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ข่าวสุขภาพดี Health and Guide

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Abnormal Fatigue in Early Motherhood - When It's More Than Just Lack of Sleep

A screaming baby, far too little sleep, no time to yourself...... You could be forgiven for thinking that your constant fatigue is all part and parcel of being a new mum.

For many women it probably is as simple as that. But for some, tiredness in early motherhood could be a warning sign of a medical problem requiring attention..

So what health issues are likely to occur in the six to twelve months after giving birth?

Abnormal Fatigue in Early Motherhood - When It's More Than Just Lack of Sleep

Well firstly vitamin and mineral deficiencies are very common. The growing fetus will take all the nutrients it needs which can leave the mother in a state of deficiency postpartum. Add to that, breastfeeding, the stress of looking after a new baby and the likelihood that mum's diet may not be as good as it was previously and it's not difficult to see why women might become a little depleted! Common deficiencies affecting energy production include iron (especially if a lot of blood was lost during labour), Magnesium, co-enzyme Q10, zinc and B - vitamins. A qualified nutritional therapist can advise you on what can be checked for on the NHS and can arrange testing for any other nutrients you would like assessed.

Sex hormone imbalances are another common issue in the early days of motherhood and these imbalances may contribute to the feelings of fatigue which many women experience as their body tries to get back to its post pregnancy state. Unfortunately the 'coffee and cake' culture prevalent in the new mum community (yes, I've been there!) is unlikely to help as relying on simple sugars and stimulants (such as coffee and tea) can contribute to blood sugar imbalances which can exacerbate the problem further. Try to eat regular meals and snacks containing whole grains, protein and fibre to keep your sugars more balanced. Nutrients such as chromium and B vitamins may also help although you may wish to take advice if you are breastfeeding

Another often overlooked reason for fatigue after childbirth is abnormal thyroid function and a condition called postpartum thyroiditis affects around 5-10% of women. Postpartum thyroiditis is thought to be an autoimmune problem in which the immune system attacks the thyroid gland causing the thyroid to malfunction. What typically happens is that initially (usually between one to four months after delivery), the thyroid becomes overactive (called hyperthyroidism) and symptoms such as unusual weight loss, anxiety, palpitations and irritability occur. Since many of these symptoms might be associated with the stresses and strains of having a new baby, this phase often goes unnoticed and can last for between one to three months. Then later on (around four to eight months after delivery) the thyroid often becomes underactive (hypothyroidism) leading to problems such as weight gain, constipation, tiredness, intolerance of the cold, depression and poor exercise tolerance. Although many women will experience both the over active and underactive stages of the disease, some women will only experience symptoms of hyperthyroidism, while others will only show signs of hypothyroidism. Most women do resume normal thyroid function within twelve to eighteen months from the onset of symptoms, although around 20% of women will suffer from a permanently underactive thyroid.

It is worth mentioning that thyroid function has to be quite severely impaired before any problems will be picked up by NHS blood tests. This is because the 'normal' UK thyroid range is quite broad compared with other countries. Also in the UK we only tend to check for Thyroid Stimulating Hormone and Thyroxine, while the active form of the hormone is Tri-iodothyronine (otherwise known as T3 ). If you think that you may have an underative thyroid but your results come back normal then it may be worth getting in touch with a nutritional therapist who can help you to assess your T3 levels and support your thyroid through targeted supplementation and appropriate diet. If stress is an issue (and let's face it, having a new baby is pretty stressful!) then supplements can be recommended to support your adrenal glands (the glands which produce your stress hormones) which in turn may help improve your thyroid function. If you are breastfeeding then do bear in mind that it is worth taking advice on any supplements that you take as some may be dangerous for your baby.

It's not just the thyroid though which can cause problems for new mums. Interestingly women who have recently given birth are at increased risk of autoimmune problems generally. Conditions such as multiple sclerosis, sarcoidosis and lupus (all of which cause fatigue) are all more likely to occur postpartum, although thankfully these are all relatively rare. Perhaps one of the most common autoimmune conditions to occur in recent mothers is rheumatoid arthritis. While the most obvious symptoms is joint pain and swelling, it is often forgotten that rheumatoid arthritis is a systemic disease and problems such as tiredness and general malaise are common. If you are suffering from any joint related issues it is worth checking with your GP to rule out this condition. Don't panic though- joint problems are relatively common after pregnancy and have a number of different causes.

So to conclude, if you are suffering from unexplained fatigue postpartum, then don't feel that you just have to grin and bear it. Seeking advice can help you get to the route of the problem enabling you to take steps to restore your energy. More importantly it might prevent an existing condition from deteriorating further. After all you need all the energy you can get to look after a new born!

