Quarterly Publication of the International Chiropractic Pediatric Association
Antibiotics and the Aware Parent Philosophy in Health Care Child Playgrounds Movement and Infants Uncovering the Truth: Sun Exposure Bugs: Keeping them at Bay Womenâ€™s Health Risks Part II brought to you courtesy of:
International Chiropractic Pediatric Association
Chiropractic Family Wellness Lifestyle
International Chiropractic Pediatric Association
Antibiotics and the Aware Parent Claudia Anrig, D.C.
Is There Room for Philosophy in Health Care? Rob Scott, M.Sc., M.Ed., D.C.
Child Playgrounds Sherri Arnold
Our mission is to provide education,
Movement and Infants Rae Pica
Uncovering the Truth: Sun Exposure, Sunscreen and Skin Cancer
training, and support research on chiropractic care in pregnancy and throughout childhood because all
Jeanne Ohm, D.C. children need chiropractic care. Board
Bugs Andrea Candee, M.H., M.Sc.
Claudia Anrig, D.C.
Anthony Carrino, D.C., F.I.C.P.A.
Womenâ€™s Health Risks Associated with Orthodox Medicine - Part II
Evangelo Fotinopoulos, D.C., F.I.C.P.A.
Gary Null, Ph.D., Debora Rasio, M.D., and Martin Feldman, M.D.
Stephen Marini, D.C., Ph.D. Jeanne Ohm, D.C. F.I.C.P.A.
Midwives Advocate Chiropractic Care Jeanne Ohm, D.C.
James Thompson, D.C., F.I.C.P.A. pathWAYS is a quarterly publication
Testimonial: Chiropractic Care For My Daughters
of the International Chiropractic
Pediatric Association ICPA 327 N Middletown Rd Media, PA 19063 www.icpa4kids.com email@example.com 1 800-670-KIDS ÂŠ 2004 Design by Tina Aitala Engblom
from the editor jeanne ohm,d.c. In the western world, we pride ourselves on our
or chosen natural birthing, bonding, breastfeeding,
freedom and ability to make choices in our lives. We
cosleeping, and natural healing.
can carefully evaluate many options and choose In chiropractic I discovered very basic, vitalistic principles accordingly. Perhaps our greatest freedom (although like the body is an incredible self healing organism that not exercised by many) is to make the choices that will is governed by an intelligence that really knows what it affect our lives and our families’ lives for years to come. is doing. I learned to trust the body’s ability to function As early as preconception, the choices we make for our
and I learned that I could make
own health and well-being affect the future lives and
choices to enhance my ability
health of our children. The physical, emotional and
to function better. This knowl-
chemical stresses we are subjected to have their
edge gave me the strength as a
effects on a cellular level and will impact normal func-
parent to make decisions that
tion. It is our responsibility from the moment we are
supported my children’s poten-
given these options to make choices that lead our-
tial to be well. These concepts
selves towards a more balanced lifestyle.
in practice are referred to as the “chiropractic wellness lifestyle.”
As parents, it is our right and responsibility to find out the many options available when it comes to choosing
Pathways was started as another means of bringing
providers. We can solicit supportive health care
to light the knowledge we need as parents to choose
providers who seek to give us valuable information and
wisely for our children’s on-going health and
who empower us with the knowledge to make informed
well-being. Please share this knowledge with friends
health care choices for our families.
and family and allow them their freedom and right to choose.
In my 28 years in chiropractic I have discovered that unlike practitioners in any other profession, Doctors of
Chiropractic are an incredible resource of information
Jeanne Ohm, DC
for family wellness care. Had it not been for an amazing support team of chiropractors, I may have never known
Antibiotics and the Academy of Pediatrics and the American Academy of Family Physicians:
Acute Otitis Media is the most common upper respiratory condition treated in pediatric offices and the treatment of this condition continues to be the most controversial in the medical community (1-3). The majority of children suffering from Acute Otitis Media will automatically be placed on antibiotics despite growing evidence that suggests there’s only a marginal benefit from this form of care (4). The pediatric community is being confronted primarily by mounting evidence that the standard use of antibiotics may be an outdated practice with little value and what appears to be greater risk to the child. When prescribing antibiotics for your child your pediatrician should be willing to answer the question, “Does this case warrant a prescription”? Let’s consider an observation published recently by the American
“Each course of antibiotics given to a child can make future infections more difficult to treat. The result is an increase in the use of a larger range of—and generally more expensive— antibiotics. In addition, the benefit of antibiotics for Acute Otitis Media is small on average and must be balanced against potential harm of therapy. About 15 percent of children who take antibiotics suffer from diarrhea or vomiting and up to 5 percent have allergic reactions, which can be serious or life threatening. The average preschooler carries around 1 to 2 pounds of bacteria – about 5 percent of his or her body weight. These bacteria have 3.5 billion years of experience in resisting and surviving environmental challenges. Resistant bacteria in a child can be passed to siblings, other family members, neighbors, and peers in group-care or school settings.” (5)
when left to their body’s own natural defenses. •
Considering this information it’s best to take an option to observe stance since 80 percent of children with Acute Otitis Media get better without antibiotics within 48 to 72 hours (6). With this scientific evidence mounting, ask yourself a few questions: Will my pediatrician continue to prescribe antibiotics to my child based on his or her old programming and habits despite growing evidence that suggests antibiotics make little difference? Does my pediatrician continue to have concerns that there’s a risk for dangerous complications, such as Acute Mastoiditis, despite the fact that it’s documented as a “rare occurrence” (2)?
As a parent, what do you need to know? •
That there is mounting evidence from the research community that the use of antibiotics has very little effect on Acute Otitis Media;
That your doctor may be prescribing antibiotics based on old habits or the concern of developing acute mastoiditis, which has proven to be rare;
That when delaying the use of antibiotics for 72 hours, even if your child is suffering from fever and vomiting, 50 percent of all
Scientific Evidence Scientific evidence puts forth the following information: •
Children with high temperature or vomiting improved after an average of three days.
Children with high temperature or vomiting were likely to benefit from antibiotics, although it’s still reasonable to wait 24 to 48 hours since many children will improve
Children without high temperature or vomiting were not expected to benefit from immediate antibiotics.
Aware Parent children improve within that time period; •
That children with Acute Otitis Media but without fever and vomiting receive very little benefit from the use of antibiotics (this child should not begin antibiotics unless their condition worsens); It’s your child and you can take the initiative by asking your pediatrician to consider waiting 72 hours before introducing the antibiotic.
Prevention is the Key New guidelines set forth by the American Academy of Pediatrics and the American Academy of Family Physicians recommend that the clinician take an active role in preventing Acute Otitis Media. A few suggestions included: •
Altering child care center attendance
Breastfeeding for the first 6 months
Avoid supine bottle-feeding (bottle propping)
Reduce or eliminate pacifier in the second six months of life
Eliminate exposure to passive smoke
A Healthy Alternative Take the common sense approach to otitis media and consider chiropractic care. The Fallon study with 332 participating children suggests that chiropractic care may be more effective than drug therapy (7).
Be aware that your chiropractor is not opposed to antibiotics when necessary, but the chiropractic profession acknowledges that over usage is prevalent in our country and that the habits of medical doctors may not have caught up with the latest research.
A Final Thought For the overall wellness of your child, participate in all decisions when it comes to the usage of antibiotics and seek other non-invasive forms of care. Remember, it’s your child and you have a say in his or her care. Most importantly, initiate healthy lifestyle choices for your family and include regular chiropractic care as part of your family’s achievement towards wellness. Dr. Claudia Anrig is a Board Member of the International Chiropractic Pediatric Association. She has dedicated her chiropractic career to the specialty of pregnancy and pediatrics. Dr. Anrig has co-authored “Chiropractic Pediatrics” a comprehensive text book on the clinical care for pregnant women and children. Along with her successful practice in Fresno, CA, since 1982, Dr. Anrig has lectured internationally to colleagues on the importance of chiropractic care in pregnancy and for children.
