Tuesday, October 27, 2009

plus 4, Treating depression during pregnancy - Houston Community Newspapers

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plus 4, Treating depression during pregnancy - Houston Community Newspapers


Treating depression during pregnancy - Houston Community Newspapers

Posted: 27 Oct 2009 07:11 PM PDT

Pregnancy can be a time of joyful anticipation in preparation of a new baby's arrival. However, for women with depression, excitement about pregnancy or many other life events can be hard to achieve.

Depression is a complex and serious mental illness — involving more than a passing case of the blues or a short period of grief after suffering a loss — and it is common among pregnant women. Between 14 and 23 percent of pregnant women will experience depression, and some will be diagnosed for the first time during pregnancy.

Identifying depression in pregnant women can be difficult because its symptoms mimic those associated with pregnancy, such as changes in mood, energy level, and appetite. Symptoms may also include lack of interest in things that used to be enjoyable; feeling sad or "down in the dumps;" restlessness, not being able to sit still, or feeling very sluggish; feelings of worthlessness or guilt; thoughts of death or suicide or attempts at suicide; problems concentrating, thinking, remembering, or making decisions; or sleeping too much or having problems falling or staying asleep. Experiencing several symptoms all day, every day for an extended period of time may be a sign of depression. Additionally, some women may suffer from headaches or other aches and pains, digestive problems, sexual problems, hopelessness and negative feelings, worry, or fear. Regardless of pregnancy status, you should talk to your doctor if you experience the symptoms of depression.

Pregnant women with depression often weigh treating their illness against concerns about using antidepressants — which have been linked to fetal malformations, cardiac defects, and other negative outcomes — during pregnancy. But not treating depression during pregnancy carries a risk as well. Depressed women are more likely to have poor prenatal care and pregnancy complications, such as nausea, vomiting, and preeclampsia, and to use drugs, alcohol, and nicotine. Infants born to women with depression have increased risk for irritability, less activity and attentiveness, and fewer facial expressions compared with those born to mothers without depression.

Getting depression under control should be a priority for pregnant women and their doctors. Women have several treatment options. After reviewing the risks and benefits, some women may decide to continue using the medication that has worked for them, while others may try to gradually taper off anti-depressants (under their doctor's supervision). Women with mild to moderate depression may also benefit from seeing a therapist instead of or in combination with medication. Any treatment regimen should be developed with input from a woman, her ob-gyn, and her psychiatrist.


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Deceptive pregnancy centers flushed out - University of Cincinnati News Record

Posted: 27 Oct 2009 09:13 PM PDT

Deceptive facilities called Crisis Pregnancy Centers (CPCs) are setting up shop near college campuses across the country, and the University of Cincinnati is no exception, according to the Feminist Majority Foundation.

The National Abortion Federation (NAF) defines CPCs as "deceptive facilities that look like medical clinics, but are actually anti-choice centers that exist to keep women from having abortions and misinform or intimidate women to achieve their goal."

Women have described being harassed, bullied and given false information, according to NAF.

"I'm sure the facts have some degree of truth to them," said Ashley Bowser, a fourth-year nursing major. "But since these facilities are pro-life, I'm sure some pump up the facts or exaggerate them to make them seem or sound worse than they actually are to try to scare women out of it."

UC's campus planner includes a full-page advertisement for Pregnancy Center East under the "Abortion Counseling" section. The center offers abortion consultation and immediate medical referral service, but does not perform abortions, support abortion or refer clients to other abortion clinics. The planner also has a section called "Abortion Alternatives," including one of the potential CPCs in Cincinnati in its listing.

"Abortion is the most common medical procedure in the country," said Barbara Rinto, director of the UC Women's Center. "I'm not saying that's good, just that we need to bring it out into the light."

These establishments are not medical facilities and are largely staffed by volunteers who call themselves counselors. Many are near authentic abortion clinics in an attempt to look more legitimate and attract potential clients away from receiving abortion care by capitalizing on patients' confusion, according to NAF.

"They call us fake clinics, well I say what's fake about it?" said Joan Loebker, President of the Board of the Pregnancy Center West on Glenway Avenue. "We just give free pregnancy tests and facts about childbirth and abortion. We don't charge a dime – this is all volunteer time by people who believe life is sacred, so we don't perform abortions. If a client chooses to keep her baby, we refer her to Good Sam's pre-natal clinic right downstairs."

There are several ways to identify a potential CPC.

A CPC offers free pregnancy tests and videos that might discourage women from abortion, but do not give referrals for abortion. Some, but not all CPCs, advertise that it can help with finances, medical care, adoption or childcare if they choose to continue their pregnancy or give information that could be construed as misleading, inaccurate or a scare tactic.

"These places pose as comprehensive women's health clinics, when they actually don't offer abortion services, contraception or referrals," said Holly Tomlinson, of The Feminist Majority Foundation. "They use scare tactics and misinformation to manipulate women to choose motherhood or adoption while pressuring them not to consider abortion or birth control, and many claim abortion leads to breast cancer, infertility, suicide and that condoms will not protect you from sexually transmitted infections – all claims that have been disputed by studies conducted by the American Medical Association, American Psychological Association and the World Health Organization."

In an effort to help clients combat the confusion, a bill titled the "Stop Deceptive Advertising for Women's Services Act," was introduced by Rep. Carolyn B. Maloney (D-NY). The bill allows the Federal Trade Commission to regulate the advertising practices of CPCs in order to prevent confusion with legitimate abortion providers.

