Bathing a Newborn

http://www.youtube.com/watch?feature=player_detailpage&v=1OjM1FUPPeA

How to Massage a Newborn

http://www.youtube.com/watch?feature=player_detailpage&v=fL5zDdLK_Uw

Everything You Need To Know About Breastfeeding.

https://www.youtube.com/watch?v=v2ouolk5DC4&feature=youtube_gdata_player

Heavy Workload!

Dear Readers,

Due to very heavy workload in the hospital, I could only occasionally update the blog.

The readers can refer to my earlier postings which are still useful and relevant.

I will try my best to find time to update the blog and reply to your email.

Dr Jason

Blockage of Fallopian tubes (输卵管堵塞)

Dear Dr Jason,

My name is B and I am a friend of E.

She has given to me your contact, hoping to get your advise on the side effects of laproscopi surgery.

I had gone through this HSG test few weeks ago and the result from the X-Ray was not so good.

My gynae suspect that both sides of my tube fallopion are blocked, and thus advise me for a laproscopi surgery to further confirm.

Pls advise if laproscopi is only useful to find out the root cause of the blockage or is it useful to unblock the blocked tube as well.

What is the side effects of doing the laproscopi ?

Will there be any damage (permenant) if laproscopi is not well done.

Need to hear your comment and expert advise before to proceed further.

TQ.

Confused,

Bonnie

........................................................................................

Hi, B,

1) It is very unfortunate to hear that you have blockage of fallopian tubes from HSG.

2) You need further investigation to determine the reason of blockage.

3) I agree with your doctor that the next step of investigation is laparascopic surgery.

4) The result of HSG is not 100% reliable. Sometimes, the dye that used in HSG to flush the fallopian tubes could not flow through the tubes due to muscle constriction of the fallopian tubes. In this situation, your tubes are perfectly normal and the laparoscopic surgery will double confirmed this situation.

5) Laparoscopic surgery will further investigate for the underlying reason of blockage and treat accordingly.

6) Just like any other surgery, laparoscopy carries a small risk of complications, such as bowel injury, bladder injury and wound infection. However, the risk of complication is actually low.

7) If laparoscopy confirmed blockage of both tubes, you need to undergo test tube baby treatment if you keen to pregnant.

Dr Jason Ong

Risks for Preterm Births May Be Higher Among Overweight Mothers

July 28, 2010 — Risks for preterm births may be higher among overweight and obese mothers, according to the results of a systematic review and meta-analyses reported in the July 20 issue of the BMJ.

Compared with normal-weight women, very obese women were at 70% greater risk for induced preterm birth before 37 weeks and at 82% greater risk for early preterm birth (before 32 or 33 weeks).

"Overweight and obese women have increased risks of preterm birth and induced preterm birth and, after accounting for publication bias, appeared to have increased risks of preterm birth overall," the study authors write. "The beneficial effects of maternal overweight and obesity on low birth weight were greater in developing countries and disappeared after accounting for publication bias."

"Future research is needed to try to determine why overweight and obese women are at risk of preterm birth, and to determine effective methods of weight loss in women of childbearing age before pregnancy," the study authors conclude. " ...Clinicians need to be aware that overweight or obesity in women is not protective against having infants of low birth weight and should consider surveillance when indicated. Ideally, overweight or obese women should have prepregnancy counselling so that they are informed of their perinatal risks and can try to optimise their weight before pregnancy."

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Personal advices :

1) Achieve an ideal body weight before pregnant. The ideal body weight should be between BMI 20 to 24.

2) Control your weight gain during pregnancy. The ideal weight gain during pregnancy is between 10kg to 15kg.

Some Caffeine Is Okay During Pregnancy

By Genevra Pittman

NEW YORK (Reuters Health) Jul 21 - A cup of coffee a day during pregnancy probably won't increase a woman's risk of miscarriage or premature birth, The American College of Obstetricians and Gynecologists said today.

Until recently, studies have had conflicting findings about the effect of moderate caffeine consumption on pregnancy complications.

But, "I think it's time to comfortably say that it's okay to have a cup of coffee during pregnancy," Dr. William Barth, the chair of a College committee which reviewed the evidence, told Reuters Health.

In a statement published online today in Obstetrics & Gynecology, the College's Committee on Obstetric Practice said that 200 mg of caffeine a day, about the amount in a 12-ounce cup of coffee, doesn't significantly contribute to miscarriages or premature births. That definition of "moderate caffeine consumption" would also include drinking about four 8-ounce cups of tea or more than five 12-ounce cans of soda a day, or eating six or seven dark chocolate bars.

The committee said the evidence was not clear on whether consuming more than 200 mg of caffeine a day might increase pregnancy risks.