Wednesday, February 01, 2006

Pre-eclampsia Concerns

Having seen the devistating effects of pre-eclampsia and it's much more dangerous cousin HELLP syndrome in my own clientelle, I echo Red State Moron's quest for the holy grail. Yet, outside of mainstream obstetrics, we have seen the dramatic reduction in pre-eclampsia, toxemia and HELLP (not to mention preterm birth, low birth weight and IUGR) in the late Dr. Tom Brewer's practice. Nay, not reduction, elimination of the above.

How on earth did he do this? Simply, it was nutritional counselling and adherance to his guidelines. The stunning results are found here. Ironically, nutrition is virtually ignored in allopathic medicine as having any impact on health. The reason? The easy answer is because nutrition is not taught in medical school beyond a basic level, and certainly not in the depth needed to effect pregnancy outcomes. Physicians cannot provide information on what they don't know. Why are they not taught? Because it isn't ethical to do RTC's based on nutrition because you may be compromising patient health.

Just like it isn't ethical to do RTC's on elective caesarean vs. vaginal birth... either primary or post-caesarean because it knowingly compromises patient health to subject a woman to unnecessary major abdominal surgery for a normal physiological process in the absence of indications. But I digress.

Dr. Brewer's nutritional basics stand up both in his studies and when compared to the newest nutritional studies, guidelines and information available. Midwives have long supported the critical aspect of nutrition, but in North America most women seek obstetricians or family practic physicans (if they can find any who are still catching babies). Interestingly, some obstetricians are now following suit by having nutritional guidelines for patients with excellent results. Notably, Dr. Motha does this in her Gentle Birth Method: The Jeryarani Way. But not nearly enough are doing this or providing any nutritional counselling at all.

I pray that each mother finds either guideline and follows it towards superior outcomes in spite of the lack of obstetrical training and knowledge in the field of nutrition.

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