Archive for January, 2010

Why Is Your Child Bedwetting?

Bed wetting or nocturnal enuresis is among the most common problems that pediatrics face from anxious and frustrated parents.  About 20 % of five year olds would experience bed wetting.  The rate gets smaller as the children gets older.  Upon reaching 10 years of age, the percentage goes down to 5%. Even though some professionals and parents see bed wetting as a passing problem, about 2 to 3% of children who continuously bed wet do so because of medical problems.

There are several causes of bed wetting.  Primary nocturnal enuresis or bed wetting since infancy can be attributed to two most common causes.  It could be a neurological-developmental delay or these children are just delayed in developing their ability to stay dry and control their bladder.  Meanwhile, there are also studies showing that bed wetting could also run in the family.  If one of the parents are bed wetting until the age of five, there is about 45% that one of his kids will also experience that.

However, it is still not safe to rule out other causes. Genetic and developmental delay can be the most common causes but they cannot be identified immediately.  There are different causes which can be detected by series of exams which is why, it is important for some parents to go to a doctor first.  

Here are other causes of bed wetting:

• Diseases and infections.  About 5% of bed wetting is caused by infections and disease, urinary tract infection is the most common.

• Physical abnormalities.  There are some individuals who actually have a smaller bladder and lesser bladder capacity.  Children’s bladder may not be developed enough.

• Constipation. Too much pressure on the bladder like constipated bowels can cause urination.

• ADHD.  Children with attention deficit hyperactivity disorder or  ADHD have 2.7 times of higher possibility for bed wetting to happen.

• Drinks. There are some drinks that causes more urine like caffeine and alcohol consumption.

• Hormonal imbalance.  There are some children who do not develop anti-diuretic hormone or ADH.  This hormone slows down urine production.

• Sleep apnea.  Sleep apnea is an obstructive sleeping condition, the individual finds it difficult to breathe and is obstructed while sleeping.  Bed wetting is not the only sign or symptom of sleep apnea, it could also include snoring, sore throat, and even daytime drowsiness.

• Food allergies.  Although, the link is not properly established and may require additional research, food allergies can also be cause of bed wetting.
• Psychological causes.  There are some incidents that may trigger bed wetting among children and even adults. For example, a traumatic experience like an accident, sexual abuse, death or bullying.

• Stress.  Bed wetting could be associated with returning or secondary enuresis.  Stress from family issues or other social events like divorce, moving to a new place, a new member of the family or death could be a factor for bed wetting to return.

Understanding what causes bed wetting would help you understand how to manage or “cure” your child’s bed wetting incidents.  However, before you get any kind of medication or undergo any therapy, it would be better to get medical help.  Through series of tests, doctors would be able to identify what causes you child to wet the mattress and later on, define a therapy suited for your kid.

one of the hardest decisions organising a baby funeral

Difficult topic to talk about,and help if you ever need it.Your baby has just passed away either in  the womb or shortly after birth. The worst thing you will have to face if your baby was born above 24 weeks gestation is organising a funeral. you may want your parents to do it for you because you can’t think straight or your partner if you have one, but making lasting memories which are good ones will help you in the long term to cope with your grief.

If someone does it for you don’t let them take over completely without you having your say. Funerals are stressful organising as often arguments occur between family members and this is something you just don’t need now so you have to be brave strong in fundamental arrangements such as choosing a burial funeral or cremation. choosing clothing for a baby’s final sleep, would you want flowers, hymns, songs and or even such likes of a head stone. So first things first after the post mortem if there has to be one done you need to register the death before any funeral director can have the permission to start on the arrangements .you can ring the hospitals chaplin, funeral director or your local church pasator/ministyer to make all the neccessary arrangements for you.

after your baby has passed away you need to register the death within 5 days.

