Health & fitness
NHS issues urgent safety alert over common drug after 25 serious incidents and baby death
NHS OFFICIALS have issued a national safety alert after reported overdoses of a common drug used in labour and after childbirth.
Oxytocin is a hormone that is used to alter contractions during labour or in significantly higher doses to control bleeding after childbirth.
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But accidental administration of a postnatal dose of oxytocin before the birth of the baby can lead to “significant harm” to mother and baby, NHS officials said.
NHS officials have issued a patient safety alert over the “risk of oxytocin overdose during labour and childbirth”, after 25 oxytocin overdose incidents have been reported in the last five years.
The alert describes how a baby was sent to intensive care after a mishap.
“A woman (received) a pre-prepared postpartum oxytocin infusion in place of IV fluids while in labour,” the alert states.
“The baby’s heart rate slowed, and the woman required an emergency caesarean section due to a placental abruption.
“The baby was born in poor condition and admitted to the neonatal intensive care unit (NICU) for close monitoring.”
Other reports described include postpartum oxytocin accidentally given during labour or in theatre before a caesarean section.
And others included oxytocin infusions and IV fluids being “confused”, leading to oxytocin “running through freely or at a significantly increased rate during labour”.
Meanwhile, baby Harry Richford died during childbirth after his mum was given oxytocin during childbirth.
An inquest into his death determined he was put under stress due to excessive use of an anaesthetic form of oxytocin called syntonic, which led to brain damage.
The alert has been issued by NHS England’s national patient safety team and endorsed by the Royal College of Obstetricians and Gynaecologists, Royal College of Midwives and the Royal College of Anaesthetists.
It calls for maternity providers to stop pre-preparing oxytocin infusions at ward level, in all clinical areas, including delivery suites and theatres.
To minimise any potential risks of delayed treatment of excessive bleeding after birth, post-partum haemorrhage kits or trolleys should be made available in all clinical areas, the alert adds.
Earlier this month, an inquest into the three babies’ deaths began at Southwark Coroner’s Court.
A total of 19 babies were infected with bacteria after having baby feed pumped into their bloodstream – because they were unable to feed on their own – between May 27 and June 2, 2014.
What is oxytocin? And how is it used in childbirth?
Oxytocin is a natural hormone that has an important role in many human behaviours and social interactions, including:
- Sexual arousal
- Allowing people to recognise each other
- Promoting trust
- Building relationships and romantic attachment
- Promoting parent-infant bonding
It also plays an important role in birth and breastfeeding.
Here, its two main roles are to stimulate contractions of the uterus in labour and to stimulate the flow of breast milk after childbirth.
Oxytocin builds during labour making the uterus contract more frequently, more effectively and with more intensity.
Oxytocin is essential for labour to progress.
Sometimes oxytocin is given as a medicine to help start or strengthen your contractions.
It is also used to help your placenta to be delivered or to help your womb contract after childbirth to prevent or stop heavy bleeding.
Having oxytocin is not suitable in all situations – your doctor will give you more information if oxytocin is right for you.
Too much oxytocin in labour can cause the uterus to contract too much.
This is particularly true if you have certain risk factors, such as diabetes abnormal glucose levels during pregnancy or heart problems.
Because of this, your health team will monitor you carefully if they give you oxytocin in labour.
Source: Health Direct + NHS
Womens Workouts
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Womens Workouts
biceps body workout for women||#fitness #shorts #weightloss #kitodiet #youtubeshorts #fitnessquotes
Womens Workouts
Day #18 Option 2 // 35 Minute Kettlebell Burner Workout for Total Body Strength & Cardio
This 35 Minute video uses just one kettlebell to strengthen and tone your total body, all while getting your heart pumping for fat blasting cardio. Burn calories and sculpt with this interval workout. Options for all fitness levels.
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For an additional warm up start here: https://youtu.be/w5rfo8IjeRE
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For some extended stretching (cause we all need it) check this out: https://youtu.be/olB1GjAJ4eI
Thanks for showing up today! Great job everybody!!
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DISCLAIMER
Please consult with your physician before beginning this or any other exercise program. As with any exercise program, if at any point during your workout you begin to feel faint, dizzy, or have physical discomfort, you should stop immediately. By engaging in this exercise or exercise program, you agree that you do so at your own risk.
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Health & fitness
Nine ways to feel full without eating more that will help you lose weight and live longer
EATING less can help you lose weight and maybe live longer.
A study published last week found that mice eating restricted diets lived the longest – 34 months compared to 25 for those scoffing whatever they pleased.
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And it’s not just rodents – National Institutes of Health scientists found in 2023 that when 200 people cut their calories by 12 per cent for two years, they showed DNA changes that suggested they were ageing more slowly, and their risk of early death was slashed by up to 15 per cent.
But it’s tricky to keep calories down if your belly never feels full. A croissant for breakfast and a bowl of lettuce or soup for lunch is likely to leave you hungry.