Claudia Anrig, D.C.
3. Froom J, Culpepper L, et al, Antimicrobials for Acute Otitis Media? A review from the international primary care network. BMJ 1997; 315: 98-102. 4. Glasziou P, Del Mar C, et al. Antibiotics for Acute Otitis Media in children. Cochrane Database Syst Rev 2002;(1):CD000219. 5. http://aap.org/advocacy/releases/aomqa.htm 6. Little PS, Gould, et al Predictors of poor outcome and benefits from antibiotics in children with Acute Otitis Media: pragmatic randomized trial. BMJ 2002;325:22 (6 July). 7. Fallon JM. The role of the chiropractic adjustment in the care and treatment of 332 children with otitis media. JCCP, 1997:2,2:167-183.
photo to come
1. Bain J. Childhood otalgia: Acute Otitis Media. 2. Justification for antibiotic use in general practice. BMJ 1990;300: 1006-1007. 2. Browning G. Childhood otalgia: Acute Otitis Media. 1. Antibiotics not necessary in most cases. BMJ 1990; 300: 1005-1006.
Is There Room for Philosophy By Rob Scott, M.Sc., M.Ed., D.C. Dean, Northwestern College of Chiropractic I recently received an article entitled Philosophy and Evidence-Based Orthodontics, by Harvard dental professor Sheldon Peck, DDS, MScD. The flavor of this article can easily be discerned by the following passage: “In orthodontics, we seem to be witnessing nothing less than a throwback to the proprietary era, when someone’s crafty philosophy or school of thought could masquerade as new science. That may have been an acceptable pitch 90 years ago, but now thankfully we have sounder choices. In this factual, evidence-based age that is ours, do we really want or need anyone’s belief system as a cornerstone of our diagnostic and treatment methods? Philosophy can be a wonderful guidepost for our personal lives and our spiritual fulfillment; yet, that does not qualify it as a scientific basis for delivering the best orthodontic care.” The dialogue within the orthodontic profession sounds strikingly familiar to that of chiropractic. I am continually amazed how minds become D.D. Palmer closed tighter than steel traps when the mere mention of the word philosophy is uttered. Unfortunately, however, little acknowledgement is given, or allowed, for a dialogue on the rightful place for philosophy in science or health care. To draw upon an Aristotelian concept, philosophy and science are inseparable, for one is the driving force behind the other. Those who suggest that philosophy exists only for personal or spiritual fulfillment and has no role in science really do not understand the role of philosophy—be they Harvard professors or members of the chiropractic community. One must first realize that our own views of what constitutes “science” and scientific method is merely a philosophy, an art derived from precepts and built on principles with the intention of describing one’s experiences. Philosophy contains five traditional branches: 1) Metaphysics, 2) Epistemology, 3) Ethics, 4) Politics and 5) Esthetics. Metaphysics, the first branch of the study of philosophy, asks the question, “What is the nature of reality?” Inquiring minds have taken several approaches to this
question. Is the whole equal to the sum of its parts, or is the whole greater than the sum of its parts? Each question presupposes a different metaphysical construct, the former is mechanistic and the latter is vitalistic. The metaphysical construct then sets the stage for the second branch of philosophy, Epistemology. Epistemology is the theory of the method of knowledge, which asks the question, “How do we know?” Scientific methodology is epistemology. Do we use inductive reasoning, the cornerstone of mechanistic “scientific” approaches, or deductive reasoning, the cornerstone of vitalistic approaches? Perhaps, we can gain knowledge of either metaphysical construct using both inductive and deductive methods. What is true is that either approach is equally valid at addressing the metaphysical question, though the approaches differ in the way in which the subject is addressed. Conventional Western scientific methodology applied from a mechanistic perspective represents one of many approaches for the acquisition of knowledge; knowledge that does not prove things to be true but rather identifies things to be false. One cannot even begin to address the issues of Ethics and Politics without first developing a model based on the first two philosophical branches. When that is achieved then ethics, a code of values that directs your choices and actions, and politics, a system of ethics applied to social functions, can be developed and applied. Esthetics, the final branch of philosophy, is the artistic representation of your philosophical view. In chiropractic Esthetics is technique, the adjustment and the intention behind it. Chiropractic philosophy without the adjustment is empty; the adjustment without philosophy is misguided. My purpose is not to provide a lesson in philosophy but rather, to suggest that the metaphysical question of what constitutes a human being is at the heart of a health care delivery model, and the way in which we “scientifically” investigate it. Is a human being merely the sum of its parts, which can be altered, added to or taken away from? Or is a human more than the sum of its parts, and to see it as anything less is to not see the total person?
in Health Care? Is chiropractic merely the diagnosis of acute injury and the disease process, a therapeutic intervention for pain control? Or is chiropractic a unique way of looking at health that allows for adaptability and self-regulation based on the primacy of the nervous system? The answers to these philosophical questions will drive our scientific methods of inquiry, and with time will accumulate a body of evidence that will either support or refute our chiropractic models of health. Whether we acknowledge it or not, philosophy is at the very core of science! There is no denying it; there is no ignoring it. We must recognize it, embrace it, and discuss it as a profession! Noted author Ayn Rand framed our philosophical choice well: “As a human being you have no choice about the fact that you need a philosophy. Your only choice is whether you define your philosophy by a conscious, rational, disciplined process of thought and scrupulously logical deliberation OR let your subconscious accumulate a junk heap of unwarranted conclusions, false generalizations, undefined wishes, doubts and fears, thrown together by chance, but integrated by your subconscious into a kind of mongrel philosophy and fused into a single solid weight: self doubt, like a ball and chain in the place where your mind’s wings should have grown.”
To draw upon an Aristotelian concept, philosophy and science are inseparable, for one is the driving force behind the other.
My hope is that one day our profession can move beyond the superficiality of philosophical slogans and embrace a dialogue about the truly amazing and liberating concepts that lie at our core. If we can, there will be no doubt as to chiropractic’s unique position in health care. If you would like to speak with Dr. Scott regarding the value of philosophy in chiropractic education, you can email him at firstname.lastname@example.org. www.angle.org/anglonline/?request=gettoc&issn=00033219 &volume=067&issue=06
Photo by Kevin Walsh
This article was reprinted from The Bulletin, Northwestern Health Sciences University’s chiropractic alumni publication, Winter 2004; Vol. 12, No. 1;March 2004; page 18.
Child Playgrounds Sherri Arnold
Research has found that playgrounds are essential to not only physical strength, but mental strength as well. Playgrounds help develop social, emotional and cognitive skills. Children however, need more than the traditional playground. They need playgrounds that challenge their skills and provide opportunities to learn new ones.
How did the importance of play develop? Plato and Aristotle found that play was important in the education of children. Furthermore, Locke, Rousseau, Deway, Montessori and others reinforced that play should be an integral part to educational programs. The National Recreation Association in the 1900â€™s developed guidelines for certain equipment for playgrounds like providing a sand box, swings, a small slide and a climber. This is known as the traditional playground. Unfortunately not much has changed since then. Many people believe play is good for burning off energy and for physical growth. Therefore, traditional playgrounds are fine because they satisfy this requirement. It has been found that there are two factors in the development of the child: unstructured and structured learning. Most of the childâ€™s development is from unstructured activities which most do not comprehend.
