plus 4, Congress Passes Funding for Evidence-Based Teen Pregnancy Prevention ... - YAHOO! |
- Congress Passes Funding for Evidence-Based Teen Pregnancy Prevention ... - YAHOO!
- Pregnancy Testing as a Quality Indicator in Emergency Departments May ... - PR-USA.net
- Duggar Baby Born Early Due to Pregnancy Complication - ABC News
- Hogan's Speed Bump: Pregnancy Brain - Excuse Or Reality? - KIRO-TV
- Proper nutrition during pregnancy starts with a well-balanced diet: a ... - Cleveland Plain Dealer
| Congress Passes Funding for Evidence-Based Teen Pregnancy Prevention ... - YAHOO! Posted: 14 Dec 2009 09:29 AM PST Statement from The National Campaign to Prevent Teen and Unplanned Pregnancy WASHINGTON, Dec. 14 /PRNewswire-USNewswire/ -- The United States Senate yesterday passed a package of spending bills for FY 2010, which included a historic new investment in efforts to prevent teen pregnancy. The Labor, Health and Human Services, Education and Related Agencies Appropriations bill includes a total of $114 million for a new evidence-based teen pregnancy prevention program. This funding is the first and only large scale federal investment dedicated to preventing teen pregnancy through proven, effective efforts. The House of Representatives approved the spending bills last Thursday, and the President is expected to sign it into law by Friday, December 18th. The teen pregnancy prevention initiative provides $75 million for programs that have been shown through rigorous evaluation to positively affect teens' behavior, and $25 million for research and demonstration on promising models and innovative strategies. The provision also includes $10 million for technical assistance, training, and other supportive activities to assist the department in effectively running the program, and an additional $4.5 million for program evaluation. The funding will be administered by a new Office of Adolescent Health in the Office of the Secretary of Health and Human Services. The initiative is very similar to what President Obama proposed in his FY 2010 budget. The National Campaign to Prevent Teen and Unplanned Pregnancy, a nonprofit, nonpartisan organization based in Washington, DC, released the following statement regarding the teen pregnancy prevention funding: "We applaud leaders in Congress and the Administration for making teen pregnancy prevention a funding priority for the coming year," said Sarah Brown, CEO of The National Campaign to Prevent Teen and Unplanned Pregnancy. "Given the recent increase in the teen birth rate, it is more important than ever to invest in interventions with evidence of success, and the bill Congress has passed does just that. At the same time, the initiative also focuses on research and innovation, which will continue to grow the number of effective approaches available to states and communities, as well as help find fresh new strategies to prevent teen pregnancy. "We look forward to continuing to work with Congress in the coming years to ensure that this critical issue remains on its agenda, and that this country continues the progress it has made on reducing teen pregnancy. We also look forward to working with state and local organizations to use the available funding in a timely and productive way." SOURCE The National Campaign to Prevent Teen and Unplanned Pregnancy
fivefilters.org featured article: Normalising the crime of the century by John Pilger |
| Pregnancy Testing as a Quality Indicator in Emergency Departments May ... - PR-USA.net Posted: 14 Dec 2009 09:29 AM PST In emergency departments (ED), standard practice calls for women reporting abdominal pain as a chief complaint to receive a pregnancy test in order to determine if ectopic pregnancy is the cause of the pain. The National Quality Forum, the organization that approves health care quality measures, recently approved pregnancy testing in female patients with abdominal pain as a new quality measure for EDs. Researchers at Brigham and Women's Hospital (BWH) found conflicting results regarding adherence to the pregnancy testing protocol when looking at a national database of ED records compared to individual chart reviews. The research demonstrates the difficulties and potential disadvantages of using national databases to develop and measure quality indicators. This research is published online and in an upcoming issue of Annals of Emergency Medicine. With the National Quality Forum's approval of the pregnancy testing quality measure, government programs such as Medicare and private insurers may now call for adherence to this testing standard as a quality indicator for EDs. Therefore, researchers identified a need to determine the testing standard's current success in EDs. "There is little to no data to demonstrate how well EDs are adhering to this protocol," says lead study author Jeremiah Schuur, MD, MHS, of