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Your Child

Whooping Cough Vaccine Effectiveness Fades

2:00

While the measles outbreak was making headlines around the country, another vaccine related outbreak was already an epidemic.

In the last five years, state health officials twice declared whooping cough (also known as pertussis) an epidemic – once in 2010 and again in 2014. Eleven thousand people were sickened and three infants died.

Whooping cough is a serious infection of the respiratory system caused by bacterium. It is easily spread from person to person.

Symptoms include runny nose, nasal congestion, fever and severe coughing that can sometimes end in the “whooping” sound when a person gasps for air.

Pertussis mainly affects infants younger than 6 months old before immunizations, and kids 11 to 18 years old whose immunity has started to fade.

Although whooping cough can also make adults very ill, sometimes leading to pneumonia and hospitalization, another major concern is that adults are the most common source of infection in infants.

An analysis of a recent whooping cough epidemic in Washington state shows that the effectiveness of the Tdap vaccine (tetanus, diphtheria and pertussis)  used to fight the illness waned significantly over time.

For adolescents who received all their shots, effectiveness within one year of the final booster was 73 percent. The effectiveness rate plummeted to 34 percent within two to four years.

The vaccine has changed over the years and those changes may be responsible for the fading effectiveness. The pertussis protection is from the acellular pertussis vaccine. It was introduced in 1997 to replace the whole-cell vaccine, which caused more side effects. Monday's report confirms earlier analysis that the acellular pertussis vaccine may be safer, but less effective, than the old one.

The latest analysis does not mean or even suggest that children and adults should not get the pertussis vaccine. Someone who is vaccinated, but becomes sick with whooping cough, should have a less severe course of illness. The Tdap vaccine is also recommended for college students who did not receive the vaccine as a preteen or teen.

The authors said that new vaccines are "likely needed to reduce the burden of pertussis disease." But Dr. Art Reingold, who leads the CDC's Advisory Committee on Immunization Practices group on pertussis, said he doesn't know of any pertussis vaccine development in the pipeline.

An added dose doesn’t seem to help either according to research that was presented to the ACIP group. "(An additional dose) would have very little impact on pertussis," Reingold said, "in terms of cases prevented."

Unvaccinated babies are at the highest risk for whooping cough. Since infants can’t be vaccinated until they are 2 months old, the Centers for Disease Control and Prevention (CDC) recommends that women get the Tdap vaccine during the last trimester of their pregnancy.

"Babies will be born with circulating antibodies," Reingold said, "and there's pretty good evidence that that will reduce the risk of hospitalization and death in babies."

Reingold also drew an interesting distinction between measles and pertussis having to do with herd immunity. If a large enough percentage of the population is immunized against measles, both individuals and the broader community are protected against outbreak. That's because the measles vaccine protects you against the virus that actually causes the measles illness.

But in pertussis, toxins that are released by bacteria cause the disease. The pertussis vaccine protects you against those toxins, but may not prevent you from spreading the bacteria to others — and causing illness in them.

While the vaccine is helpful in reducing symptoms, Reingold believes that "Pertussis is not going to go away with the current vaccine."

Sometimes there can be a bit of confusion between the DTaP and Tdap vaccines; the letters are similar and they are used to help prevent the same diseases.

DTaP is the vaccine that helps children younger than 7 - years  - old develop immunity to diphtheria, tetanus and pertussis. Tdap is the booster immunization given at age 11 that offers continued protection.

The Tdap vaccine is the one discussed in this study published in the journal Pediatrics.

Sources: Lisa Aliferis, http://www.npr.org/blogs/health/2015/05/05/404407258/whooping-cough-vaccines-protection-fades-quickly

http://www.webmd.com/children/vaccines/dtap-and-tdap-vaccines

 

 

Your Baby

Eating Chocolate While Pregnant May Improve Mom and Baby’s Health!

1:45

 Put another check in the win column for a reason to eat chocolate - as though anyone really needs one!

 A new study suggests that moms-to-be that eat a small piece of chocolate every day may improve their baby’s cardiovascular health and reduce the risk for preeclampsia.

 Researchers found that their findings held up regardless of whether the chocolate consumed contained high or low amounts of flavonoids, a group of phytochemicals that have antioxidant abilities. Various studies have also suggested that flavonoids may offer heart health benefits.

 As with most studies, the research did not prove that eating chocolate during pregnancy caused better circulatory health in pregnant women and their babies, only that there was an association.

