Pregnancy

Exercise during pregnancy appears to be safe even for African-American women at high risk for pregnancy complications, a new study suggests.

The study, which focused on poor, urban African-American women, found that “exercise participation did not increase or decrease the risk of low birth weight or preterm birth," said co-author Suezanne Orr, Ph.D.

“There is not much information about exercise participation in this population. Most of the research has been on middle-aged white women," said Orr, with the Department of Health Education and Promotion at East Carolina University, in Greenville, N.C.

The study, which appears in the current issue of the journal Ethnicity and Disease, looked at 922 low-income African-American women receiving prenatal care at five Baltimore clinics between 1993 and 1995.

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C Section

C-section In many instances, there is a significant chance that during childbirth a woman will deliver by C-section, or Cesarean section, which is a surgical incision made in the abdomen and then into the uterus to deliver the baby or babies. Circumstances vary greatly and can be quite different with each pregnancy, and vary from woman to woman. Each woman’s individual medical and reproductive history is taken into consideration during the prenatal period, and is continuously evaluated throughout the pregnancy by the obstetrician. If warranted, a C-section will be scheduled to take place before actual labor begins, though this doesn’t necessarily mean that a woman won’t go into labor spontaneously before her scheduled delivery date. A history of certain medical conditions may require a C-section When the baby, mother, or both are in distress, a C-section is the fastest way to deliver the baby without further complications. Developmental abnormalities or fetal anomalies require delivery by C-section, as do breech or transverse fetal positions. Other indicators for a C-section delivery are irregular or decreased fetal heart tones, prolonged labor or labor that has failed to progress, a very large baby, baby unable to pass through mother’s hips, prolapsed umbilical cord, separation of the placenta from the wall of the uterus (placenta abruption), blockage of the birth canal by the placenta (placenta previa), or maternal illness, such as chronic medical conditions, pregnancy-related conditions (pre-eclampsia), HIV infection, or active genital herpes. A C-section is usually performed under regional anesthesia, allowing the mother to be awake and witness the birth of the baby. However, some types of emergency situations may require general anesthesia putting the mother completely asleep. Despite the fact that a C-section is major surgery, it is relatively safe and has a low rate of complications. There is still a certain level of risk involved, as with any surgical procedure; bleeding and infection, injury to the bladder or urinary tract, or even injury to the baby could occur. Prenatal classes are offered to expectant mothers and their significant others, and cover everything from vaginal delivery versus C-section, to how to select a car seat and bathe the baby. Even if a C-section delivery is not anticipated, physicians should discuss it with their patients prior to labor and delivery, to lessen their anxiety and promote a positive birth experience in the event a surgical birth is required. The expectant mother needs to feel comfortable with her prenatal care provider and trust in the level of care that is provided, and in the recommendations made to ensure that the pregnancy results in a happy healthy baby.

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Mid Life Crisis

We are seeing a shift in the mid life crisis today. The New York Magazine has coined the phrase “grups” to describe the current middle aged population that tries to fill the generation gap. There is a sound reason for the generation gap. We probably shouldn’t try to fill it. The term grup is derived from an episode of Star Trek in which Captain Kirk and his crew find themselves on a planet run by kids. There are no adults in sight. (By the way if you know the episode I’m talking about you may be having a mid life crisis yourself). In the episode the kids create the term “grup” to refer to the adult crew visiting their child-filled planet. The word is a clever combination of the term “grown-ups” that seems to be a popular way to help us look at ourselves differently. The individuals entering the mid life crisis age are currently referred to as grups because of their inescapable desire to hold on to technology. Nothing is more aggravating than an adolescent who can show an adult how to run an ipod. (If you are wondering what an ipod is then you may be having a mid life crisis of a different kind). However, the younger generation is basically wired to work these kinds of gadgets. You may know a grup. You may even be a grup without knowing it. I got my wake-up call when I was expecting my daughter. The doctor mentioned something about advanced maternal age and I almost smacked him. How dare he? This is my first pregnancy from my first marriage. Okay, so I married when I was 34 but, still. I didn’t realize that I would be the oldest mom at daycare. I didn’t know that I was supposed to be tending to teens instead of toddlers. I was not aware that I should be in mid life crisis. Maybe this is the problem. Maybe my late start in married life is my mid life crisis. I should be sporting a “soccer mom” necklace but the idea makes me totally gag. For real. I guess that I should be listening to the oldies station but it depresses me. When did Elton John enter the realm of the oldies? Oh well, the mid life crisis has snuck up on me. I probably should forget going to the System of a Down concert I’ve been looking forward to attending. I should also back away from the ipod, too. I don’t know how to work those things anyway.