Coping with Hyperemesis Gravidarum – mums speak out on severe morning sickness

As news of the Duchess of Cambridge’s third pregnancy makes waves across the nation, we are reminded of the realities of morning sickness and its level of severity in some rare cases.  The UK’s leading support resource for mums to be Emma’s Diary, (verified by the RCGP – Royal College of General Practitioners), has spoken to several mums suffering from Hyperemesis Gravidarum (which affects 1 in 100 pregnant women) about their experiences, in a series of candid interviews.

Around 80% of pregnant women suffer from morning sickness (and despite its misleading name, it doesn’t just happen in the morning).  For some, like the Duchess of Cambridge, extreme vomiting triggered by pregnancy can be severe, even life threatening for those diagnosed with Hyperemesis Gravidarum (HG). In a bid to share their stories and raise awareness of this less common condition, these mums have spoken out to warn others that if you believe you are suffering from extreme sickness, not to be fobbed off by suggestions that ‘it’s normal’, because it might not be the case:

Bella Drew from Norwich in Norfolk said:

“My baby is due in just over two weeks time. The moment I first found out I was expecting, my heart filled with excitement but that was soon to be diminished a week later.  My experience of so-called ‘morning sickness’ started at around three weeks, I couldn’t keep anything down but I was told that was normal.  As my suffering worsened I was put on medication which didn’t really help in my opinion.  I had lost around two and a half stone, had sustained haemorrhages within my eyes from the straining while being sick. 

I was being sick every 15 minutes throughout the day and night.  I was bedridden and eventually I gave up.  I couldn’t cope anymore and I was admitted to hospital diagnosed with HG. Despite all of the recent media attention the condition is still massively misunderstood. I wouldn’t wish this debilitating illness on anyone and we really need to spread more awareness of the impact and symptoms of HG.” 

Emma Eaton from Gosport in Hampshire said:

“I am pregnant and am currently suffering with HG; I was also hospitalised for two weeks in my last pregnancy having almost died from starvation and dehydration.  I have been in and out of hospital numerous times during my current pregnancy to have IV fluids and IV anti-emetics to help control the symptoms. I have to take two different types of tablets to help prevent me from being sick as I have been physically passing out and collapsing – also knocking myself out in the process. I believe there needs to be much greater awareness of this life-threatening condition amongst pregnant women and those who are planning to have children.”

Gemma Edwards from Walsall in West Midlands said:

“I was diagnosed with HG with all three of my pregnancies which has left me with some long term health problems. I am losing my teeth due to the impact of the stomach acid because I was vomiting anything from 20 to 50 times a day. I was also hospitalised for weeks on end with ketoneuria (ketones in my urine – a sign of dehydration) and my veins kept collapsing, this condition made me very ill and my kidneys went into pre-failure meaning my life was at risk and also that of my children.  This is a very serious condition and more awareness of the long term health risks it poses is much needed.”

Many women who are diagnosed with HG say they can’t keep anything down. They can also lose a lot of weight and fluids and sometimes have to be admitted to hospital for re-hydration treatment as well as require antiemetic medication to stop the vomiting.  In terms of adverse effects on the baby, experts say there are usually very few unless weight gain continues to be poor during the second half of pregnancy; or indeed the symptoms are more severe over a sustained period of time.

Sufferers of HG reported:

  • Extreme fatigue
  • Muscle weakness
  • Weight loss
  • Depressed mood
  • Tooth loss
  • Kidney failure
  • Severe dehydration (with ketones present in urine)
  • Disturbed salts in the blood
  • Eye haemorrhages
  • Long term health issues

Dr Shauna Fannin FRCGP, Chair of the Editorial Board at Emma’s Diary said: “Every pregnancy is different and whilst pregnancy sickness is extremely common, Hyperemesis Gravidarum (HG) only affects 1% of pregnant women and is a condition at the extreme end of the pregnancy sickness scale. HG sufferers will vomit frequently and can become dehydrated very quickly so it is very important to seek urgent medical advice.”