What are the benefits of play? The developmental benefits of play include cognitive development, increased imagination and creativity, increased discover and reasoning, manipulative skills and though development and improved problem solving. What are the types of playgrounds and what do they contribute to children? There are three major types: 1. traditional type: Traditional type: slides, swings, see saws, etc. identifiable to children, but does not provide for cognitive and social play 2. contemporary type: joins or connects different pieces forming a continuous piece known as the superstructure or multi functional structure. Less numerous, more costly, liked more by kids than traditional type, encourages educationally worthwhile forms of play. 3. adventure/creative type: contains loose parts like old tires, lumber, crates and other materials. Allows children to create their own things, provides flexibility, needs a play leaders satisfies cognitive, social and physical developments
Design guidelines 1. children need different play opportunities to complete their social, intellectual, and physical needs. 2. play leaders and teachers should work with children in a variety of ways during play time 3. there should be diverse activity spaces for structured games, creative play, play with natural elements, water and sand play, quiet play and shared open space
4. successful playgrounds do not just depend on the play structures themselves, but also the organization and landscaping of the entire site 5. play areas need to allow the children to create their own environment to some degree to allow for adventure and creative play 6. provide ambiguity to stimulate fantasy play, loose parts for creative and cognitive play, clear accomplishment points to reinforce development of self concept 7. provide a variety of small spaces, changes in level, changes in surface, stair seats, bushes, plantings, colors, textures, overhead elements, etc. 8. the playgrounds should be accessible to all 9. provide stages of difficulty so that children can choose goals which they can accomplish 10. use a variety of climbing situations and places above the ground so that the children can choose the challenge and excitement they are ready for
Annotated Bibliography of important sources Bruya, L.D. Play Spaces for Children. Volume II, North Texas State University, 1988. This book is a collection of papers from a variety of authors, professors and sociologist. The topics cover the development of playgrounds and equipment, playground safety, and playground solutions for children. Cohen, U., Hill, A., Lane, C., McGinty, T., and Moore, T. Recommendations for Child Play Areas. University of Wisconsin, Milwaukee, 1978. This book is an excellent resource for child play areas. It covers theories of play and contains numerous design recommendations. Each section or topic covers an issue, justification, pattern and lastly recommendations. Senda, Mitsuru, Design of childrenâ€™s play environments, McGraw Hill, Inc. New York; 1 992. Senda is an architect and professor in Japan and has been designing play structures and environments for over 20 years. He studied child play areas for ten years and has created numerous indoor and outdoor play environments. This book references many successful projects and shows how creative one can be when designing play spaces and environments. www.unl.edu/ casetudy/456/sherri.htm
Movement and Infants
By Rae Pica
Besides the fact that they were built to do so, there are a great many reasons why infants need to move. The truth is, even though their movement capabilities are extremely limited when compared with even those of a toddler, movement experiences may be more important for infants than for children of any other age group. And it’s not all about motor development either. Thanks to new insights in brain research, we now know that early movement experiences are considered essential to the neural stimulation (the “use-itor-lose-it” principle involved in the keeping or pruning of brain cells) needed for healthy brain development. Not long ago, neuroscientists believed that the structure of a human brain was genetically determined at birth. They now realize that although the main “circuits” are “prewired” (for such functions as breathing and the heartbeat), the experiences that fill each child’s days are what actually determine the brain’s ultimate design and the nature and extent of that child’s adult capabilities. An infant’s brain, it turns out, is chock-full of brain cells (neurons) at birth. (In fact, a one-pound fetus already has 100 billion of them!) Over time, each of these brain cells can form as many as 15,000 connections (synapses) with other brain cells. And it is during the first three years of life that most of these connections are made. Synapses not used often enough are eliminated. On the other hand, those synapses that have been activated by repeated early experiences tend to become permanent. And it appears that physical activity and play during early childhood have a vital role in the sensory and physiological stimulation that results in more synapses. Neurophysiologist Carla Hannaford, in her excellent book, Smart Moves: Why Learning Is Not All in Your Head, states: “Physical movement, from earliest infancy and throughout our lives, plays an important role in the creation of nerve cell networks which are actually the essence of learning.” She then goes on to relate how movement, because it activates the neural wiring throughout the body, makes the entire body—not just the brain—the instrument of learning. Gross and fine motor skills are learned through repetition as well—both by virtue of being practiced and because repetition lays down patterns in the brain. Although it hasn’t been clearly determined that such early movements as kicking, waving the arms, and rocking on hands and knees are “practice” for later, more advanced motor skills, it’s believed that they are indeed part of a process of neurological maturation needed for the control of motor skills. In other words, these spontaneous actions prepare the child—physically and neurologically—to later perform more complex, voluntary actions.
Then, once the child is performing voluntary actions (for example, rolling over, creeping, and walking), the circle completes itself, as these skills provide both glucose (the brain’s primary source of energy) and blood flow (“food”) to the brain, in all likelihood increasing neuronal connections. According to Rebecca Anne Bailey and Elsie Carter Burton, authors of The Dynamic Self: Activities to Enhance Infant Development, whenever babies move any part of their bodies, there exists the potential for two different kinds of learning to occur: learning to move and moving to learn. Still, recent evidence indicates that infants are spending upward of 60 waking hours a week in things— high chairs, carriers, car seats, and the like! The reasons for this trend are varied. Part of the problem is that more and more infants are being placed in childcare centers, where there may not be enough space to let babies roam the floor. Or, given the number of infants enrolled, there may be little opportunity for caregivers to spend one-on-one time with each baby. This means, in the morning, an infant is typically fed, dressed, and then carried to the automobile, where she’s placed in a car seat. She’s then carried into the childcare center, where she may spend much of her time in a crib or playpen. At the end of the day, she’s picked up, placed again into the car seat, and carried back into the house, where she’s fed, bathed, and put to bed. Even when parents are home with baby, they seem to be busier than ever these days. Who has time to get on the floor and creep around with a child? Besides, with today’s emphasis on being productive, playing with
a baby would seem almost a guilty pleasure! And if the baby seems happy and safe in a seat placed conveniently in front of the TV, in a bouncer hung in a doorway, or cruising about in a walker, then what’s the harm? It’s a win/win situation, isn’t it? In fact, it isn’t. Being confined (as one colleague says: “containerized”) affects a baby’s personality; they need to be held. It may also have serious consequences for the child’s motor—and cognitive— development. Other trends in today’s society having an impact on infants’ opportunities to move are the inclination to restrict, rather than encourage, freedom of movement and the misguided belief that early academic instruction will result in superbabies. (In 1999, 770,000 copies of infant software— “lapware”—were sold!) Humans are meant to move and play. The inclination—the need—is hardwired into them. Babies, in fact, spend nearly half of their waking time—40%—doing things like kicking, bouncing, and waving their arms. And while it may appear all this activity is just for the sake of moving, it’s important to realize a baby is never “just moving” or “just playing.” Every action extends the child’s development in some way.
Department, the Head Start Bureau, Centers for Disease Control, Nickelodeon’s Blue’s Clues, and a number of state health departments throughout the country. Rae served on the task force of the National Association for Sport and Physical Education (NASPE) that created Active Start: A Statement of Physical Activity Guidelines for Children Birth to Five Years. She is also the author of “Kids in Action,” a booklet of movement activities parents can do at home with their children, sponsored by Kellogg, NASPE, and the President’s Council on Physical Fitness and Sports. www.movingandlearning.com
Moving & Learning Rae Pica, Director 346 North Barnstead Road Center Barnstead, NH 03225 Phone/Fax: (603) 776-7411 Email us at email@example.com
Rae Pica has been a children’s movement specialist for 24 years. A former adjunct instructor with the University of New Hampshire, she is the author of 14 books, including the text Experiences in Movement, the Moving & Learning Series, and Your Active Child, written for the parents of children birth to eight. Rae is nationally known for her workshops and keynotes and has shared her expertise with such groups as the Sesame Street Research
Photo by Peter Zelei
Uncovering the Truth Sun Exposure, Sunscreen and Skin Cancer
Summer is here, and being so, we all spend a greater amount of time outdoors. Today, parents are almost considered abusive if they do not protect their children from the sun, a presumed cause of skin cancer. This article will bring new light to your attitudes about sun exposure, causes of skin cancers and the traditional sunscreens we rely on.