 "Our observations suggest that a regular small consumption of dark chocolate -- whether or not the level of flavanol is high -- from the first trimester of pregnancy, could lead to an improvement of placental function," said study author Dr. Emmanuel Bujold. He is a professor of obstetrics and gynecology at Universite Laval in Quebec City, Canada.

 Bujold's team decided to see whether differences in flavanol content had any effect on the pregnancies of nearly 130 women.

 All of the women in the study were at the 11- to 14-week mark of their pregnancy, and carrying one child.

 All were instructed to consume 30 grams of chocolate (a little more than one ounce) each day over a 12-week period. That's equivalent to about one small square of chocolate per day, Bujold said.

 Half of the women consumed high-flavanol chocolate, while the other half was given low-flavanol chocolate. All were then tracked until their delivery date.

 Regardless of which type of chocolate was consumed, the women faced the same risk for both preeclampsia and routine high blood pressure. Placental weight and birth weight was also the same in both groups, the investigators found.

 Similarly, fetal and placental blood circulation levels, as well as in-utero blood velocity, did not appear to be affected by shifting flavanol levels.

 However, simply consuming a small amount of chocolate -- no matter what the flavanol content -- was associated with notable improvements in all blood circulation and velocity measures compared to the general population, the researchers said.

 Bujold said this suggests that there's something about chocolate, apart from flavanol levels, that may exert a positive influence on the course of pregnancy. Finding out exactly what that is "could lead to improvement of women's and children's health, along with a significant reduction of treatment cost," he said.

 While that’s good news for chocolate lovers, Bujold cautions that pregnant women keep the portion small and calorie intake low.

 So, a bit of chocolate daily while pregnant is not going to hurt you, in fact it just may give you and your baby’s health a little boost.

 The findings were scheduled for presentation at the Society for Maternal-Fetal Medicine's annual meeting, in Atlanta. The data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

 Source:  Alan Mozes, http://consumer.healthday.com/vitamins-and-nutrition-information-27/food-and-nutrition-news-316/small-square-of-chocolate-each-day-during-pregnancy-may-help-mom-and-baby-707736.html

Your Baby

No Link Between Vaccines and Autism

1.30 to read

A new study slated to appear in the Journal of Pediatrics, says that there is no association between the amount of vaccines a young child receives and autism. Some parents have worried that there may be a link and have opted out of having their child vaccinated or reduced the number of vaccines recommended.

The percentage of children diagnosed with autism spectrum disorder (ASD) has increased by 72% since 2007. Some experts believe that changes in the diagnostic criteria may account for some of the increase as well as better screening tools and rating scales.

According to a statement released from the journal, researchers from the Centers for Disease Control and Prevention and Abt Associates analyzed data from children with and without ASD.

Researchers examined each child's cumulative exposure to antigens, the substances in vaccines that cause the body's immune system to produce antibodies to fight disease, and the maximum number of antigens each child received in a single day of vaccination, the journal's statement said.

The antigen totals were the same for children with and without ASD, researchers found.

Scientists believe genetics play a fundamental role in the risk for a child developing autism (80-90%), but recent studies also suggests that the father’s age at the time of conception may also be a contributor by increasing risks for genetic mistakes in the sperm that could be passed along to offspring.

Parents have worried about a link between vaccines and autism for decades despite the growing body of scientific evidence disproving such an association.

Source: Luciana Lopez, http://www.reuters.com/article/2013/03/29/us-usa-health-autism-idUSBRE92S0GO20130329

Your Teen

More Teens Taking Ecstasy

2.15 to read

More than two-thirds of these ER patients were between 18 and 29 years old, but a sizable number, nearly 18 percent, were from 12 to 17, the report said, noting Ecstasy use is increasing among teens. More parents are receiving the phone call they dread the most- “this is (local hospital name here) your child is in our emergency room… please come quickly."

