Re: OB: Preterm labor

From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Tue Jan 30 09:40:03 2007


Ina,

Do you have a diet plan or handout that you could share? I can honestly tell you that nutrition counseling wasn't something stress in my residency program.

Thanks,

Glen

//SIGNED//

D. Glen Elrod, Maj., USAF, MC

Obstetrician/Gynecologist

Chief of Obstetrics

48 MDOS/SGOBO

RAF Lakenheath, England

Telephone DSN: 314-226-8130

Comm: +44 (0) 1638 52 8130

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Ina

--
________________________________
May Gaskin
Sent: Tuesday, January 30, 2007 1:41 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: OB: Preterm labor

I think that our stressing the importance of good nutrition has helped our midwifery group to almost eliminate premature births in our practice. We spend a lot of time educating moms about how they can modify their diets (sometimes it means learning how to cook). Among the 19 sets of twins whose births we've assisted, there was only one premature birth and that was to a DES daughter. One set, each weighing 5.5 pounds each, came at 37 weeks. All the rest came at 39-40 weeks. I suspect that good nutrition had a lot to do with this.

Ina May

On Jan 29, 2007, at 5:51 PM, Ina May Gaskin wrote:

Agree with Barb.

Ina May

On Jan 29, 2007, at 4:51 PM, Barbara Nicol wrote:

Mostly I counsel with a view to avoiding excessive weight gain, which is far more risky- and common! - than too little weight gain:

http://www.greenjournal.org/cgi/content/abstract/108/3/635, just for example.

And, of course, eating the right kinds of foods. Pregnant women just don't need to eat for two - maybe they need to eat for 1.1, especially when you consider US portion size norms. Extra protein, extra calcium, loads 'o folate and not a lot of extra calories! We cover this at the first prenatal and then as needed depending on weight gain.

- Barb Nicol, M.D.

-----Original Message----- From: ljmidwife@aim.com Sent: Jan 29, 2007 7:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: Preterm labor

In all of the discussion of the management of PTL I have not seen a mention of maternal nutrition. What do you consider an adequate intake of protein and calories for a pregnant woman? Do you discuss her nutritional intake at any of the visits?

Linda Johnson, CNM http://www.mothersownbirth.com Temperance, MI 1-866-920-8100 "Not to know is bad. Not to want to know is worse. Not to hope is unthinkable. Not to care is unforgivable." --Nigerian saying

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