Thursday, 24 May 2012

So This Happened: Dad Takes Crazy Baby Photo


By Piper Weiss, Shine Staff | Parenting – Mon, 21 May, 2012 5:46 PM EDT

(Eric Krebs/National Geographic)(Eric Krebs/National Geographic)[Shine's daily spotlight of the most jaw-dropping photo from today's news.]

Every year, National Geographic Traveler hosts a photography contest in search of the most dramatic images of earth's wild inhabitants. The submissions, open until July, already boast a fair share of lions, tigers and bears.

But nothing compares to this entry from photographer Eric Krebs, taken deep in the jungle of the living room.

Before you conference call Child Services and Animal Control, let Krebs explain: "It was taken at about 1:30am after my 7-month-old son decided he wanted to wake up and play with some toys...our dog Molly decided to walk in front of the camera and yawn the moment I took this shot." Believe it or not, that mouth doesn't belong to a wooly mammoth preparing to carry the newborn in her jaws to her winter cave. That's just Molly being sleepy.

Friday, 18 May 2012

Overweight pregnant women are target of new guidelines


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Mothers often say they get confusing advice about exercise during and after pregnancy

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Obesity levels among pregnant women have reached epidemic levels, putting the health of their babies at risk, experts say.
The health watchdog NICE has issued new guidelines encouraging women in England to attain a healthy weight before they get pregnant.
It also advises them against eating for two once they conceive.
It says almost half of women of childbearing age are overweight or obese, which could harm their child.
Many women feel they are offered confusing and conflicting advice about their health during pregnancy.
The guidelines from the National Institute for Health and Clinical Excellence are aimed at cutting through that. They discuss weight and exercise before, during and after pregnancy.
Celebrity culture If a woman is obese during pregnancy, she has an increased risk of developing serious complications like pre-eclampsia, gestational diabetes, miscarriage and stillbirth. She is also more likely to have a Caesarean section.

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It can set a worrying example, by encouraging new mums to embark on drastic weight lost programmes, which are not only unrealistic, but can also be very unhealthy”
End Quote Belinda Phipps NCT
NICE says women with a body mass index of more than 30 should be encouraged to lose weight before they become pregnant. During pregnancy, losing weight can be harmful to the unborn child, so women are advised to eat healthily and to do gentle exercise.
After they have given birth, women are told they should lose their baby weight gradually. Experts from NICE say celebrities who regain their pre-baby figures very fast can put unrealistic pressure on ordinary mothers.
"Women should understand that weight loss after birth takes time, and physical activity and gradual weight loss will not affect their ability to breastfeed," said Professor Mike Kelly, NICE public health director.
"Losing weight gradually can actually help women maintain a healthy weight in the long term."
NICE also wants local authorities to offer women more opportunities to exercise, at an affordable price, and with creches for their children.
"There's been an exponential increase in obesity among pregnant women," said Professor Lucilla Poston, from King's College, London, who helped develop the guidance. "It's very worrying, as there are so many potential risks for the mother and her baby."
The National Childbirth Trust welcomed the move to bring clarity to the issue. Chief executive Belinda Phipps said women were presented with a lot of conflicting advice about exercise.
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"It can set a worrying example, by encouraging new mums to embark on drastic weight lost programmes, which are not only unrealistic, but can also be very unhealthy," she said.
Professor Sir Sabaratnam Arulkumaran, president of the Royal College of Obstetricians and Gynaecologists, said he hoped the new guidelines would be actively promoted by the government.
"We need to support women who are overweight by encouraging them to lead healthier lifestyles. This includes providing them with advice on diet, nutrition and exercise.
"These healthy behaviours should occur throughout a woman's lifetime and not just when she is considering starting a family or during pregnancy."

