10 guidelines for resuming healthy habits when children go back to school

10 guidelines for resuming healthy habits when children go back to school

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Plus-size and pregnant: Understanding and managing health risks

Plus-size and pregnant: Understanding and managing health risks

Most plus-size women can expect to have a healthy pregnancy. But if you're carrying extra weight going into pregnancy, you’re more susceptible to pregnancy complications like gestational diabetes. Understanding your risk factors will help you do everything you can to enjoy a safe and healthy plus-size pregnancy.

You're considered overweight if your pre-pregnancy body mass index (BMI) is between 25 and 29.9 and obese if your BMI is 30 or higher. It's healthy to have a BMI between 18.5 and 24.9. (Not sure what yours is? Find out your BMI.)

Keep in mind that BMI is only a rough estimate of body fat based on your height and weight: It doesn't take genetics or age into consideration, and it isn't a perfect tool for assessing overall fitness. Nevertheless, researchers have consistently found that as BMI increases, so does the risk of many pregnancy and labor complications.

And although having a BMI between 18.5 and 24.9 is considered normal, it isn't typical: More than half of pregnant women in the United States have a BMI of 25 or higher and more than a third have a BMI of 30 and above.

Risk reality check

Doctors and researchers still don't know exactly why weight matters. And it's just one piece of the puzzle – age, genetics, and ethnicity also factor in.

"The impact of obesity is different for every ethnic group," says Gladys Ramos, an ob-gyn who has researched race, weight, and pregnancy complications. "For example, Latina women have a higher rate of gestational diabetes and preeclampsia, compared with Caucasian women. African-American women have a higher rate of c-section than do heavier Caucasian women. Caucasian women tend to form bigger babies, while African-American women do not."

The good news is that most health conditions and situations linked to weight are manageable – and in some cases preventable. So you may not experience any and go on to have a perfectly healthy pregnancy and delivery.

"Most plus-size women have completely normal pregnancies and normal babies," says Cornelia van der Ziel, an ob-gyn and coauthor of Big, Beautiful, and Pregnant: Expert Advice and Comforting Wisdom for the Expecting Plus-Size Woman. "You can be overweight and have a fit pregnancy. Any obese pregnant woman can modify her risks by eating well, exercising, and adhering to weight-gain guidelines."

According to Sujatha Reddy, an ob-gyn in Atlanta, the most important thing you can do is have a conversation with your healthcare provider about your particular risk factors. Do you have a history of high blood pressure or uncontrolled blood sugar? What about a family history of larger babies?

Once you know your personal risk factors, work with your healthcare provider to make sure you have the healthiest pregnancy you can. And don't panic: As Reddy says, "It's not a doom-and-gloom scenario at all."

(Do you think your healthcare provider is treating you with respect? If not, read about how to find a plus-size-friendly healthcare provider.)

Health conditions and situations

Here are some conditions and situations you and your healthcare provider may need to be mindful of during your pregnancy:

Neural tube defects: Neural tube defects (NTDs) are problems with how a baby's brain and spinal cord develop. The overall risk is very small (around 1 in 1,000 births, according to the Duke University Center for Human Genetics), but overweight and obese women are twice as likely to have a baby with an NTD as are women at a normal weight.

What you can do: Researchers aren't sure why obese women have higher rates of NTDs, which makes it hard to give specific recommendations. But they do know that folic acid can help to prevent NTDs, and some studies have found that plus-size women may have lower blood folate levels than smaller women. Consider asking your doctor if you should boost your folic acid intake higher than the recommended daily amounts of 400 mcg before conception, and 600 mcg during pregnancy.

You can also ask your healthcare provider for a quad screen blood test at 15 weeks to screen for NTDs. If that test suggests a possible problem, ultrasound,and amniocentesis can provide more information.

Gestational diabetes: This condition causes elevated blood sugar during pregnancy. Your healthcare provider will evaluate your blood sugar during glucose screening and tolerance tests, which are usually done between 24 and 28 weeks of pregnancy. (They may be done earlier if you're at higher risk.)

Uncontrolled levels of high blood sugar can cause a variety of problems, including hypoglycemia (low blood sugar) in your baby after birth and having a large baby. (These babies may have larger shoulders, which increases the risk of shoulder dystocia – a rare but serious situation in which the baby becomes stuck behind the mother's pubic bone during delivery.) And children of mothers who have gestational diabetes are at higher risk of becoming obese or developing type 2 diabetes.

Nearly 5 percent of pregnant women develop diabetes, and the risk increases along with BMI: Overweight women are twice as likely to have gestational diabetes, and obese women are four to eight times as likely to have it.

What you can do: Learn about gestational diabetes and how you can manage it with nutrition. You can also get more information from the American Diabetes Association. Even if you have gestational diabetes, you can have a healthy pregnancy if you follow your healthcare provider's advice and attend all your prenatal appointments.