Still Born Babies

Registration
If a baby is still born (born dead after the 24th week of pregnancy) you will be given a Medical certificate of stillborn signed by the midwife or doctor, which you should give to the registrar. If no doctor or midwife was present and no doctor or midwife has examined the body, you must sign form 35 which the registrar will give you. 

The registrar will give you a certificate for burial or cremation and a certificate of stillbirth. 

You can ask to have first name entered for a stillbirth baby. The registrar will write the baby’s name on these certificates if the name is recorded in the register. It is also possible to get certified copies of the entry of stillbirth. 

The information of a stillbirth may be given to any registrar in UK. the procedure is similar to that for deaths.

Your final goodbye to your baby will be a sad and difficult time for you. Your baby’s service can also be a beautiful way to honour your baby. Their short little lost life has affected you in so many ways. This can be a time to share the time you have spent with your baby with special people around you. It is important to draw on the support networks around you if possible.

For babies under 24 weeks gestation.

A Funeral

Although, by law, you must have your baby buried or cremated, you are under no obligation to hold a funeral service. This means that you can say goodbye in almost any way you choose.

Many parents find that the funeral marks the time when they say goodbye to their baby – the moment when they truly understand that their baby has died. It can be a very distressing and painful experience, but it can also be a time to acknowledge your baby’s importance and to share and express your grief and your love with others. Many parents talk of the funeral as a valued memory and something they are glad they went through.

A funeral can be religious or non-religious, traditional or a ceremony of your own design. Think about how you would like to say goodbye to your baby. Do not let outside pressures force you into doing something that does not feel right for you and your baby.

If you choose to arrange the burial or cremation, and the funeral yourself, we hope you will be able to find a way of saying goodbye which will be of some comfort, and will be a sustaining memory in the weeks, months and years ahead.

Baby Burial clothes for the tinest of babies

Complete Baby bereavement clothing sets and gowns in the most micro of premature baby and tiny baby sizes..  

baby is able to be dressed with dignity, baby is made to feel comfortable, baby can look more at peace and that he or she is fully dressed in clothes that fit. ready for family cuddles and a then settled for the final sleep. The majority of these baby clothes are made in any size you need to fit baby that has just passed away. Created with simple openings and fastenings for ease of dressing.

  • Assessories and keepsake items are also available for the baby’s little coffin for baby to be buried with or cremated with or left with the family as a treasured keepsake item.
  • You can find the tiniest of essentials here such as micro nappies, vests and socks to complete each set which you would otherwise find it most difficult to source from the highstreet and online websites.
  • Cheeky chums also offer bespoke orders in the event you prefer an order made to fit or choose fabric in your favourite colour to dress your little one in looking his or her very best.
  • Cheeky Chums offer a complete premature baby store in the event that you also may want to choose something different to dress baby in with more smaller sizes too.
  • Click Here to go directly to the 0-3lb (0-1kg) sizings instead
  • Baby bereavement clothes and burial gowns  are here
  • Suggestions  for a baby funeral

    Here are some lovely examples you can pick and choose from to make the experience special for your babys passing.

    • Write a letter to your baby and include it in their casket
    • Give your baby a gift, teddy, rattle, special little something from home.
    • If you have living children, maybe they would like to draw a picture to be placed at the funeral or in your baby’s casket
    • Give friends and family the option to do this also
    • Have a viewing for yourself or for family and friends also
    • See your baby on the funeral day and say your last goodbye if you feel you want to
    • Have a photograph of your baby displayed in their casket
    • Have a guestbook made available at the funeral /service so you may have their thoughts as a loving keepsake
    • Ask for a photograph to be taken of yourself with your baby
    • Write something special about or to your baby and have it read aloud at the service
    • Ask for a photograph to be taken of your baby’s casket and or the funeral service
    • When making the funeral arrangements if it is to be a cremation, ask how your babies ashes will be returned to you.
    • Some parents have been very upset by what their baby ashes are returned in.
    • Always confirm the cost of your babies funeral and the arrangements in which payments need to be made.
    • Ask for some or all of the flowers from the service to be kept, they can be freeze dried or made into potpourri.
    • Some people ask for teddy bears or monetary donations in their baby’s honour at their funeral /service