Let the Sun Shine In Natural sunlight is necessary for good health. Daily moderate exposure enables the body to produce Vitamin D and synthesize melanin (our body’s natural sunscreen). Overexposure to the sun causes photo damage to the skin, actinic keratoses, a precursor to squamous cell carcinoma. It is also immunosuppressive and accelerates skin aging. Underexposure is dangerous as well, as one becomes “light deficient.” Light deficiency induces Vitamin D deficiency, thus accelerating melanoma growth risks.
who received more sunlight were less vulnerable to the deleterious effects of fluorescent lights. 4- Russian researchers found women working under fluorescent lights to be at a greater risk of melanoma. In 1990, a U.S. Navy study found the highest rates of melanoma in those that worked indoors.
5- In 2001, the National Academy of Sciences published a comprehensive review showing that the omega 6:3 ratio was the key to preventing skin cancer development. Omega-3 and omega-6 fats are both essential for human health, however the typical American consumes far too many omega-6 fats in their diet while consuming very Dr. Gordon Ainsleigh is a proponent of regular moderate low levels of omega-3. While the ideal ratio of omega-6 sun exposure, which he believes can prevent as many as to omega-3 fats is 1:1, our ratio of omega-6 to omega-3 30,000 cancer deaths in the United States yearly. A study averages from 20:1 to 50:1! The published in CANCER (March 2002: primary sources of omega-6 are 94:1867-75) bolsters his thesis. corn, soy, safflower and sunflower Rates of thirteen types of cancer Oddly enough, since the intro- oil; these oils are overabundant were found to be higher in New in the typical diet, which explains England where people may not be duction of chemical sunscreen, our excess omega-6 levels. Avoid synthesizing Vitamin D at all due to or limit these oils. lack of sunlight in the wintertime. skin cancer rates began to Deaths from cancers of the rectum, Uncovering the Facts stomach, uterus, bladder and others about Sunscreen climb and not fall. were nearly double of that of people 1- Studies fail to prove sunscreens in the southwest. Dietary patterns prevent basal cell cancers and were compared and little difference melanoma, yet most public health officials still insist was noted. Most sunscreens are designed to block UVB that sunscreen use or or abstinence from the sun is our rays, which are from what Vitamin D are synthesized. best protection. In light of this report and others, along with epidemiological studies linking a lack of sun exposure to sub-optimal 2- Oddly enough, since the introduction of chemical Vitamin D levels, it may be time to reevaluate our notions sunscreen, skin cancer rates began to climb and not fall. of sun exposure and its effects on our health. For example, melanoma rates doubled from 6 to 13 per 100,000 people since 1973. Today, skin cancer diagnoses Putting Light on the Subject of Skin Cancer surpass all other cancer, with over 1.3 million new cases Although sun exposure is usually blamed for skin cancer, each year, with new melanoma diagnoses to be close to these studies reveal provocative findings. 48,000 in 2002, according to the American Cancer Society. 1- Melanoma was occurring in areas where sunscreen 3- Research shows sunscreen does not protect against is used the most and melanoma rates are highest melanoma, the most dangerous form of skin cancer. among those that avoid the sun and work in indoor Lotions decrease the risk of sunburn, they do not urban environments. block UVA rays, which cause melanoma. Even sunscreens 2- A study in BMJ examined the relationship between indoor fluorescent lights and the ever rising rate of melanoma. Taking into account such factors as hair color, skin type and the history of sun exposure, it was found that working under fluorescent lights had doubled the risk of melanoma in the subjects of the test group.
with the highest protection factor of 35, applied in the correct amounts, were not effective at filtering out the harmful rays. They say that people should limit their sunbathing time and use clothing to block UVA rays when sun is at its strongest.
3- Evidence that the sun was the causative factor in the development of melanoma was weak and inconclusive. Tanned skin from regular exposure to the sun and people
Recently, a study in the April 2004 Journal of Chromatography found that there is significant penetration of all sunscreen agents they studied into the skin,
Absorbing the Truth about Sunscreen
and oxybenzone and metabolites across the skin. Concentrations of Benzphenone 3 and its metabolite, 2’4 dihydroxybenzophenone, have been found in human urine only four hours after application. They have also been found to be absorbed from the gastrointestinal tract and bioaccumulation of them has been detected in human milk samples.
were found in fish in Germany turning some of the fish into
5- 2-phenylben zimidazole-5-sulfonic acid (PBSA), an ingredient found in some sunscreens, and has been shown to damage DNA when exposed to light. 6- Chemicals known as estrogen surrogates, or gender benders, are suspected of causing reproductive disorders in animals and humans. Such disorders include deformed or stunted growth of genitalia and may be, in part, responsible for the dramatic rise in cancers of the prostate, breast, testicles and uterus.
and exposure to estrogen mimickers are and should be of monumental concern, for when these estrogenics make contact with hormone receptors, they are interpreted as the real thing (estrogen) and the results are the feminization of tissue. This may lead to developmental problems that can lead to endometriosis, uterine and breast cancers, disruption of the menstrual cycle and other problems for women. In men, it may lead to testicular cancer, breast enlargement, lower sperm counts, loss of sex drive and more.
7- Chemicals in sunscreens were found in fish in Germany turning some of the fish into hermaphrodites.
Photo by Gustavo Novellon
hermaphrodites. 1- Benzophenone and oxybenzone (benzophene 3) are among the most powerful free radical generators known. (In 1997 sunscreen chemicals such as benzophenone and ethylhexyl-p-methoxycinnimate, and PABA esters such as padimate-o and octyl dimethyl PABA were banned by the European community.) 2- Octy Methoxycinnamate (OMC), may be dangerous if it gets into the bloodstream. As far back as the 1970s, Professor Howard Maibach discovered that as much as 35% of sunscreen enters the bloodstream and the longer it is on the skin, the more absorbed. 3- Triethanolamine (TEA) when applied topically to female mice, shows an increase in liver tumors, whereas male mice had a smaller increase in liver tumors but also developed kidney tumors. TEA combined with water or nitrates (often used as a preservative but not required by law to be listed) can produce nitrosomines, which are carcinogenic. 4- Parsol 1789 is a chemical which blocks UVA but is also a free radical generator and skin penetrant.
8- Benzphenone-3, homosalate octyl-methoxycinnimate, 4-methylbenzlidene (4mbc) camphor and octyldimethyl-PABA (o-d-PABA) are all estrogen mimickers, and all were shown to increase cell growth in breast cancer cells! Three of these cells were found to cause developmental problems in animals, and 4mbc, when mixed with olive oil and spread on the skin of rats at concentrations permitted in sunscreen, doubled the uterine growth rate before puberty, a very shocking and disturbing discovery. The presence
What’s a Mother to Do? 1- Make sure your children have daily exposure to the healing rays of the sun. 2- Gradually expose your children to the sun’s rays—especially in the summer months. 3- Avoid sun exposure during the strongest hours of the day: between 11:00 a.m. and 3:00 p.m. 4- Be aware that snow and water intensify sun radiation, so adjust exposure accordingly.
5- Use clothing, hats, sunglasses and umbrellas to decrease the amount of direct exposure. 6- Carefully select sunscreen products that have natural, mineral based ingredients, are free from synthetic sun ingredients and are safe, non-toxic, preservative free and bio-degradable. Where do you find mineral-based sunscreens? Check out your local health food store. Other sources include Lavera Natural Cosmetics, (www.lavera-usa.com), and Natural Health Newsletter recommends www.colorscience.com. 7- Titanium dioxide and zinc oxide are two ingredients which act as physical barriers that reflect UV rays and may be less problematic in terms of absorption. 8- Increase your child’s omega-3 levels and decrease the typically overabundant intake of omega-6 fats. Today, many advocate the use of “alternative lights,” such as full spectrum lighting. Replace traditional fluorescent lighting with full spectrum lights in places where your children spend a lot of time. Suggest to your schools and day care centers that they follow suit.