Faye Mingo, mum of two and Marketing Director at Emma’s Diary said: “It’s really brave for these women to speak out and share their experiences with others.  What is apparent is a desire to build greater awareness on the topic of HG and to dispel any myths about what is considered to be ‘normal’, the message from most of the mums we spoke to is to trust your instincts and to keep pushing for medical support if you believe you or your pregnancy might be at risk.”

 

Domination of Screens Taking Its Toll On Children’s Reading, Learning And Behaviour


At Frost we are great believers in the value of reading, as you will have notices from the number of books we review.

So, it’s no surprise to know that new research has revealed that a book at bedtime can boost a child’s brain power, accelerate academic achievement and reduce the risk of behavioural problems.

 

MRI scans show that reading to children from an early age actually increases activity in parts of the brain involved with language, particularly those regions which are critical for spoken language and reading.

 

Better understanding of the neurobiology of the brain has also shown how diet and digital technology can influence reading and cognition.

 

But the latest research, underlining the importance of reading, points to problems ahead. Research from Equazen, suggests that a worrying number of British children are turning their backs on books. 

 

Leading neuroscientists believe that our reading is more superficial when we use a screen, but a survey of parents has shown nine out of ten children have access to a tablet or Kindle.

 

I endorse this. As an author I write more succinctly, and superficially for screen than for print. A new report, SOMETHING FISHY ABOUT READING, authored by Philip Calder, Professor of Nutritional Immunology at the University of Southampton and an advisor to Equazen and independent dietitian Dr Carrie Ruxton examines the very latest data and explores new research into literacy and brain function. And it reveals a complex interplay between reading, cognition, behaviour, diet and lifestyles.

 

It seems reading alters the way we thinkand interestingly improves blood flow to the brain though, but e- devices may lead to ‘digital brain’ and reduced concentration. The report supports the benefit of omega-3 fatty acids, which I take. . 

 

Might be wroth trying some omega-3 for the kids, and ourselves. Equazen do a range which is suitable for pregnancy, babies from six months to three years, a liquid for children who don’t like pills, and a chew .

 

You can find these Equazen products at pharmacies, Amazon.co.uk and health food shops.

 

 

Communication And Safety Tips For Parents

keeping children entertained on car journeysAs a parent, you already understand that good communication is a necessary skill whether you are talking to a toddler or a teen. If your children are little, you can use communication as a way to teach them how to be safe around cars. This is an invaluable lesson you can teach them when they are out in the garden or when they are with you on the street.

You may also want to teach them that not all strangers are to be trusted. This is particularly useful when they first go to school. If your child is older, then good communication with your child will be instrumental in building up a sense of self-esteem and develop a feeling of mutual respect.

10 Tips to Build Rapport 

1. If your child wants to play, let your child know that you are interested in the things that interest them. Agree to help them with their game if they need it.

2. If your child has something they feel important, let him or her know that they are more interesting to you than some form of media entertainment. For instance, if your child is talking to you while you are watching television, pause to. If they have something that they urgently want to say, then turn off the television and give them your full attention

3. If your child is chatting with you when they are sharing something with you, let him or her know that they are more important than a casual telephone call. Rather than excuse yourself when your friend calls, let the answering machine pick up the message.

4. If you get to spend some personal time with your child, let your child know how much you enjoy your private chats with them.

5. If your child does something foolish when you have company, don’t rebuke them in front of everyone. Scolding them in front of others can be embarrassing for them. Public humiliation only leads to a feeling of resentment.

6. If your child has to constantly look up to talk to you, occasionally drop down to their level when you talk.

7. If you are really angry about your child’s behavior, give yourself time to cool down so that you can have an objective talk.

8. If your child is telling a story, don’t correct their grammar or how they narrate the story. Instead, show an interest in the story rather than how it could have been told better.

9. If you get a negative report about your child from another parent or a teacher, don’t simply launch into a tirade. First, listen to your child’s side of the story. They may have behaved badly because they misunderstood the situation and did not know that their behavior would upset others.

10. Be open and receptive to your child’s attempts to communicate and explain their point of view. Encourage your child to communicate by asking leading questions.

