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NHS Wirral deal for private midwife firm One to One

Posted in : Babies Care

(added few months ago!)

The deal between NHS Wirral and One to One Midwifery followed a pilot scheme in the area that involved 200 women. In the two weeks since the agreement was reached, about 10 mothers have chosen to have their babies delivered using the optional new service. Unison said that "maternity services are far too important to be entrusted to unaccountable private companies".

'Undermine the NHS'
Women who choose the One to One service will be provided with a midwife to see them through antenatal care, the birth and postnatal care. Midwives working for the company will be allowed to go into NHS hospitals to deliver the baby if the woman chooses a hospital birth. Christina McAnea, Unison head of health, said: "Of course pregnant women want choice, but they want a genuine choice over whether to have their baby in hospital or at home.

"They don't want an artificial choice between different types of providers... in the interests of a free market ideology that wants to undermine the NHS."A statement from NHS Wirral said: "NHS Wirral continues to contract with local hospital-based maternity services providers (Wirral Hospital's Trust, Liverpool Women's Hospital, Countess of Chester Hospital). "Therefore, women are free to choose the type of service and location of birth which they feel best meets their needs."

'Impact upon jobs'
Jacque Gerrard, the Royal College of Midwives' (RCM) director for England, said: "The RCM is aware of the progress made by One to One as a maternity service provider, and we welcome it as an add-on service for choice for women.

"However, we have reservations regarding the impact upon jobs for midwives in the NHS. "We have formed a professional relationship with One to One to gain recognition for our members, as they will be an alternative employer for midwives."

Joanne Parkington, founder and clinical director of One to One, said the company would "relieve the pressure on the existing NHS system and introduce a specialised service for teenagers and the most vulnerable".

One to One currently employs 28 people, including 20 midwives, and said it is in talks with other NHS trusts around England and Wales about providing some of their maternity services.

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Premature Babies at Risk of Having Behavioral Problems

Posted in : Babies Care

(added few months ago!)

Premature delivered babies need extra care because they are more likely to suffer from physical or mental problems. Researchers have recently added one more effect of premature delivery upon the baby.

From their newer research, a team of researchers has claimed that the babies, who are born only few weeks early like between four and eight weeks, should also be given extra support or even psychological help because they are more likely to have behavior problems.

The findings of the study have been published online in the journal Archives of Disease in Childhood. In the findings, the researchers have clearly mentioned that moderately premature boys are more likely to act out their problems through their behavior as compared to the premature girls who were noted to internalize them rather than acting them out.

Prior to concluding above findings, the researchers asked the parents of all the babies to complete a questionnaire upon their children (all aged 4 years). The questionnaire included questions on issues disclosing whether their youngsters internalized or externalized their problems, if they suffered any anxiety or depression, situations when they stopped the use, if they had any sleep problems, unexplained medical complaints, problems in paying attention or aggressive behavior etc.

Results were then matched to the answers of the parents of premature babies, and it was then concluded that premature children are almost twice as likely to suffer problems overall than children born at after appropriate stay in womb. Also, it was noted that the premature girls are particularly affected more than the girls born at term to suffer a range of issues.

The authors from the University of Groningen in the Netherlands concluded: “Our results demonstrate that moderately premature children are more likely to already have behavioral and emotional problems before they enter school”.

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Neotech Products Launches Neotech RAM Cannula™

Posted in : Babies Care

(added few months ago!)

Neotech Products Launches Neotech RAM Cannula™ A Simple, Revolutionary Interface for Nasal Respiratory Support for Neonates

Neotech Products, Inc. (Valencia, California), today announced that the Neotech RAM Cannula™ is available for sale and trial. The Neotech RAM Nasal Cannula is a simple, revolutionary interface for nasal respiratory support, specifically designed for premature babies or critically ill babies in the neonatal intensive care unit (NICU).

