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Posts for tag: pregnancy

By contactus@priority-pediatrics.com
July 07, 2019
Category: Nutrition
Tags: pregnancy   nutrition   FDA   Mercury   Fish   Diet Advice  

FDA Updates Advice on Eating Fish for Pregnant Women, Children

Megan Brooks, July 03, 2019

The US Food and Drug Administration (FDA) has updated advice on fish consumption for women who are pregnant or may become pregnant, breastfeeding mothers, and young children, putting more focus on the health benefits of seafood.  

"Fish and shellfish are an important part of a well-rounded diet. However, we know many parents worry about mercury in fish and even choose to limit or avoid fish because of this concern. In fact, women in the US who are pregnant are consuming far less than the recommended amount of seafood," Susan Mayne, PhD, director of the FDA's Center for Food Safety and Applied Nutrition, said in a news release.

"Our goal is to make sure Americans are equipped with this knowledge so that they can reap the benefits of eating fish, while choosing types of fish that are safe for them and their families to eat," said Mayne.

Choose Wisely

In January 2017, the FDA and Environmental Protection Agency (EPA) released a reference chart to help consumers more easily understand the types of fish to eat more or less of, based on their mercury levels.

The information in the chart remains the same. However, the revised advice issued July 2 expands information regarding the benefits of fish as part of a healthy diet by promoting the science-based recommendations of the 2015-2020 Dietary Guidelines for Americans. The advice pertains to people aged 2 and older.

"While it is important to limit mercury in the diets of women who are pregnant or breastfeeding and young children, many types of fish are both nutritious and lower in mercury," the FDA said in the update.   

"The revised advice highlights the many nutritional components in fish, many of which have important roles in growth and development during pregnancy and early childhood. It also highlights the potential health benefits of eating fish as part of a healthy eating pattern, particularly for heart health benefits and lowering the risk of obesity," the FDA said.

Fish provides protein; healthy omega-3 fats; more vitamin B12 and vitamin D than any other type of food; iron, which is important for infants, young children, and women who are pregnant or who could become pregnant; and other minerals such as selenium, zinc, and iodine, the FDA notes.

Last month, the FDA announced it would allow certain "qualified" health claims stating that consuming eicosapentaenoic acid (EPA) and docosahexaenoic (DHA) omega-3 fatty acids in food or dietary supplements may reduce the risk of hypertension and coronary heart disease.

The FDA continues to recommend that adults eat at least 8 ounces of seafood per week based on a 2000 calorie diet.

For an adult, one serving is 4 ounces (about the size and thickness of an adult's palm). Adults should eat two to three servings a week from the "Best Choices" list (or one serving from the "Good Choices" list). For children, one serving is 1 ounce at age 2 and increases with age to 4 ounces by age 11.

Women who are pregnant or breastfeeding should consume between 8 and 12 ounces of a variety of seafood per week from choices that are lower in mercury.

The 36 types of seafood on the best choices list include salmon, shrimp, pollock, canned light tuna, tilapia, catfish and cod, flounder, haddock, crab, clams, and sole. Nineteen varieties make the good choices list and include bluefish, halibut, mahi mahi, grouper, monkfish, rockfish, snapper, and striped bass (ocean).

The FDA recommends that everyone avoid seven fish that may be high in mercury: king mackerel, marlin, orange roughy, shark, swordfish, tilefish (Gulf of Mexico), and bigeye tuna.

The updated advisory also cautions that some fish caught by family and friends, such as larger carp, catfish, trout, and perch, may contain unknown amounts of mercury or other contaminants. It advises checking local advisories for information on how often it's safe to eat those fish. If there is no advisory, the FDA advises eating only one serving and no other fish that week.

 
By contactus@priority-pediatrics.com
February 02, 2019
Category: Healthy Kids
Tags: pregnancy   Free   Webinar   Dental Care   tooth brushing  
 
DON'T MISS THIS FREE HEALTHYCHILDREN.ORG PARENT WEBINAR!
 
 
 
Join us Thursday, February 21, 2018 at 1 pm Central Time!
2PM Eastern Time
 
Good oral health during pregnancy is important for the health of your baby. Women who have cavities when they are pregnant can pass the bacteria that causes them along to their children, and gum disease can lead to premature birth or low birth weight.