     

    Five Tips on Finding the Best Bed Wetting Alarm

    Using a moisture alarm is one of the most preferred methods to stop bed wetting in children for several reasons. First, this alarm system effectively and instantly detects wetness so that a child is trained to wake up to urinate in the toilet. In effect, this device helps a child recognize the sensations that lead to urination. Second, unlike medications, a moisture alarm poses no side effect—thus it is safe to use. Third, it addresses the condition in the long run.

    Moisture alarm systems usually come in either a clip-on type that attaches to a child’s pajamas or a mattress pad. As the name implies, moisture alarms sense wetness and set off an alarm to rouse the child. It works around the principle of behavioral conditioning—it trains a child to wake up and urinate in the toilet in response to a full bladder and the alarm.
    If your kid has problems keeping his bed dry at night, then it is wise to invest in a moisture alarm. While this device may not solve the problem at once, it can definitely save you from the exhaustion and embarrassment that comes from your child’s condition.

    Looking for a good yet reasonably priced moisture alarm? Here are five tips to help you find one.

    1. Read customer reviews on the leading moisture alarm brands. The feedbacks based on actual experience of customers can give you an idea on which product can provide you with the best quality at an affordable price.

    2. There are certain features you need to look for when choosing a moisture alarm. First, find out how the alarm is attached. Some alarms come with special underwear, while others are connected to a child’s underwear or pajamas. The kind of alarm you choose depends on your child’s preference. Your child may want to use his own underwear or have a built-in sensor so that he won’t have to worry about placing the sensor properly. If your child prefers to lie on the sensor instead of using it on the underwear, the best option is the pad type alarm.

    3. Choose an alarm that can emit the loudest sound so that your child can easily respond. It would also be better if you buy an alarm that allows volume control.

    4. Look for alarms with vibrating feature. Of course, sound alone may not be enough to wake up your child when the need to urinate arises. Vibration will boost your child’s response to the alarm. The vibration from the alarm must be the same as a gentle shaking of the shoulder.

    5. If your child is a deep sleeper, you can still make good use of a moisture alarm. In that case, the parents must wake up the child as soon as the alarm sets off.  Make sure that the sound coming from the alarm is loud enough for you to hear. Compared with wearable alarms, wireless alarms produce louder sound.

    Bed wetting treatment is guaranteed to be safe and effective when you use a moisture alarm. Be sure to choose the one that fits your and your child’s needs so that you can finally say goodbye to wet nights.

    Baby Bereavement,Birth of a Stillborn Baby Preparaton,funeral for baby

    Baby bereavement first things first.

    When baby dies before birth is born stillborn or dies just after delivery……
    If you have time you may want to think about how you might like your baby to be wrapped and treated once he/she is delivered? Perhaps you have a blanket you’d like to wrap him/her in Until you can order the baby burial clothes you need..
    Who would you like to be present at delivery?
    Would you like to wash your baby?
    Would you like any other family members to see or hold the baby once he/she is born?
    Would you like to take your own camera to hospital to take photographs of the baby?
    You may want to think about who you would like to inform of your loss.
    Discuss this with your partner and midwives or nursing staff.

    Post mortem… sometimes a post mortem may be required.A post mortem examination is another stage in investigating a person’s illness. It is a detailed physical examination after they have died. Some post mortem examinations are legally required, others are not.

    For more information if you live in England, Wales and Northern Ireland visit: direct.gov.uk/en/RightsAndResponsibilities/Death/WhatToDoAfterADeath/DG_066713

    For more information if you live in Scotland visit: scotland.gov.uk/Publications/2006/04/12094440/4

    Legal Requirements

    Babies Born Before 24 weeks of Pregnancy.

