Re: [ozmidwifery] supplements during pregnancy

2006-02-27 Thread Synnes



It may also have to do with completely different 
diets. In Australia it might be due to the fact that they have found Australian 
women are lacking greatly in folic acidas we do not eat enough foods that 
contain folic acid. Whereas in Finland they may have found iron for the 
majority of pregnant women is the problem (high fish diet, low in red 
meat?). From what I was told to take (still pregnant but past 12 week 
stage) th dose was .05mg I think?

Amanda

  - Original Message - 
  From: 
  Päivi Laukkanen 

  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, February 22, 2006 8:08 
  AM
  Subject: Re: [ozmidwifery] supplements 
  during pregnancy
  
  Thank you for the information. Here in finland 
  you can't get just folic acid on it's own. It always comes in a multivitamin 
  or ironsupplement I guess. I would like to provide a reasonable product for 
  Finnish women, so do you think, that I should seek for a plain folic acid 
  product, and sell that in my store? Can you remember the daily recommendations 
  for folic acid?
  
  Päivi
  
- Original Message - 
From: 
Nicole Carver 
To: ozmidwifery@acegraphics.com.au 

Sent: Tuesday, February 21, 2006 11:00 
PM
Subject: RE: [ozmidwifery] supplements 
during pregnancy

Hi 
Paivi,

Iron should only be taken by women who are anaemic, or you can see 
they are heading that way (ie Hb going down.) Of course these women need 
full investigation too, with iron studies and a medical examination and 
history. There has been some question that giving iron to women who don't 
need it can lead to blood which is more viscid, and reduces the blood flow 
through the placenta.

Folic acid on the other hand, drastically reduces the incidence of 
neural tube defects such as spina bifida and anencephaly, with a possible 
side effect of a small increase in the possibility of having twins. Women 
who have a history of a previous baby with a neural tube defects are 
prescribed higher doses. Folic acid should be taken pre-conception and for 
the first fourteen weeks.

I 
don't see the need for any other supplementation than folic acid, unless the 
woman has a demonstrated deficiency or they are strict vegans, in which case 
I believe supplementation with B12 is recommended.

Regards,
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: Wednesday, February 22, 2006 6:35 
  AMTo: ozmidwifery@acegraphics.com.auSubject: 
  [ozmidwifery] supplements during pregnancy
  Hi,
  
  I lived in US, when expecting my first one 
  and there it was always in the magazines, that all women planning 
  pregnancy or pregnant shouldtake folic acid supplements. Here in 
  Finland we don't really hear about folic acid. It is mainly the iron, that 
  is suggested during pregnancy. Or multivitamins. Pharmaceutical companies 
  are recommending all sorts of stuff, but what really are the important 
  ones... What kind of supplements do you midwives recommend for your 
  clients to take during pregnancy and breastfeeding? 
  
  Päivi 
  Independent Childbirth educator
  Finland
  
  
  

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[ozmidwifery] supplements during pregnancy

2006-02-21 Thread Päivi Laukkanen



Hi,

I lived in US, when expecting my first one and 
there it was always in the magazines, that all women planning pregnancy or 
pregnant shouldtake folic acid supplements. Here in Finland we don't 
really hear about folic acid. It is mainly the iron, that is suggested during 
pregnancy. Or multivitamins. Pharmaceutical companies are recommending all sorts 
of stuff, but what really are the important ones... What kind of supplements do 
you midwives recommend for your clients to take during pregnancy and 
breastfeeding? 

Päivi 
Independent Childbirth educator
Finland



RE: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Nicole Carver



Hi 
Paivi,

Iron 
should only be taken by women who are anaemic, or you can see they are heading 
that way (ie Hb going down.) Of course these women need full investigation too, 
with iron studies and a medical examination and history. There has been some 
question that giving iron to women who don't need it can lead to blood which is 
more viscid, and reduces the blood flow through the 
placenta.

Folic 
acid on the other hand, drastically reduces the incidence of neural tube defects 
such as spina bifida and anencephaly, with a possible side effect of a small 
increase in the possibility of having twins. Women who have a history of a 
previous baby with a neural tube defects are prescribed higher doses. Folic acid 
should be taken pre-conception and for the first fourteen 
weeks.

I 
don't see the need for any other supplementation than folic acid, unless the 
woman has a demonstrated deficiency or they are strict vegans, in which case I 
believe supplementation with B12 is recommended.