5 Ways to Make the House Safe for Kids

While safety in the home can be improved through communicating about dangerous things—like not jumping on the bed, climbing on the pipes, or touching hot plates—safety can also be ensured by taking proactive measures.

Here are some common household dangers that you should either warn your child about or use safety measures to protect them.

1. The danger of scalding when turning on a tap. Teach your child the difference between the hot and cold taps.

2. The danger of falling out of an upper story window. One solution is to install window guards.

3. The danger of falling down stairs. This can happen if your child is learning to crawl or it can happen if your child is rushing around the house. It’s only too easy for a child to roll down a flight of stairs.

4. The danger of leaving your house unprotected. One ADT security company discusses the need for extra precautions for your family. “The list of potential threats that could affect their safety includes burglary, fire, carbon monoxide and flooding.”

5. The danger of medications or poisons. Your curious toddler likes to taste all sorts of things. Make sure that you don’t leave your medications lying around and that you have locked all detergents and garden supplies in a safe place.

From our contributor Jenna.

Time To Give Up Sugar? Mentor Me Off Sugar Day 27

Yesterday my fiancée went to play poker with his friends. Usually this is an excuse for me to eat something he would not approve of. Instead, this is what I had:

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Lunch was a giant fried egg that was supposed to be an omelette (This was my second attempt and the first one obviously made me too cocky), mushrooms, tomatoes, cucumber and iceberg lettuce with olive oil. Dinner was a tricolore: avocado, tomato, mozzarella with boiled egg, cucumber, lettuce and more olive oil. I am not sure what has happened to the old me but if you see her, dust her off and give her a light slap because she will be in shock.

No fizzy juice, no fruit juice, no chocolate and no sweets or cakes. My only vice the occasional tea with a little bit of sugar when the headaches and nausea gets too bad.

I have always eaten healthily but have the occasional binge and too many sugary drinks. Today is the last day and I have my last call with Laura tonight. My fiancée says he is proud of me and that I look healthy and that I am ‘glowing’. I am glad I did the diet even though it was hard. It has certainly paid off. My last post in the diet will be up soon but I will post some great low/no sugar recipes and facts for you. I hope you feel inspired to cut down your sugar intake. For me, it was definitely worth it.

Time To Give Up Sugar? Mentor Me Off Sugar Days 22 & 23

get off sugar, no sugar diet, should i give up sugar, is sugar bad for you, the white stuff, is sugar evil,So I am on the last week and I am also allowed fruit and dark chocolate now. This past three weeks I have noticed differences to my health and I am now aware at just how much sugar I was putting into my body. Answer: lots. Food companies seem to put sugar in everything. I even got sent water which had 12g of sugar added. Yes, a bottle of water that was 14% sugar. What is that about?

Bananas are 50% sugar, Sauces are full of sugar and so is white bread and pasta. In fact our recommended daily allowance of 50g of sugar a day (for a woman, here is the NHS guidelines on sugar, which should never account for more than 10% of your calorie intake) can be wiped out by eating two things. This is ridiculous, no wonder so many people have diabetes.

The past two days I have had my main meal in restaurants. I have listened to what Laura recommended when eating out. I had chicken on Monday with sauteed potatoes and insalata tricolore to start. On Tuesday I have crab cakes and then a burger. I don’t have any coke even though I want to. I have cocktails as I have to review them (I know, hard life) but I try ones with no obvious sugar, or added sugar.

I haven’t been having tea with sugar bit did yesterday as I had such a bad headache it was debilitating. Going forward, I am going to try and not take any sugar in my tea but this will be a hard and gradual thing. I also hate it when people have a go at me when I take sugar in my tea. The funny thing is that it is tied up in my identity. One friend calls me the only actress in London who takes sugar in their tea. I have always seen this as a huge compliment. Especially against body and health fascists. The truth is I drink a lot of tea, and the sugar adds up. So even getting down to one sugar would be an achievement.

The main thing I have noticed about the programme, other than the weight loss, is that I no longer have those blood sugar crashes. I didn’t think sugar or caffeine affected me, but, actually, it does. I am sleeping better and have a much steadier energy than the highs and lows of before.