The Neotech RAM Cannula has been clinically proven as a safe, effective and gentle method for delivering CPAP, PPV, IMV and continuous oxygen, as well as many other modes of respiratory support. This unique cannula has a universal 15mm adapter, soft, curved prongs, and is currently available in three sizes with more sizes for larger patients in development.

The shorter, kink-resistant tubing allows for better pressures, better flows, and less dead space. The Neotech RAM Cannula is compatible with HFOV, T-Piece resuscitators, traditional wall oxygen, most ventilators and Bubble CPAP. Also available is an optional oxygen adapter that allows for the transition from NCPAP or NIPPV to oxygen support without having to change the cannula.

To date, the cannula in clinical trial has been used for more than 3,000 patient hours. Neotech Vice-President and COO, Craig McCrary, said, “It has always been our mission at Neotech to Make a Difference for health care practitioners, patients and their families. The Neotech RAM Cannula truly has made a difference from the first moment it went on trial. The device allows nurses and respiratory therapists to deliver the therapy required for their babies in a gentle and effective manner. It’s also great for parents because they can see their baby’s face, and they can hold their baby much easier during Kangaroo Care.”

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Baby Boy Horry annual memorial service held near Conway

Posted in : Babies Care

(added few months ago!)

Baby Boy Horry didn’t have a chance to experience the joys Christmas when he was left to die three years ago in a canvas bag in a ditch off S.C. 544 outside Conway, Rev. Wayne Brown said Sunday during a memorial service for the infant at Hillcrest Cemetery.

“He’s in the Lord’s hands and all is well. His time came for him in a way that none of us had wished or expected,” Brown said. “God was with him in his inception, God was with him in his birth and God was with him in his death.”The Caucasian infant, who has been named Baby Boy Horry, was found dead Dec. 4, 2008, inside a blue-and-white Bath and Body Works bag in a ditch on Meadowbrook Drive off S.C. 544, authorities said.

Horry County Coroner Robert Edge has said the infant “was a very viable child, which means if it had the proper care, it would have lived.” On Sunday, several bouquets of flowers along with teddy bears, candy canes and a Christmas tree adorned the baby’s gravesite. “It was such a tragedy when it happened,” Robby Skeens said after the service. “We don’t want that baby to go unremembered.”The annual memorial services had about 30 attendees including many members of the local Rolling Thunder chapter, who showed their support for the abandoned infant with patches on their leather vests and jackets.

“It is a yearly thing in my heart,” said Ann Wagner, a Rolling Thunder member who wears a patch in honor of the baby’s memory. “We adopted him so we can’t forget him.”Horry County Police detectives and the coroner’s office continue to investigate the baby’s death and search for information about his parents, who have not been found, Deputy Coroner Tony Hendrick said Sunday. The bag the baby was found inside of was a limited-edition, white-and-blue canvas bag from Bath and Body Works and was sold at the store in August 2008 as a promotion, Horry County Police Sgt. Robert Kegler said.

Utility workers in the area found the baby in the bag and reported the incident. Police developed a DNA profile for the newborn and can match that to the parents, if they are ever found, Kegler said. Authorities said they hope the annual service will spur someone who knows what happened to come forward, while pointing out that such legislation as Daniel’s Law would help prevent this kind of case. “There have no tips for some time concerning Baby Boy Horry,” Kegler said. Brown told the crowd that thanks to Daniel’s Law and organizations that will take babies such as Baby Boy Horry, no child should be abandoned.

“None of us can stand here in judgment. We do no know what that mother was going through. But there are agencies that will take a baby no questions asked,” Brown said. “There are so many people who would have given that baby services.”Anyone with information on the identity of the baby is asked to call the Horry County Police Department at 915-TIPS. Callers may remain anonymous.

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Vaccination can reduce babies’ mortality rate

Posted in : Babies Care

(added few months ago!)