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Fat, pregnant or both?


pregnant woman with food Pregnant women need only increase their food intake by a relatively small amount rather than "eating for two"
"I'm not fat, I'm pregnant!" Actually, some women may be both but there are currently no UK guidelines to help midwives and women define how much is too much when it comes to weight gain during pregnancy.
In this week's Scrubbing Up, Bridget Benelam from the British Nutrition Foundation says there needs to be clear advice on weight control for pregnant women.
Nearly half of women of childbearing age are overweight or obese in the UK and this means there are increasing numbers of obese pregnant women. But spotting those mothers whose bumps are due to fat as well as baby is difficult, not least because there are no UK guidelines on how much weight women should gain during pregnancy.
Pregnancy weight gain varies and depends on many things - including the weight of the baby, the amount of amniotic fluid and the mother's increased blood volume - as well as body fat. Some additional fat is stored during pregnancy to provide a reserve for breast feeding when the baby is born.
But excessive weight gain during pregnancy carries health risks for the mother and child. It also makes the delivery of the baby more difficult, with caesarean sections and forceps deliveries more common. All this puts a strain on an already stretched maternity service.
Despite the common idea that women need to "eat for two" when pregnant, there is actually only a small number of extra calories needed in pregnancy.
No extra calories are needed during the first 28 weeks of pregnancy and only an extra 200kcal per day are required during the last 12 weeks, the equivalent of two small slices of bread.
In a survey of over 6,000 women carried out by the Royal College of Midwives and NetMums last year, 61% said their midwife did not have enough time to discuss their concerns about weight management and nutrition, meaning many women may embark on pregnancy without having discussed how to manage their weight at this important time.

What is a healthy pre-pregnancy weight?

  • Experts assess obesity using a scale called BMI or body mass index
  • This is calculated by dividing your weight in kilograms by your height in metres squared
  • A BMI between 18.5 and 25 is ideal
  • A BMI of 25-30 is overweight
  • A BMI of 30 or more is obese
And whilst there is a clear need for readily available advice, guidance is lacking.
Current recommendations in England from NICE (National Institute for health and Clinical Excellence ) do not address the issue of how much weight gain is healthy in pregnancy. Indeed, they flag up the need for UK-specific guidance.
These guidelines, issued in 2010, do say that women who are overweight or obese should be encouraged to lose weight before trying for a baby.
However, they say once a woman is pregnant, she should not be encouraged to diet to lose weight as this may harm the health of the growing baby and so women should follow a healthy diet and be physically active.
But what does this mean in practice?
In the US, guidelines go further.
The Institute of Medicine sets out what is a healthy weight gain - 25 to 35 pounds (11.5 to 16kg) during pregnancy for women at a normal weight for their height.
And it says overweight and obese women should gain less weight during pregnancy than lean women. For example, no more than 20 pounds (9kg) for the most obese.
Pregnancy is a window of opportunity where women are particularly interested in looking after their health and that of their growing baby.
Getting the right help and advice about weight control to pregnant women (and those planning a pregnancy) could help to reduce the risks to both mums and their babies, and also help mitigate the strain that obesity in pregnancy puts on the health service.
But midwives need support in delivering this advice on weight control, something they may never have been trained to provide. Arming them with clear guidance would be a good place to start.

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Weight management 'benefits' for mother and baby


Pregnant woman eating salad Pregnant women are already advised to eat healthily

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Dieting in pregnancy is safe for women and does not carry risks for the baby, a review of research has suggested.
The British Medical Journal analysis looked at the findings from 44 previous studies involving more than 7,000 women.
The London-based team said following a healthy diet - and not eating for two - prevents excess weight gain and cuts the risk of complications.
But current guidelines do not advocate dieting or weight monitoring.
The advice from the National Institute for Health and Clinical Excellence (NICE), published in 2010, says: "Dieting during pregnancy is not recommended as it may harm the health of the unborn child."
However women are advised to aim to reach a healthy weight before conceiving.
Babies' weights 'unaffected' Half the UK population are either overweight or obese and the rates are rising.
And in Europe and the US, between 20% and 40% of women gain more than the recommended weight during pregnancy.
High weights are linked to complications such as pre-eclampsia, diabetes and high blood pressure as well as early delivery.

