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By Odimegwu Onwumere
In this report, Odimegwu Onwumere writes that meningitis and other vaccine-avertable diseases have become somewhat a recurring decimal in Nigeria and in some countries of sub-Saharan Africa that include Senegal, Niger, Chad, Benin, Mali, Burkina Faso which make-up 'Meningitis Belt' due to poor innovative approach to delivery of vaccines
By April 17 2017, Nigeria lost about 800 lives and had 8,000 cases of Cerebro Spinal Meningitis, CSM, in six states of Katsina, Kebbi, Zamfara, Niger, Sokoto and Yobe due to embarrassing vaccine approach, informed the News Agency of Nigeria (NAN). Since 1996, there are data showing that meningitis and other vaccine-avertable diseases have killed thousands of people in Nigeria and by extension, in some sub-Saharan African countries of Senegal, Niger, Chad, Benin, Mali, Burkina Faso which make-up 'Meningitis Belt' due to poor delivery of vaccines.
Checks reveal that no fewer than 11,000 people were killed by meningitis alone in Nigeria in 1996 and by 2009, 600 people died. Like a recurring decimal, this dangerous disease that science says is "caused by viral or bacterial infection, and marked by intense headache and fever, sensitivity to light, and muscular rigidity and most affected age group is 5-14 years of age" impinged on approximately 10,000 people in 2015, and exterminated over 1,000 people in Nigeria.
The world is embarrassed by the outdated vaccine delivery systems in the country, because Nigeria prefers to buy vaccines from the international market instead of set up vaccines manufacturing plants for local consummations. The highlight of this is that records show that Nigeria only delivered (1.3m vaccine doses for a country that has a population of over 180m people) during the recent impasse. These vaccines, according to media reports, about 800,000 doses were mostly ordered from United Kingdom. Yet, according to Dr. Seth Berkley, CEO of Gavi, the Vaccine Alliance, "Too many children still lack access to lifesaving vaccines because of outdated and inefficient supply chains."
Dr. Berkley was of the belief, saying, "There is need to drive change and deliver comprehensive improvements now, countries won't have the systems in place to protect the next generation of children, particularly the most vulnerable."
The Nigerian Medical Association (NMA) was caught up in vaccines and immunisation ruckuses in July 2013. The then President of the association, Dr. Osahon Enabulele frowned that the Federal Government (FG) failed to curtail the sprinting of hepatitis in the country due to its overdependence on foreign delivery of vaccines. At the occasion of the 2013 World Hepatitis Day, Enabulele said, "Hepatitis virus A, B, C, D and E were accountable for the millions of death in the country, because they caused sensitive and unremitting infections and inflammation of the liver, the government did not bellyache."
If the country had been vaccines conscious, these deaths could not have occurred. In the light of this, the World Health Organization (WHO) in one of its reports, held, "Vaccines prevent an estimated 2 to 3 million deaths every year, but an additional 1.5 million deaths could be avoided if global immunisation coverage improves."
The international body supposed that in 2015, an estimated 19.4 million infants worldwide did not receive routine immunisations. What that suggests is that Nigeria, which includes the countries of the world, is awful in the way she sees to vaccines and how they are handled. The hullabaloo is that this oil rich country prefers to order vaccines from the Americas and Europe during outbreaks, whereas in the advanced world, such methodology of delivery of vaccines has been regarded as outdated and compromising that put the lives of people in danger.
The argument is that health and immunisation are not regarded with the attention they needed in Nigeria. According to news, "President Muhammadu Buhari submitted a budget of eight billion naira for the funding of routine immunisation and polio eradication. But the budget that came back from the National Assembly was cut by about 50 per cent. There is need for the legislature to understand the intricacies of immunisation financing and support fulfillment of the government of Nigeria's commitment to sustainable immunisation at all levels."