Executive District Officer (EDO) Health Dr Muhammad Ashraf Javed has said that care and vaccination can save babies from mortality. He said this while addressing a seminar on Mother and Child Week being observed under the auspices of the National Maternal Newborn and Child Health Programme (MNCH) here the other day. He said that it was the responsibility of every parent to provide vaccination to their children up to five years of age to save them from fatal diseases.

Mian Afzal Kamyana, District Coordinator, MNCH Programme, Okara, said that the community midwives could play a vital role in achieving high survival rate of newborn babies and children up to five years of age. He said that even mosque imams could help promote the MNCH Programme among the people through their sermons. He said that the programme had imparted training to 125 community midwives in the district. Afzal pointed out that presently 88 community midwifes were deployed in the area to achieve goals. He said that mortality rate of newborn babies and children up to five years of age could be controlled through immunisation process. The seminar was also attended by District Officer Health Dr Muhammad Athar, Deputy DO-H Dr Saeed Sial and others.

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Prenatal care vital to babies’ long-term health

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More than 40 per cent of expectant mothers in the City of Windsor between 2006 and 2010 did not receive any prenatal care during the first three months of their pregnancy, the worst performance among Ontario’s 25 largest municipalities.

That’s nearly three times worse than the provincial average, based on comprehensive data obtained by The Spectator from the Better Outcomes Registry & Network (BORN) Ontario birth registry. Early access to prenatal care is considered a vital part of ensuring the delivery of healthy babies. Windsor’s rate of low-birth-weight babies was also higher than the provincial average, as was the city’s rate of teen mothers, which was 50 per cent higher than the Ontario rate.

Of the 25 Ontario communities with the lowest rates of prenatal care during the first trimester, eight are in Essex County in southwestern Ontario, including the City of Windsor, seven are in the Kenora district of northwestern Ontario, and seven are in the Algoma district, including the city of Sault Ste. Marie.

Just 57 per cent of expectant mothers in Windsor received prenatal care in the first trimester. In downtown Windsor, which suffers from high poverty levels, the rate was even lower — just barely above 50 per cent.

The Ontario average from 2006 to 2010 was about 85 per cent of expectant mothers receiving some prenatal care during the first three months. Debbie Silvester, manager of family health for the Windsor-Essex County Health Unit, said that her health unit disputes the rates reported for municipalities in Essex County.

Silvester said the unit has questions about how the information was gathered at local hospitals. She did acknowledge that Essex County has had problems in the past with a shortage of physicians. “That is not as much the case now as it was back a few years ago,” said Silvester. “I know that we’re better than we were.

“With the family health centres that have been put in place, we’ve seen less people having to depend on our walk-in clinics.”Ontario’s three worst rates of prenatal care during the first trimester were Wabaseemoong, Grassy Narrows and Whitefish Bay native reserves, all near Kenora.

Added together, fewer than half of the women at the three reserves received prenatal care in their first trimester, according to the four years of BORN data. One in four women who gave birth at the three reserves between 2006 and 2010 was also a teenager. Wayne Hyacinthe is the health director at Grassy Narrows First Nation, a 90-minute drive north of Kenora.

Between 2006 and 2010, just 46 per cent of pregnant women at Grassy Narrows received first trimester prenatal care, and Hyacinthe is mystified by the low rate. “Technically, they all should be getting it,” said Hyacinthe. “We go out and seek them out when we hear that they are (pregnant).

“We don’t just sit around waiting for them to walk in the door.”On a more positive note, the rate of pregnant women at Grassy Narrows receiving prenatal care at any point before giving birth rose to more than 96 per cent, which is not far off the provincial average.

In Hamilton, the overall rate of mothers receiving some type of prenatal care in the first trimester was 93.7 per cent, which is well above the provincial average of nearly 85 per cent. But there are noticeable differences across the amalgamated City of Hamilton.

Much like the story of teen mothers and low-birth-weight rates, there is a connection between lower rates of prenatal care during the first trimester and parts of the city with high rates of poverty.

