Condom Couture

How'd that condom fit? Many men are complaining, "not too well"...and they're taking them off or shunning them altogether as a result. Hope Trojan Brand is listening.

According to a recent survey of 436 men, aged 18 to 67, 45 percent said they'd used a condom that fit poorly the last time they had sex during the previous three months. Doh! And these men were 2.5 times more likely to say their condom broke or slipped compared to those who said their condoms fit well; they were also five times more likely to say they experienced irritation to the penis.

Men who said that condoms fit poorly also complained that the condoms made it difficult for them or their partners to reach orgasm, and they were more likely to remove the condoms and continue having sex without. Double doh!

The study was conducted by The Kinsey Institute for Research in Sex, Gender and Reproduction, on their website, and is published online in February in the journal Sexually Transmitted Infections. Researchers noted that the findings "emphasize the point that men and their female sex partners may benefit from public health efforts designed to promote the improved fit of condoms."

I see it now, a whole new industry on the horizon: condom haute couture--customized rubbers. Now that's an idea. They can come in all kinds if fabulous colors and varieties: french ticklers, vibratory stimulators, crab claws, whatever. But if this survey is a good representation of the public, then it would behoove condom companies to listen, as increases in unwanted pregnancies and sexually transmitted diseases can result from defunct rubbers.

My advice to men is to actually take the time to search for the right condom. Although the local drugstore usually carries the minimum of brands and varieties, specialty stores will have wider selections. Or better yet, here's a website: www.condomania.com. They've got the right glove for every size. Check it out. Taking the time to do it right is important. Put a little work in, fellas...or suffer the consequences.

Pregnancy Stress Linked to Schizophrenia

Severe stress during pregnancy may help cause schizophrenia. So says a study out New York University School of Medicine. According to researchers, severe stress--like wars, natural disasters, terrorism, or sudden bereavement--can lead to epigenetic changes, which are changes in gene expression, not changes to the DNA itself.

The study looked at data from 88,829 people born in Jerusalem from 1964 to 1976. They wanted to see if an increase in schizophrenia occurred in babies born to women during the height of the 1967 Arab-Israeli Six-Day War. What they found is astounding: babies born to mothers who were two months pregnant in June of 1967 were significantly more likely to develop schizophrenia. The height of bombing in Jerusalem was a three day period from June 5-7.

Females born during this period (January 1968 to be exact) were 4.2 times more likely to develop schizophrenia than the 1.1 % of the population which is the global norm. Males born during this period were 1.2 times more likely to develop the mental illness. Wow! Although the researchers didn't rule out a genetic link--that is, the babies had a high family risk for developing schizophrenia--it is unlikely. While schizophrenia in the general population has some family ties, the majority of cases do not. So epigenetics seems to be the logical mechanism.

I find these results fascinating, because I'm a firm believer that we all have every gene, but it's whether or not it's expressed that counts. This would explain some seemingly random human variations, like gender identity disorders, psychopathy, and schizophrenia. And it makes complete sense that a strong connection exists between Mom's experiences during gestation and how baby forms.

In epigenetics, as it is understood and discussed today, we are talking about a narrow form of gene expression, a once in a lifetime event. In other words, humans are not susceptible to environmentally induced genetic changes multiple times in their lifetime; major genetic variations occur during gestational development only. In the case of severe stress, the stress hormones can affect the placenta, ultimately changing the environment of the fetus, which then changes in response.

But wait! Don't freak out, soon to be mom's: we're talking about severe stress here, not simply getting in a fight with baby's daddy. I reported in an earlier post that this just isn't the case, so unless you're involved in a major trauma, you probably have nothing to worry about. But I think we will learn in the near future just how much severe stressors during pregnancy can affect the unborn child. Any thoughts?

Babyrobics

Think exercise is just for adults? Think again--it's for teenagers and children and unborn babies too! Unborn babies? Yes...aerobic exercise benefits babies still basking in the womb. How so?

Through the autonomic nervous system, that part of the nervous system beyond our conscious control, baby gets cardiac benefits same as Mama does. Isn't that the coolest? Mothers who performed regular aerobic exercise--at least 30 minutes, 3 times per week--showed lower heart rates and higher heart rate variabilities (as did their fetuses), than did mothers who were inactive. These were the results of a pilot study presented to the 121st annual meeting of the American Physiological Society, part of the Experimental Biology 2008 scientific conference.

Heart rate is the frequency of the heart cycle, or how often the heart contracts in a given period of time. Lower heart rates are desirable while at rest (not too low, though), as rapid heart rates mean the heart is working harder than it should be. Heart rate variability is the heart's ability to adjust to varying levels of demand, so the higher the better. In fact, a low heart rate variability can be dangerous. Regular aerobic exercise improves both. And now we know how much it benefits baby too.

Keeping up with one's exercise regimen while pregnant is important, and although many routines will need to be modified, getting in some brisk cardiovascular work is always a plus. Here are some ways in which you can keep things moving throughout your entire pregnancy:

• hiking--if you live in Los Angeles, there are lots of places to do this
• walking laps at a park--try to build up a sweat
• yoga--many studios offer prenatal yoga classes
• swimming--great way to take the load off
  
• go to the gym--light weights should be fine; use the treadmill

My pregnant wife does four days a week of cardio, yoga, and light weights. She looks great. She feels great, and now I'm calmly satisfied that my baby is getting his or her cardio work in too. Very good. It'll be needed..to keep up with this family.