    There are no legal requirements to bury or cremate a baby born before 24 weeks of pregnancy.  However many hospitals do offer this service (as does The University Hospital Hartlepool) When a baby is born showing and shows no signs of life parents can decide to bury their child. Parents must co-sign a form with the midwife or attending doctor for the burial or cremation to take place.

    Babies Born After 24 Weeks of Pregnancy

    When a baby is stillborn the attending doctor will issue a Stillbirth Certificate.

    If a baby is born alive and dies shortly after birth at any gestational age, the attending doctor will issue a death certificate.  However, it is required by law that the Registrar of Births, Deaths and Marriages issues a birth/death certificate for the baby. This can be arranged for the registrar to visit at the hospital or alternatively an appointment can be made at the Department of Births, Deaths and Marriages.  At our local hospital it can be arranged for the registrar to visit in your own home.

    When a Registrar of births receives the death or stillbirth certificate parents are issued a certificate of burial.  If the hospital is arranging burial this certificate must be handed over to hospital staff.  Alternatively, parents who decide to make their own funeral arrangements must hand the certificate over to the Funeral Director.
    Funerals
    A funeral can be arranged very simply by the hospital. If you want to be more involved there are many alternatives for organising a burial, cremation, and funeral and many organisations which can help you.

    Cremation Regulations

    New regulations came into being in November 2008 full details are on the website below.
    Families now have a right to inspect the cremation forms before the service. In many cases the doctor completing form 4 will do so with the family present. The doctor filling in this form will be providing contact details of those who cared for the person during their final illness, professionals and family, as the second doctor completing form 5 will be confirming the information given by talking to those named.
    Separate forms and guidance are available regarding stillborn children. For more information visit: .justice.gov

    Dressing baby for a final sleep and saying final goodbyes

    early babies may be too fragile to dress in this case opt for a baby burial pouch which can be found here at Something Precious Premature Baby Burial Pouch TEDDY DESIGN by (fetal demise pouch) for babies under 1lb (0.5kg)
    £6.00

    Something Precious Premature baby complete bereavement dress set PRETTY PRINCESS design 1-3lb
    £19.99

    Complete Baby bereavement clothing sets and gowns in the most micro of premature baby and tiny baby sizes..  

     baby is able to be dressed with dignity, baby is made to feel comfortable, baby can look more at peace and that he or she is fully dressed in clothes that fit. ready for family cuddles and a then settled for the final sleep. The majority of these baby clothes are made in any size you need to fit baby that has just passed away. Created with simple openings and fastenings for ease of dressing.

    US health agencies say more study needed on health effects of bisphenol-A

    NEW YORK – U.S. health agencies said Friday research shows cause for concern over the chemical bisphenol-A’s potential effect on children when used to make baby bottles and the linings of cans of liquid infant formula, but more study is needed.

    The U.S. Department of Health and Human Services said Friday they would expand efforts to research and track possible harmful effects of BPA. The chemical is used to harden plastics and has been used in water bottles, canned food lining and hundreds of other household items.

    The Food and Drug Administration ruled last year trace amounts that leach out of bottles and food packaging are not dangerous. FDA officials then said they would revisit that conclusion after scientists complained it relied on a small number of industry-sponsored studies.

    Some scientists believe that BPA exposure can harm the reproductive and nervous systems and possibly promote cancers. They point to findings of dozens of animal studies involving BPA, though the negative effects have not been recorded in human studies.

    BPA is found in hundreds of kinds of plastic items, everything from glasses to CDs to canned food, including liquid infant formula. About 90 per cent of Americans have traces of BPA in their bodies, as the chemical leaches out of food containers.

    The American Chemistry Council, an industry trade group, reiterated Friday that studies have supported the safety of BPA. The group represents BPA producers including Dow Chemical Co., Bayer AG and Hexion Specialty Chemicals.