Attend this free 45-minute webinar to learn why oral health is important during pregnancy and get tips on how to take care of your own mouth and your little one's once they have arrived. A Q&A session will follow the presentation. 

Not expecting a baby anytime soon? Please help us spread the word by  sharing this important email with friends or family who are pregnantthank you!

 
 
PS: If you are unable to attend the live event, but would still like to be notified when this webinar is archived on HealthyChildren.org, go ahead and register now so we will have your contact information. Thank you! 
By contactus@priority-pediatrics.com
February 28, 2018
Category: Technology
Tags: pregnancy   Baby   Free   App   IT  

The free Text4baby app makes it even easier for you to get critical health and safety information! 

You have a lot going on- let Text4baby.org help you remember your upcoming appointments. Set up a text-based reminder for your doctor’s appointments for you or your baby.

As the perfect companion to the text messages, you can get more health and safety tips and access fun, interactive features, including:

How your baby is growing each week

Your progress and medical updates

And more...

By contactus@priority-pediatrics.com
January 29, 2017
Category: Motherhood

From Familydoctor.org

Whether you’re actively planning to become pregnant or not thinking about it quite yet, preconception care during your childbearing years is essential. One reason is because about half of all pregnancies in this country are unplanned. And unplanned pregnancies are at higher risk for preterm birth and low-birth weight babies.

And besides, anyone can benefit from preconception care. Essentially, it means taking good care of your body and mind during the period when you can have a child. And healthy living is good for everyone.

If you’re trying to have a baby or just have an inkling you might want to in the near future, here are some of the things you should focus on.

Path to improved well being

Whether this is your first, second, or sixth baby, the following are important steps to help you get ready for the healthiest pregnancy possible.

Up your folic acid. Folic acid is a B vitamin that our bodies use to make new cells. Folic acid is especially important during times when the cells are dividing and growing rapidly, such as during pregnancy. Getting adequate folic acid can help prevent two common and very serious neural tube defects (NTDs): spina bifida and anencephaly. Both occur very early in pregnancy (as early as 3 to 4 weeks after conception), which is before many women even know they’re pregnant.

  • Anencephaly is when a baby is born without the front part of the brain (forebrain) and the thinking and coordinating part of the brain (cerebrum). The remaining parts of the brain are often not covered by bone or skin.
  • Spina bifida can happen anywhere along the spine if the backbone that protects the spinal cord does not form and close properly. This often results in damage to the spinal cord and nerves. Spina bifida might cause physical and intellectual disabilities that range from mild to severe.

The U.S. Public Health Service and Centers for Disease Control and Prevention recommend that all women of childbearing age (between 15 and 45 years of age) consume 0.4 mg (400 micrograms) of folic acid every day.

Schedule a preconception checkup. It’s important to get any chronic conditions under control before you become pregnant. Identifying them now can help up your chances of having a healthy pregnancy for both you and your baby. Your visit should include discussions of:

  • Your medical and family history. If you have certain conditions, such as diabetes, hypertension, asthma, seizure disorders, or maternal phenylketonuria, you’ll need to learn how to manage them during your pregnancy.
  • Any vaccines or boosters you may need. Some vaccines can be given during pregnancy, but the rubella (German measles) and varicella (chicken pox) vaccines should be given before you get pregnant.
  • All over-the-counter and prescription medicines you take, including dietary or herbal supplements. Certain medications can cause serious birth defects, so be sure to mention everything you’re taking.

Stop smoking and drinking alcohol. Both can increase the risk for preterm birth, NTDs, fetal alcohol spectrum disorders, and sudden infant death syndrome (SIDS). If you need help to stop, speak to your healthcare provider about what types of supports are in your area. You can also call 1-800-QUIT-NOW to be connected to your state’s “quitline.” For help with drug abuse, 1-800-662-HELP (4357) provides referrals to local treatment facilities, support groups, and community-based organizations. Having supports in place will increase your chances of quitting successfully.