Stress in Pregnancy Doesn't Increase Complications

Preeclampsia and gestational hypertension are two disorders taken very seriously during pregnancy. Both disorders can lead to and might even cause the death of the unborn fetus. Many women who suffer from these maladies blame themselves and their stress levels; they think that if they just weren't as stressed-out during their pregnancies, they could have probably prevented the disorders and the subsequent deaths. A recent study, however, shows otherwise.

Dutch researchers have found that a woman's stress levels during pregnancy do not increase the chance of developing either of the hypertensive disorders of pregnancy. Although increased psychological stress is not great during pregnancy--it can wear a woman down and lead to postpartum depression--expecting mothers should not fear getting preeclampsia or gestational hypertension.

Preeclampsia is a hypertensive condition with significant protein concentrations found in the urine (proteinuria). Gestational hypertension is preeclampsia without proteinuria. Hypertension is high blood pressure (HBP), and elevated blood pressure can force substances, like protein, through the kidneys and into the urine--not a good situation. Obviously, HBP can be dangerous for a developing fetus. Both hypertensive disorders are asymptomatic--that is, they have no outstanding symptoms leading to their discovery. Therefore, blood pressure must be checked regularly during pregnancy. Both hypertensive disorders can develop after 20 weeks of pregnancy, but preeclampsia is often seen after week 32. The only solution to this dangerous situation is emergency cesarean section, induced labor, or abortion. Because of the high risk to mother and fetus, one of the above options must be exercised.

I found this an important piece to do since so many pregnant women in America seem to be stressed out. According to another recent study, 20% of all new mothers in the U.S. suffer from postpartum depression. Postpartum depression is linked to many risk factors including tobacco use late in pregnancy, physical abuse before or during pregnancy, partner-related stress during pregnancy, trauma during pregnancy, and financial stress.

Hey, life can be tough. And it's hell of a lot harder to deal with when feeling big, bloated, uncomfortable, hormonal and unable to find a comfortable position to sleep in. I get it. I see my wife dealing with it now during our second pregnancy. It ain't all fun and games. But at least when times get real tough, and the stress seems to know no bounds, please rest assured that you can "feel crazy" and not worry that you're damaging your baby--at least not as far as it's blood supply is concerned. Any other hypothesis regarding Mama's stress stressing baby out is still up for analysis. But for preeclampsia--not a chance.

Omega-3 Necessary for Baby Brains

If I've said it once, I've said it a million times, omega 3 fatty acids are absolutely essential to good health. They're important for adults and they're important for children, and darn it, they're even necessary for developing babies brains--before birth. You heard me right, pregnant mamas need to supplement with omega 3 fatty acids right away, but especially during the later stages of pregnancy.

According to a new study published in the Journal of Pediatrics, expecting mothers who eat their fair share of omega 3 fatty acids (300 mg/day is recommended) can actually give their babies a brain-power boost. Concentrations of docosahexaenoic acid (DHA) were measured in the blood of umbilical cords of newborns. The concentration in the cord blood was closely correlated to the concentration in the mother's blood at the time of delivery. The babies were then given standard visual and memory tests at 6 months old, and the researchers found that the babies with the highest levels of DHA in their cord blood had the highest performance scores.

Omega 3s are found abundantly in fish like salmon and tuna, but also in fish liver oils, which are the most common form found in supplements. I personally take 6 capsules of omega 3s every day, and as I've disclosed in an earlier post, my blood panel--especially my cholesterol, HDLs, and HDL/total cholesterol ratio were stellar.

During the third trimester of pregnancy, when fetal brain development accelerates, omega 3s--most importantly DHA--are crucial to the growth and development of the brain and eyes. Unfortunately, western diets are notoriously deficient in omega 3 fatty acids.

But that doesn't have to be you. Pick up a jar of omega 3 fatty acids today. I promise you, it'll be one of the most powerful health habits you'll ever do--guaranteed.

Nicole Richie is Pregnant???

My wife asked me today, "Can you believe that Nicole Richie is pregnant? How can she hold a baby?" I presumed she meant the skinny, anorexic, drug user thing.

"Why wouldn't she be able to?", I asked.

"Because she's so skinny?"

That question reminded me of something I found very interesting and, quite frankly, peculiar during our own pregnancy with our daughter Delilah. I noticed that an enormous amount of fear and caution is circulated among new, expecting mothers. Downs syndrome, Tay-Sachs, birth defects, emotional scarring, miscarriages, preschool enrollment - you name it, there was a precaution for it. Quite the bit of nail biting involved.

I have to say that I find it a bit counterproductive. I see where it comes from; liability is a grave concern among doctors, especially OB/GYN docs. As I understand it, obstetricians have the highest malpractice premiums of all doctors simply because they are the most often sued. Think about it: a child is born with a birth defect - gotta blame somebody, right? That's the American way. Couldn't be destiny or have greater, let's say, spiritual meaning now could it? Nor could it possibly be a blessing - for the child and the parents. Nah - it's gotta be the doctor's fault. Sue him!

Here's what I always say: It's true, things do happen. And it's always better to be safe than sorry, so testing is o.k. But let's lighten up a bit. Don't go through your pregnancy freaked out. Consider this: There are starving women in Africa having babies, and many survive. The human body is incredibly resilient, so for the most part, everything should be o.k. If you happen to fall within the small percentage of there being "a problem", then I think it's wiser to look at the deeper implication; the deeper meaning, if you will. It's still a blessing. You just have to see it as such.

As far as Nicole Richie is concerned, I have a confession to make. I just couldn't pass up the opportunity to say Nicole Richie in my blog. Paris, you're next.