In the former City of Hamilton below the Mountain, the rate of first-trimester prenatal care was just 91 per cent, compared to 95 per cent on the Mountain. The rate in Stoney Creek was just over 95 per cent, and the rate in Ancaster was nearly 97 per cent.

Looking just at the lower inner city between Kenilworth Avenue and Queen Street, the rate dipped to 89 per cent. Dr. David Price said that prenatal care — even a little bit of it — can help improve birth outcomes. Price is chair of McMaster’s department of family medicine, as well as the founding director of the Maternity Centre on James Street South.

“At a micro level — the patient level — it can have a huge impact,” said Price. One common reason that helps explain why women get missed during the first trimester, Price said, is because some may not realize — or want to acknowledge — they’re pregnant until the fourth month, or later.

“And it’s not just common amongst uneducated people,” Price noted. “We’ve had medical students who’ve shown up at 28 or 30 weeks not realizing that they were pregnant. “Of course, when you get to 40 weeks, you’ve got to think there’s a lot of denial there.

“But certainly up to 18 or 20 weeks when the baby first moves, some women don’t have regular periods anyway so the fact that they haven’t had a period doesn’t really mean a lot to them,” he added. “That’s a common story.”

Despite high rates of poverty in the lower inner city, Hamilton’s prenatal care rates are better than what might be expected, Price noted, because of the city’s strong, well-integrated social service network.

“Part of it is having multiple sources you can access,” said Price. “It’s because of our social agencies, it’s the public health programs, it’s places like Grace Haven (the Salvation Army’s outreach program for young, single parents and parents-too-be) and their word of mouth, it’s because of the outreach that the public health nurses do. “I think we recognize that we have challenges, and the city and the community have put in resources to deal with that.”

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Obese 200-Pound Third Grader Put in Ohio Foster Care

Posted in : Babies Care

(added few months ago!)

A third-grader who weighs over 200 pounds was taken out of his home in Cleveland, Ohio and placed in foster care, after officials deemed his mother wasn't properly controlling his weight. The Associated Press reported that this is the first incidence in Ohio where a child was put in foster care solely for weight-related issues.

The obese eight-year-old was removed on Oct. 19 from his home in Cleveland after social works said his mother was incapable of monitoring her son's weight, a form of medical neglect, according to the Plain Dealer.

"This child's problem was so severe that we had to take custody," Department of Children and Family Services spokeswoman Mary Louise Madigan told the Plain Dealer. Authorities said the environment in which he lived with his mother, who did not follow doctor's orders for the boy's diet, were attributed to his obesity.

"They are trying to make it seem like I am unfit, like I don't love my child," the boy's mother told the Cleveland Plain Dealer. "It's a lifestyle change and they are trying to make it seem like I am not embracing that. It is very hard, but I am trying."

Lawyers for the boy's mother argued that the case was "overreached," and the boy shouldn't have been taken from his home. The mother told the newspaper she was only allowed to see him once a week for two hours while the county believes time away from his family will help the boy get to a healthy weight.

The boy first got on the radar of the Department of Children and Family Services when his mother took him to the hospital last year, the Plain Dealer reported. He was diagnosed with sleep apnea, for which he was treated by wearing a breathing machine to help and monitor his breathing at night. Since sleep apnea could emerge from obesity, the child was put under protective supervision where he was monitored.

Under orders from a doctor, the mother tried to monitor the boy's diet. She forbade other children and his sibling from giving the boy extra food and persuaded him to eat healthier and exercise on a bike she purchased for him. She even signed him up for a program at Rainbow Babies & Children's Hospital called Healthy Kids, Healthy Weight.

He lost weight at one point before gaining it all back, weighing in at over 200 pounds. However, his mother said she believes genetics is a large factor in her child's obesity, as she and the boy's father are overweight.

The case of the 200-pound boy being removed from his home is one instance within a national debate over whether or not social services should be allowed to place children into foster care when a weight problem is evident. A Harvard University professor and obesity expert made a controversial comment which spurred debate.