Much of this article was excerpted from an excellent book called “The Skin Cancer Breakthrough Program” by Kurt Greenberg with permission. To order this book and a special cream he developed to reverse and prevent damage from the sun visit: Sedna Health Products: www.sednaproducts.com. Also visit Kurt Greenberg’s new site: www.kurtgreenberg.com/contact.asp to reach exceptional articles and hear interesting interviews on other health issues. Where do you find mineral-based sunscreens? Check out your local health food store. Other sources are by Lavera Natural Cosmetics, www.lavera-usa.com
a vital ingredient during pregnancy More women are discovering the many benefits associated with chiropractic care throughout pregnancy. Members of the I.C.P.A respect and appreciate your special needs in pregnancy. For a quality care provider committed to your healthier pregnancy and birth, visit the I.C.P.A. Referral Directory at: www.i cpa4 k i d s .o r g or call: 800 670 5437 pathways
The Natural Way to Keep Them at Bay Andrea Candee, MH, MSC
Bugs! Do I respect them as part of Nature’s miraculous design…yes. Do I like them… not really. Despite daily intake of supplements reputed to be bug deterrents (i.e. garlic, B vitamins), many of us are still sweet meat for the little critters. Acknowledging the skin’s ability to absorb substances into the bloodstream (modern medicine’s example of this biological fact is the invention of skin patches for delivering pharmaceutical drugs into the body) encourages us to seek out natural alternatives to chemical insect repellents.
eucalyptus oil repels ticks and fleas Ticks and Lyme Disease Dogs and cats are often the carriers of Lyme infected ticks. To fully protect one’s self and family from being bitten, the family pet must also be protected. A successful program for preventing any tick from attaching itself to your pet includes garlic powder and brewers yeast sprinkled liberally on their food every day (found in a convenient powdered combination in
health food stores) and oil of eucalyptus. The essential oil of eucalyptus, derived from the leaf of the tree, contains naturally occurring chemicals repellent to ticks and fleas. A most effective method is to dip a thin rope into the undiluted oil, wrap it in a bandanna and tie it around your pet’s neck (fashionable, as well). The rope can be refreshed twice a week or more often, if necessary. The oil is quite potent and should not be applied directly to the skin as it may cause irritation. Mixing 1oz oil of eucalyptus into one pint of water in a spray bottle also enables you to spray your pet’s coat on a daily basis. But why save all the good protection for your pets? Before gardening or hiking, scent yourself with “eau de eucalyptus.” The oil/water combination can be sprayed on skin and/or clothing before an outdoor excursion, gardening, or romp in the grass. Eucalyptus diluted in a vegetable oil (e.g. almond, sesame, sunflower) can safely be applied to the skin for longer lasting protection.
Mosquitoes and black fly take wing! Dilute 1oz essential oil of pennyroyal in 16oz vegetable oil to effectively repel mosquitoes. Keep a vial of this dilution with you when headed for a picnic, swing in the hammock or anywhere mosquitoes hang out. Oil of Pennyroyal has
protected campers in the swampiest of areas by directly applying it to exposed areas of skin. Black flies ruining a relaxing day in the park? Check out the surrounding area for aromatic evergreen trees, break off a branch, mash it with a rock and apply to arms and legs. The released essential oils will repel those bothersome bugs.
Don’t be the local attraction for stinging insects. Bees, wasps, and yellow jackets are attracted by sweet smells and bright colors. If you don’t want them to think you are a delectable flower to explore, avoid wearing perfumes and scented hair and body care products, as well as brightly colored clothing. Neutral colors such as tan and white are least likely to attract unwelcome visitors. Cover sugary food and drink at picnic sites.
mashed banana can be used to remove embedded stingers
soothe an insect bite with an onion slice pleasant pest-repellent aromas. Essential oils can waft throughout the home in electric or candle diffusers. Cotton balls infused with essential oils can be strategically placed.
for the moment and follow up a few more times that day with what seems to provide the most comfort.
The easiest, most non-invasive way to remove embedded stingers or body parts of insects (splinters and thorns, too!) is to apply ripened, mashed banana covered with gauze, or tape on a piece of overripe banana skin overnight (pulp side to skin). The enzymes in the banana will painlessly draw to the surface any foreign object.
Stopping the itch and swelling. If you ventured out into the great outdoors without protection and got bitten or stung, safe, non-chemical solutions can prevail. The oil of a vitamin E capsule punctured with a pin and applied to a bee sting can relieve pain and swelling. A juicy slice of onion rubbed on or taped into place will relieve the itch and swelling of an insect bite. The common weed, plaintain, when mashed with a rock or chewed to break down its capillary walls (only chew if you are certain it has not been chemically treated) and poulticed directly on the affected area, pulls out the toxins of an insect sting or bite and relieves swelling. A paste of baking soda and water or mud and water will calm the area. It all depends upon where you are and what’s available. Usually, what you need is right at hand. You just need to be able to recognize its healing benefits. Keep in mind that more than one application may be necessary so use what is convenient
House moths, the unwelcome guests. Those bothersome moths moved right into your clothes closets and food pantry without invitation— or did you unwittingly invite them? Residues of odors and stains on clothing attract moths to your closets. Open bags of cereals, grains and flours are comparable to putting out the welcome mat. The easiest way to deal with the food items is to refrigerate them during summer months. Clean clothing before storing. Additional protection can be provided by placing muslin bags in your closets filled with combinations of dried, aromatic herbs and essential oils such as tansy, peppermint, rosemary, eucalyptus, cedar, sage, thyme, cinnamon and clove.
Let us peacefully co-exist with the insect world without polluting ourselves and our fragile environment by using Nature’s bountiful gifts.
Andrea Candee, MH, MSC is a Master Herbalist with over 30 years experience in the natural health field. She is the award winning author of “Gentle Healing for Baby and Child (Simon and Schuster),” available for sale on her resource filled web site: www.andreacandee.com
Keeping houseplants bug-free. Infected houseplants often respond well to a strained spray of water blended with a few fresh cloves of garlic. The eucalyptus/water spray described above can also be applied to houseplants.
protect houseplants with a spray of garlic water
In centuries past, aromatic herbs were strewn on the floors of homes to repel insects. Instead, branches of herbs can be hung in doorways, arranged creatively in containers or crumbled into potpourris creating
Women’s Health Risks Associated with Orthodox Medicine - Part II Breast-feeding Versus Formula Feeding Nearly 20 studies conducted since the late 1980s have identified negative effects of formula feeding or positive effects of breast-feeding. In this body of research, breastfeeding emerges as a clear winner over formula feeding.
by Gary Null, Ph.D., Debora Rasio, M.D., and Martin Feldman, M.D.