There are several ways to identify a comprehensive or legitimate women's health clinic that offers all options counseling.

"A legitimate clinic makes sure the woman knows the choice she wants to make and helps her exercise that choice whether it's terminating or continuing the pregnancy," Rinto said. "They support them in their decision and provide referrals, even for abortion. If she decides to continue the pregnancy, she'll be referred to options for prenatal care, and then she can decide whether to keep the baby or have an adoption."

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Pregnancy Center Proposal Sparks Debate - WJZ

Posted: 27 Oct 2009 07:11 PM PDT

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Pregnancy Center Proposal Sparks Debate

BALTIMORE (WJZ) ― A debate is brewing across Baltimore over a controversial proposal up for consideration in the City Council. It involves pregnancy centers, birth control and abortion. Kelly McPherson explains why some say the proposal is harassment.

The issue of abortion is dividing activists in a new way--in pregnancy center waiting rooms. A city council bill would demand a sign in English and Spanish explaining if a center does not offer abortions or birth control.

Carol Clews says centers like hers are being unfairly targeted.

"In a very gentle, understanding way, we try to discourage women from having an abortion. We make it very clear up front that we don't perform them, nor do we refer for them. And we also won't tell them where to go to get one," Clews said.

She says a sign at the Center for Pregnancy Concerns already states that they don't provide abortion services.

City Council President Stephanie Rawlings-Blake says the legislation is necessary to protect pregnant women.

"It's important that women, particularly in vulnerable situations, get adequate and accurate medical information at the time they need it. We have information that many of these centers were giving misleading information or not giving full information," she said. "This is one way to have truth in advertising."

In its statement to the media, Planned Parenthood says there have been complaints about other pregnancy centers giving false or misleading information about abortion and birth control. It cites the NARAL Pro-Choice Maryland's recent investigation in Baltimore.

"It's not atypical of NARAL and Planned Parenthood to create issues that create problems for centers like mine," Clews said. "The archbishop is right: it is harassment. It does impugn our integrity. It's looking at us and saying, `You're not complying.' And the fact of the matter is, we are and we do comply."

Also in that bill is a $500 fine that a center would have to pay each day it doesn't comply with the sign requirement. The city would check up on centers through complaints.

This bill still has far to go. Committee members will vote next week and then it heads to the entire council for debate.

(© MMIX, CBS Broadcasting Inc. All Rights Reserved.)

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Women in second half of pregnancy advised to get regular H1N1 vaccine - Prince Edward Island Guardian

Posted: 27 Oct 2009 08:37 PM PDT


Women in second half of pregnancy advised to get regular H1N1 vaccine print this article
TERESA WRIGHT
The Guardian

Due to increased cases of swine flu on P.E.I., pregnant women in the second half of their pregnancy are now being advised to get the regular H1N1 vaccine.
Previously, health officials had been recommending pregnant mothers should wait for an unadjuvanted vaccine, which has not yet come out. That's because the adjuvanted vaccine, which contains a booster designed to make it more effective, has not yet been tested on pregnant women.
But now that there has been an spike in H1N1 activity, health officials across Canada are now advising pregnant women who have reached 20 weeks as well as those under 20 weeks with underlying health conditions to get the adjuvanted vaccine being given to the rest of the Canadian population.
This recommendation is supported by the Public Health Agency of Canada and the National Society of Obstetricians and Gynaecologists of Canada.
"The recommendation really hasn't changed, it always has been that we would use unadjuvanted vaccine for pregnant women except if we start to see an increase in activity of H1N1," P.E.I.'s Chief Health Officer Heather Morrison said Tuesday.
But pregnant women in the second half of their pregnancy or those under 20 weeks that have underlying health conditions have a high risk of complications and would therefore benefit most from getting vaccinated.

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Today's Health With Dr. T. Glenn Pait: H1N1 And Pregnancy - Today's THV

Posted: 27 Oct 2009 09:56 PM PDT

 The H1N1 virus can be especially tough on certain groups of the population, including pregnant women.

"The thing we worry about most in our pregnant patients is that they get lung problems sooner than others do. That's probably because as the uterus is growing and rising up in the abdomen it puts pressure, and takes away some of the lung function and so they're particularly prone to respiratory illnesses," that's according to Dr. Paul Wendel, Associate Professor of Obstetrics and Gynecology at UAMS.

Dr. Wendel says "The primary course of treatment for pregnant women is the same as any other patient. Make sure to get plenty of rest, drink lots of fluids and keep the fever down." But he says pregnant women should not go to their doctor's office if they think they have the flu. Instead, call first, and the experts will advise what to do next.

When it comes to the vaccine, Dr. Wendel says pregnant women should have both the regular vaccine, as well as the H1N1 vaccine. However they should avoid the nasal spray version, since it contains a live virus.

Dr. Wendel says even if the mother has the virus, the fetus won't be sick, "We don't think has the potential to get the virus, the only time that would be if they actually deliver while they have the H1N1."

In case you're wondering, a mother can breastfeed her newborn. The mother and baby would have to be separated. The mother would pump, and another person would feed the infant.

 For more information, click on the THVideo link.

And if you'd like to know what precautions to take during the upcoming travel season, click the link on the right side of the page.

 

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