"In severe instances of childhood obesity, removal from the home may be justifiable, from a legal standpoint, because of imminent health risks and the parents' chronic failure to address medical problems," Dr. David Ludwig wrote in the Journal of the American Medical Association

A hearing is set for next month on the 200-pound boy's ninth birthday to determine if the mother will regain custody. According to the Plain Dealer, the boy has lost some weight since Oct. 19 when he was removed from his home.

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Why Is China's Baby Care Industry Booming?

Posted in : Babies Care

(added few months ago!)

China's "one-child" policy has repressed and stabilized the number of births, but the market for baby products has exploded. The growth is driven by rising incomes and the intense focus on the single child with interesting twists. For instance, baby formula sales have gone way up because people are now spending more money on foreign formula products because they no longer trust Chinese companies after the melamine poisoning of several years ago.

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Stop drug crisis from engulfing more babies

Posted in : Babies Care

(added few months ago!)

The impacts of the region’s prescription drug abuse plague continue to mount. The terrible toll on families extends to the most innocent of victims -- babies. Florida is the epicenter of the nation’s fastest-growing drug dilemma, labeled an “epidemic” by the Centers for Disease Control and Prevention.

Too many expectant mothers are too drug addled and dependent to fend off OxyContin, Vicodin, Xanax and other narcotics during their pregnancies. In the Tampa Bay region alone, the number of babies born addicted to powerful pain killers and other prescription drugs stood at an estimated 400 in 2010-2011. Statewide, the figure surged from 354 babies five years ago to 1,374 last year, Florida’s Agency for Health Care Administration reports.

“I’m scared to death this will become the crack-baby epidemic,” Florida Attorney General Pam Bondi told USA Today earlier this month in a front-page article. She has asked the Legislature to form a task force to draw up prevention policies, a solid initial step in attacking this problem.

Manatee County commissioners got a earful this month, too, when representatives of the community’s substance abuse organizations and others detailed this scourge and urged preventive action. As Rita Chamberlain, coordinator of the Manatee County Substance Abuse Coalition stated, this is indeed a “crisis.”

Kim Lott, who lost her son Sam to a prescription pain pill addiction, expressed the epidemic’s heartbreaking toll on families in an emotional plea to commissioners: “Please, please stop this madness. Our children are dying at an alarming rate every day.”

Florida’s Medical Examiners Commission reports that 1,516 people died of Oxycodone overdoses alone last year, a frightening quadruple increase from 2005. Another 315 overdosed on Hydrocodone.
While the state clamped down with new restrictions on prescription purchases, a drug database and other strategies, stronger local action is warranted. Manatee County’s emergency ordinance establishing a moratorium on permits for new pain management clinics expired but remains in effect.

Commissioners should make this special permitting system, designed to thwart unscrupulous “pill mills” while allowing legitimate clinic operations, permanent. And crack down with additional provisions, including the coalition suggestion for tougher operating standards.

One of the most startling statistics the commission heard came from Donna Vallenga, executive director for SOLVE Maternity Homes in Bradenton and Englewood. A third of the women requesting help with unplanned pregnancies test positive for prescription drugs.

That figure places motherhood second to an addiction, a shameful situation. Drug babies require special medical care, which places a costly burden on society. We urge Manatee County’s legislative delegation to support Bondi’s request for a task force to devise strategies to save babies from exposure to prescription drug exposure. We also urge county commissioners to adopt stiffer measures. This crisis must be contained.

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You think you're ready for a baby?

Posted in : Babies Care

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You think you're ready for a babyFive boys, and five girls. They're all the same age, but have different ethnic backgrounds. They cry, day or night, and need to be fed, changed, and comforted. They even have three settings: hard, medium and easy.

But as Ann points out, easy does not mean easy, just the easier of the three settings. Ann is a community drugs project worker and the babies are 'real care babies' – programmable dolls which simulate the needs and actions of a newborn baby.