    “Extensive scientific studies have shown that BPA is quickly metabolized and excreted and does not accumulate in the body,” said an American Chemistry Council statement. “BPA is one of the most thoroughly tested chemicals in commerce today.”

    Regulators, though, feel there is a need for more research.

    William Corr, deputy secretary of the Department of Health and Human Services, said continued concerns over the subtle effects of BPA in laboratory animals prompted the agencies to develop a new research plan, with co-ordinated efforts from the Department of Health, the FDA, and others. The agencies will use $30 million in funding over the next 18 to 24 months to further assess the chemical in animal and human studies.

    “It has not been found or proven to be harmful to children or adults,” Corr said. “But the data we’re getting deserves a much closer look.”

    Meanwhile, the Department of Health recommended several steps for families concerned about BPA’s effects on infants and children, including throwing away scratched plastic baby bottles and refraining from putting hot liquids in bottles that could contain BPA.

    FDA Commissioner Dr. Margaret Hamburg said that agency shares concerns over potential health issues with BPA but “needs to know more.” The agency, meanwhile, supports industry measures to stop the production of BPA-lined containers and cans.

    The six major makers of baby bottles and infant feeding cups no longer use BPA in those products in the U.S., the agency said. Those products, which include Gerber and Playtex, represent more than 90 per cent of the U.S. market.

    Meanwhile, the agency wants a better regulatory framework for the chemical. Currently, the chemical is in a regulation that doesn’t require industry disclosure on the amounts used in products.

    Dr. Sarah Janssen, a staff scientist at the Natural Resources Defence Council, an environmental advocacy group, said the FDA already has the authority to ban certain uses of BPA, despite the agency’s claim.

    “More research is always good, but we know enough now to act,” she said, calling the more aggressive stance on the chemical “too little, too late.”

    “They could have made some very clear recommendations. Instead, they made some conflicting statements that didn’t give any clear advice,” she said.

    -

    AP Business Writer Matthew Perrone contributed to this report from Washington.

    Natural Ways to Control Bed Wetting

    Are you irritated and embarrassed because your child wets his bed? Don’t be—it won’t do you and your child any good. Instead, you must concentrate your energies on treating your child’s condition. Fortunately, there are many natural ways available to treat bed wetting or enuresis. Unlike medications and surgery, these natural methods can be safely done at home and have no side effects.

    Fluid Intake

    The cardinal rule when it comes to controlling enuresis: never allow your child to drink excessive amount of fluids for at least one hour before bedtime. In addition, your child must cut back on drinking coffee, soda, and other beverages that contain caffeine, which triggers the increased production of urine. Instead, you can give your child a glass of cranberry juice before he goes to bed. You can also give him one teaspoon of raisins and two teaspoons of walnuts before he hits the sack.

    Herbal products can greatly help in reducing the chances of your child wetting the bed. You can try Lemon balm, Zea, Horsetail, or Melissa officinailis. Herbal teas such as oak bark, pulstilla, bearberry, lycopodium, wormwood, ursi, and causticum are effective bed-wetting busters as well.

    Regular Exercises

    Exercises can also help your child keep his sheets dry at night. For instance, you can massage him lightly on the inner thighs and apply massage oil.

    A good way to control enuresis is to make your child rehearse the right way of delaying urination at daytime. When your child feels like urinating, you can ask him to contain his urge for a few minutes. Then this time span can be gradually extended for up to few hours. As a result, your child learns to control his urination even at nighttime. Aside from that, muscles around the bladder become stronger and bigger, which increases the organ’s ability to hold more urine at night.

    Behavioral Training

    It is never advisable to blame or make your child feel bad for wetting the bed. According to experts, enuresis is a process that a child cannot control. But this condition will end before a child reaches puberty. That being said, parents must be patient and supportive enough so that the child can more easily cope with the situation. Also, it is best to train the child in helping himself after wetting the bed. That way, your child learns to take responsibility for it.