Regards,
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: Wednesday, February 22, 2006 6:35 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] supplements 
  during pregnancy
  Hi,
  
  I lived in US, when expecting my first one and 
  there it was always in the magazines, that all women planning pregnancy or 
  pregnant shouldtake folic acid supplements. Here in Finland we don't 
  really hear about folic acid. It is mainly the iron, that is suggested during 
  pregnancy. Or multivitamins. Pharmaceutical companies are recommending all 
  sorts of stuff, but what really are the important ones... What kind of 
  supplements do you midwives recommend for your clients to take during 
  pregnancy and breastfeeding? 
  
  Päivi 
  Independent Childbirth educator
  Finland
  


Re: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Päivi Laukkanen



Thank you for the information. Here in finland you 
can't get just folic acid on it's own. It always comes in a multivitamin or 
ironsupplement I guess. I would like to provide a reasonable product for Finnish 
women, so do you think, that I should seek for a plain folic acid product, and 
sell that in my store? Can you remember the daily recommendations for folic 
acid?

Päivi

  - Original Message - 
  From: 
  Nicole 
  Carver 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Tuesday, February 21, 2006 11:00 
  PM
  Subject: RE: [ozmidwifery] supplements 
  during pregnancy
  
  Hi 
  Paivi,
  
  Iron 
  should only be taken by women who are anaemic, or you can see they are heading 
  that way (ie Hb going down.) Of course these women need full investigation 
  too, with iron studies and a medical examination and history. There has been 
  some question that giving iron to women who don't need it can lead to blood 
  which is more viscid, and reduces the blood flow through the 
  placenta.
  
  Folic acid on the other hand, drastically reduces the incidence of 
  neural tube defects such as spina bifida and anencephaly, with a possible side 
  effect of a small increase in the possibility of having twins. Women who have 
  a history of a previous baby with a neural tube defects are prescribed higher 
  doses. Folic acid should be taken pre-conception and for the first fourteen 
  weeks.
  
  I 
  don't see the need for any other supplementation than folic acid, unless the 
  woman has a demonstrated deficiency or they are strict vegans, in which case I 
  believe supplementation with B12 is recommended.
  
  Regards,
  Nicole.
  
-Original Message-From: 
[EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
LaukkanenSent: Wednesday, February 22, 2006 6:35 AMTo: 
ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] supplements 
during pregnancy
Hi,

I lived in US, when expecting my first one and 
there it was always in the magazines, that all women planning pregnancy or 
pregnant shouldtake folic acid supplements. Here in Finland we don't 
really hear about folic acid. It is mainly the iron, that is suggested 
during pregnancy. Or multivitamins. Pharmaceutical companies are 
recommending all sorts of stuff, but what really are the important ones... 
What kind of supplements do you midwives recommend for your clients to take 
during pregnancy and breastfeeding? 

Päivi 
Independent Childbirth educator
Finland



RE: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Lieve Huybrechts









Hoi Païvi,



What I read through the
time about folic acid is that only women that took chemical anticonception for
a long time need folic acid. They dont absorb it well and have low
levels when they stop with the anticonception. So you can make a difference
with women who didnt take anticonception  for a while.



I also read, but dont
ask me where J that taking folic acide doesnt reduce the
incidence of neural tube defects, but with normal levels a womens body works
better, so also the natural selection, so the affected foetus is spontaneously
aborted.

So I stimulate women that
took oral anticonception to wait a while before getting pregnant and to
supplement with folic acid. If thay come on preconceptional consultation I do a
blood test and test for folic acid an iron and never give supplements without
reason.



In the books of Michel
Odent you also can find that a drop in hb level and iron after 28 weeks is very
normal. It seems that women who dont have the drop are more at risk for premature
delivery. So I never give supplementation of iron, except there is a real
severe anaemia. You always have to keep in mind that also bacteries grow on
iron. Around birth a woman is vulnarable to infections so it is normal for a
body to protect itself by lowering the iron reserves. 

I recommend healthy food,
walking and swimming and it works.



Kind regards

Lieve





Lieve Huybrechts

vroedvrouw

0477740853









-Oorspronkelijk
bericht-
Van:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Namens
Päivi Laukkanen
Verzonden: dinsdag 21 februari
2006 22:39
Aan:
ozmidwifery@acegraphics.com.au
Onderwerp: Re: [ozmidwifery]
supplements during pregnancy





Thank you for the information. Here
in finland you can't get just folic acid on it's own. It always comes in a
multivitamin or ironsupplement I guess. I would like to provide a reasonable
product for Finnish women, so do you think, that I should seek for a plain
folic acid product, and sell that in my store? Can you remember the daily
recommendations for folic acid?