The 10 babies cost almost €10,000, and they're given out to willing participants on the substance use, relationships, and sexual health courses she runs around the county. 'They cry when they need to be fed. They cry when they need to be changed, and when they need to be comforted, or if they need winding,' she explained. 'If they're mishandled, they screech.'

'They look after them, and when I get them back, I plug them into a computer and generate a report,' she added. 'When you get the baby, you have a bracelet which you swipe on its back, and then you attend to it. You try to feed it, or change its nappy, and if it doesn't stop crying, you swipe it again and try something else.'

In the FDYS offices, they are known as 'Ann's babies', though she doesn't have names for each of them. 'When the person gets them, they get a birth cert, and they can name them,' she said. The courses she runs can vary according to the group. 'What's coming up is around relationships and sexual health,' she said. 'I have done young women's programmes as well.' The courses are generally split along gender lines.

Ann said she has yet to give the babies out to a group of young men. 'It's a voluntary thing,' she said. Among the babies is one with foetal alcohol syndrome, and a drug affected baby.

She said that the volunteers often don't realise what it takes to care for a baby 24 hours a day. 'They' don't realise it's so stressful,' she said. 'They start out wanting to buy them clothes, but it soon changes when they realise the babies wake up every three hours, and it can take an hour to feed them.'

'Some people like them, and they are okay with being a mother,' she said. The courses aren't just about baby care and motherhood. They also deal with issues such as sexual health, underage sex, contraception, and sexually transmitted infections.

'A lot of young people think everybody's having sex, and they want to have sex too,' she said. 'They are not sure of the legal age or any of that. For young people today, it's getting more challenging.'

'The impression given these days is you are not the norm if you don't have underage sex, but that's not the case,' she added. 'A lot of young people are not sexually active, but they think they should be.'

'A lot of it is talk,' she added. ' There are young people out there having underage sex, but they really are the minority rather than the majority. The guys especially put on bravado, and say they've had loads of sex, but you know from what they're saying, that they haven't.'

Topics looked at include: ' Are you ready yet?'; the law; rape and sexual assault; and domestic violence. 'It depends on what age group, and what the group wants to look at,' she said. 'It's age-appropriate information. It's about showing respect and expecting respect.'

Ann said that generally speaking, the volunteers, when they return the baby, say 'I'm not ready for it' or 'I certainly wouldn't be at this age'. 'Even 24- to 25-year-olds say they are not ready,' she said. 'The younger ones think they are going to be great at the start, but when push comes to shove, it's a different story. Until they are up all night, and then have to go to school the next day, they don't realise what it's really like.'

The biggest issue Ann has come across, is a failure to fully deliver the SPHE course in schools. ' There are exceptions where you have teachers that are really interested, and really good,' she said. 'Others aren't. SPHE needs to be implemented. The government said they have to do it in the Junior Cert cycle, but the course is delivered by teachers who aren't trained to deliver it. The best place to do it is in school, but the practicalities of it are that teachers are not encouraged to get the training and keep updated. But as I said, there are exceptions and some of the teachers really understand it and really enjoy it.'

Other issues looked at in the course include relationships, and substance use. Alcohol is the biggest problem. ' You give them the correct information and they are able to make an informed decision on it,' said Ann. 'We also do drug awareness programmes from 10 years upwards.'

Anyone interested in one of Ann's courses can contact her on 087 9351754. They are run at FDYS buildings, community buildings, or in schools around the county. The youngest age she has taught is 13.

'I've had a few teenagers really upset because the care they gave the baby wasn't suitable,' she said. 'The reports come back of floppy necks or mishandling, and they get upset because they thought they did a good job.'

As she spoke, she was getting ready to give away her babies yet again for another three days, this time to a group of volunteers in Coolcotts in Wexford, who would soon find out what caring for baby is all about.

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