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Old May 16th, 2006, 08:48 PM   #1
ckupq
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Default Way to go CDC! Attn:Women of GL4X4

So... I feel like starting a new rant. I really hope that this is some sort of hoax and someone can find dirt on this.


http://www.washingtonpost.com/wp-dyn...500875_pf.html


Forever Pregnant
Guidelines: Treat Nearly All Women as Pre-Pregnant
By January W. Payne
Washington Post Staff Writer
Tuesday, May 16, 2006; HE01

New federal guidelines ask all females capable of conceiving a baby to treat themselves -- and to be treated by the health care system -- as pre-pregnant, regardless of whether they plan to get pregnant anytime soon.

Among other things, this means all women between first menstrual period and menopause should take folic acid supplements, refrain from smoking, maintain a healthy weight and keep chronic conditions such as asthma and diabetes under control.

While most of these recommendations are well known to women who are pregnant or seeking to get pregnant, experts say it's important that women follow this advice throughout their reproductive lives, because about half of pregnancies are unplanned and so much damage can be done to a fetus between conception and the time the pregnancy is confirmed.

The recommendations aim to "increase public awareness of the importance of preconception health" and emphasize the "importance of managing risk factors prior to pregnancy," said Samuel Posner, co-author of the guidelines and associate director for science in the division of reproductive health at the Centers for Disease Control and Prevention (CDC), which issued the report.

Other groups involved include the American College of Obstetricians and Gynecologists, the March of Dimes, Dartmouth Hitchcock Medical Center, the National Center for Chronic Disease Prevention's Division of Reproductive Health and the National Center on Birth Defects and Developmental Disabilities.

The idea of preconception care has been discussed for nearly 20 years, experts said, but it has drawn more attention recently. Progress toward further reducing the rate of unhealthy pregnancy results, including premature birth, low birthweight and infant mortality, has slowed in the United States since 1996 "in part because of inconsistent delivery and implementation of interventions before pregnancy to detect, treat and help women modify behaviors, health conditions and risk factors that contribute to adverse maternal and infant outcomes," according to the report.

Nearly 28,000 U.S. infants died in 2003, according to the National Center for Health Statistics (NCHS). The infant mortality rate increased in 2002 for the first time in more than 40 years to seven deaths per 1,000 live births, but it did not change significantly in 2003. Birth defects, low birthweight and sudden infant death syndrome (SIDS) were the leading causes of infant death in 2003, according to NCHS.

The U.S. infant mortality rate is higher than those of most other industrialized nations -- it's three times that of Japan and 2.5 times those of Norway, Finland and Iceland, according to a report released last week by Save the Children, an advocacy group.

Preconception care should be delivered by any doctor a patient sees -- from her primary care physician to her gynecologist. It involves developing a "reproductive health plan" that details if and when children are planned, said Janis Biermann, a report co-author and vice president for education and health promotion at the March of Dimes.

"The recommendations say we need to be opportunistic," or deliver care and counseling when opportunities arise, said Merry-K. Moos, a professor in the University of North Carolina's maternal fetal medicine division who sat on the CDC advisory panel. "Healthier women have healthier pregnancies."

Women should also make sure all vaccinations are up-to-date and avoid contact with lead-based paints and cat feces, Biermann said.

The report recommends that women stop smoking and discuss with their doctor the danger alcohol poses to a developing fetus.

Research shows that "during the first few weeks (before 52 days' gestation) of pregnancy" -- during which a woman may not yet realize she's pregnant -- "exposure to alcohol, tobacco and other drugs; lack of essential vitamins (e.g., folic acid); and workplace hazards can adversely affect fetal development and result in pregnancy complications and poor outcomes for both the mother and the infant," the report states.

The CDC report also discusses disparities in care, noting that approximately 17 million women lack health insurance and are likely to postpone or forgo care. These disparities are more prominent among minority groups and those of lower socioeconomic status, the report states.

The NCHS data also reflect these disparities. Babies born to black mothers, for example, had the highest rate of infant death -- 13.5 per 1,000 live births. Infants born to white women had a death rate of 5.7 per 1,000.

Obstacles to preconception care include getting insurance companies to pay for visits and putting the concept into regular use by doctors and patients. Experts acknowledge that women with no plans to get pregnant in the near future may resist preconception care.

"We know that women -- unless you're actively planning [a pregnancy], . . . she doesn't want to talk about it," Biermann said. So clinicians must find a "way to do this and not scare women," by promoting preconception care as part of standard women's health care, she said.

Some medical facilities have already found a way to weave preconception care in with regular visits. At Montefiore Medical Center in Bronx, N.Y., a form that's filled out when checking a patient's height, weight and blood pressure prompts nurses to ask women, "Do you smoke, and do you plan to become pregnant in the next year? And if not, what birth control are you using?"

"It's a simple way of getting primary care providers to think about preconception care," said Peter Bernstein, a maternal fetal medicine specialist who sat on the advisory committee that helped produce the report. "It's simple and [it] costs nothing."
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Old May 17th, 2006, 07:33 AM   #2
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Maybe I missed something, but what difference does this make? The program appears to be more of an awareness thing then anything else.