Päivi







- Original Message - 





From: Nicole Carver 





To: ozmidwifery@acegraphics.com.au 





Sent: Tuesday,
February 21, 2006 11:00 PM





Subject: RE:
[ozmidwifery] supplements during pregnancy











Hi
Paivi,











Iron
should only be taken by women who are anaemic, or you can see they are heading
that way (ie Hb going down.) Of course these women need full investigation too,
with iron studies and a medical examination and history. There has been some
question that giving iron to women who don't need it can lead to blood which is
more viscid, and reduces the blood flow through the placenta.











Folic
acid on the other hand, drastically reduces the incidence of neural tube
defects such as spina bifida and anencephaly, with a possible side effect of a
small increase in the possibility of having twins. Women who have a history of
a previous baby with a neural tube defects are prescribed higher doses. Folic
acid should be taken pre-conception and for the first fourteen weeks.











I don't
see the need for any other supplementation than folic acid, unless the woman
has a demonstrated deficiency or they are strict vegans, in which case I
believe supplementation with B12 is recommended.











Regards,





Nicole.





-Original Message-
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of Päivi Laukkanen
Sent: Wednesday, February 22, 2006
6:35 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] supplements
during pregnancy



Hi,











I lived in US, when expecting my
first one and there it was always in the magazines, that all women planning
pregnancy or pregnant shouldtake folic acid supplements. Here in Finland
we don't really hear about folic acid. It is mainly the iron, that is suggested
during pregnancy. Or multivitamins. Pharmaceutical companies are recommending
all sorts of stuff, but what really are the important ones... What kind of
supplements do you midwives recommend for your clients to take during pregnancy
and breastfeeding? 











Päivi 





Independent Childbirth educator





Finland




















Re: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Päivi Laukkanen



Very interesting Lieve. This is exactly why I love 
this list. I would never get these answers anywhere else...

Päivi

  - Original Message - 
  From: 
  Lieve Huybrechts 
  To: ozmidwifery@acegraphics.com.au 
  
  Sent: Wednesday, February 22, 2006 12:32 
  AM
  Subject: RE: [ozmidwifery] supplements 
  during pregnancy
  
  
  Hoi 
  Païvi,
  
  What I read through 
  the time about folic acid is that only women that took chemical anticonception 
  for a long time need folic acid. They don’t absorb it well and have low levels 
  when they stop with the anticonception. So you can make a difference with 
  women who didn’t take anticonception for a while.
  
  I also read, but 
  don’t ask me where J that taking folic 
  acide doesn’t reduce the incidence of neural tube defects, but with normal 
  levels a womens body works better, so also the natural selection, so the 
  affected foetus is spontaneously aborted.
  So I stimulate women 
  that took oral anticonception to wait a while before getting pregnant and to 
  supplement with folic acid. If thay come on preconceptional consultation I do 
  a blood test and test for folic acid an iron and never give supplements 
  without reason.
  
  In the books of 
  Michel Odent you also can find that a drop in hb level and iron after 28 weeks 
  is very normal. It seems that women who don’t have the drop are more at risk 
  for premature delivery. So I never give supplementation of iron, except there 
  is a real severe anaemia. You always have to keep in mind that also bacteries 
  grow on iron. Around birth a woman is vulnarable to infections so it is normal 
  for a body to protect itself by lowering the iron reserves. 
  I recommend healthy 
  food, walking and swimming and it works.
  
  Kind 
  regards
  Lieve
  
  
  Lieve Huybrechts
  vroedvrouw
  0477740853
  
  
  
  -Oorspronkelijk 
  bericht-Van: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED] Namens Päivi LaukkanenVerzonden: dinsdag 21 februari 2006 
  22:39Aan: 
  ozmidwifery@acegraphics.com.auOnderwerp: Re: [ozmidwifery] supplements 
  during pregnancy
  
  
  Thank you for the information. 
  Here in finland you can't get just folic acid on it's own. It always comes in 
  a multivitamin or ironsupplement I guess. I would like to provide a reasonable 
  product for Finnish women, so do you think, that I should seek for a plain 
  folic acid product, and sell that in my store? Can you remember the daily 
  recommendations for folic acid?
  
