a family is spilling over to breakfast now and not just dinner. he would rather just boil himself two eggs and eat them with hotsauce standing up at the kitchen sink. i think that number one, hard-boiled eggs are not a breakfast food, and two that he should be glad that his wife gets up and makes him breakfast. sheesh.