Preeclampsia: Also known as toxemia, preeclampsia is a serious condition that's diagnosed after 20 weeks of pregnancy if you have high blood pressure along with at least one other symptom. These can include protein in your urine, liver or kidney abnormalities, persistent headaches, or vision changes.

It causes blood vessels to constrict, which raises your blood pressure and decreases blood flow through your body.

Preeclampsia can range from mild to severe and progress slowly or rapidly. In severe cases, it can cause organ damage to you and problems for your baby, such as poor growth, less amniotic fluid, and placental abruption. Severe cases can lead to seizures, a condition called eclampsia. Women with severe preeclampsia are given antiseizure medication.

Reddy notes that while weight is a major risk factor, other factors – such as age – are more significant. "If you're under age 35 and overweight, you're at a lower risk for preeclampsia than a woman at a healthy weight who's 35 or older," Reddy says.

Research shows that about 6 to 12 percent of overweight and obese women will be diagnosed with preeclampsia, while about 4 percent of women with a BMI in the normal range will be diagnosed.

What you can do: Attend all your prenatal appointments, so your healthcare provider can check your blood pressure. If your blood pressure is high, your provider will test your urine for protein.

Call your healthcare provider right away if you experience puffiness or swelling in your face, swelling in your extremities, a severe or persistent headache, rapid weight gain, intense pain or tenderness in your upper abdomen, or vision changes (like double vision, blurriness, spots or flashing lights, sensitivity to light, or a temporary loss of vision). Learn more about preeclampsia and how it's managed.

Gestational hypertension: If you develop high blood pressure (a reading of 140 over 90 or higher – even if only one of the numbers is elevated) after 20 weeks of pregnancy but don't have any symptoms of preeclampsia, you'll be diagnosed with gestational hypertension, sometimes called pregnancy-induced hypertension.

If you had high blood pressure before pregnancy, or are diagnosed with it before 20 weeks of pregnancy, that's called chronic hypertension. Chronic hypertension is a heart risk, but gestational hypertension is usually mild and probably won't cause any noticeable problems for you or your baby. However, it does put you at higher risk for preeclampsia, intrauterine growth restriction, preterm birth, placental abruption, and stillbirth.

Several studies have shown that roughly 10 percent of obese women have gestational hypertension, versus around 4 percent of women with normal BMI.

What you can do: Go to all your prenatal appointments – your healthcare provider will take your blood pressure at each visit. If you have either type of hypertension, she will monitor your health closely and possibly put you on blood-pressure-lowering medication. Learn more about gestational hypertension and how it's managed.

Large baby: While most plus-size women have average-size babies (around 7 pounds), obesity is considered a risk factor for macrosomia, or having a large baby (at least 9 pounds, 15 ounces). About 1 percent of babies are macrosomic. Your baby is more likely to be large if you have undiagnosed or poorly managed gestational diabetes, have a family history of large babies, or go past your due date.

If your fundal measurements – the distance from your pubic bone to the top of your uterus – indicate you're measuring large for dates, that may mean you're carrying a large baby, but it could also be due to a large amount of amniotic fluid (fundal measurements are more likely to be inaccurate in plus-size women). An ultrasound is a more accurate estimate of fetal size. However, the only real proof of a macrosomic baby is the postbirth weigh-in.

What you can do: If you have gestational diabetes, work with a nutritionist to keep your blood sugar levels in check and talk with your provider. If your healthcare provider suspects your baby is large, ask her about your options. Depending on your situation, she may suggest a trial of labor to see if vaginal delivery is possible before turning to a cesarean, or she may recommend a planned c-section. Learn more about macrosomia.

Longer labor: Several studies have found that higher BMI is linked to longer active labor. For women in the highest ranges for BMI, the first stage of labor typically lasts more than an hour longer than it does for normal-weight women. But this doesn't necessarily mean you will be in labor longer, says van der Ziel.

What you can do: Exercising, eating a sensible diet, and gaining the appropriate amount of weight may affect the length of labor, says van der Ziel. Prepare yourself for labor with childbirth preparation classes and exercises that can ease labor, and consider hiring a labor coach. A positive mindset also helps, van der Ziel adds – so go into labor with confidence in your body's ability to handle it.

Labor complications: A number of studies have shown that overweight and obese women are more likely to be induced or have a cesarean delivery. Obese women also may have more difficulty getting effective pain relief from an epidural or spinal block.

Recent studies have found that overweight women are roughly 50 percent more likely to have a c-section than women who are at a normal weight, and obese women are twice as likely to have a cesarean.

