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Health Officials Issue Revised Pregnancy Weight-Gain Guidelines For Obese Women
The Institute of Medicine and the National Research Council on Thursday issued revised U.S. weight-gain guidelines for obese pregnant women, in response to rising levels of obesity in the country and growing evidence that weight gain can cause health problems for women and their infants, the New York Times reports. The revision, which is the first since 1990, recommends that obese women -- those with a body mass index of 30 or more -- limit their weight gain to 11 to 20 pounds over nine months. The 1990 pregnancy guidelines did not specifically address weight gain for obese women, telling them instead to follow the recommendations for overweight women. According to health officials, the changes to the recommendations for obese women were required to keep up with the changing weight patterns among women in the U.S. The New York Times reports that about 27% of women of childbearing age are considered obese, while 55% fall into the categories of overweight or obese.The recommendations for women with BMIs of less than 30 did not change. They call for overweight women -- those with a BMI of 25 to 29.9 -- to gain 15 to 25 pounds over nine months, while underweight women -- with BMIs of less than 18.5 -- should gain 28 to 40 pounds, and normal-weight women -- with BMIs of 18.6 to 24.9 -- should gain 25 to 35 pounds (Parker-Pope, New York Times, 5/29).Time reports that pregnant women who do not gain enough weight face a higher risk of stunted fetal growth and preterm delivery. However, it is more common for women to gain too much weight, placing them at higher risk for conditions like gestational diabetes and high blood pressure. In addition, their infants are at increased risk of being born earlier, larger and by cesarean section. Time reports that excessive weight gain can increase a woman"s risk of postpartum obesity and elevate risks of heart disease and stroke because most women do not lose extra pounds gained during pregnancy. Many studies also have suggested that a woman"s gestational weight can predict potential weight problems in her offspring (Kingsbury, Time, 5/28).The committee that developed and issued the revision said that the existing guidelines were essentially on target but that women and their physicians need to work harder to help women reach a normal weight before pregnancy and avoid gaining too much weight during pregnancy, according to the Los Angeles Times (Roan, Los Angeles Times, 5/29). The guidelines also recommend more nutrition and exercise counseling during pregnancy, advising physicians or midwives to consult dieticians to shape a woman"s care regardless of her initial weight, the AP/Yahoo! News reports (Neergaard, AP/Yahoo! News, 5/28). The Los Angeles Times reports that health care professionals are expected to recognize and implement some of the recommendations; however, it is not mandatory to do so.Several experts on maternal obesity and child health expressed disappointment with the guidelines, arguing that obese women should gain little to no weight during pregnancy, according to the Los Angeles Times. They also argue the new guidelines do not do enough to address obesity before pregnancy. Maxine Hayes, state health officer for the Washington State Department of Health, said, "If we wait for every woman to be advised about weight gain after they become pregnant, it"s too late. It puts women and their babies on a trajectory that is unhealthy" (Los Angeles Times, 5/29).
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Medical-Surgical Nurses To Meet In DC For Annual Convention
As the single largest group of health care providers in the United States, medical-surgical nurses need ongoing education to care for the country"s adults. One of their primary s is the Academy of Medical-Surgical Nurses" (AMSN) Annual Convention, slated this year for September 9-14, 2009, at the Marriott Wardman Park Hotel in Washington, DC.
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House Panel Passes Protection For Drug Makers
The House Energy and Commerce Committee passed an amendment to their broad health reform bill giving drug makers 12 years of exclusive rights to market new biologic drugs, "a setback" to the administration and consumer advocates who hoped to make generic drugs more widely available, the Wall Street Journal reports. The panel voted 47-11 on the measure, which "would also allow "evergreening," the practice by pharmaceutical companies of making minimal adjustments to their drugs, such as creating extended-release versions, as a way to lengthen their monopoly."
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Washington Post Columnist Gerson Critical Of Justice Ginsburg's Comments On Abortion In NYT Magazine Interview

"There was a scandal this week" involving Supreme Court Justice Ruth Bader Ginsburg"s comments on abortion rights during an interview with the New York Times Magazine, according to Washington Post columnist Michael Gerson. In response to a question on access to abortion and restrictions on Medicaid coverage of the procedure, Ginsburg said, "Frankly I had thought that at the time Roe [v. Wade] was decided, there was concern about population growth and particularly growth in populations that we don"t want to have too many of. So that Roe was going to be then set up for Medicaid funding for abortion." According to Gerson, the "context surrounding this passage is a simplistic, pro-choice rant." He adds, "Abortion, in Ginsburg"s view, is an essential part of sexual equality, thus ending all ethical debate." Ginsburg in the interview also said, "There will never be a woman of means without choice anymore. That just seems to be so obvious." She added, "So we have a policy that affects only poor women, and it can never be otherwise, and I don"t know why this hasn"t been said more often."Gerson writes, "Given this context, can it be argued that Ginsburg -- referring to "populations that we don"t want to have too many of" -- was merely summarizing the views of others and describing the attitudes of the country when Roe v. Wade was decided?" He continues, "It can be argued -- but it is not bloody likely. Who, in Ginsburg"s statement, is the "we"? And who, in 1973, was arguing for the eugenic purposes of abortion?" According to Gerson, "It is more likely that Ginsburg is describing the attitude of some of her own social class -- that abortion is economically important to a "woman of means" and useful in reducing the number of social undesirables."Gerson writes, "The entire Ginsburg interview is a reminder of the risks of lifetime appointments to the Supreme Court." He continues, "Immune from criticism, surrounded by plump cushions of deference, the temperament of a justice can become exaggerated over time." He adds that her statements "would have been disqualifying" had they been made during her own confirmation hearing. "Now she doesn"t give a damn," Gerson says.He continues that Ginsburg"s "timing ... is instructive" because she made the remarks as Supreme Court nominee Sonia Sotomayor is "emphasizing her low-income and minority roots." According to Gerson, "It is estimated that the Hyde Amendment limiting Medicaid abortions has saved one million lives since its passage in 1976 -- some, no doubt, became criminals and some, perhaps, lawyers and judges." He concludes, "It is a defining question for modern liberalism: Are these men and women "populations that we don"t want to have too many of," or are they citizens worthy of justice and capable of contribution?" (Gerson, Washington Post, 7/17). Reprinted with kind permission from http://www.nationalpartnership.org. You can view the entire Daily Women"s Health Policy Report, search the archives, or sign up for email delivery here. The Daily Women"s Health Policy Report is a free service of the National Partnership for Women & Families, published by The Advisory Board Company. © 2009 The Advisory Board Company. All rights reserved.


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