  
  
  Päivi
  

- Original Message - 


From: Nicole 
Carver 

To: ozmidwifery@acegraphics.com.au 


Sent: 
Tuesday, February 21, 2006 11:00 PM

Subject: RE: 
[ozmidwifery] supplements during pregnancy



Hi 
Paivi,



Iron 
should only be taken by women who are anaemic, or you can see they are 
heading that way (ie Hb going down.) Of course these women need full 
investigation too, with iron studies and a medical examination and history. 
There has been some question that giving iron to women who don't need it can 
lead to blood which is more viscid, and reduces the blood flow through the 
placenta.



Folic 
acid on the other hand, drastically reduces the incidence of neural tube 
defects such as spina bifida and anencephaly, with a possible side effect of 
a small increase in the possibility of having twins. Women who have a 
history of a previous baby with a neural tube defects are prescribed higher 
doses. Folic acid should be taken pre-conception and for the first fourteen 
weeks.



I 
don't see the need for any other supplementation than folic acid, unless the 
woman has a demonstrated deficiency or they are strict vegans, in which case 
I believe supplementation with B12 is recommended.



Regards,

Nicole.
-Original 
  Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: 
  Wednesday, February 22, 2006 6:35 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: [ozmidwifery] supplements 
  during pregnancy
  
  Hi,
  
  
  
  I lived in US, 
  when expecting my first one and there it was always in the magazines, that 
  all women planning pregnancy or pregnant shouldtake folic acid 
  supplements. Here in Finland we don't really hear about folic acid. It is 
  mainly the iron, that is suggested during pregnancy. Or multivitamins. 
  Pharmaceutical companies are recommending all sorts of stuff, but what 
  really are the important ones... What kind of supplements do you midwives 
  recommend for your clients to take during pregnancy and breastfeeding? 
  
  
  
  
  Päivi 
  
  
  Independent 
  Childbirth educator
  
  Finland
  
  


RE: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Julia Vaughan









Yes this is certainly very interesting.  A
friend of mine is pregnant and self-prescribed Blackmores pregnancy and breastfeeding
supplement.  
Doing the shared care option and GP advised that she change to Elevit (which
she did) as it is the only supplement that has been researched to be of
benefit to baby.  This suggested to me that any research
that was indeed done on Elevit would have been done by its big rich
pharmaceutical manufacturer.  What are the benefits of Elevit over say
Blackmores or any other supplement?  Are they necessary at all in the
course of a healthy pregnancy?  I read in some of Elevits own
advertising that other supplements contain fish oil which has not been proven
to be safe during pregnancy so Elevit does not contain fish oil



Julia

(1st year BMid Student as of
next week! Yay!)



-Original
Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On
Behalf Of Päivi Laukkanen
Sent: Wednesday, 22 February 2006
9:57 AM
To: ozmidwifery@acegraphics.com.au
Subject: Re: [ozmidwifery]
supplements during pregnancy





Very interesting Lieve.
This is exactly why I love this list. I would never get these answers anywhere
else...











Päivi







- Original Message
- 





From: Lieve
Huybrechts 





To: ozmidwifery@acegraphics.com.au 





Sent:
Wednesday, February 22, 2006 12:32 AM





Subject:
RE: [ozmidwifery] supplements during pregnancy









Hoi Païvi,



What I read through the time about folic acid is that only women
that took chemical anticonception for a long time need folic acid. They
dont absorb it well and have low levels when they stop with the
anticonception. So you can make a difference with women who didnt take
anticonception for a while.



I also read, but dont ask me where J that taking folic acide doesnt reduce the incidence of
neural tube defects, but with normal levels a womens body works better, so also
the natural selection, so the affected foetus is spontaneously aborted.

So I stimulate women that took oral anticonception to wait a while
before getting pregnant and to supplement with folic acid. If thay come on
preconceptional consultation I do a blood test and test for folic acid an iron
and never give supplements without reason.



In the books of Michel Odent you also can find that a drop in hb
level and iron after 28 weeks is very normal. It seems that women who
dont have the drop are more at risk for premature delivery. So I never
give supplementation of iron, except there is a real severe anaemia. You always
have to keep in mind that also bacteries grow on iron. Around birth a woman is
vulnarable to infections so it is normal for a body to protect itself by
lowering the iron reserves. 

I recommend healthy food, walking and swimming and it works.



Kind regards

Lieve





Lieve
Huybrechts

vroedvrouw

0477740853









-Oorspronkelijk
bericht-
Van:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Namens
Päivi Laukkanen
Verzonden: dinsdag 21 februari
2006 22:39
Aan:
ozmidwifery@acegraphics.com.au
Onderwerp: Re: [ozmidwifery]
supplements during pregnancy





Thank you for the
information. Here in finland you can't get just folic acid on it's own. It
always comes in a multivitamin or ironsupplement I guess. I would like to
provide a reasonable product for Finnish women, so do you think, that I should
seek for a plain folic acid product, and sell that in my store? Can you
remember the daily recommendations for folic acid?