Abnormal Fatigue in Early Motherhood - When It's More Than Just Lack of Sleep
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Paula Werrett is an experienced nutritionist, tutor and health writer specialising in areas such as chronic fatigue, thyroid health, digestive disorders, infertility, hormone problems and chronic diseases. For more information or to view our extensive range of health tests and other products visit http://www.thenutritionlink.co.uk

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Second Pregnancy - What to Expect

Congratulations on your second pregnancy! So you are going to be a mother again! Motherhood is a wonderful feeling indeed. You must be wondering, in what ways your experience is going to differ from your first one. Also, since your body is older than the first time around, you might also be anxious about possible complications. Here are a few things to expect during your second pregnancy period, and some cautions that you need to take, to ensure that everything is smooth sailing.

Changes In Your Body Different From Your First Pregnancy:

Emotional Adjustments For Yourself And Your Family:

Second Pregnancy - What to Expect

Complications That Might Arise

So all you second-time moms, hope your first experience makes you less anxious than before. You are now better aware of the diets you need to follow, the exercises you need to do in order to ensure that you experience a risk-free second pregnancy. Consult your OB, try and stay updated about any new tests or medications that may have been introduced. Consider joining a Lamaze class again, now that you may have forgotten much of the exercise routine. Discussing your experiences with other second-time mothers in your friend circle will further ease your tensions. So sit back, relax, enjoy your motherhood, and welcome the new baby in this earth cheerfully.

Second Pregnancy - What to Expect
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Apurva Shree is an expert who writes on issues related to pregnancy, types of pregnancy and niche subjects such as second pregnancy. Read more articles by this author on pregnancy-period

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Send a Card Celebrating a Birth - What Do I Say?

When is it appropriate to send a celebration of a birth card? Of course you would want to send the card as soon as you hear the good news. Certainly if you sent a card within a 30-60 day window, that would be appropriate. And of course, the best way to communicate your feelings is with physical greeting card that the proud new parents can keep in a baby scrapbook of memories. An eCard is not recommended for the celebration of this life event.

Who should you send a congratulations card to? Any close friend, business associate or relative. Cards can be sent to new mothers, the couple, grandparents and even great-grandparents. Celebrating a new life in a family is big news. And, it is just as important to send a birth announcement to a couple that has just welcomed their second or next child as well. Each child is special to the family.

After selecting just the right card, you will want to add a little personal note. Here are some ideas to choose from:

Send a Card Celebrating a Birth - What Do I Say?

" Congratulations on the birth of your ____ (son, daughter). We wish you the best."

" We were so thrilled to hear the great news of the birth of your child. Congratulations!"

" We join in you in welcoming a new member of your family. Blessings on you and yours at this special time."

If this is a second child, you might want to reference and acknowledge the first child as well with wording like:

"We welcome your new son to the world and hope that big brother Bob enjoys having a new baby brother."

"Congratulations on your new baby, she will benefit from having her big brother Bob to watch over her."

What if the birth is not a typical situation. Here are some ways to convey your thoughts to friends.

Adoption - This is a big event to the new parents. Sending a congratulations card is welcomed and appropriate.

" We were so happy to hear about the new member of your family. Congratulations on your new son."

" Best wishes to the new mom and dad."

Single parent - Rejoice and focus on the positive.

" Congratulations on birth of your daughter. We celebrate with you."

" Best wishes to you and your child, we are thinking of you."

Child with a birth defect. - The important thing to remember is that God doesn't make mistakes. You should celebrate this child as an important event.

" Congratulations on the birth of your son, Adam. We welcome him into world with love."

" We celebrate with you in the joy of the arrival of a new member of your family."

" God bless you and your family as you celebrate a new life."

A congratulatory card should be simple and heartfelt. This is a big life event and your friends will always remember that you took the time to show that you cared.

If you are having difficulty finding the right words, put yourself in the new mother's shoes and ponder on what she would want to hear. I hope this article was useful and that you will print and save it for future reference.

Send a Card Celebrating a Birth - What Do I Say?
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Karen Miller makes it a habit to send at least five cards to friends and family every day. Learn more about how to use greeting cards to connect to one another and enrich lives with positive messages. Create your own personal card

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History of Surrogate Motherhood

The history of surrogate motherhood goes back to biblical times. In fact, some people say it dates back to Sarah and Abraham. Certain people say that it started even before them, and that it is only recorded about Abraham because he was written about in the Bible. In many countries, surrogacy has been around since before records. Many cultures have belief systems that abide with the rules of surrogacy and those that do not agree can be thrown out of their families. Numerous religions and civilizations will actually celebrate the surrogate mothers, for their good deeds and service to others. During the 1980's surrogate mothers were used by the gay community to build their families, then, it was frowned upon by society.