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We should be careful to note that the researchers are not advising women to lose weight during pregnancy”
End Quote Dr Janine Stockdale, Royal College of Midwives
This review, funded by the National Institute of Health Research (NIHR), compared diet, exercise or a combination of the two.
Dietary advice was based on limiting calorie intake, having a balanced diet and eating foods such as whole grains, fruits, vegetables and pulses.
The researchers then examined how much weight women gained during their pregnancies and if there were complications.
While each approach reduced a woman's weight gain, diet had the greatest effect with an average reduction of nearly 4kg (8.8lbs).
With exercise, the average reduction in weight gain was just 0.7kg (1.5lbs). A combination of diet and exercise led to an average reduction of 1kg (2.2lbs).
Women following a calorie-controlled diet were significantly less likely to develop each of the complications considered, but the researchers say those findings need to be repeated in larger studies.
Babies' birth weights were not affected by dieting.
'Simpler and easier' Dr Shakila Thangaratinam, a consultant obstetrician at Queen Mary, University of London who led the study, said: "We are seeing more and more women who gain excess weight when they are pregnant and we know these women and their babies are at increased risk of complications.
"Weight control is difficult but this study shows that by carefully advising women on weight management methods, especially diet, we can reduce weight gain during pregnancy.
"It also shows that following a controlled diet has the potential to reduce the risk of a number of pregnancy complications."
She added: "Women may be concerned that dieting during pregnancy could have a negative impact on their babies. This research is reassuring because it showed that dieting is safe and that the baby's weight isn't affected."
But in a commentary in the journal, women's health experts from St Thomas' Hospital in London - including Lucilla Poston who helped develop the NICE guidance, said it would be "premature" for the current guidance, which only recommends women be weighed at their first pregnancy check-up, to change.
Dr Janine Stockdale, research fellow at the Royal College of Midwives, said: "We should be careful to note that the researchers are not advising women to lose weight during pregnancy; this is about managing excessive weight or weight gain.
"If a woman is on target to gain the right amount of weight during her pregnancy, then 'dieting' and 'calorie-controlled dieting' as we commonly understand these terms, is not for her.
"We need to reassure women that under the care of a midwife or other health professional, weight management is safe."

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Schoolkids sit their exams, then flee gunfire for Rwanda refugee camp



Congolese refugees stream into Rwanda
STORY HIGHLIGHTS
  • Refugees flee Fighting between Congolese government and rebel loyalists
  • Rwanda refugee camp was unprepared to deal with the numbers of people arriving
  • People are sleeping on floors as workers try to build more quarters
  • Fighting started after Congo government began a hunt for a former rebel leader
Nkamirah Transit Camp, Rwanda (CNN) -- Tumsifu Gilaine was at school when she first heard the gun battles. The teenager said she and her friends were taking their final exams and every day from their classrooms they could hear the army and rebel soldiers battling it out for dominance.
Tumsifu and her family stuck it out until she finished the exams. Then they fled.
They followed thousands of others making their way from their homes in North Kivu in the Democratic Republic of Congo into the Nkamirah Transit Camp across the border in Rwanda.
After three years of fragile peace, the government of Joseph Kabila last month announced its intention to capture Bosco Ntaganda, a notorious warlord who calls himself "the terminator" and has been charged by the International Criminal Court with war crimes including the slaughter of civilians.
Ntaganda had agreed to allow forces of his National Congress for the Defence of the People (CNDP) to be absorbed into the national army -- a deal Kabila called a "linchpin" for restoring stability that quickly fell apart.
Struggling for survival in South Sudan
Thousands of Ntaganda's fighters defected and then began clashing with the army to thwart the hunt for Ntaganda.
Tens of thousands of civilians were forced to leave their homes as their towns became warzones. Some fled south to Goma in South Kivu, some to Uganda and some to Nkamirah.
Anouck Bronee, representing several U.N. agencies working on this emergency, said the influx was felt almost instantly.
"It started on April 27. From the Friday evening we went from 50 to 190 to 2,000 within three days."
Aid agencies have tried to make life for the refugees as comfortable as possible but the center is already over capacity.
"The first challenge that we had to contend with was shelter. The transit center could accommodate a maximum of 2,600 individuals. We've had to do a lot of rehabilitation and reconstruction as well as rehabilitation of additional structures that weren't part of the center," Bronee added.
Anouck Bronee showed us an old milk factory where some of the new arrivals had been housed. Dusty and soot covered, some families had even set up home inside the rusting machinery.
Nima Elbagir
Bronee showed us an old milk factory where some of the new arrivals had been housed. Dusty and soot covered, some families had even set up home inside the rusting machinery.
It's far from ideal but at least it is shelter from the lashing rain.
And the refugees keep coming.
It's not just the violence they are fleeing. Young men here told CNN that Congolese army soldiers had attempted to forcibly recruit them.
Samuel Nsanzamahoro said that when the battles started coming closer to his home town of Gicanja, soldiers began picking up young men and girls at random, accusing them of being army defectors.
"They were taken by force," he said. "Young men and especially young girls."
Samuel is 22, but many others we spoke to were much younger. Out of fear for their security they declined to be identified or directly quoted.
Samuel said he's not afraid of fighting in the government ranks but he does fear the abuses such recruits are subjected to. He did not elbaorate
Congolese military and government officials could not be reached for comment, but in the past have denied accusations of forcibly recruiting civilians.
Bronee said the Rwandan government has identified a site in the south of the country where it hopes to move the refugees as soon as a new camp is readied, but as the violence continues many worry the growing refugee numbers will create a serious burden for Congo's neighbors.
Rwanda already hosts nearly 60,000 refugees, many a legacy of the last time Ntaganda and his forces clashed with government forces.
The 1998-2003 war in Congo is sometimes called Africa's World War as fighting and refugees crossed borders, destabilizing the region.
So it's no wonder this new violence is worrying its neighbors.
More worrying still is the fate of the thousands the U.N. says are trapped inside the Congo, unable to escape the violence.
As difficult as conditions are in the Nkamirah camp, at least they feel safe.

