Friday, August 23rd, 2013
A report by the National Center for Health Statistics reveals that circumcisions of newborn boys in U.S. hospitals have dropped 6 percentage points over the last 30 years, from 64.5 percent in 1979 to 58.3 percent in 2010. The sharpest declines took place in Western states, Reuters reports. The federal analysis shows that circumcision rates have risen and fallen over the years, possibly in response to changing advice from the American Academy of Pediatrics. Last year the academy revised its policy on circumcision, saying that the benefits of circumcision outweigh the risks.
The analysis didn’t include circumcisions performed outside the hospital in religious ceremonies, for example, or those performed when a boy is older.
Here are further details from USA Today:
One factor that may account for the overall decline in hospital-based circumcisions may be the decreased time babies now spend in the hospital, says pediatrician Douglas Diekema of the Treuman Katz Center for Pediatric Bioethics at Seattle Children’s Research Institute.
“Often they’re going home within 24 hours, so in some places, these procedures are increasingly being done by the pediatrician during the follow-up period in the doctor’s office or clinic as opposed to the hospital,” Diekema says.
The steep decline in the West may be related to higher rates of immigrants from countries where circumcision is less common, he says.
Recent research suggests circumcision does “help prevent certain kinds of infections,” says pediatrics group president Thomas McInerny. In particular, “there is some evidence that the cells that make up the inner surface of the foreskin may provide an optimal target for the HIV virus.” Research also shows that circumcised males have a lower risk of urinary tract infections and penile cancer, he says.
Complications associated with circumcisions are rare, and include minor bleeding, local infection and pain, says Diekema, but those factors can be easily treated.
A cost study reported last year in the Archives of Pediatrics & Adolescent Medicine said falling infant circumcision rates in the U.S. could end up costing the country billions of health care dollars when men and their female partners develop AIDS and other sexually transmitted infections and cancers that could have been prevented.
The health benefits evidence was not so strong that the AAP felt compelled to recommend routine circumcision for all newborn boys, says McInerny. “We wanted to give parents the information as we understand it from the research and let them make the decision.”
Image: Newborn boy, via Shutterstock
Add a Comment
Tuesday, August 20th, 2013
In his first official interview since the birth of his son George on July 22, Prince William talked with CNN about life at home with the new baby, who he says is “a little fighter” who doesn’t love to sleep. William added that his wife Catherine, Duchess of Cambridge, is doing “a fantastic job” as a new mom, and he admitted that he was nervous about putting baby George in the car for that first ride home from the hospital. More from CNN:
Fathers around the world watched in disbelief as William, surrounded by hundreds of press photographers, deftly secured his son’s car seat in the back of his vehicle on the first try—but the prince admitted there was more than luck involved in the maneuver.
“Believe, me it wasn’t my first time,” William said, “and I know there’s been some speculation about that. I had to practice, I really did—I was terrified it was going to fall off or the door wasn’t going to close properly.”
While the pictures of William climbing behind the wheel and driving his young family home from the hospital may have reinforced perceptions that he’ll bring a more modern approach to Britain’s monarchy, the future king told CNN it was simply more about doing things his way.
He said: “I am as independent as I want to be, same as Catherine and Harry. We’ve all grown up differently to other generations and I very much feel if that I can do it myself, I want to do it myself.”
“There are times where you can’t do it yourself and the system takes over, or it’s appropriate to do things differently. But I think driving your son and your wife away from hospital was really important to me.”
While the future king may have prevailed on the issue of driving his family home, he says he was less successful at avoiding that hallowed tradition of new parenthood: changing the first diaper.
“I did the first nappy, it’s a badge of honor,” he joked. “I wasn’t allowed to get away with that. I had every midwife staring at me, saying: ‘You do it, you do it.’”
Image: Prince William and Catherine, via Shutterstock
Add a Comment
celebrity babies, celebrity pregnancy, Duchess of Cambridge, Duke and Duchess of Cambridge, Kate Middleton, newborns, Prince George, Prince William, royal baby | Categories:
Celebrities, Must Read, Parents News Now, Pregnancy
Monday, August 19th, 2013
There’s been a flurry of recent headlines about giant babies born around the world, weighing in at 13 pounds or more. One British baby, born in March via vaginal delivery, clocked in at a whopping 15 pounds.
Researchers say the risk of having a big baby has increased because more mothers are obese when they give birth, and many women are delaying motherhood, boosting their risk of gestational diabetes, which contributes to over-sized babes.