This is likely due to the other factors that can be associated with being plus-size and pregnant: If you're in labor for a long time, or have preeclampsia, gestational hypertension, or other health complications, your healthcare provider may be more likely to recommend a c-section, either scheduled or as an intervention if problems arise during labor.

What you can do: Talk to your healthcare provider. Does she consider you at high risk for a c-section? If so, why? Ask about her c-section rate and her philosophy about c-sections in general.

If you have no serious health problems, is she fine with trying vaginal delivery? During a vaginal delivery, what might cause her to order a c-section intervention?

Also, you may lower your odds of having a c-section by following your doctor's recommendations for weight gain, exercising during pregnancy, and taking childbirth preparation classes. Learn more about having a c-section and what the recovery is like.

Uterine fibroid - causes, symptoms, diagnosis, treatment, pathology

A wolf, a monster or a dragon, you know ... but a Gruffalo? True phenomenon in the Channel, this adaptation of a huge success of bookstore was nominated at the 2011 Oscars and awarded at the Annecy 2010 festival.

  • Really, you do not know what a Gruffalo is? It has huge fangs and sharp claws ... And it is straight out of the mind of a little mouse inspired to escape the fox, the owl and finally the snake ...
  • Gruffalo is also taken from a British best-seller of the same name known as kindergartens (Gallimard edition). In this "monster program" of four animated films, Gruffalo is the longest (27 min) and tastiest. A must see with your children who know like this little mouse with expressive eyes give life to terrible monsters.
  • This adaptation was nominated at the Oscars in 2011 and awarded at the Annecy Festival 2010.
  • From 4 years old.
  • The films of the Préau, 45 min.
  • Where to find it?

Agnes Barboux

All our DVD ideas.

Our bodies are exposed to countless viruses and bacteria in the cold. We can help with different meals in the fight and keep in mind that stress, sedentary lifestyle and inadequate nutrition just hurt the immune system.

The best immune-boosting meals in the cold

The body can overcome the problem of invading viruses and bacteria by eating foods that have antioxidant or root canal action. The immune system also benefits from omega-3 fatty acids, which are found in fish (salmon, herring, anchovies, mackerel) and, for example, in fish. we find it in flaxseeds.Let's see what foods we should take naturally in our body.


It is also commonly referred to as a natural antibiotic, which is the most effective aid in preventing and combating disease. Best in raw state, mixed with water for excellent sore throat. In addition, it fungi, cleanses the blood, improves concentration.


Kiwi fruit has a vitamin C content that is comparable to that of citrus fruits. Its undying effect is well known. You can drink it in the form of a smoothie, put it in yogurt, and of course on your own.


Probably everyone has come across it, but it is also known as jam, swallowtail. It contains plenty of B and C vitamins. Relieves stress, speeds up metabolism, and benefits the immune system.


It is extremely immune-boosting and contains a lot of vitamin C. Those who do not like it because they are bitter should consume it mixed with honey.


Pain-relieving and effective in the treatment of cough suppression. It is best to eat raw or in tea form. It is very effective when mixed with honey and garlic.


The pectin bar found in the apple passes through the digestive tract immaculately, but it is important for bacteria living in the colon: keep the immune system in good condition.


It is highly immune-boosted and contains zinc, selenium and beta-carotene. Due to its weak, strong antioxidant ingredients, they fight the disease.Further articles on immune boosting:
  • Immunization: Advice from the pediatrician
  • The little and the little vitamin kit
  • Make sure you eat the greens!
  • Name Adhémar - Meaning and origin

    Name Adhémar - Meaning and origin

    Origin of first name:


    Meaning of the name:

    The name Adhémar is of Germanic origin. It consists of the words adal, heim and mar which mean respectively "noble", "house" and "illustrious".


    French chronicler and composer of the Middle Ages, the monk Ademar de Chabannes devoted himself to the writing of the chronicles from his ordination. Among his famous works is "Life of Saint Martial", written in 1028.
    Adhémar de Monteil, bishop of Puy between 1077 and 1098, was named pontifical legate and spiritual leader of the crusade led for the liberation of the Byzantine Empire.
    St. Aldemar founded several monasteries in the diocese of Chieti where he preached. He was deacon at the abbey of Monte Cassino before becoming abbot at the monastery of St. Lawrence of Capua.

    His character :

    Adhemar makes good sense and seldom gets it wrong. His realism, calm and sense of logic often lead to success. A fine strategist and a meticulous man, Adhémar often displays a serious air. A man of conviction, his loyalty and commitment are unwavering. He has the art and the manner of playing with the emotion that he is able to pretend to obtain the favors of his entourage.
    Always listening to others, he is appreciated for his great sense of analysis that makes him a very good confidant and advisor.


    Aldemar, Aymar, Adelmire, Azemar, and Azema.

    His party :

    Like Saint Aldemar, Adhemar is celebrated on March 24th.

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