If they make women of child bearing age more aware that they should be taking vitamins and taking care of themselves, who cares?

I didn't read the entire article thoroughly, so I may have missed what you are upset about.
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Old May 17th, 2006, 08:57 AM   #3
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Quote:
Originally Posted by Just a Spouse
Maybe I missed something, but what difference does this make? The program appears to be more of an awareness thing then anything else.

If they make women of child bearing age more aware that they should be taking vitamins and taking care of themselves, who cares?

I didn't read the entire article thoroughly, so I may have missed what you are upset about.

I concur with your statement. Doesnt matter if you are man or woman, young or old, everyone should strive to be healthier. This article just picks out a weird group of people is all.
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Old May 17th, 2006, 10:09 AM   #4
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Most of the people that have read this article think it is the goverments way of making them into babymakers. They also go so far as to say that it sounds like you should treatyourself like you expect to get pregnant tomorrow and should be planning for it.

I think the article is just another funny one for people to blow out of proportion. I figured it wouldn't be me ranting it would be other people but oh well.
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Old May 17th, 2006, 11:04 AM   #5
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Quote:
Originally Posted by ckupq
Most of the people that have read this article think it is the goverments way of making them into babymakers. They also go so far as to say that it sounds like you should treatyourself like you expect to get pregnant tomorrow and should be planning for it.

I think the article is just another funny one for people to blow out of proportion. I figured it wouldn't be me ranting it would be other people but oh well.

Haha, you suck at life.


Ladies, stay away from the , lead-based paint, or your jeeps, as it might be potentially harmful to your uterus. You might have to quit your job as well, because there may be a chance you could come in contact with something that could be bad for you. While you're at home, don't forget to make me a sammich! Plus you might want to be barefoot while you're in the kitchen. Cuz, come on, according to that article, you're suppose to live like a babymaker. Who care's about women's health? It's all about making sure your spawn is ok.


(Is the bullshit above the sort of argument the people are making for those that are upset about this?)

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Old May 17th, 2006, 11:11 AM   #6
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While I don't really think it's the government's business, I have always been of the mind that knowledge is power. And that education enables us to make better decisions. I think that the message should be that if you are able to have children and are having sex, you need to accept that pregnancy is a possibility. While taking good care of yourself should be a no-brainer, talking about the possibility of pregnancy with a lover is not always top priority. While I believe that everyone should protect themselves, I also think that a woman needs to be very aware of the fact that it is her body. She is the one that may get pregnant and if she is going to play, she needs to protect herself, or prepare to "pay".

All that being said, "suprises" can happen to anyone, even those with the best of intentions and precautions. It happened to me. She is a wonderful blessing. So, probably that's what this is all about. UGH!!! I hate it when Government feels the need to point out the obvious!
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Old May 17th, 2006, 11:14 AM   #7
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[QUOTE=SquirrelWJ]


Ladies, stay away from the , lead-based paint, or your jeeps, as it might be potentially harmful to your uterus. QUOTE]



stay away from the jeeps do you meen the younger people that are lookin for a good time shouldnt cause its bad for the girl? haha
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Old May 18th, 2006, 11:27 PM   #8
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Research shows that "during the first few weeks (before 52 days' gestation) of pregnancy" -- during which a woman may not yet realize she's pregnant -- "exposure to alcohol, tobacco and other drugs; lack of essential vitamins (e.g., folic acid); and workplace hazards can adversely affect fetal development and result in pregnancy complications and poor outcomes for both the mother and the infant," the report states


^^That sentence is Very important^^. I don't think the article is making women out to 'babymakers', but merely trying to bring more awareness that health choices DO affect a woman's Potential child sooo eariy in pregnacy.
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Old May 23rd, 2006, 06:22 AM   #9
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This article is just masking what we all, male and female should already be doing...taking care of our bodies. Smoke, too much beer, lead paint ect is bad for EVERYONE, not just women of child bearing age. My 89 year old grandmother is just as sensitive if not even more due to her age to those items listed.

I work in a doctors office where we offer vitamins and homeopathic supplements to patients. I head up that end of it all. I have a significant amount of exp in the "health" field. As well as I am currently studying wellness, health promotion, and injury prevention in school. This article is just trying to target women to take care of themselves. But really it should be directed at men and women of all ages. Lets face it, we don't take care of ourselves as well as we should. Good diet and exercise is important for everybody! No matter age, sex or ethnicity! And yes, more important for those with health concerns such as hypertension, diabetes, cardiovascular disease, stroke ect.

I would have like to have seen the documentation on all the studies they said they did. What were their test groups exactly? What were the ages of those the study were done on as well as education level? Are these families of poverty? And are the including terminated pregnancies within their total count of deaths each year? There is so much that goes into research yet so little information that they provide to us the public as to "who" they exactly researched.

Last edited by LOVEMUD; May 23rd, 2006 at 06:31 AM.
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