Päivi







- Original Message
- 





From: Nicole
Carver 





To: ozmidwifery@acegraphics.com.au 





Sent:
Tuesday, February 21, 2006 11:00 PM





Subject:
RE: [ozmidwifery] supplements during pregnancy











Hi Paivi,











Iron should only be taken by women who are anaemic, or you can see
they are heading that way (ie Hb going down.) Of course these women need full
investigation too, with iron studies and a medical examination and history.
There has been some question that giving iron to women who don't need it can
lead to blood which is more viscid, and reduces the blood flow through the
placenta.











Folic acid on the other hand, drastically reduces the incidence of
neural tube defects such as spina bifida and anencephaly, with a possible side
effect of a small increase in the possibility of having twins. Women who have a
history of a previous baby with a neural tube defects are prescribed higher
doses. Folic acid should be taken pre-conception and for the first fourteen
weeks.











I don't see the need for any other supplementation than folic acid,
unless the woman has a demonstrated deficiency or they are strict vegans, in
which case I believe supplementation with B12 is recommended.











Regards,





Nicole.





-Original Message-
From:
[EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]On
Behalf Of Päivi Laukkanen
Sent: Wednesday, February 22, 2006
6:35 AM
To: ozmidwifery@acegraphics.com.au
Subject: [ozmidwifery] supplements

RE: [ozmidwifery] supplements during pregnancy

2006-02-21 Thread Nicole Carver



Hi 
Paivi,
I 
looked up the dose in 'A Midwife's Handbook' by Constance Sinclair, 2004. She 
recommends 400ug folic acid daily from 6-8 weeks prior to conception (presumably 
continue to 14 weeks post conception) and 4mg for women who have a past or 
family history of neural tube defects. I think it would be an important product 
to have in your store.
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: Wednesday, February 22, 2006 8:39 AMTo: 
  ozmidwifery@acegraphics.com.auSubject: Re: [ozmidwifery] 
  supplements during pregnancy
  Thank you for the information. Here in finland 
  you can't get just folic acid on it's own. It always comes in a multivitamin 
  or ironsupplement I guess. I would like to provide a reasonable product for 
  Finnish women, so do you think, that I should seek for a plain folic acid 
  product, and sell that in my store? Can you remember the daily recommendations 
  for folic acid?
  
  Päivi
  
- Original Message - 
From: 
Nicole Carver 
To: ozmidwifery@acegraphics.com.au 

Sent: Tuesday, February 21, 2006 11:00 
PM
Subject: RE: [ozmidwifery] supplements 
during pregnancy

Hi 
Paivi,

Iron should only be taken by women who are anaemic, or you can see 
they are heading that way (ie Hb going down.) Of course these women need 
full investigation too, with iron studies and a medical examination and 
history. There has been some question that giving iron to women who don't 
need it can lead to blood which is more viscid, and reduces the blood flow 
through the placenta.

Folic acid on the other hand, drastically reduces the incidence of 
neural tube defects such as spina bifida and anencephaly, with a possible 
side effect of a small increase in the possibility of having twins. Women 
who have a history of a previous baby with a neural tube defects are 
prescribed higher doses. Folic acid should be taken pre-conception and for 
the first fourteen weeks.

I 
don't see the need for any other supplementation than folic acid, unless the 
woman has a demonstrated deficiency or they are strict vegans, in which case 
I believe supplementation with B12 is recommended.

Regards,
Nicole.

  -Original Message-From: 
  [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]On Behalf Of Päivi 
  LaukkanenSent: Wednesday, February 22, 2006 6:35 
  AMTo: ozmidwifery@acegraphics.com.auSubject: 
  [ozmidwifery] supplements during pregnancy
  Hi,
  
  I lived in US, when expecting my first one 
  and there it was always in the magazines, that all women planning 
  pregnancy or pregnant shouldtake folic acid supplements. Here in 
  Finland we don't really hear about folic acid. It is mainly the iron, that 
  is suggested during pregnancy. Or multivitamins. Pharmaceutical companies 
  are recommending all sorts of stuff, but what really are the important 
  ones... What kind of supplements do you midwives recommend for your 
  clients to take during pregnancy and breastfeeding? 
  
  Päivi 
  Independent Childbirth educator
  Finland