The American Indians were the first ones to truly begin the surrogate mother history in this part of the world. So we are looking back to the 1899's for the beginning of this part of the story. If an Indian woman was found to be infertile, then her husband would go to the chief of his tribe and ask for help. He would then be sent to see the medicine man, who would give the wife certain herbal concoctions. Then, after the witch doctor said nothing could be done to help his wife, the husband would go to see the chief. He would be allowed to take another woman and make her pregnant, hopefully, so that he would be able to father a son to carry on his tribe. The barren wife would have no relations with the child. He would stay with his birth mother.

The American Indians were not the only civilization to use surrogate mothers to carry on the family name and bloodline. Back in recent European history it has been heard of, especially in Spain for kings to take in several surrogate mothers until he was born a son. The surrogate mother of the child would then become nanny to all of the royal children. The children would believe themselves to be genetically related to the king and queen. Never knowing the truth. Obviously, things like this were kept secret, because if not, questions would be asked about their right to the throne.

History of Surrogate Motherhood

Nowadays, we are lucky that due to technological breakthroughs in this field of science a woman can feel safe in the knowledge that even though another woman is carrying her child, her husband or partner has had no physical relations with the surrogate mother. Such things have, in the past, caused battles and feuds between the people involved and it is quite understandable. The technological solution has saved an awful lot of heartache for many families.

In America, the very first surrogacy agency was opened by a lawyer named Noel Keane back in the late 1970's to early 1980's. He went on to create many more agencies that abided by the surrogacy arrangement laws. Since then, there have been more than 30,000 births due to the surrogacy arrangement laws. Society obviously feels that surrogacy is a viable solution to infertile women and gay men. There will always be those who criticise but if they could only look at it from a different angle, they just might see something different and even end up with a different viewpoint.

History of Surrogate Motherhood
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Ashley Kate is the publisher of Surrogate Motherhood website. The site offers information on becoming a surrogate mother.

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How to Stop Breastfeeding in 3 Steps

I'm a little disgusted by how little information there is on the internet about breastfeeding.

Oh, yeah, there's plenty about how great breastfeeding is, tips, tricks, and stats on how horrible of a mother you are if you don't do it. Yep, our kids are going to be delinquents because we're not dedicated to art of breastfeeding for life. Give me a break!

I could find hardly anything on the internet about stopping breastfeeding. This is a pretty important topic because so many things have to happen for the end of breastfeeding to be a smooth transition. I've taken notes on my own experience so I can share the information with other mothers. Consolidated down, my approach for stopping breastfeeding can be done in three easy steps.

How to Stop Breastfeeding in 3 Steps

1. Start by eliminating a feed a day. I started with the after lunch snack, then lunch, then dinner, night snack, then breakfast. Give your child a bottle or sippy cup with whatever breastmilk alternative you feel comfortable with. I used watered down goats milk in a NUK sippy cup. My son was almost 10 month old so I didn't think formula was necessary or desirable.

2. Don't be confusing. When you sit down to both nurse continue to do so in your normal place. This will help your baby feel comfortable and secure. Do not give your child a sippy cup alternative in your typical nursing place or position. This is confusing and will result in crying, frantic rooting, and you feeling like a heel (or giving in).

I found that sitting down with my son facing out (his back to my stomach) worked really well. He never nursed in this position (how could he?) so there was no confusion. The added distraction of a book on my knees helped keep him entertained while he drank his milk.

Also, it might be helpful to have someone other than you feed the baby in the morning. This was the hardest one for my son to take because he was used to snuggling into bed with me for breakfast and a cuddle. My husband doesn't smell like milk so James wasn't confused by a cuddle and a sippy cup from him.

3. Stay Comfortable. Feel your breasts as you eliminate feedings. If they feel very full, leaky, or hard then you might need to pump or express some milk. Don't pump so much you trigger let down. This will keep your milk supply going, which isn't what you want. Just make sure you are comfortable and you don't leave gallons of mik in your breasts.

One thing I started doing was a breast massage. I would get hard lumps in my breasts where the milk was in the ducts. I would gently massage the lumps in the shower until they softened up and dissipated. I did this in the shower because my breast would often leak while I was doing it.

Generally my breasts were sore and tender for about three weeks. My son transitioned very fast and now shows no confusion or disappointment about being handed a cup rather than a breast. I have increased the amount of mama time and book reading so he doesn't feel too cut off from me.

He is a little more of a mama's boy now and sometimes I'm the only one that can soothe a hurt or put him to sleep. I doubt this has anything to do with ending breastfeeding, but more to do with just general mom/baby bonding.

Honestly, our end to breastfeeding was much less traumatic than I was led to believe it would be. It was remarkable how little James seemed to care that he is now getting milk from some other source. His poo smells a little stronger, but other than that I can see no difference in his health or attitude.

Happy Freedom!

Leah Day

How to Stop Breastfeeding in 3 Steps
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Leah Day is a work at home mother who understands the realities of motherhood (and the lack of real, practical information on the internet). She has written a book, Moderation Parenting, about her experience becoming a mother. It can be found at [http://www.moderationparenting.com]

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