According to a new study released by the Substance Abuse and Mental Health Services Administration (SAMHSA) medical emergencies relating to the illegal drug Ecstasy jumped 75% between 2004 and 2008. More than two-thirds of these ER patients were between 18 and 29 years old, but a sizable number, nearly 18 percent, were from 12 to 17, the report said, noting Ecstasy use is increasing among teens. The study said in 2008, hospital emergency rooms treated 17,865 patients for Ecstasy related medical problems. In 2004, the number was 10,200. The resurgence of Ecstasy use is cause for alarm that demands immediate attention and action, said SAMHSA Administrator Pamela S. Hyde in an agency news release. Ecstasy, also known as MDMA, is often used at parties and gatherings by teens that are unaware of its potential dangers. Its reputation as a "club" or party drug can give teens the false impression that casual use of the drug is harmless. Addiction, blurred vision, high blood pressure, heat stroke, muscle cramping and kidney failure are linked to Ecstasy use, the report said. "Amphetamine use continues to be a significant problem for adolescents and young adults. It is associated with significant morbidity and mortality," said Dr. Lewis Goldfrank, chairman of emergency medicine at NYU Langone Medical Center in New York City. "It remains to be determined how severe the long-term neurotoxic effects may be on the brain," Goldfrank said. "There is no reason for anyone to believe that the use of this drug is safe at some dose -- the risk is consequential at any dose." 31 percent of the ER visits involved Ecstasy use with at least one other drug, while 17.5 percent of patients had combined Ecstasy with four or more other drugs. According to the study, 50 percent of patients 21 or older had used alcohol with Ecstasy compared with 20 percent of those 20 and younger. Cocaine use with Ecstasy was also more likely among people 21 and older (43 percent) compared with those 20 and under (nearly 15 percent), the researchers found. While Ecstasy use alone can present multiple psychiatric and physical problems, the combination of Ecstasy with other drugs can present seriously ill or life-threatening emergencies. Parents are often unaware of Ecstasy use by their child, since teens and young adults tend to use the drug at locations other than at home. There are many website resources dedicated to giving parents, and caregivers, information on the symptoms of Ecstasy use, as well short and long term psychological and physical effects. http://www.educatingvoices.org offers these signs of Ecstasy use and possible long-term medical problems. Signs of Ecstasy Use - Confusion - Panic attacks - Depression - Loss of memory - Headaches - Hallucinations - Sore jaw from involuntary jaw clenching - Grinding teeth - Paranoia - Anxiety - Acne and skin rash - General fatigue Ecstasy Paraphernalia - Pacifiers, Blo-Pop suckers and Popsicle sticks are used to counteract the teeth grinding. - Candy necklaces, Altoids tins, M&M's, Skittles, Tootsie Rolls are used to conceal   Ecstasy tablets. - Glo-Sticks are used for stimulation. - Vick's Vapo Rub is smeared on the inside of a surgical mask and then worn to enhance the dilated bronchi. - Vick's Vapo Inhalers is used to blow into a partners face and eyes to enhance the effects. - Bottles of water are a common sight at parties, used to treat overheating, sweating and dehydration. - Ecstasy is used at all-night dance parties or Rave parties with techno music and laser lights, concerts and in small groups. - Users of Ecstasy have suppressed appetites, thirst and the need to sleep. EEcstasy use can result in effects similar to Alzheimer's. Research suggests Ecstasy use increase the risk of developing Parkinsonism, a disease similar to Parkinson, later in life. In these cases Ecstasy is shown to destroy dopamine neurons, the chemical messenger that is involved in controlling movement, emotional and cognitive responses and the ability to feel pleasure. Ecstasy users risk significant brain damage; damage that is evident through brain scans showing actual holes in the brain. The brain of a young person having used Ecstasy is similar to that of a 60 to 70-year old who has had a number of strokes. If you think your son or daughter is using Ecstasy, or any illegal drug, watch for the warning signs and discuss your concerns with your child. Avoid making direct accusations; instead stay calm and rational during the discussion. Ask a lot of questions and do a lot of listening. Remember, the warning signs of drug use could be connected to emotional problems or physical illnesses not related to drug use. You may want to discuss the possibilities with your Pediatrician or family doctor, and consider taking your son or daughter in for a physical exam to see if a medical condition exists.

Your Child

2 Doses of Chickenpox Vaccine Almost 100 Percent Effective

2:00

Chickenpox is one of the most common childhood illnesses. It is a viral infection caused by the Varicella zoster virus and produces a painful, itchy rash with small, fluid-filled blisters.

It occurs most often in early spring and late winter and is highly contagious. Typically, chickenpox occurs in kids between 6 and 10 years of age.

A new study shows that among schoolchildren, two doses of the chickenpox vaccine is more effective than one.

Giving the first dose at age 1 and the second dose at ages 4 to 6 is nearly 100 percent effective in preventing the once common childhood disease, researchers have found.