    Moisture Alarm System

    Another natural and effective way to treat enuresis is through an alarm system that produces a buzzing sound when moisture is detected. The alarm wakes up the child so that he could urinate in the toilet instead of wetting the bed. A moisture alarm is a battery-operated device that trains your child to get rid of bed wetting. Oftentimes, it takes two to three months after using the device to solve the problem. Initially, the alarm may not bring immediate results.

    However, the child will eventually learn to respond to the wetness alarm and control his urination. Finally, that would mean dry nights for your child and hassle-free days for you.

    Dietary Choices May Impact the Gender of Your Child

    While there are many different things that can decide the gender of your future child, the dietary choices you make may have a big impact. Natural gender selection relies on a few different techniques to help increase the odds of having either a boy or a girl. While these methods are not 100% reliable, most couples find that they do end up with the gender they wanted. At the end of the day, it is a 50/50 chance, but there are a few things you can do to swing the percentage in your favor.

    The foods that you eat can affect the future gender of your child for a variety of different reasons. The main one is that your body’s PH needs to be at a certain level for each type of gender. The sperm that carry the chromosomes that decide gender require a different PH for a successful trip towards fertilization.

    Which do you want to have? a baby boy or a baby girl? This great book will teach you how to plan the sex of your baby before you conceive it. Click here to instantly download the “Plan Your Baby Boy Or Baby Girl Book”.

    Let’s take a look at the differences in these sperm to gain a better understanding of why PH levels are so important. First, the sperm responsible for conceiving a boy carry the Y chromosome. They are small, agile and must reach their destination quickly before they expire. They need an alkaline environment to reach the egg properly.

    The sperm responsible for conceiving a girl carry the X chromosome. They are much larger, more durable and though they may take longer to reach an egg, they have a greater chance of living long enough to do so. They prosper in an acidic environment.
    Choosing the right foods to balance your PH levels appropriately may indeed have an impact on the gender of your child. Let’s take a look at what foods are important to include in your diet for either sex.

    Eating for a Boy
    If you want to have a boy, foods that contain potassium and sodium are very important. They are non acidic by nature and will boost your alkalinity. The recommended foods include bananas, sweet corn, red meats, and even sausages. It is important however that you eat these foods in moderation and include a healthy and balanced diet for proper health. Having too much sodium is never recommended. Stay within proper dietary guidelines at all times.

    Eating for a Girl

    In order to have a girl, you need to focus on foods that will boost acidity in your body. They include foods that are rich in magnesium and calcium. Broccoli is the perfect example of a food that contains high levels of both. Other foods you can eat include grapefruit, apples, dairy products, some fish (farm raised to avoid high levels of mercury) and leafy green vegetables.

    What to Remember
    Everything in moderation is key as well as proper nutrition. While there are other methods of selecting your child’s gender naturally, combining them with a proper diet will increase your chances for success. Ask your doctor if you have any questions about the foods that you should be eating.

    Which do you want to have? a baby boy or a baby girl? This great book will teach you how to plan the sex of your baby before you conceive it. Click here to instantly download the “Plan Your Baby Boy Or Baby Girl Book”.

    Keeping Your New Born Safe

    Making sure your new baby is healthy and happy is at the top of every parent’s wish list. All new parents only want the best for their newborn child so getting all the correct equipment to help keep your precious baby safe is vitally important. Selecting the right equipment can be tricky and confusing with conflicting advice often coming from family members, parenting books and advice websites, but there are a few key things to keep in mind that will help to protect your baby and help you relax into parenthood.

    First and foremost you should make a list of everything you will need for the first few weeks after your baby’s birth. At the top of your list should be sorting out any potential hazards to your baby and picking the correct equipment for their first few months of life. Sorting out these problems in advance will put your mind at ease and leave you plenty of time to dote on your new born.