The World Health Organization helps protect breast-feeding with a code that regulates the marketing of milk substitutes. As reported in the British Medical Journal, however, widespread violations of the code have been reported by several health agencies. The author notes that the resulting use of commercial preparations is associated with much harm. Bottlefed babies have significantly higher rates of childhood diseases and impaired cognitive development; they also have a higher risk of cardiovascular diseases as adults.12 Many of the studies that follow bear out this potential for harm. The research shows that bottle-fed babies have an increased risk of neurological dysfunction, diarrhea, middle ear infections, and respiratory infections, as well as allergic disorders, cardiovascular disease, and diabetes later in life.13-20 On a positive note, other studies show that breast-fed infants not only have lower rates of infection and gastrointestinal illnesses21-22 but also demonstrate higher (and long-lasting) levels of cognitive development. A recent study in Pediatrics states that children who were breast-fed as infants had significantly higher IQs and scholastic performances at every point they were tested—from first grade through high school.23 The results of this study show that women who receive informational
material publicizing infant formulas at their first prenatal visit are almost 6 times as likely to interrupt breastfeeding before leaving the hospital, compared to women who receive research material promoting the benefits of breast-feeding. Women exposed to company-produced advertisement material are also almost twice as likely to cease breastfeeding before 2 weeks compared to those who receive research material. Babies who are breast-fed have improved health outcomes such as lower rates of infections, allergies and chronic diseases, compared to formula-fed babies. The authors emphasize that information material produced by formula manufacturers should not appear in doctors’ offices, prenatal clinics and hospitals, especially considering that the World Health Organization’s code regulating marketing of milk formulas “prohibits the distribution of free samples, the promotion of formula in health care facilities, and the use of pictures idealizing artificial feeding.” —Howard C, Howard F, Lawrence R, Andresen E, DeBlieck E, Weitzman M, Office prenatal formula advertising and its effect on breast-feeding patterns. Obstet Gynecol 2000 Feb; 95(2):296-303. The results of this study show that women who, upon delivery, received a hospital discharge package
—Dungy CI, Christensen-Szalanski J, Losch M, Russell D, Effect of discharge samples on duration of breast-feeding. Pediatrics 1992 Aug; 90 (2 Pt 1) :233-7. This study documented the extent of violation of the World Health Organization’s code regulating the marketing of milk substitutes worldwide. Marketing efforts of milk substitutes’ manufacturers have altered the perception of breast-feeding in women, and distribution of free samples of milk formulas and of advertisement material has resulted in a significant number of women opting for using commercial preparations rather than breast-feeding. This practice, however, is associated with significant harm, in that babies who have been bottle-fed have significantly higher rates of childhood diseases, impaired cognitive development, and higher risk of cardiovascular diseases in adulthood. The most devastating consequences of bottle-feeding occur in the developing countries, where neonates and infants are particularly at
risk of contracting infectious diseases from contaminated water added to the formula. As reported in an editorial published in the same issue of the BMJ (BMJ 1998;316:1103-1104), the World Health Organization estimated that 1.5 million deaths could be prevented every year if women would breast-feed rather than bottle-feed their babies. To ensure protection of breast-feeding the WHO developed a regulative code that prohibits the distribution of free samples of milk formulas to women or health facilities (except for professional research). In addition, the code forbids the provision of incentives to health care workers, which has been associated with an increased likelihood of promotion of a particular product and with the lack of support of breast-feeding. The article highlights how several agencies have reported widespread violations of the code, but the companies have consistently rejected any allegation as unreliable and distorted by activists. This study monitored compliance to the WHO code by conducting a systematic, random survey of women and health care professionals in one city in each of Bangladesh, Poland, South Africa, and Thailand. Women were asked if they had been given free samples of milk substitutes, bottles and teats, while they were pregnant or in the six months after delivery. In addition, three health care workers in each facility were interviewed to assess whether the facility had received free samples of milk substitutes or gifts from companies involved in their production or distribution. The results of the survey showed that overall, 10% of all women (range 0-26%) and 25% of all health care facilities (range 8-50%) interviewed had been given free samples of milk, bottle, or teats for research purpose. Thirty percent of health facilities had received violating information and 11% of health care
Photo by PJoão Estêvão
containing a manual breast pump, continued to breast-feed their baby significantly longer (4.2 weeks) than women who received a hospital discharge package containing an infant formula (2.8 weeks). Furthermore, women who felt that relief from nighttime feeding was important, were significantly more likely to breast-feed for more than 8 weeks if they received in the package the manual breast pump instead of the infant formula.
professionals had received gifts. These findings, which are likely underestimating the real dimension of the problem in the majority of the countries, point to the extent of violation of the WHO code by breast milk substitutes’ manufacturers. The consequences of these violations in terms of increased mortality and loss of health are staggering. —Taylor A, Violations of the international code of marketing of breast milk substitutes: prevalence in four countries. BMJ 1998; 316:1117-1122 (11 April). This article reports on the findings of an external audit demonstrating multiple violations of the World Health Organization’s code of marketing of breast milk substitutes in Pakistan perpetrated by Nestlé. The discovery came after a former Nestlé employee exposed internal documents demonstrating that the company offered gifts to doctors as a recompense for promoting its products. In addition, the company was charged with offering free infant formulas to mothers and health care professionals, practices that are forbidden under the code’s requirements.
—Yamey G, Nestlé violates international marketing code, says audit. News. BMJ 2000; 321:8 (1 July). The results of this study show that bottle-fed infants have a 50% increased risk of neurological dysfunction, compared to breast-fed infants. The authors propose that the presence of longer-chain polyunsaturated fatty acids, found in breast milk but not in most formula-milks, may be a factor involved in the excess risk, since these fatty acids play a vital role in brain development. —Lanting CI, Fidler V, Huisman M, Touwen BC, Boersma ER, Neurological differences between 9-year-old children fed breast-milk or formula-milk as babies. Lancet 1994 Nov 12; 344(8933):1319-22. The results of this meta-analysis, conducted on 20 previously published studies, show that breast-fed infants have significantly higher levels of cognitive development, compared to formula-fed infants. The differences were observed at 6-23 months and remained thereafter. The longer the duration of breast-feeding, the stronger the benefits observed on cognitive development. Premature children were found to benefit the most from breast-feeding. —Anderson JW, Johnstone BM, Remley DT, Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr 1999 Oct; 70(4):525-35. This study evaluated cognitive development in children aged 2 through 5 fed by different modes when infants. Breast-fed children were found to score significantly higher in developmental tests at all time points, compared to bottle-fed children. —Rogan WJ, Gladen BC, Breast-feeding and cognitive development. Early Hum Dev 1993 Jan; 31(3):181-93.
The results of this study show that the improved performances in cognitive tests observed in breast- versus bottle-fed children early in life are maintained throughout childhood and young adulthood. Children who had been breast-fed as infants had significantly higher intelligence quotients and scholastic performances at all points tested, from first grade through high school. The longer the children were breast-fed, the better their cognitive development and academic performances into early adulthood.
addition to breast milk had a 2-fold increased incidence of diarrheal disease, compared to those who received exclusively breast-milk. The incidence of diarrheal disease in infants in whom breast-feeding was discontinued during their first 6 months of life was 4 times higher than that of exclusively breast-fed infants. Rates of upper and lower respiratory infections and of skin infections were also lower in exclusively versus partially breast-fed infants.
—Horwood LJ, Fergusson DM, Breastfeeding and later cognitive and academic outcomes. Pediatrics 1998 Jan; 101(1):E9.
—Brown KH, Black RE, Lopez de Romana G, Creed de Kanashiro H, Infant-feeding practices and their relationship with diarrheal and other diseases in Huascar (Lima), Peru. Pediatrics 1989 Jan; 83(1):31-40.
The results of this study show that infants aged 0 to 3 months who are breast-fed have significantly lower rates of infections and hospitalization compared to children who are bottle-fed. —Fallot ME, Boyd JL 3d, Oski FA, Breast-feeding reduces incidence of hospital admissions for infection in infants. Pediatrics 1980 Jun; 65(6):1121-4. The results of this study show that infants who have been breast-fed for at least 13 weeks have significantly lower rates of gastrointestinal illnesses and hospitalizations during the first year of their life, compared to those who have been bottle-fed from birth. Breast-feeding for less than 13 weeks is not associated with reduction of gastrointestinal disease. —Howie PW, Forsyth JS, Ogston SA, Clark A, Florey CD, Protective effect of breast feeding against infection. BMJ 1990 Jan 6; 300(6716):11-6. The results of this study, conducted on 153 Peruvian newborns, show that during the first 6 months of their life infants who received other liquids in
The results of this study show that children who have been exclusively bottle-fed have an 80% increased risk of developing diarrhea and a 70% increased risk of developing middle ear infections, compared to those who have been exclusively breast-fed. —Scariati PD, Grummer-Strawn LM, Fein SB, A longitudinal analysis of infant morbidity and the extent of breastfeeding in the United States. Pediatrics 1997 Jun; 99(6):E5. The results of this study, conducted on 1,058 Chinese infants, show that those who were exclusively bottle-fed were twice as likely to be hospitalized for respiratory infections during their first 18 months of life, compared to those who were partially or exclusively breast fed. —Chen Y, Yu SZ, Li WX, Artificial feeding and hospitalization in the first 18 months of life. Pediatrics 1988 Jan; 81(1):58-62.
