K A G U Y A

Has 2 Mummys but

No Daddy!

Born in Jan 2004 & weighing just 10 oz (284 gms), Zoe Koz fitted into his father’s palm. He went home on 4th June

after eye surgery & is still on Oxygen.

Cochrane Review2004

Massage to Promote Growth, Decrease Stress

& increaseTactile stimulation

inPreterm & LBW

Conclusion:

‘Evidence is weak’

• 812 Deliveries in women with Periodontitis

• DNA probe of oral pathogens / PP Mat bld / fetal cord bld

• Preterm 19.9% vs 6.9% (high IgM)

• C. rectus culprit? Ann Periodon Dec 2001

• 366 Women with Periodontitis Preg <35 wks

• Blinded RCT• 84% less Preterm in

Scaling + Root planning + Placebo Group compared to Group trted with post op metronidazole

J Periodon Jan 2003

•Incidence of 7.1% of PTL & FGR in Group never consuming Fish to 1.9% in Group eating Fishas hotmeal atleast once a week

•In a study of 8729 women

Maternal Nutrition GroupDanish Epidemiology Science Center, Copenhagen

BMJ Feb 2002

DHA

PG Synthesis

UterineContractions

PretermLabour

GestationalDuration

N-3 Fatty Acids: Docosahexaenoic Acid ( DHA )And Prevention of Preterm labour

Biol Med vol226(6)2001Am J ObG Apr 1997BMJ Feb 2002

DHA & Brain Development

‘Intake of DHA-PUFA duringPregnancy&Lactation (Cod liver

Oil) may improve child’s IQ’ -Helland et al Paed Jan2003

Breast-fed Babies have aHigher IQ ( 8 points )

-Lancet 1994

Prenatal exposure to higher concentrationOf DHA results in Mature pattern of SleepSuggesting better CNS integrity - Am J Clin Nutr 2002

•Fetal Neural Activity Begins at 10 weeks•Neurons spin out Axons•Electrical activity fine -tunes Brain circuitry•Learning begins at Birth with sensory experiences

WHAT GOES ON?

•Babies can see at Birth

•Knack of Focussing

comes later

What Parents can do?

•Regular eye exam

From 2 weeks onwards

What goes on?•Emotion

circuits areConstructed

early•Distress &

ContentmentFollowed by

Joy, Sadness,envy,

Empathy, Pride, Shame

What parents can

do?•Loving care

provides Emotional

Stimulation•Neglect & Abuse lead

to Anxiety & abnormal

stress response

What goes on?•Tunes to

Mother’s voiceEven before

Birth•Deciphers & reproduces

Lyrics in 6 years•Can recognize

vowels (Building Blocks of Speech) at 6

months

What parents can do?

•Talking a lot speeds up Learning process

•High pitched sing song style help connect

objects with words

What goes on?

•Movements jerky at Birth

•Refined circuits for ReachingGrabbing,

Sitting, Crawling.Walking &

Running in 4 years

What parents can

do?•Give

Freedom to explore safely

•Engage in Activities for

Hand-eye coordination

“Coffee gives me warmth,Waking and anUnusual force”

IMPLICATED IN:

CancerCardiacMentalOsteoporosisImpotenceInfertilityAbortionPretermFGR

NO EFFECT ON:CV Problems

MI, Arrhythmias,AtherosclerosisHypertensionCholesterol

Acid Peptic DiseaseOsteoporosis

Ca Breast / BladderQuality of Sleep

Fertility Male/FemaleFetus/Neonate Teratogenesis

AbortionUterine Contractions

BENEFITS:Increased Alertness

Better WorkPerformance

Elevates Mood( More after Meal )

Anti oxydantsLess: Suicides RTAccidents colorectal CaGall stones CirrhosisAsthma

Parkinson’sType II DM

Adverse Effects:

Less Sleep

More Anxiety

Crosses Placenta

Secreted in Milk

A 17-cm Scissors left inside abdomen at Surgery for Ca Colonat St George Hospital, Sydney in 2001 – Retrieved 18 monthslater -Sky TV