    Before your baby arrives it’s important to take a look around your home and see if there are any hidden dangers that could affect your baby in the coming months. Making sure your TV is safe and secure, tying up any loose curtain pulls and covering or removing any sharp objects may not seem that important whilst your baby is still small but taking care of these things now will give you peace of mind later down the line.

    Picking the right equipment such as buggies, baby baths and cots is also a must before you bring your baby home. Make sure your equipment comes with a warranty and has been through the safety standards test. If in doubt check online for some reviews of your chosen equipment so you can be sure you are making the right choice for the safety of your baby.

    After giving birth you will be travelling home from the hospital with your new born. This can be an anxious time for any parent so making sure you pick the right car seat for your child will mean another worry off your mind. Most specialists will be able to tell you all the safety tests and measures your chosen car seat has undergone so you can make sure you are choosing the best for your baby. Don’t worry about how pretty the material is on the car seat, what matters are the safety checks and rigorous testing it’s been through.

    Whatever equipment you chose make sure you test it out before your baby does, so you can asses any faults and make any faulty product claims before your new born arrives. Taking care of these safety checks before you bring your new baby home will help put your mind and ease and will keep your baby safe giving them the best possible start in life.

    WHO: nearly half of Chinese births are C-sections

    HANOI, Vietnam – Nearly half of all births in China are delivered by caesarean section, the world’s highest rate, according to a survey by the World Health Organization – a shift toward modernization that isn’t necessarily a good thing.

    The boom in unnecessary surgeries is jeopardizing women’s health, the U.N. health agency warned in the report published online Tuesday in the medical journal The Lancet.

    Unnecessary C-sections are costlier than natural births and raise the risk of complications for the mother, said the report surveying nine Asian nations. It noted C-sections have reached “epidemic proportions” in many countries worldwide.

    The most dramatic findings were in China, where 46 per cent of births reviewed were C-sections – a quarter of them not medically necessary, the report said.

    “So many pregnant women ask for a caesarean birth in China, but we always suggest that they have a natural birth,” said Dr. He Yuanhua, at Capital Antai Obstetrics and Gynecology Hospital in Beijing, who did not participate in the study.

    “It’s bad to have so many caesarean births because natural birth is the ideal way.”

    The WHO, which reviewed nearly 110,000 births across Asia in 2007-2008, found 27 per cent were done under the knife, partially motivated by hospitals eager to make more money.

    That mirrors similar results reported by WHO in 2005 from Latin America, where 35 per cent of pregnant women surveyed were delivering by C-section.

    In June 2008, Canada’s Society of Obstetricians and Gynaecologists said 26.3 per cent of women giving birth did so by C-section, a dramatic rise from 17 per cent of births in 1993.

    In the U.S., where C-sections are at an all-time high of 31 per cent, the surgery is often performed on older expectant mothers, during multiple births or simply because patients request it or doctors fear malpractice lawsuits. A government panel warned against elective C-sections in 2006.

    “The relative safety of the operation leads people to think it’s as safe as vaginal birth,” said Dr. A. Metin Gulmezoglu, who co-authored the Asia report. “That’s unlikely to be the case.”

    Women undergoing C-sections that are not medically necessary are more likely to die or be admitted into intensive care units, require blood transfusions or encounter complications that lead to hysterectomies, the WHO study found.

    U.S. studies have shown babies born by caesarean have a greater chance for respiratory problems. The Asia survey found the procedure benefits babies during breech births.

    Reasons for elective C-sections vary globally, but increasing rates in many developing countries coincide with a rise in patients’ wealth and improved medical facilities.

    In Asia, some women opt for the surgery to choose their delivery day after consulting fortune tellers for “lucky” birthdays or times. Others fear painful natural births or worry their vaginas may be stretched or damaged by a normal delivery. Some women also prefer the operation because they mistakenly believe it is less risky.

