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KAGUYA 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 Review 2004 Massage to Promote Growth, Decrease Stress & increase Tactile stimulation in Preterm & 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 Fish as hotmeal atleast once a week •In a study of 8729 women Maternal Nutrition Group Danish Epidemiology Science Center, Copenhagen BMJ Feb 2002 N-3 Fatty Acids: Docosahexaenoic Acid ( DHA ) And Prevention of Preterm labour DHA Gestational Duration PG Synthesis Uterine Contractions Preterm Labour Biol Med vol226(6)2001 Am J ObG Apr 1997 BMJ Feb 2002 DHA & Brain Development ‘Intake of DHA-PUFA during Pregnancy&Lactation (Cod liver Oil) may improve child’s IQ’ -Helland et al Paed Jan2003 Breast-fed Babies have a Higher IQ ( 8 points ) -Lancet 1994 Prenatal exposure to higher concentration Of DHA results in Mature pattern of Sleep Suggesting 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 are Constructed early •Distress & Contentment Followed 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 voice Even 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 Reaching Grabbing, Sitting, Crawling. Walking & Running in 4 years What parents can do? •Give Freedom to explore safely •Engage in Activities for Hand-eye coordination IMPLICATED IN: Cancer Cardiac Mental Osteoporosis Impotence Infertility Abortion Preterm FGR “Coffee gives me warmth, Waking and an Unusual force” BENEFITS: Increased Alertness Better Work Performance Elevates Mood ( More after Meal ) Anti oxydants Less: Suicides RTAccidents colorectal Ca Gall stones Cirrhosis Asthma Parkinson’s Type II DM Adverse Effects: Less Sleep More Anxiety Crosses Placenta Secreted in Milk NO EFFECT ON: CV Problems MI, Arrhythmias, Atherosclerosis Hypertension Cholesterol Acid Peptic Disease Osteoporosis Ca Breast / Bladder Quality of Sleep Fertility Male/Female Fetus/Neonate Teratogenesis Abortion Uterine Contractions A 17-cm Scissors left inside abdomen at Surgery for Ca Colon at St George Hospital, Sydney in 2001 – Retrieved 18 months later -Sky TV