Analysis: In this battle with Mladic, women of Srebrenica hold the edge



An elderly woman and her husband are treated for injuries inflicted by Serb military forces as they fled Srebrenica in July 1995.
An elderly woman and her husband are treated for injuries inflicted by Serb military forces as they fled Srebrenica in July 1995.
STORY HIGHLIGHTS
  • Ratko Mladic seems almost eager to fight all comers to the bitter end, says Nic Robertson
  • Robertson: The women of Srebrenica occupy the moral high ground in this battle
  • In Bosnia, the war is an awkward topic and a bane to the nation's future, he says
  • Robertson: If justice isn't sufficient, then Bosnians will be hostage to their history
The Hague, Netherlands (CNN) -- Seventeen years after the end of the war, Ratko Mladic gives the impression he is still on the battlefield in what was once Yugoslavia, staring down his enemy, glowering across the courtroom. Even gesticulating death threats.
What the former Bosnian Serb military commander hopes to gain and exactly what he is trying to defend are unclear. He may be the only one who expects an outcome other than guilty.
He seems almost eager to fight all comers to the bitter end.
The women of Srebrenica are in the Hague too. All these years later, they stand before him, with international justice on their side.
These women -- the widows, mothers, victims of one of the worst atrocities since World War II -- occupy the moral high ground. They will not be moved.
But they have sunk so low in despair and desolation that even a bone unearthed in a mass grave raises spirits -- maybe something tangible from a loved one, something to cling to, a hint that truth and justice may not escape them.
'Butcher of Bosnia' shows no remorse
Almost 1,000 miles away, most of Bosnia goes about its business with little talk of the war; life goes on. If a question is unwittingly asked by an outsider, it is met with grace, but it hangs awkwardly over the conversation, like an unwanted guest at a dinner table everyone would rather not be there.
So back here, in a courtroom in the Netherlands, it is the women of Srebrenica who have the moral weight to slug it out. Eight thousand murders in Srebrenica alone. This is what gives their families such power: There are so many of them.
They've become a force Mladic must reckon with, by proxy of course. The international community, in the form of the International Criminal Tribunal for the former Yugoslavia (ICTY), controls this courtroom battlefield. They are such a force, in fact, that the whole country must listen, too, awkward or not. No amount of reconciliation -- not that there is a lot -- can really happen until the women of Srebrenica and their families get the justice they are looking for.
Can their moral high ground be shared with other Bosnians? Can the country untether itself from the weight of this anchor on progress? If so, then a bigger battle will have been won in the Hague.
Will a guilty verdict in the battle still playing out in the courtroom here be enough to win -- Mladic vanquished to jail, banished from the battlefield by a long sentence?
If not, then no prison sentence will bring back the dead, rectify the wrongs, and Bosnians hopeful of a better future will be hostage to their history and to those who more than anyone deserve a better future, the families of Srebrenica.