One of the great snacks I have been having is egg in a cup. Try it as it tastes amazing and is very healthy.

I am feeling happy and positive. I never thought I would get this far or do this well. I haven’t been perfect but I have done my best and reaped the benefits.

What do you think? Will you cut out sugar?

 

Time To Give Up Sugar? Day 15, 16 & 17.

get off sugar, no sugar diet, should i give up sugar, is sugar bad for you, the white stuff, is sugar evil,This programme has been an eye-opener. I knew there was a lot of sugar in food, but looking at food labels is incredibly depressing. I even got sent some water for possible review and it had 12.5g of sugar added. Half your daily allowance! Why anyone would take something as healthy as water and add sugar is beyond me.

On Day 15 Laura sends me Meal Inspiration via email:

 

Meal Inspiration 

 

Breakfast | Half a tub of cottage cheese on rye bread with half an avocado & some cherry tomatoes (a nice non-egg, non nut option!)

 

Lunch |  Try a large tuna salad and add half a can of chickpeas, some feta cheese, roast sweet potato and a sprinkling of seeds to bulk it up. The more ingredients, the more tasty!

 

Snack | Chicken shavings (from the deli) and a slice of tomato on an oatcake

 

Dinner | Palma Ham covered chicken with shaved parmesan tucked inside, with some mashed squash and broccoli.

What I have mostly learned from this diet is that it is possible to eat, and eat well, without having any sugar whatsoever. You can still enjoy your food and have good meals and drinks. I will put some recipes together for you.

I have more energy now and I feel better about my health. No crashing sugar highs and lows. I can’t say it is not hard, it is. I still want tea, and chocolate. All those things that I am not allowed. I am over two weeks into the diet and still feeling positive. The acid reflux I used to have is gone.

I made a pie yesterday. It took about four hours but was very healthy with steak and a lot of vegetables. I have been eating well and the food I have been eating is delicious. I am feeling positive for the rest of the programme, and next week will also be allowed fruit and dark chocolate. Can’t wait.

Happy Sugar Habits

 

 

Should You Take Vitamins?

Andy_Murray becomes forst man in 77 years to win Wimbledon. It is hard to know what is the best for your health and the media always seems to be giving conflicting stories. I take a multivitamin but recent press has said this is not a good idea. So, what is fact and fiction? Let’s try and find out.

In response to an article in the Daily Mail on Thursday July 25th posing the question as to whether vitamins can take years off your life, the Health Supplements Information Service (HSIS) is reminding the nation about the many benefits behind vitamins and minerals that are needed daily to fuel our bodies and keep us healthy.

SORTING OUT THE REAL FACTS:

Vitamins and minerals perform a variety of vital functions in the body, mainly due to their participation in biochemical processes including:

ü working with enzymes to help in the release of energy from food

ü helping to maintain the health of body systems and organs such as the brain, heart, blood vessels and nervous system.

Vitamins and minerals work together to maintain our health and the body cannot function without them. They are essential nutrients and a lack of such vitamins and minerals can lead to poor health.

Vitamins and minerals can be obtained from food, but modern diets are often lacking in these nutrients due to poor food choice. This is amply demonstrated by the findings from the large UK Diet and Nutrition Surveys, which methodologically are among the most robust surveys in the world.

These surveys continue to show a lack of essential nutrients to some extent across population groups but particularly in young women whose mineral intakes may be severely compromised and in children and older people where vitamin D intakes fail to match recommendations.[1]

The most recent data from this survey[2] shows that mean intakes fell below the Reference Nutrient Intake (RNI) for a number of minerals, in particular iron, magnesium, potassium and selenium. This was particularly the case for boys and girls aged 11 to 18 years. Mean iron intake was 58% of the reference nutrient intake (RNI), the same proportion as in the previous survey of this age group. Mean intakes of magnesium and potassium also fell below the RNI for both boys and girls aged 11-18 years, as did zinc, calcium and iodine for girls.