The results of this study, conducted on 152 infants aged 1 month to 1 year admitted to a Brazilian hospital for pneumonia and 2,391 matched controls, show that those who have been exclusively bottle-fed had an overall 17-fold increased risk of being hospitalized for this complication, compared to those who have been exclusively breast-fed. The risk was particularly high for children younger than 3 months, for whom bottle-feeding was associated with a 61-fold increased risk of pneumonia, and decreased down to 10 for older children. Strikingly, the study also found that the addition of solid foods to the diet of infants younger than 3 months of age was associated with a 175-folds increased risk of hospitalization for pneumonia, down to a 13folds increase in children of all ages. —Cesar JA, Victora CG, Barros FC, Santos IS, Flores JA, Impact of breast feeding on admission for pneumonia during postneonatal period in Brazil: nested case-control study. BMJ 1999 May 15; 318(7194):1316-20.
Dundee infant feeding study. BMJ 1998 Jan 3; 316(7124):21-5. The results of this study show that the introduction of milk formulas to the diet of infants younger than 4 months is associated with a significantly higher risk of developing asthma and allergic disorders later in life. In particular, children who had been fed non-breast milk before 4 months of age were found to have a 25% higher risk of developing asthma and a 30% higher risk of having a positive skin prick test, compared to those who had been exclusively breast-fed. —Oddy WH, Holt PG, Sly PD, Read AW, Landau LI, Stanley FJ, Kendall GE, Burton PR, Association between breast feeding and asthma in 6 year old children: findings of a prospective birth cohort study. BMJ 1999 Sep 25; 319(7213):815-9. The results of this study show that individuals who have been bottle-fed when they were babies have more risk factors for cardiovascular disease and diabetes later in adulthood, compared to those who have been breast-fed. The study was conducted on 625 adults born in Amsterdam between 1943 and 1947. Those who had been bottle-fed had higher plasma glucose concentration after a glucose load test and higher cholesterol levels, compared to those who had been breast-fed. These data support previous research indicating an increased risk of cardiovascular diseases associated with bottle-feeding.
The results of this study show that children who have been partially or exclusively bottle-fed during the first 15 weeks of life have an almost 2-fold higher risk of developing respiratory illness later in childhood, compared to those who have been exclusively breast-fed. Exclusive bottle-feeding was also associated with significantly higher levels of blood pressure later in childhood, compared to breastfeeding. In addition, the introduction of solid foods to the diet of infants younger than 15 weeks was found to be associated with an over 2-fold higher risk of wheeze during childhood, and with significantly increased percentage body weight and fat.
—Ravelli AC, van der Meulen JH, Osmond C, Barker DJ, Bleker OP, Infant feeding and adult glucose tolerance, lipid profile, blood pressure, and obesity. Arch Dis Child 2000 Mar; 82(3):248-52.
—Wilson AC, Forsyth JS, Greene SA, Irvine L, Hau C, Howie PW, Relation of infant diet to childhood health: seven year follow up of cohort of children in
The results of this study show that children who have received cow’s milk-containing formulas when they
were younger than 3 months have a 52% increased risk of developing insulin-dependent diabetes mellitus (IDDM or Type 1 diabetes), compared to those who have been exclusively breast-fed. Duration of exclusive breast-feeding for 3 months or longer was found to be associated with a 44% reduced risk of Type 1 diabetes. —Verge CF, Howard NJ, Irwig L, Simpson JM, Mackerras D, Silink M, Environmental factors in childhood IDDM. A population-based, case-control study. Diabetes Care 1994 Dec; 17(12):1381-9. The results of this study show that the introduction of supplementary infant formulas into the diet of infants younger than 3 months is associated with a 52% higher risk of developing Type 1 diabetes later in life. Exclusive breast-feeding during the first 2 months of life, on the other hand, is protective, and is associated with a 40% lower risk of developing diabetes. —Virtanen SM, Rasanen L, Aro A, Ylonen K, Lounamaa R, Tuomilehto J, Akerblom HK, Feeding in infancy and the risk of type 1 diabetes mellitus in Finnish children. The ‘Childhood Diabetes in Finland’ Study Group. Diabet Med 1992 Nov; 9(9):815-9. The results of this study show that the introduction of supplementary milk feeding to the diet of infants younger than 3 months is associated with a 53% higher risk of developing Type 1 diabetes, compared to the introduction of milk formulas after the age of 3 months. —Hypponen E, Kenward MG, Virtanen SM, Piitulainen A, Virta-Autio P, et al., Infant feeding, early weight gain, and risk of type 1 diabetes. Childhood Diabetes in Finland (DiMe) Study Group. Diabetes Care 1999 Dec; 22(12):1961-5.
Midwives Advocate Chiropractic Care Jeanne Ohm, DC After a recent ICPA E-Newsletter went out discussing the Webster technique, I received an e-mail from Ann Sommers, a midwife in Southern California. Her comments were supportive and enthusiastic about her experiences with Doctors of Chiropractic in her 11 years as a midwife and doula. She always has and continues to recommend chiropractic care as part of her clients’ prenatal care. About the Technique, she had this to say: “I have never known the Webster Technique not to work in supporting a breech baby to turn except for one case where there was placenta previa. I have, however, known of the external version not to work!”
I have never known the Webster Technique not to work in supporting a breech baby to turn
I have been recommending the Webster Technique for close to 11 years. During that time I have encountered many breeches and have only experienced 3 breech deliveries. One woman did not choose to do the Webster Technique and had her baby by c-section. Another was a last minute client whose doctor said her baby was vertex (not) and refused to do an ultrasound to confirm it. She delivered breech in a hospital. Another client of mine had a baby that was vertex until the last week— her baby did a surprise turn. In following up with a phone conversation, Ann and I were able to discuss the numerous reasons why chiropractic care in pregnancy allows for safer and easier deliveries for both the mother and baby. Her referrals over the years to Doctors of Chiropractic always left her midwifery clients feeling well taken care of and appreciative of her recommendations.
The Doctors of Chiropractic further supported the midwifery philosophy for natural birthing. Those mutual clients approached their births with a greater sense of confidence and trust in their body’s ability to function normally. This on-going support from both practitioners is an incredible asset to the pregnant mother throughout pregnancy and in birth. Find practitioners who support the natural process of birth. Make regular chiropractic care a part of your prenatal choices as well. Birth is an amazing experience and how you prepare throughout pregnancy along with who you work with will in fact lead to a more fulfilling birth experience. Anne Sommers, L.M. has been directly involved in midwifery since 1986, when she began her apprenticeship. In 1996 she completed Seattle Midwifery School’s Challenge Process, and the NARM exam (supervised by the California Medical Board) qualifying her for midwifery licensure. She is the mother of two children, born at home, with the attendance of midwives. Anne’s philosophy is one of non-interference and informed choice with the natural process of birth. She spends time at her prenatal visits addressing questions and educating her clients on all aspects of birth, and believes that the mother is in control. She can be visited at: www.dear-midwife.com
Chiropractic Care For My Daughters A mom’s testimonial to the I.C.P.A. website and chiropractic Just wanted to let you know that
that I’ve been able to nearly
around was helpful to start care.
your website helped me to learn a
eliminate the prescribed albuterol
My daughter continues to carry
bit more about pediatric chiropractors
treatments unless it gets really bad.
the heavy backpack, but now I
and that a lot of kids do need it.
