PLUS New stillbirth risk figures help women’s decisions on timing delivery | Emerging treatment for neurogenic faecal incontinence | The science of PMS food cravings
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In This Issue: 4 July 2019

In-Depth Articles
Recommended Resource
In the News
Alcohol – the ignored breast cancer risk factor
Dr Linda Calabresi
GP and Medical Editor
Drinking alcohol has been proven to increase the risk of developing breast cancer in over 100 studies, but both the general public and health professionals continue to ignore the issue.

According to UK researchers, alcohol use is now estimated to be a major causative factor in between 5% to 11% of all breast cancer cases, but in their study, published in BMJ Open, less than one in five women attending a mammogram knew of the risk of alcohol, and – perhaps more worrying – less than half of the staff at the breast centre identified alcohol as a breast cancer risk factor...

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The effect of sugar substitutes on diabetes and weight loss
Jamie Pitlick
Associate Professor of Pharmacy Practice, Drake University
Wandering through the grocery store, it is easy to be overwhelmed by the numerous brands and health claims on the dozens of sugar substitutes. It can be particularly confusing for those with diabetes or pre-diabetes who must keep their blood sugar in check and control their weight.

With the growing diabetes and obesity epidemic, there has been increasing awareness around the use of added sugars in foods. The most recent edition of the U.S. Dietary Guidelines for Americans recommends that added sugars should be kept to less than 10% of the calories consumed, which turns out to be roughly 270 calories per day.

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Clinical Management Of Pain

Interview with Dr Guy Bashford (5 mins)

Listeria protection
These days the first question most GPs get asked, after confirming a wanted first pregnancy is what does the woman need to take or eat, and, importantly what should she avoid.

It gets tricky doesn’t it? If you avoided  everything that is said to potentially cause harm (according to the world wide web and social media) the pregnant woman will run a serious risk of malnutrition!  Much of the fear stems from the risk of contracting listeria – that surreptitious bacteria that can cause – very occasionally, severe infection in affected adults – but more importantly for the pregnant women can cause miscarriage, premature birth or stillbirth. You need some authoritative, credible information sources to fall back on when giving these vulnerable patients advice.

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In The News

Prolonged pregnancy is a known risk factor for stillbirth, but a new analysis on stillbirth data has shed further light on how this risk increases over time. The research, led by Queen Mary University of London and recently published in PLOS Medicine, analysed data on over 15 million pregnancies across the UK, US, Denmark and Norway... Read More>>

Emerging treatment for neurogenic faecal incontinence

Faecal incontinence is a condition that can cause such embarrassment that even estimating it’s prevalence is difficult. More concerningly, relatively few sufferers seek medical attention despite treatments being available. We do know that the condition affects at least 10 to 20 per cent of Australians, that the likelihood increases with age and that it’s more common and generally more severe in women... Read More>>

The science of PMS food cravings

Premenstrual food cravings are the punchline of endless jokes. Like most good jokes, they’re funny because they’re true. Certain parts of a woman’s menstrual cycle do seem to go hand in hand with the desire for chocolate ice cream and potato chips. I hear about this every day from my OBGYN patients... Read More>>

Notes and Resources from Seminars

The Annual Women's & Children's Health Update
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