37+3 weeks… Running and cheesecake.

OK, the girl and I are at 37+3 weeks pregnancy. Gone are my previous ambitions of being a patient, “oh the baby will come when she’s ready” (cue gentle motherly giggle) pregnant woman. I’m saying NOW is a good time to come out. Sadly no-one is listening.

Ran 6km today. It was difficult… the whole way. This girl doesn’t seem to have the ability to ‘tuck’ into a comfortable position (for me I mean, it’s all about me…) during running… You know that Chinese saying (well, profanity really) “punch you in the lung?” (the direct translation doesn’t really hit the true meaning). Well, this girl is like “punch you in the bladder”, like ALL THE TIME. She’s not even drinking underage and dating bad boys yet, and already she’s giving me trouble.

Nevertheless, the run was still good. Made all the better by the fact I returned to a home-made cheesecake (obviously made by husband, not by me – those of you who know us know that my culinary skills are somewhat, ahem, less than perfect). I definitely married right. 🙂

Some research snippets from the last few days:

If you have PROM (premature rupture of membranes) you have to be admitted immediately for antibiotics right?

Not necessarily… A recent systematic review found that giving antibiotic prophylaxis for term or near-term PROM had no benefits in either maternal or neonatal outcomes. In women with latency longer than 12 hours however, prophylactic antibiotics were associated with significantly lower rates of chorioamnionitis (51%) and endometritis (88%).

Those of you who have had a newborn/ infant with tongue-tie will be able to recount the joy (did I say joy? Actually I meant agony…) of breastfeeding.

How this condition is managed is highly variable. Some doctors will snip the ‘tie’ in their office, some doctors (like our paediatrician) told me “it wasn’t severe and to just grin and bear it”. He don’t walk so good no more.

It’s been found that frenotomy (cutting of the tight frenulum) may be associated with mother-reported improvements in breastfeeding and nipple pain, but with small, short-term studies with inconsistent methodology, strength of the evidence is low to insufficient.

Should you undergo induction for TOLAC (Trial of Labour After Caesarean)?

A recent study has found that when comparing TOLAC induction (using drugs to bring on labour) vs expectant management (letting Mother Nature do her thang), that the induction group had less success at TOLAC (from 37 to 39 weeks) and more maternal blood transfusions (a measure of maternal complications). Rates of uterine rupture were low in both groups (0.2% in the induction group, 0.3% in the expectant management group).

Delayed cord clamping is so en vogue at the moment… 

A study in JAMA Pediatrics has found that if you compare kids with delayed cord clamping (at least 3 minutes after delivery) vs kids with early clamping (no more than 10 seconds) then by age 4 years, the delayed cord clamping group have better fine motor and personal-social skills compared with the early clamping group.

Off to eat more cheesecake. Baby wants it.

REFERENCES
Saccone G, Berghella V. Antibiotic prophylaxis for term or near-term premature rupture of membranes: metaanalysis of randomized trials. Am J Obstet Gynecol. 2015 May;212(5):627.e1-9. 
Francis DO, Krishnaswami S, McPheeters M. Treatment of Ankyloglossia and Breastfeeding Outcomes: A Systematic Review. Pediatrics. 2015 Jun;135(6):e1458-e1466. 
Lappen JR et al. Outcomes of term induction in trial of labor after cesarean delivery: Analysis of a modern obstetric cohort. Obstet Gynecol 2015 Jul 1; 126:115.
Andersson O, Lindquist B, Lindgren M, Stjernqvist K, Domellöf M, Hellström-Westas L. Effect of Delayed Cord Clamping on Neurodevelopment at 4 Years of Age: A Randomized Clinical Trial. JAMA Pediatr.Published online May 26, 2015. 

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