Substantial proportions of older girls had mineral intakes below the Lower Reference Nutrient Intake (LRNI; a level at which deficiency is likely); 46% of girls aged 11-18 years had intakes of iron and magnesium below the LRNI; the equivalent figure for potassium was 30% and for zinc 15%. Among boys of this age group, 26% failed to achieve the LRNI for magnesium.

Intakes of calcium were of particular concern in 11-18 year old girls, an age at which calcium is particularly important for bone development. More than one in 10 girls in this age group failed to achieve the LRNI for calcium.

Significant numbers of adults also had low intakes. One fifth of adult women failed to achieve the LRNI for iron, while one in 10 men and one in 10 women failed to achieve the LRNI for magnesium.

Intakes of selenium fell below the RNI in both older children and adults. Adult women overall achieved 72% of the RNI while adult men achieved 74% of the RNI. Around half of adult women and older girls and a fifth of men and older boys had intakes below the LRNI.

It is clear that UK dietary surveys continue to show that significant numbers of the population do not achieve recommended intakes of essential nutrients. In the light of this continuing dietary gap, it is misleading to imply that vitamin pills are unnecessary.

A 2010 report entitled “Towards a Healthier Britain”[3] found evidence that vitamin and mineral supplements boost intakes and increase blood levels of these essential nutrients with fewer people taking multivitamin and mineral supplements having intakes below recommendations.

NUTRIENT SPOT LIGHT:

Vitamin E

Vitamin E is the collective name for a group of fat-soluble compounds that exhibit antioxidant activity. Antioxidants protect the body cells from the damaging effects of free radicals, which are molecules that contain an unshared electron. Unshared electrons are highly energetic and react rapidly with oxygen to form reactive oxygen species (ROS). The body forms ROS when it converts food to energy. The body is also exposed to free radicals from environmental factors such as cigarette smoke, air pollution and UV radiation. Free radicals damage cells and may contribute to the development of body organ damage.

In addition to its activities as an antioxidant, vitamin E is involved in other essential functions such as immune function, chemical messaging between cells, regulation of gene expression, and other metabolic processes.[4] Vitamin E inhibits the activity of protein kinase C, an enzyme involved in cell proliferation. Vitamin-E–replete blood vessels have been shown to be better able to resist blood cell components adhering to the blood vessel surface so helping to maintain the health of the blood vessels. Vitamin E also increases the activity of two enzymes that influence fatty acid metabolism, which again helps to maintain the health of the blood circulation.[5]

Vitamin E is one of the essential nutrients for health. Several studies, including the two studies mentioned in the Daily Mail article have evaluated the role of vitamin E in large doses, often 40 times and more greater than the RDA. These studies have involved methods similar to those used in drug trials to see if vitamin E and other essential nutrients can prevent or treat disease.

However, vitamin E, like all essential nutrients is essential for the maintenance of health and prevention of deficiency. Such drug-like trials may be of interest to researchers looking for mechanisms of action but are of no relevance for the daily health maintenance of the UK population where intake of vitamin E should follow recommended amounts. Recommended daily amounts of vitamin E have not been associated with adverse effects in healthy populations. Anyone taking medication or with any disease should ask for the advice of their health care professional about their nutrient intake.

Vitamin C

Vitamin C (ascorbic acid) is an essential vitamin required for the formation of collagen in bone, teeth and blood vessels. It also helps to maintain the optimal activity of several enzymes and is involved in the synthesis of several physiological compounds in the body such carnitine and noradrenaline. Vitamin C acts as an antioxidant and helps in the absorption of non-haem iron (iron from plant sources).

Low vitamin C intake has been associated with conditions such as stroke[6] and periodontal disease.[7] Studies in which people have taken vitamin C supplements on a regular basis indicate that vitamin C may reduce the duration of colds.[8] Vitamin C may be useful for reducing the development of colds in people exposed to brief periods of severe physical exercise.[9]

Calcium

Calcium is an essential nutrient that plays a whole host of vital roles for health in the skeleton, blood and neuromuscular system. The essentiality of calcium for bone health is indisputable and as many as one in 10 young women in the UK have an intake which falls below the Lower Reference Nutrient Intake (LRNI),[10] an intake at which deficiency is likely with consequences for bone health throughout life.