    “I think it’s safer for the mother and child to have C-sections, and the relatives feel more secure because it’s very simple and very common now,” said a Vietnamese woman, Trang Thanh Van, 25, just days away from giving birth to her first child. “People worry that using tools to pull the baby out (in a vaginal birth) may affect their brains.”

    The Asian survey examined deliveries in 122 randomly selected public and private hospitals in 2007 and 2008 across Cambodia, China, India, Japan, Nepal, the Philippines, Sri Lanka, Thailand and Vietnam. The hospitals were located in capital cities and two other regions or provinces within each country, all logging more than 1,000 births a year.

    China’s 46 per cent C-section rate was followed by Vietnam and Thailand with 36 per cent and 34 per cent, respectively. The lowest rates were in Cambodia, with 15 per cent, and India, with 18 per cent.

    The study did not discuss specific reasons for the high number of C-sections, but it noted that more than 60 per cent of the hospitals studied were motivated by financial incentives to perform surgeries.

    At Vietnam’s National Hospital of Gynecology and Obstetrics in Hanoi, about 40 per cent of the 20,000 babies delivered there annually are by C-section, said Dr. Le Anh Tuan, the hospital’s vice director, who did not participate in the study.

    As the capital’s largest maternity hospital, it receives the most complicated cases, with many women undergoing emergency surgery. But he said another reason is women with small frames whose babies are simply too large for them to deliver naturally.

    “The babies are bigger, even than in Western countries,” he said. “Vietnam was a country where we didn’t have enough food to eat. Now we have a surplus of food. The women think that if they eat a lot, their babies will be healthy.”

    In Latin America, C-section rates in all eight countries surveyed earlier by WHO were 30 per cent or higher – similar to the U.S. rate. In Paraguay, 42 per cent of deliveries were by caesarean, and in Ecuador 40 per cent.

    Some expectant mothers in Latin America scheduled elective surgeries to avoid giving birth during holidays or even so they could attend parties, said Dr. Archana Shah, from the WHO in Geneva, who worked on that report and cautioned that data in both studies represent a sample that may not reflect overall national rates.

    That compares to an earlier WHO survey of African countries, where C-sections were performed in only about nine per cent of deliveries surveyed and where many medical centres were ill-equipped to perform emergency surgeries, leading to increased deaths.

    -

    Associated Press researcher Yu Bing in Beijing contributed to this report.

    With files from The Canadian Press

    Diarrhea and Vomiting In Babies

    For effective newborn baby care you need to know how to treat Diarrhea and vomiting in babies. Diarrhea and vomiting cause a baby to loose body fluids in form of watery discharges,  leaving the baby dehydrated and in some severe discomfort. This is a serious condition and can have serious implications on baby’s health. Diarrhea can be both troubles for kids as well as the parents when frequent change of diapers is required. Untreated diarrhea and vomiting can be fatal. The attack on diarrhea has to be two faced one is to treat what is causing the diarrhea and vomiting and on the other hand replenishing the body with the lost fluids and nutrients.

    The onset of diarrhea  can be  sudden and severity will depend on the frequency of diarrhea.  The leading cause of both diarrhea and vomiting are viral infections where the gastro enteritis in involved. But other causes can be medical induced diarrhea where the reason could be the antibiotics given to the baby or a simple ear infection or simply the child is being fed too much as overfeeding can also induce vomiting and diarrhea.

    The first thing to do when the baby is suffering from diarrhea or vomiting is to start giving them fluids. This should be by giving them home made or ready made re-hydrating solutions in small quantities, sip by sip so that body is able to absorb the nutrients and
    the loss of water is made up for. Feeding of babies should continue and it is a good idea to consult a doctor if the symptoms carry on and there is no relief for the baby. Medication for small babies is never a good idea and therefore natural procedures like feeding, re-hydration, liquid diets etc are good solutions.

    However, if conditions do not improve or there is other complications like blood in the stool etc medical help should be immediately made available to the baby.

    Twitter Delicious Facebook Digg Stumbleupon Favorites More