"A second dose of varicella [chickenpox] vaccine provides school-aged children with better protection against the chickenpox virus, compared to one dose alone or no vaccination," said lead researcher Dana Perella, of the Philadelphia Department of Public Health.

Two doses of the vaccine protected against the moderate to severe chickenpox infections that can lead to complications and hospitalizations, she said.

Before routine chickenpox vaccination began in 1995, virtually all children were infected at some point, sometimes with serious complications. About 11,000 children were hospitalized each year for chickenpox, and 100 died annually from the disease, according to the CDC.

One-dose vaccination greatly reduced incidence of chickenpox, but outbreaks continued to be reported in schools where many kids had been vaccinated. That led the CDC in 2006 to recommend a second vaccine dose.

To evaluate effectiveness of the double- dose regimen, Perella and colleagues collected data on 125 children with chickenpox in Philadelphia and northern Los Angeles and compared them with 408 kids who had not had the disease.

They found that two doses of the vaccine was slightly more than 97 percent effective in protecting kids from chickenpox.

"With improved protection provided by two-dose varicella vaccination compared with one-dose only, continued decreases in the occurrence of chickenpox, including more severe infections and hospitalizations, are expected as more children routinely receive dose two between the ages of 4 and 6 years," Perella said.

For children with weakened immune systems that cannot take the vaccine, having their classmates and playmates protected by the vaccine helps protect them against the viral infection.

School vaccine requirements should include two-dose varicella vaccination, Perella said.

"In addition, 'catch-up' varicella vaccination is also important," she said. This applies to anyone over 6 who haven’t had a second vaccine dose, especially if they could be exposed to chickenpox or shingles - a painful condition in older people caused by reactivation of the chickenpox virus, she said.

Most healthy children who get chickenpox do not have serious complications from the illness. But there are cases when chickenpox has caused hospitalization, serious complications and even death.

A child may be at greater risk for complications if he or she:

·      Has a weakened immune system

·      Is under 1 year of age

·      Suffers from eczema

·      Takes a medication called salicylate

·      Was born prematurely

The report was published online March 14 and will appear in the April print issue of the journal Pediatrics.

Story sources: Steven Reinberg, http://www.webmd.com/children/news/20160314/two-dose-chickenpox-shot-gets-the-job-done-study-shows

http://www.parents.com/health/vaccines/chicken-pox/chickenpox-facts/

Your Child

Honey Relieves Kid’s Cough

1.45 to read

My grandmother used to say a little honey was the best thing to stop a cough. A new study, published in the September issue of Pediatrics confirms what mothers and grandmothers have been saying for decades… a couple of teaspoons of honey soothes the throat, stops the coughing and helps you sleep better.

It’s tough for parents to find an over-the-counter solution to treat colds and coughs. The American Academy of Pediatrics (AAP) states that over-the-counter (OTC) cough and cold medicines don't work for children younger than 6 years and may pose risks. The FDA takes a similar stance.

In the new study, 270 children aged 1 to 5 with nighttime cough due to simple colds received one of three types of honey or a non-honey liquid of similar taste and consistency 30 minutes before bedtime. Parents completed questionnaires about their child's cough and sleep on the night before the study began and then again the night after their kids were treated.

Children received either 2 teaspoons of eucalyptus honey, citrus honey, Labiatae honey, or similar-tasting silan date extract 30 minutes before bed. All kids did better the second night of the study, including those given the date extract. But children who received honey coughed less frequently, less severely, and were less likely to lose sleep due to the cough when compared to those who didn't get honey. 

The study was co-funded by the Honey Board of Israel.

Not only were the children able to sleep better, parents were able to sleep through the night as well. That’s a huge relief especially for parents who have to be at the office or on the job site the next day.

Mild coughing isn’t always a bad thing: it helps clear mucus from the airway. But an acute cough can be relentless - causing vomiting and gasping for air.

Honey can be part of a supportive care regimen for children with colds, says Alan Rosenbloom, MD. He is a pediatrician in private practice in Baldwin, N.Y.

There are a few caveats, he says. Honey is not appropriate for children younger than 1 because they are at risk for infant botulism. "Never give honey to a child under the age of 1."