My other daughter, who is 11 and
know I will be taking her in for a
I had my doubts about it, although
weighs about 85 pounds, rides
regular check up with our Doctor
I’ve seen a chiropractor for several
horses and has taken a couple of
of Chiropractic to get a quick adjust-
falls from her horse while jumping.
ment. I plan to use your information
I believe in chiropractic care being
She doesn’t complain about any
to send to the school for posting in
better for myself, because of my
pain, but since she was with us
our school’s newsletter.
apprehension towards taking chemi-
and I remembered an article about
Thanks again for putting your site
cals and medications into my body.
school books/backpacks on your
Your information has been a great
website, I had my chiropractor
resource and I’ve bookmarked it
check her as well. She needed and
so I can find it again easily and refer
had adjustments all over her body—
friends to it.
some were quite large “releases”
Anyway, just wanted you to know
which surprised us all. I think
that I took my 3 year old into my
between carrying a 40 pound back-
doctor, and he did find that she
pack for school, and her riding,
needed some adjustments in her
her whole neck and shoulder area
neck and slightly through her lower
suffered, as well as the top part
back. Prior to this, she had suddenly
of her hip. I’m so glad we had her
ended up in the hospital one day
checked out. She says she felt so
last month with a breathing/wheezing
much better after, she never realized
problem. The regular pediatricians
how bad it was. Therefore, your
couldn’t figure out what created the
article that offers info about the
problem, they only wanted to treat
school kids who haul astronomically
the symptom. My chiropractor was
sized backpacks and huge books
adjusting me when I told him about
Do you have a chiropractic story about yourself or a family member that you want to share with us? It can be sent to : firstname.lastname@example.org and we will use it in an upcoming issue in Pathways to allow more parents to understand the many benefits of family chiropractic care.
my daughter, and he asked if she had any trauma to her body recently
A recent poll by Cyberdialogue (2000) found that 70% of all patients would
that could have jarred things around
like their doctor to recommend a health care web site pertinent to their
in her body. Since she has taken
health needs, but that only 4% of patients receive such a recommendation.
a few falls from her play horse she
(SOURCE: Spine 2002;27:E185-E188) The ICPA is responding to this need by
got at Christmas, we tried an adjust-
providing the public with reliable health care information via our website
ment. So far she’s improved enough (www.icpa4kids.org) and our new e-news service: Family Wellness First. Both free services are offering parents the valuable information to make informed health care choices for their families.
icpa web resource referral card Order referral cards in bundles of 100. A patient education service we are offering our members is the opportunity to purchase cards to hand out to existing patients, new patients, and potential patients. Used as an interactive referral card, this guides your patient to the ICPA Research Website where they can read the supporting literature about chiropractic care for family wellness.
Per bundle of 100: $10.00 + $5 s&h to U.S. ($10 s&h to Canada)
To order, print out this form and fax or mail to the ICPA:
parents: Ask your ICPA Doctor for additional copies of these cards so you can bring them to your health care providers, local family oriented meetings (breastfeeding, birth classes, ADHD support groups, etc) in your communities.
P R EG N A N C Y MAT T E R S Are we there yet? The last few weeks of pregnancy can seem endless, and it's tempting to ask your doctor to induce labor to get the whole thing over sooner —especially in the hot, uncomfortable summer months. Or perhaps your obstetrician will be going out of town soon, and he suggests bringing on labor when you get near your due date. But maybe you shouldn't try to fool with Mother Nature. Investigators have found that when women undergo elective induction, they are more than twice as likely to have a cesarean delivery, according to the authors, who recently published their findings in the journal Obstetrics Gynecology. When women giving birth for the first time have an elective induction, they are almost three times as likely to end up with a cesarean. And cesarean deliveries are not without risk. Compared to women who have regular vaginal deliveries, those who have cesareans are nearly twice as likely to be back in the hospital within 60 days, according to a study in a May issue of the Journal of the American Medical Association. Cesarean births carry the risk of life-threatening blood clots, excessive bleeding, infection, and tearing of the uterus or of the surgical incision, among others. Vital Information: •
Inducing labor in a pregnant woman increases the chance the woman will require cesarean section.
Elective inductions that do not result in cesarean sections cost more money per patient and require more pre-delivery time in the hospital, compared to spontaneous labors.
There are times when a woman or her baby has a medical condition that warrants inducing labor, but otherwise women should be allowed to go into labor naturally.
Inductions After Previous C-Section Lead to Potential Future Uterine Rupture. The frequency of elective inductions have risen dramatically. They are primarily for scheduling convenience. Either the planned date works out better for the doctor, or the parents are given an option “when to deliver” for their personal convenience. Although inductions have their potential hazards in any birth, July OB/Gyn 2001 reports that inducing a woman for a birth after a previous c-section increases the possibility of uterine rupture. These findings contrast sharply with the risk of uterine rupture in a natural Vaginal Birth After Cesarean. Women should continue to opt for VBACs and insist on their right for natural childbirth. It appears, even when there are limitations of matter (previous uterine scar tissue), letting nature take its course (natural childbirth) is still the way to go!
Routine Induction not Warranted. Most postdate babies are not postmature. “Women have been subjected to the hazards and emotional hardships of an induced labor without apparent benefit.” Except when done between six and 12 weeks menstrual age, ultrasound dating has a margin of error greater than dating by LMP. Primiparous women average longer pregnancies than multiparas, and the average gestational length is longer than 280 days. All clinical dating methods, including the LMP, have margins of error of more than two weeks. Comparing the LMP to ovulation dates from basal body-temperature records, one study found that 70% of pregnancies classified as postdates were misclassified. Another found the proportion of pregnancies classified as postdates by the LMP was 15.5% versus 4.5% by ovulation date. Only two of 110 babies were postmature, and one was not postdate. One day should be added for everyday the cycle exceeds 28 days. We have no accurate way to identify postdate fetuses at risk. Fetal movement counts are not sensitive enough. Neither hormonal assays nor placental grading are reliable. The incidence of meconium-stained fluid increases abruptly at 38 weeks, but this relates to maturing reflexes, not distress. Oligohydramnios associates with growth retardation, thick meconium, and fetal distress and may have value [but false-positive rates are high]. The CST appears to have a lower false-negative rate than the NST, but this is based on nonrandomized studies. Several studies have shown nipple stimulation to be as safe and reliable as an oxytocin drip for the CSYT as well as cheaper, easier, and faster. The biophysical profile accurately predicts fetal distress at extreme ends of its scale. [What about midrange scores?] Two studies found no increase in abnormal FHR with postdatism. Studies of management have not found that tests accurately identify postmature babies or that routine induction improves perinatal outcome. Epidemiologic studies have found that much of the excess perinatal mortality in the postdate population is due to outer factors: congenital anomalies, infection, or IUGR. The postmature infant is relatively rare. About 10% of pregnancies are postdates, of which 5% to 26% result in postmature babies.
Excerpted from Web MD’s article: Inducing Labor:
Nichols CW. Postdate pregnancy. Part I. A literature review. J Nurse-Midwif 1985a; 30(4): 222-239.
Don’t Force Mother Nature’s Hand by Paula Moyer
— From Henci Goer’s book, Obstetric Myths Versus Research Realities: A Guide to the Medical Literature, Bergin & Garvey, 1995
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thanks! Many thanks to our members who carry the ICPA vision a bit further and donate towards research or public education. This issue we would like to show our appreciation to Dr. Patrick Flynn who was the first Doctor to stand up and contribute to our our National Advertising Campaign with a check for $1000. Several weeks later we received a call from Dr. Serdar Ayan who said, “Now that I have been in practice for a year, I feel it’s time to give back to the source.” He graciously donated $3000 to be equally split between our Research Foundation and our National Advertising Campaign. Dr. Chris Akey who has formally paid for numerous student memberships, donated proceeds from a recent Children’s event in his office to ICPA Research We thank you all for your on-going support and donations as they are carrying our joint mission to a greater level of service in the profession. pathways
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International Chiropractic Pediatric Association
327 N. Middletown Rd. Media, PA 19063
Published on Nov 24, 2009
Published on Nov 24, 2009
Pathways Magazine provides vital resources for family wellness. Our articles give parents the necessary information to actively participate...