The Journal of the American Medical Association study[11] mentioned in the Daily Mail article in which calcium was linked with cardiovascular disease (CVD) was not a randomized controlled trial (RCT) but a prospective study from which a cause and effect cannot be established with certainty. There was also no information in the JAMA paper on the duration of supplement use and a lack of information on family history of CVD. Calcium intake was self reported by the study participants and therefore subject to error. In addition, calcium intake was only measured at baseline; so change in dietary or supplemental calcium intake could not be assessed during follow-up.

Selenium

Selenium is an essential trace mineral which functions as a part of several seleno-proteins and enzymes involved in essential metabolic processes. However, In the UK, intakes of selenium are low. Data from the 2006 UK Total Diet Study showed that the mean intake of selenium is 48-58 micrograms a day which is below the UK reference nutrient intake of 75 micrograms a day for men and 60 micrograms a day for women.[12] Similar findings emerged from the latest UK National Diet and Nutrition Survey (NDNS) [13] in which intakes of selenium fell below the Reference Nutrient Intake (RNI) in both adults and older children. Adult women overall achieved 72% of the RNI while adult men achieved 74% of the RNI. Around half of adult women and older girls and a fifth of men and older boys had intakes below the Lower Reference Intake (LRNI). Such low intakes are associated with reduced blood levels of selenium and significantly increased risk of mortality in both Europe and the US.[14],[15]

Summary:

Overall, there is ample evidence to suggest that many people in the UK have a poor diet with below recommended intakes of essential nutrients. Though these nutrients should ideally be obtained from the diet, it is clear that this is not happening. A multivitamin and mineral supplement in recommended amounts represents a useful means of helping to bridge this dietary gap.

[1] Bates B, Lennox A, Prentice A et al. (2012) National Diet and Nutrition Survey. Headline Results from Year 1, Year 2 and Year 3 (combined) of the Rolling Programme (2008/2009-2010/2011). Department of Health

[2] Ibid

[3] Mason P, Ruxton C. Towards a Healthier Britain. Proprietary Association of Great Britain (PAGB) 2010

[4] Traber MG. Vitamin E. In: Shils ME, Shike M, Ross AC, Caballero B, Cousins R, eds. Modern Nutrition in Health and Disease. 10th ed. Baltimore, MD: Lippincott Williams & Wilkins, 2006;396-411.

[5] Ibid

[6] Myint P, Luben R, Welch A et al. Am J Clin Nutr 2008 ;87 :64-69

[7] Leggott P, Robertson P, Rothman D et al. J Periodontol 1986 ; 57 :480-485

[8] Hemila H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013 Jan 31;1:CD000980.

[9] Ibid

[10] Bates B, Lennox A, Prentice A et al. (2012) National Diet and Nutrition Survey. Headline Results from Year 1, Year 2 and Year 3 (combined) of the Rolling Programme (2008/2009-2010/2011). Department of Health

[11] Xiao Q, Murphy R, Houston D, et al. Dietary and Supplemental Calcium Intake and Cardiovascular Disease Mortality. The National Institutes of Health–AARP Diet and Health Stud. JAMA Intern Med. Published online February 4, 2013. doi:10.1001/jamainternmed.2013.3283

[12] Food Standards Agency. Survey on measurement of the concentrations of metals and other elements from the 2006 UK total diet study. Food Survey Information Sheet 01/09. London: UK. FSA 2009:16-17, 37-45

[13] Bates B, Lennox A, Prentice A et al. (2012) National Diet and Nutrition Survey. Headline Results from Year 1, Year 2 and Year 3 (combined) of the Rolling Programme (2008/2009-2010/2011). Department of Health

[14] Bleys J, Navas-Acien A, Guallar E. Serum selenium levels and all-cause cancer and cardiovascular mortality among US adults. Arch Intern Med 2008;168:404-10

[15] Akbaraly NT, Arnaud J, Hiniger-Favier I et al. Selenium and mortality in the elderly: results from the EVA study. Clin Chem 2005;51:2117-23.