Get to a healthy weight. Being overweight can make it more difficult to conceive. It also increases your risk of certain issues during pregnancy, including high blood pressure, gestational diabetes, having a stillbirth, and increasing the chances of needing a cesarean delivery. Shedding the weight before becoming pregnant can help improve your chances of conceiving and delivering a healthy baby.

The Centers for Disease Control and Prevention’s adult body mass index (BMI) calculator can help you determine your BMI and figure out whether you’re in the healthy range. If not, speak to your healthcare provider about the best way to achieve your weight loss goals.

Stay away from certain fish. Some fish, including swordfish, tilefish, king mackerel, and shark, contain a metal called methylmercury. Exposure to this metal can be harmful to a developing fetus. If you regularly eat these fish, methylmercury can build up in your bloodstream. Since it may take awhile to drop to a safe level, stay away from these four fish while you’re thinking of getting pregnant.

Other cooked fish and seafood are fine as long as you eat a variety of different kinds of fish. Choose up to 12 ounces (2 average meals) a week of an assortment of fish and shellfish that are lower in methylmercury. These include shrimp, canned light tuna, salmon, pollock, and catfish. Keep in mind, albacore (“white”) tuna has more methylmercury than canned “light” tuna. So, when choosing your 2 meals, you may eat up to 6 ounces of albacore tuna per week.

Things to consider

Genetic counseling may be something you want to think about if certain conditions run in your family or your partner’s family. You will also want to know if a member of your family was born with a genetic condition, birth defect, chromosomal disorder, or cancer. Other reasons to see a genetic counselor include having had trouble getting pregnant, experiencing several miscarriages, infant deaths, or a birth defect with a previous pregnancy. Or if you or your partner are over age 35.

A genetic counselor can meet with you to discuss potential genetic risks. At your appointment, you’ll discuss your medical, family, and pregnancy history. The counselor will explain what genetic conditions your future children may be at risk for depending on your history, and recommend tests that can help diagnose any conditions. Once you gather all the information, you and your partner can make an informed decision about whether or not genetic testing is warranted.

Questions for your doctor

  • What kinds of vitamins should I take that include enough folic acid?
  • Are there any foods I should not be eating while trying to get pregnant?
  • Are there any activities I should not be doing while trying to get pregnant?
  • Could any of my current health conditions affect my pregnancy?
  • Could any of my past history (STDs, miscarriages, abortions) affect my future pregnancy?
  • When should I stop using birth control?

Resources

Centers for Disease Control and Prevention, BMI Calculator

By contactus@priority-pediatrics.com
August 15, 2016
Category: Uncategorized

Hello from Dr. T,

 

I hope you have had a wonderful summer and are looking forward to the start of school and the coming colors of autumn.

 

Priority Pediatrics News:

 

We are off to Portland, Oregon, to enjoy the wedding of our nephew. We leave this Thursday, 8/18/2016, and return in one week on 8/25. Although I will be out of town, I will return phone calls and reply to texts and emails except when in the air and when the bride comes down the aisle. My voice mail will announce my circumstances.

 

The influenza vaccine has arrived. Unfortunately the vaccine nasal spray, Flumist, is not being offered this year. It was only 3% effective last year and the experts do not yet know why. The flu shot is 60-70% effective and is recommended for everyone, 6 months of age and older. Influenza is a serious disease... Make sure your child is protected! Influenza (Flu) Vaccine (the Flu shot): What you need to know.  What to do if your child has discomfort.

 

The best time to immunize against the flu is in September and October of every year. Children age 7 and older only need one vaccine. Under age 7 years, a child may need two shots one month apart if the child has never had a previous vaccine against the flu.

 

If you would like me to immunize your child(ren), please contact me by text or email to schedule the vaccine visit. I am happy to offer this vaccine to all healthy adults in your family and friends network after completing a Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination.


 

Other News items:

 

August is National Immunization Awareness Month.  Find out what shots you need (adults & teenagers).  If your child is under 7 years of age, find out what vaccines your child needs to be fully protected.  


 

August is Kids Eat Right Month™. Enjoy these links to articles, videos and recipes that help support Kids Eat Right initiatives every August and all year long.


August is Breastfeeding Awareness Month.  The CDC celebrates National Breastfeeding month.