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04 November 2013


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I saw an article about her book in my local paper, and was glad someone is looking at the research and speaking about it on a popular level. One quote they had from her was something to the effect that if the local OB actually followed, or at least mentioned, the recommendations from ACOG, many of these issues would already be addressed. This was in response to a jab about her statements going against ACOG recs (which apparently many of them don't).

I have heard that OB is the type of medicine least likely to be affected by what the research says.... here's hoping that can change.

(I read another article recently about "group" appts for expectant mothers at a similar point in pregnancy, so these longer discussions can be had without causing problems to the practice. The personal stuff - labs, exams - is handled in private appts, but the "do you have any concerns" stuff is done together. Mmm...I like my midwifery practice.)


I haven't listened to the podcast yet, but I find the coffee correlation/causation problem fascinating.

I usually have one good week after a positive pregnancy test before I get knocked on my rear. But even in that good week, my tolerance for coffee disappears. It doesn't make me nauseous, but it is like my body can no longer process it. After drinking as little as a quarter cup, my heart is pounding and my hands are shaking. You would think I had taken espresso shots. I stop drinking it for most of the pregnancy and can only tolerate small amounts in the third trimester.

So is my body protecting the baby from the caffeine? Or is it just another reaction to indicate my hormones are pumping?


I've listened to the interview now. The insanity around pregnancy has to have some pushback. I remember my cousin, who consumes copious amounts of coffee, being so happy because her doctor was "allowing" her to have one cup a day while pregnant. That was after she struggled with total abstinence and had to go and beg a reprieve.

One of the big "requirements" when I was pregnant with my oldest was to sleep only on the left side. Does she say anything about that particular panic? It seems to have receded.

Something that caught my attention in the interview is that it seems she found evidence supporting behavior she likes and not for behavior she doesn't like, i.e cigarettes. In the section on alcohol she teases out the data to find a spot between total abstinence and binge drinking. Of course binging is bad, what about one drink? Cigarettes didn't seem to get the same treatment. Cigarettes bad. I would be curious to know if she addresses the continuum of smoking. Of course a pack a day is bad, what about one cigarette on Sunday afternoon?

Full disclosure: I don't smoke and never have, but the topics seemed to get unequal treatment.


I think the coffee thing is a funny one - for me it varies by the day, but I like a warm drink in the morning, and most mornings until very recently (almost 3rd Trimester) I could enjoy very milky cafe au lait, but my usual black tea with milk left me nauseous and sloshy feeling the rest of the day. In other pregnancies, I've been off all but just hot vanilla milk in the mornings until after the first trimester, but then usually I can just go back to my tea.


What does she find about going off salt for edema? My ankles and feet are items of wonder right now, if not of beauty.

Caroline M.

That was probably because smoking is bad for you in general. Drinking red wine can be very healthy as long as you're not an alcoholic, but there are no health benefits to smoking - quite the reverse. So whether you're pregnant or not, the research does show that smoking leads to lung cancer. And lung cancer ain't pretty....

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