Skip the honey, and call your pediatrician if your child also has:

  • Fever
  • Prolonged, worsening cough
  • Wheezing
  • Cold symptoms that last longer than two weeks

If your child has a cold, Rosenbloom suggests a couple of other ways you can help them be more comfortable. Try saline drops or nasal spray, a humidifier in the bedroom to keep the air moist, and propping up the child's head during sleep to stop the postnasal drip that can trigger coughing.

If you want to give honey a try, there’s no need for a “special” kind of honey – any honey will do. It may be the best choice in the first few days of a cold – less coughing, better sleep, safer and more effective than OTC medications.

Looks like grandma was right—as always.

Source: http://children.webmd.com/news/20120806/mom-was-right-honey-can-calm-cou...

Your Teen

Teens: Smoking Cigarettes Down, Pot Use Up

2:00

New statistics reveal that the number of American teenagers that smoke cigarettes has dropped by 64 percent in recent years. The same report also shows that the number of teens who are smoking pot has doubled.

Unfortunately, just because the percentage of kids who smoke cigarettes has dropped considerably, plenty are still lighting up. A full 30 percent of white, black and Hispanic teens smoked cigarettes, cigars or marijuana in 2013, according to the U.S. Centers for Disease Control and Prevention (CDC) report. The researchers tracked teen smoking rates from 1997 to 2013.

"The nation's remarkable progress in reducing youth smoking since 1997 is great news, but the battle is far from over," said Vince Willmore, vice president for communications at Campaign for Tobacco-Free Kids.

"This study reminds us that we know exactly what to do to further reduce smoking: increase tobacco taxes, enact smoke-free laws, fund effective prevention programs and implement hard-hitting mass media campaigns. These proven strategies must be continued and strengthened," Willmore added.

Researchers called for more targeted prevention programs and policies to get the word to adolescents out on the dangers of smoking.

Overall, the number of teens who smoked cigarettes or cigars dropped from 20.5 percent to slightly more than 7 percent, while marijuana use went from 4 percent to 10 percent, the report found.

Notably, marijuana use jumped from 51 percent to 62 percent among those teens who smoked cigarettes or cigars, the findings showed.

Marijuana use has increased as states make it either legal or more acceptable with reduced penalties.

Dr. Tim McAfee, director of CDC's Office on Smoking and Health, believes that more acceptance of marijuana as a harmless drug is driving its increased use among teens.

"Over the last 10 or 15 years, there has been a change in public perception of marijuana," he said. "There is the idea that marijuana is not something you need to worry about."

Marijuana use in teens hasn’t been researched much over the years, because it’s been illegal. Marijuana studies in adults have been going on for some time and especially during the last couple of decades. Health concerns about pot use and teens are beginning to emerge.

McAfee noted there is research showing that pot has a negative effect on developing brains and that some kids can become dependent on it.

“Nothing is being done” McAfee said, in terms of a tobacco-like campaign telling kids not to use marijuana or with information about the possible side effects.

The report was published in the October edition of the CDC's Morbidity and Mortality Weekly Report.

In 2014, a study was released looking at the research done over the past 20 years on marijuana use, highlighting the drug’s adverse effects, both acute and chronic.

The study maps out exactly what marijuana does and does not do to the body and brain, both in the short and long terms. What’s clear is that marijuana has a number of adverse effects over years of use – in certain people, anyway. What’s not so clear is how policy should be informed by the science.

The acute effects show that driving while high on marijuana does seem to double the risk of a car crash, which is of course heightened if there is also alcohol in the system. Marijuana has been linked to low birth weight when it is used during pregnancy.

Otherwise, acute effects mainly include anxiety, paranoia (especially among new users), dysphoria, cognitive impairment, and psychotic symptoms (especially in people with a family history of psychosis).

Many of these particular side effects seem to have risen over the last 20 years, which may be due to the fact that the THC content in marijuana has also risen over that time.

THC is the chemical in marijuana that is most responsible for the drug’s psychological effects.

The chronic or long-term effects are much more troubling than the acute.

As in the case of nearly all-scientific studies, causation is difficult to prove – but a correlation is evident.

Here’s what the study by Wayne Hall, Director and Inaugural Chair at the Centre for Youth Substance Abuse Research at The University of Queensland, Australia, reveals.