the Department of Emergency Medicine at BWH. "Determining this and whether administrative data surveys would provide an accurate measurement are crucial steps before successfully instituting this as a quality indicator." Using data from the Center for Disease Control's National Hospital Ambulatory Medical Care Survey (NHAMCS) from 2002 to 2006, researchers looked at women 14 to 50 years of age who reported abdominal pain as their reason for visiting the ED. The data came from over 180,000 patient records at more than 400 hospital EDs, weighed to represent the 568 million ED visits in the US during this time. Researchers also conducted chart reviews at four hospital EDs in the US. In each hospital, fifty charts were randomly selected from all women aged 14 to 50 years who visited the ED with abdominal pain as their chief complaint in 2006. According to the data from NHAMCS, only about one third of the women who should have been tested were. However, in an explicit chart review at four hospitals, more than 90 percent of eligible women received a pregnancy test. "The major discrepancy in results creates a concern for using administrative data to determine the success an ED has with this protocol," says Dr. Schuur. If the database results are accurate, then there is a serious quality gap in U.S. emergency care for women, but if the chart review data from these four hospitals is representative of nationwide performance, then there is little benefit to be gained from this new quality measure. "Before more than 4,500 U.S. emergency departments are required to collect data on pregnancy testing as a quality measure, an accurate estimate of current practice is needed," says Dr. Schuur. Other study authors included Jesse M. Pines, MD, MBA, MSCE of the Department of Emergency Medicine and the Leonard Davis Institute of Health Economics of the University of Pennsylvania, and Sarah A. Tibbetts, MD of North Shore Medical Center. About Brigham and Women's Hospital: fivefilters.org featured article: Normalising the crime of the century by John Pilger |
| Duggar Baby Born Early Due to Pregnancy Complication - ABC News Posted: 14 Dec 2009 11:09 AM PST Michelle Duggar's 19th child was born in an emergency C-section because Duggar, the star of the reality show "18 Kids and Counting," suffered from a rare, potentially life-threatening condition that causes high blood pressure, according to her doctor. The condition known as preeclampsia, which occurs in about 5 to 8 percent of pregnancies, was discovered during Duggar's admission last week at the University of Arkansas for Medical Science to evaluate pain related to gall bladder disease. "The obstetrical and neonatal teams reached the collaborative decision that Mrs. Duggar needed an emergency c-section to ensure the blood pressure problem would not be detrimental to her or the baby," Dr. Paul Wendel, director of the hospital's Division of Maternal-Fetal Medicine, said in a statement released by TLC on Friday. New baby Josie Brooklyn, born Thursday evening, weighs 1 pound 6 ounces and was in stable condition at the neonatal intensive care unit at the University of Arkansas for Medical Sciences as of Friday's statement from TLC. TLC also reported that "Michelle is resting comfortably" while Josie Brooklyn stays at the neonatal intensive care unit, and that "the family is grateful for all the prayers and well wishes during their recovery." "Michelle is recovering well from surgery," Wendel said. Duggar's baby was not due until March, but TLC is reporting that Duggar went into the hospital early suffering pain from a gallstone. People magazine reported last week that Duggar had been airlifted to a hospital in Little Rock because her gallbladder problems were causing contractions. Only 6 percent of babies are born so early. Most preemies make it the 33rd week of pregnancy and while most premature babies are at risk for health problems, risk for complications increases the earlier a baby is born, according to the March of Dimes. Their organs are less developed in babies before 32 weeks gestation, but advances in obstetrics and neonatology have improved the chances of survival for babies as small as Josie Brooklyn. Josie Brooklyn was born at 25 weeks and, according to a study published in the Journal of the American Medical Association in June, babies born at 25 weeks who receive aggressive treatment through intensive care have an 82 percent chance of survival. For now, Duggar's husband, Jim Bob, and 18 children will have to get along without Michelle and Josie Brooklyn. In September, the Duggars announced that they were expecting their 19th child. Though they make raising a large family look like, well, child's play, adults who have grown up in Duggar-size families say it's a mixed blessing. Finding space to be alone is a challenge. Finding someone to play