This trend not only scares expecting moms, but also sets up newborns for poor health, reports NBCNews.com:
Along with the risk of a difficult birth, there is the impact on the health of the babies once they are born, says Dr. Irina Burd, an assistant professor of gynecology and obstetrics and neurology and director of the integrated research center for fetal medicine at Johns Hopkins Medicine.
It’s not uncommon for overweight moms to have diabetes or to develop it during pregnancy. And some of the high blood sugar in the mom flows through the placenta to the baby. That, in turn, forces the baby’s pancreas to pump up insulin production, which can leave babies with low blood sugar after they are born, Burd says.
Another problem is that sugar acts like a growth factor, and not all the growth is in sync, says Dr. Hyagriv Simhan, chief of maternal fetal medicine and vice chair for obstetrics at McGee Women’s Hospital at the University of Pittsburgh Medical Center.
“In some ways very large babies look more mature because of their size,” Simhan adds. “But in terms of their lungs, they may be immature.”
Even more concerning are the effects felt by big babies as they grow up. “So they’re not just obese at delivery, but there are epigenetic changes that program them for the rest of their lives,” Burd says. And those include a heightened risk for obesity and cancer, she says.
That’s why doctors have tried to encourage pregnant patients who are obese to gain very little weight during pregnancy.
Newborn baby on scale, via Shutterstock
Add a Comment
Monday, August 5th, 2013
Half of American new mothers now breastfeed their newborns for the recommended period of at least six months, according to data analyzed by the Centers for Disease Control and Prevention. More from Today.com:
Add a Comment
It’s a big increase from just 35 percent in 2000 and is good news for babies and moms alike, as breastfeeding boosts the immune system, may lower the risk of obesity and is even linked with higher intelligence.
“This is great news for the health of our nation because babies who are breastfed have lower risks of ear and gastrointestinal infections, diabetes and obesity, and mothers who breastfeed have lower risks of breast and ovarian cancers,” said Centers for Disease Control and Prevention director Dr. Tom Frieden.
The American Academy of Pediatrics recommends that newborns get nothing but breastmilk until they are six months old. The AAP recommends that mothers continue to breastfeed, along with giving other food, after six months for at least a year or even longer “as mutually desired by mother and infant.”
Studies show that babies given nothing but breastmilk for the first four months of life have a 72 percent lower risk of severe pneumonia and other lower respiratory tract infections for their first year. If moms stop breastfeeding between four and six months, their babies have four times the risk of pneumonia compared to moms who breastfeed for a year or longer.
Breastmilk contains the nutrients that a newborn baby needs and also transfers disease-fighting antibodies from mother to baby – something that’s very important for the first few months before an infant can be vaccinated. There’s also a growing body of evidence that beneficial bacteria, and perhaps also viruses and fungi, from a mother’s milk and skin can affect her baby’s health.
AAP, breast milk, breastfeeding, cancer, CDC, intelligence, newborns, nutrition, obesity | Categories:
Child Health, Parents News Now, Trends
Monday, July 22nd, 2013
Gastroschisis–a rare birth defect in which an infant is born with a hole in his or her abdomen–is on the rise in the US, according to a large new study published in the journal Obstetrics and Gynecology. More from Reuters:
Add a Comment
“We have a pattern where the prevalence is very much highest among young women and it’s growing more rapidly among that group than any other group,” said Russell Kirby, a professor at the University of South Florida and the lead author of the study.
Kirby’s study could not explain why the birth defect is becoming more common, and gastroschisis itself is not well understood.
The malformation involves an opening next to the belly button, through which the baby’s intestines protrude.
Newborns with gastroschisis require immediate surgery to close the hole and put the organs back in place.
Most babies with gastroschisis survive, but Kirby said some children have problems with growth and development and there is not a lot of research about the long term outcomes for these kids.
By general estimates, the condition is relatively rare, with a rate of 2 to 3 cases per 10,000 live births in the U.S. But in recent years, studies have suggested the defect is being seen more often….
….The increase in gastroschisis primarily affected mothers under age 25, and especially under age 20, whereas those who gave birth in their 30s had no change in their risk of having a baby with the birth defect.
Mothers who had their babies in their early twenties experienced a 5.8 percent increase each year in the risk of having a child born with gastroschisis, Kirby’s group reported in the medical journal Obstetrics & Gynecology.
Among these mothers, the number of babies born with gastroschisis went from 4 out of every 10,000 babies in 1995 to 7 in 10,000 babies in 2005.
Teen mothers saw a 6.8 percent yearly increase in the proportion of babies born with gastroschisis.