  • Marijuana can be addictive. But only for some people. About 10% of all users seem to develop dependence syndrome, and for those who start in adolescence, the number is more like 1 in 6. Withdrawal syndrome is also a real phenomenon, with depression, anxiety, insomnia, and appetite disturbance being the main symptoms, which can often be severe enough to have an effect on daily life.
  • Marijuana use is linked to adverse cognitive effects. In particular, the drug is linked to reduced learning, memory, and attention. It hasn’t been entirely clear whether these effects persist after a person stops using the drug, but there’s some evidence that it does. One study found a reduction in IQ of 8 points in long-time users, the greatest decline being in people who’d started using as teenagers and continued daily into adulthood. For people who began in adulthood and eventually stopped using, a reduction in IQ was not seen a year later.
  • Marijuana may change brain structure and function.  There’s been an ongoing debate about whether marijuana actually changes the brain, but recent evidence has suggested that it is linked to changes in the hippocampus, amygdala, and prefrontal cortex. It’s unclear, however, how long these effects last, whether they’re linked to behavioral changes, and whether they reverse after a person stops using the drug.
  • Regular use is linked to an increased risk of psychotic symptoms. That marijuana is linked to increased psychotic symptoms (e.g., delusions, hallucinations, disordered thinking) is fairly clear. But again, it’s been a chicken-and-egg problem, since it’s hard to show whether causation is at play, and which way the connection goes. However, it’s likely that the relationship actually goes both ways: Marijuana may lead to  psychotic symptoms, and early psychotic symptoms may  increase the likelihood that a person will smoke marijuana (particularly if there’s a family history of psychotic disorders).
  • Marijuana is linked to lower educational attainment. When pot smoking begins in adolescence, people tend to go less far in school – but again, a causal relationship hasn’t been demonstrated.
  •  Marijuana  may (or may not be) be a gateway drug. Regular teenage marijuana users are more likely to use other drugs in the future – but again, researchers don’t know whether the link is causal.
  • Marijuana is probably – but modestly – linked to schizophrenia. The study found that marijuana is connected to a doubled risk of a schizophrenia diagnosis in the future. Many previous studies have suggested this connection, but, as always, showing causality is hard. The new study cites a number of well-executed studies that suggest a causal relationship between marijuana and schizophrenia. The authors estimate that marijuana use may double the risk of schizophrenia from 7 in 1000 non-users to 14 in 1000 marijuana users. On the upside, they point out that users who quit using the drug after a first psychotic episode have fewer psychotic symptoms and better social functioning moving forward, compared to people who have a psychotic episode but continue using.
  • Marijuana may be linked to testicular cancer. Its connection to other forms of cancer is not very consistent, but there’s some evidence of an increased risk of testicular cancer in long-term marijuana users.
  • Regular users may have cardiopulmonary issues. Regular marijuana users have a higher risk of developing chronic bronchitis. Marijuana “probably” increases the risk of heart attack in middle age, but it’s hard to know for sure, since many users also smoke cigarettes.

The authors of this particular study were careful not to argue for or against the legalization of marijuana except to say that its legalization should be done with safeties in place.

This 2014 study was published in the journal Addiction.

Sources: Steven Reinberg, http://consumer.healthday.com/public-health-information-30/marijuana-news-759/fewer-teens-smoking-cigarettes-but-twice-as-many-now-smoke-pot-cdc-704275.html

Alice G. Walton, http://www.forbes.com/sites/alicegwalton/2014/10/07/what-20-years-of-research-has-taught-us-about-the-chronic-effects-of-marijuana/

 

 

Your Baby

No Link Found Between Induced Labor and Autism

1:30

In 2013, a study suggested there might be a link between induced labor using a medication such as oxytocin, and a higher risk of the baby developing autism.  New research out of Boston, Massachusetts says there is no connection between the two.

"These findings should provide reassurance to women who are about to give birth, that having their labor induced will not increase their child's risk of developing autism spectrum disorders," said senior researcher Dr. Brian Bateman. He's an anesthesiologist at Massachusetts General Hospital and Brigham and Women's Hospital in Boston.

Induced labor is sometimes needed when a mother’s labor stalls or the infant is endangered. Because of the former study, many women have had concerns about labor induction and the risk of autism.

Bateman's team of American and Swedish researchers, led by the Harvard T. H. Chan School of Public Health, decided to investigate the issue.

They used a database on all live births in Sweden from 1992 through 2005, and looked at child outcomes for more than 1 million births through 2013, to identify any children diagnosed with a neuropsychiatric condition.

They also identified all the children's brothers, sisters and cousins on their mother's side of the family. The health of the children's mothers was also taken into account.