Luckily, there are ways you can feel full without having to eat more. Dr Aileen Alexander, founder of online coaching firm Nourish, tells Lucy Gornall how to fill up while consuming fewer calories . . .
SIZE MATTERS
OPT for a smaller plate than usual — research has found it’s associated with higher satiety and a smaller intake of food.
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Dr Alexander says: “When the same portion size is placed on a small plate instead of large, it appears larger, making you feel satisfied without the sense of restriction or deprivation.”
When looking at your plate, around one-quarter should be protein, which is the most satiating macronutrient.
Dr Alexander says: “Protein slows digestion and reduces hunger hormones while increasing the hormones that make us feel full.
“Chicken, white fish and tofu are highly satiating.”
A quarter of the plate should be complex carbohydrates, such as quinoa, brown rice, or sweet potato, and the last half non-starchy vegetables. Add a small amount of fat such as avocado, olive oil or cheese.
ADIOS AMIGOS
LOVE a sharing banquet when you’re out for a meal with friends? We’ve got some bad news for you.
“Tapas-style dining often involves small portions of highly palatable fat-rich foods,” Dr Alexander explains.
The small, frequent servings can trick the brain into thinking you’re not eating as much as you are. This makes it easy to consume more calories without feeling full.
“It’s also difficult to know how much you’ve eaten because you’re sharing from a plate whilst chatting with others, instead of being able to visualise your full meal on a single dish at the beginning.”
HYDRATION STATIONS
BEFORE sitting down to eat, or looking in the fridge for a snack, drink a glass of water.
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Research has found that drinking water before a meal could help you feel fuller and therefore cause you to eat less during that meal.
Dr Alexander says: “Often we will mistake thirst for hunger, so drinking water before or with a meal will help.
“It also distends the stomach, creating feelings of fullness.” You could add chia seeds to your water — a trend which is seen on TikTok.
“They are high in fibre which also promotes satiety,” Dr Alexander says.
SNACK ATTACK
STILL hungry despite snacking on sweets, cakes, crisps and biscuits?
These foods tend to be made from a combination of saturated fats and simple carbs — the type that are broken down and absorbed quickly.
This leads to a blood sugar spike followed by a crash, leaving you feeling hungry again shortly after.
Dr Alexander says: “These foods are ultra-processed and provide instant gratification. Yet they are low in protein, fibre, and healthy fats, which are the components that help to signal fullness.”
So, go for complex carbs, proteins and healthy fats, such as a quarter of an avocado spread on two oat cakes.
WHAT A WHIFF
MOST of us know we should eat more slowly, although this is painstaking.
But it takes about 20 minutes for your brain to receive the signals that you are full, says Dr Alexander.
Going for strong-smelling food may be the answer, after a Dutch study found you’re more likely to take smaller bites of food that has a strong aroma.
The study suggested that each bite could contain between five and ten per cent less food than usual.
Even strong but pleasant smells, such as from desserts, had the same effect.
So, make sure to stock up on plenty of smelly foods such as hard-boiled eggs for breakfast, a mackerel salad or stinky cheese for lunch and salmon for your evening meal.
THE F-WORD
THE average Brit is eating below the recommended 30g of fibre per day, according to the British Heart Foundation.
Yet as Dr Alexander explains, “fibre is a critical component of feeling full”.
She adds: “Fibre is the indigestible part of plant foods, slowing digestion.”
Slower digestion makes us feel fuller for longer — and your bowels will be more regular. Up your intake with fruits and vegetables at each meal, as well as whole grains.
Dr Alexander suggests swapping white rice and pasta for their brown counterparts, white bread for wholegrain bread and sugary cereals for oats or wholegrain granola.
MINTY FRESH
MUCH of the time, it’s your emotions driving hunger, when really your stomach is full.
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To distract your brain, try chewing on sugar-free gum.
A small study published in the journal Appetite found that when people chewed gum after breakfast they felt less hungry at lunch.
As a result, scientists found they ate less pasta (41g, 68 calories).
You could also try brushing your teeth after eating a meal, to prevent sweet-tooth cravings from kicking in.
But it’s advised to brush teeth 30 minutes after eating to avoid damaging tooth enamel.
START SMART
HAVE a starter before your main meal, whether at a restaurant or home.
Dr Alexander advises: “Start off with a salad or a broth-based soup. These are high in volume but low in calories, helping to fill your stomach before the main meal arrives.”
Miso soup sachets sold in the supermarket are quick to make and low-calorie.
Or, you could make a ratatouille or a big bowl of salad to take servings from throughout the week.
BULK UP
VEGETABLES are a must for filling your stomach without the hit of lots of extra unnecessary calories.
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Dr Alexander says: “They are packed with fibre and water, which stretch the stomach and activate stretch receptors, signalling fullness to your brain. They are also packed with vitamins and minerals which are essential for a healthy diet.”
Vegetables that are easy to throw into almost anything include mushrooms, tomatoes, spinach and courgette.
Or buy a frozen bag of mixed vegetables to keep costs low, and mix it up each week.
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