with is not. There's also an environmental effect -- think carbon dioxide -- as well as health concerns for the mother. Women who've borne more than five children risk hemorrhage and even the loss of their uterus because repeated pregnancies sometimes thin the walls of the uterus, said Dr. Joanna Cain, an obstetrician-gynecologist in Providence, R.I. Then there's always the possibility of one child getting lost in the passel of children. Rachel Carroccio, a receptionist and ceramics teacher in Little Rock, Ark., knows that experience firsthand. The fifth-born of 10 children, Carroccio, now 28, recalled one time when her mother was in a hurry to get to the grocery store. "We all piled into the minivan," she told ABCNews.com. "Mom counted heads to make sure everyone was there. As soon as she pulls forward, she sees my little brother Daniel riding his bike in front of us." As it turned out, one of the heads was really the neighbor's. But, for all the fond memories, she says the older girls in the family, including herself, burned out on caring for younger siblings and the house while her mother, often raising them alone, worked outside the home. "None of us really want many kids," Carroccio said, referring to the girls. "My brothers, on the other hand, all want to have kids. I have one brother about to have his fifth child." Those are among the sentiments the Carroccios like to share whenever all 10 -- ranging in ages from 11 to 37 -- get together for Thanksgiving and Christmas, their favorite time of the year. Christmas was also a favorite time for Henriette Peters, the 11th child of 14, growing up in Crystal Lake, Ill., outside Chicago. fivefilters.org featured article: Normalising the crime of the century by John Pilger |
| Hogan's Speed Bump: Pregnancy Brain - Excuse Or Reality? - KIRO-TV Posted: 14 Dec 2009 07:56 AM PST Posted: 8:00 am PST December 14, 2009Updated: 8:08 am PST December 14, 2009 It wasn't me; it was the baby!Oopsie daisy, I woke up a Trooper this morning when I called his cell for driving conditions. Turns out he has moved to the evening shift … told him I had pregnancy brain and tried to giggle. He wasn't laughing (I think I'm off his Christmas card list too now). So it makes me wonder, would the pregnancy brain theory work with you?I can tell you it has been very tempting to blame a lot of things on carrying a baby … yawning at work, taking that extra slice of pizza, forgetting to exercise … but one has to wonder (especially my husband) when I say, "It wasn't me, it was the baby" an excuse or reality?I decided to take one for the team and find out, so unfortunately this experiment I'm calling "project Red as a Tomato" wasn't really on purpose.Project Red as a Tomato all started with an amazing meal at the in-laws' house. After eating for 2 (more like 3, yes I was hungry) I offered to help my husband's dad clean up in the kitchen.Happily doing the dishes, bonding with his dad, oh and yes his mom as she walks up to hand me a plate when all of a sudden … there's a loud … let's just call it a "squeak." Nope, not the sound a sponge makes on the dishes but more of the sound of a beep from a horn. OK, who am I kidding? This squeak sounded like the Tacoma Narrows Bridge fog horn. Frozen in place, all I could think was … did that super sized squeak just come from me???"Looks like the baby had to toot" chuckled Josh's dad under his breath.OMG! Not laughing (even though everyone else in the room was). This random un-controlled moment of tooting has NEVER happened before I promise (as my mother always told me… lady-like traffic reporters do not toot in public).There we go results from project red as a tomato are in! Yes, maybe when I grab that extra piece of dessert or pizza and blame the baby, that could be an excuse. Random squeaks on the other hand.. I can safely say.. "It wasn't me, it was the baby"!Cheers to no random moments in traffic reports please little speed bump in the belly! Copyright 2009 by KIROTV.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed. fivefilters.org featured article: Normalising the crime of the century by John Pilger |
| Proper nutrition during pregnancy starts with a well-balanced diet: a ... - Cleveland Plain Dealer Posted: 14 Dec 2009 07:35 AM PST By Robert Higgs, The Plain DealerDecember 14, 2009, 10:30AMVideo: Dr. Marjorie Greenfield discusses the importance of proper nutrition during pregnancy. In today's video Health Tip, Dr. Marjorie Greenfield, an obstetrician/gynecologist at University Hospitals and author of "The Working Women's Pregnancy Book," discusses some of the critical points for nutrition during pregnancy and offers some advice. It all starts, she says, with a well-balanced diet. fivefilters.org featured article: Normalising the crime of the century by John Pilger |
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