Eleven percent of the inductions were due to health complications such as preeclampsia, diabetes or high blood pressure. Twenty-three percent were induced because of late deliveries (after 40 weeks of pregnancy).

Results showed that 2 percent of the babies in the study were later diagnosed with autism.

When just looking at unrelated children, the researchers did find a link between induced labor and a greater risk for an autism spectrum disorder. This association disappeared, however, once they also considered the women's other children who were not born from an induced labor.

"When we used close relatives, such as siblings or cousins, as the comparison group, we found no association between labor induction and autism risk," said study author Anna Sara Oberg, a research fellow in the department of epidemiology at the Harvard Chan School.

Explaining further, she said in a university news release, "many of the factors that could lead to both induction of labor and autism are completely or partially shared by siblings -- such as maternal characteristics or socioeconomic or genetic factors." Therefore, Oberg said, "previously observed associations could have been due to some of these familial factors, not the result of induction."

Other experts have agreed with the new study’s findings.

"Pregnant women have enough things to worry about," said Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at Cohen Children's Medical Center of New York, in New Hyde Park, N.Y.

"If a woman's doctor recommends that labor be induced, the expectant mother should not worry about an increased risk of the child having an autism spectrum disorder," Adesman said.

If you have concerns about a connection between labor induction and autism, speak to your OB/GYN to learn more. 

The study was published in  in the July 25th online edition of JAMA Pediatrics.

Story source: Mary Elizabeth Dallas, https://consumer.healthday.com/cognitive-health-information-26/autism-news-51/induced-labor-won-t-raise-autism-risk-in-kids-study-suggests-713155.html

 

Your Teen

Blogging Could Be Good Therapy for Teens

1.45

When I was a teen if you had something you really wanted to get off your chest, but didn’t want anyone to know, you’d write it down in your diary. It was a safe place to express sadness, confusion, anxiety, joy and excitement. And being a teenager, all those emotions were swirling inside my head pretty much all the time. For some strange reason, I always felt better after writing it all down, clicking the lock shut, and placing the diary in a spot I thought no one would look. My musings were usually personal thoughts that I didn’t think anyone would understand anyway. In fact, I thought Bob Dylan captured my anxiety pretty well when he sang “If my thought-dreams could be seen -
They’d probably put my head in a guillotine.”

Today’s kids are much more likely to share their “thought-dreams” over the Internet in a personal blog, and a new study says that could actually be very helpful.

Research has long supported the therapeutic value of diary keeping and journaling for teens and adults. But now, researchers suggest that blogging might even be better.

The study, published in the journal Psychological Services and conducted by Meyran Boniel-Nissim and Azy Barak, psychology professors at the University of Haifa, Israel, found that engaging with an online community was more effective in relieving the writer’s social distress than a private diary would be.

So, how did they discover that? They randomly surveyed high school students in Israel who said they had difficulty making new friends or relating to friends they already had. Researchers selected 161 teens to participate in the study. The average age was around 15 and there were 124 girls and 37 boys. 

The teens were then divided into 6 groups. The first two groups were asked to blog about their social difficulties, with one group asked to open their posts to comments. The second two groups were asked to blog about whatever struck their adolescent fancy; again, with one group allowing comments. All four groups were told to write in their blogs at least twice a week. As a control, two more groups were told to keep either an old-fashioned print diary or to do nothing at all.

Four psychologists reviewed the blog entries to determine each writer’s relative social and emotional state. In all the groups, the greatest improvement in mood occurred among those bloggers who wrote about their problems and allowed people to respond.

People who responded offered positive feedback and support, and that appears to be the key.

“The only kind of surprise we had was that almost all comments made by readers were very positive and constructive in trying to offer support for distressed bloggers,” Dr. Barak wrote in an email to the New York Times.

 Royar Loflin, a 17-year-old blogger from Norfolk, Va., who did not participate in the study, says that blogging helps her find a little peace of mind.  “I definitely write posts in which I talk about being overwhelmed, and it helps me to relax. People will write in the comments, ‘I remember when I was in your shoes’ ” and ‘Don’t worry — you’ll get through the SATs!’ and it’s wonderful,” she said. “It really helps put everything into perspective.”

Once again I am reminded -The times they are a changing.

Source: http://www.nytimes.com/2012/01/29/fashion/blogging-as-therapy-for-teenag...

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