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Saving Face: The struggle and survival of Afghan women



Women tortured for saying 'no'
STORY HIGHLIGHTS
  • 18-year-old Mumtaz bears the scars of an acid attack after she refused marriage
  • Two armed men pulled her head back and poured acid all over her face
  • Mumtaz now lives in a shelter for abused women in Kabul, Afghanistan
  • A 2008 Global Rights study said 87% of Afghan women reported suffering from domestic abuse
Kabul (CNN) -- When 18-year-old Mumtaz walks into a room the first thing you notice about her is the patchwork of painful puffy red scars that stretch across her face.
"I feel so bad, I do not look at myself in the mirror anymore," Mumtaz said.
She is the victim of a scorned man who decided if he couldn't marry her, he'd make sure no one else would want to. The man had asked for her hand in marriage, but Mumtaz's family declined the offer. One night she says several men showed up at their home.
They beat up her family, and finally two armed men held her, pulled her head back, and let the man who had wanted to marry her pour acid all over her face.
Tortured Afghan girl tells her story
"I was in the hospital for 10 days in Kunduz, and later they brought me to Kabul," Mumtaz said. "Most of my body was burned. When the doctor gave me medicine I felt like I was being thrown into a fire."
Billions in cash leaving Afghanistan
A few of the men involved have been arrested but not the one responsible for changing Mumtaz's face forever. This was the first time she had agreed to show her face and tell her story on television, partly because she fears for her life.
America rushing to leave Afghanistan?
Mumtaz has been through hell, which makes the second thing you notice about her all the more remarkable. She smiles every chance she gets.
Most of body was burned, when the doctor gave me medicine I felt like I was being thrown into a fire
Mumtaz
"I guess it is just my nature," she said.
The shelter where Mumtaz now lives is a haven for women who have been abused. Right now there are 16 women there and some with young children. Many have been there for years because they simply have nowhere else to go.
"This shelter has helped us a lot. If they were not here to help me, I would have been dead by now. My life was in a great danger, " Mumtaz said.
Mumtaz is learning to read and write for the very first time and is hoping to receive treatment for her scars in India.
Just across the hall from her there is another girl with a soul-destroying story of abuse.
Sahar Gul had been beaten, burned, scalded with water and had her finger nails ripped out after being married off to a man more than twice her age when she was just 13 years old.
"Sahar Gul's brother married her to this person in return of 200,000 Afghanis (about $4,000 dollars). Sahar had about 15 to 20 'good days' with her husband but then problems started to arise; (The family started telling her) you are a child and cannot give birth and that you do not understand how to be a wife," Gul's attorney Shukria Khaliqi told CNN.
In Afghanistan it is an accepted tradition that the husband-to-be's family pay a dowry, also known as the bride price, to get a bride. But her new family had expectations that Gul could not meet.
Gul said when she didn't conceive a child her husband and his family started complaining she was eating too much food. They called her useless, stopped feeding her, locked her in a basement and began torturing her. She told us they also told her to sell herself to other men, which she refused.
"They used to bring boys into the house. They used to say that they want to make money and wanted to buy a car," Gul said.
Gul's mother-in-law, sister-in-law and father-in-law were convicted and sentenced to 10 years in jail for the torture but are appealing the ruling. Gul's husband is still on the run.
Mumtaz and Gul's stories illustrate the fragile state of women in Afghanistan. Human rights groups say overall conditions for women in the country have improved since the U .S. led war, but there are still too many cases where women are treated as subhuman.
"Since 2001 there has been some really important progress. Literacy has improved. There are about two million more girls in school right now then there were at the time when the Taliban fell. Infant mortality has fallen and age expectancy has increased. But I still think the overall picture is less than people really hoped for," Heather Barr of Human Right's Watch in Afghanistan said.
A 2008 study by Global Rights revealed 87% of Afghan women reported suffering from domestic abuse.
"It [domestic violence] is a silent tsunami because nobody sees it but it's taking the life of women. And many women turn to self-immolation or commit suicide or throw themselves in the rivers to escape the situation. It's something we do not see, because it's happening within the families," Afghanistan Member of Parliament, Fawzia Kofi told CNN.
Kofi has been fighting to try and get the government to pay more attention to issues facing women.
Recognizing the problem, President Hamid Karzai signed legislation aimed at eliminating violence against women in Afghanistan. Women's rights advocates say the law is good but enforcement of the law is lax.
Kofi, along with human rights advocates, worries about what will happen to women, if international aid for services halts along with the pullout of NATO troops and the threat of the Taliban in government.
"I think the biggest fear, and concern all of us have, is that we go back to the dark period from where we had to look at the whole world from a small window," Kofi said.