Dr. Aminu Magashi-Garba, Lead Project Director of the Routine Immunisation Sector of the Partnership for Advocacy in Child and Family, who is also Coordinator of the Africa Health Budget Network was befuddled in the above commentary on April 22 2016 in Lagos, when he succinctly declared that the budgetary allocation for routine immunisation including eradication of poliomyelitis was slashed by the National Assembly during its review and passage of the 2016 budget. This could have formed the view by Dr. Matshidiso Moeti, the WHO regional director for Africa.
Dr. Moeti said, "We must act to close the global immunisation gap. Achieving the Global Vaccine Action Plan goal of universal access to immunization by 2020 would benefit the health of millions of Africans." This is given that pundits have said that the best ways to save lives of children, condense cost of healthcare and give the children the prospect to live up to their aptitude is through immunisation.
But according to Magashi-Garba, the cut in the budget meant, "We are going to have shortage of vaccine procurement this year and early next year if enough funds are not available for the vaccines to be procured completely. This also poses a problem because the funding was tied to two international commitments and it will also create a serious challenge in the sector in ensuring that all eligible children are immunised."
Unlike Nigeria, most countries are "implementing changes and adopting new technologies like solar 'direct drive' refrigerators and redesigning delivery systems." Against this influence, Steve Davis, president and CEO of PATH, sounded in the following comments as if he had Nigeria at heart, "There are too many places in the world where vaccines are still not reaching the people who need them most. We need to apply the same ambitious investments to vaccine delivery as we apply to vaccine development."
In the advanced world, the innovative approaches are being put in place to help augment vaccine ease-of-use and publicity. But Nigeria is still gasping for the air on where to source for vaccines during emergencies. Hear Dr. Robin Nandy, principal advisor and chief of immunisation at UNICEF, "Expanding the use of freeze alarms and rigorous temperature monitoring is critical to ensuring that all children have access to potent, lifesaving vaccines. In the long-term, we must work toward the development of products that can better withstand temperature variations."
However, the WHO has been concerned that 1.5 million children that include Nigerians who are yet to receive life-saving vaccines they need, do not have access. Hence, April each year is mapped out by the international body to create this attention. But on May 25 2017, at an award ceremony on health innovation given to Alma Sana, a non-governmental organisation (NGO) at the Transcorp Hilton Hotel, Abuja, the NGO introduced a bracelet that was launched by Glaxosmithkline.
The bracelet was said to be worn on the leg or wrist of infants to remind mothers the type of vaccines they have given their children and the time they need new vaccines. While speaking at the rite, wife of the Senate President and founder of Wellbeing Foundation Africa, Toyin Saraki, believed, "We need to work towards adapting a vaccine dependable Nigeria. One of the problems faced with vaccinations is most mothers forget to take their children for immunisation and this bracelet is supposed to help tackle that issue since the bracelet will be on the child from first vaccination till the age of one."
While the bracelet is believed to "deal with the problem of timeliness, completion of vaccine doses and that of wider coverage to know the extent immunization has been covered in a locality." According to Dr. Jean Marie Okwo-Bele, director of WHO Department of Immunization, Vaccines, and Biologicals, in commenting on a study, "For too many countries, it is nearly impossible to collect and harness data to forecast vaccine requirements and deliver vaccines when and where they're needed. But there are innovations such as electronic data systems that are being piloted and scaled up in developing countries that could and should be more widely adopted."
Last year, Dr. Orin Levine, the director of vaccine delivery at the Bill & Melinda Gates Foundation suggested four innovative ways of vaccines delivery during the world vaccine week. Inter alia, Dr. Levine said that first, for vaccines to be safe and effective; they need to be kept cold, hence the invention of Sure Chill refrigerator, which is said to be using "hydro and solar power to keep vaccines cold for days without energy and are being used in more than 30 countries and have become an important tool in humanitarian response efforts when distributing vaccines for cholera or measles can be especially critical."
In spite of this, Dr. Levine added, "Immunisation is one of our biggest public health success stories, but safe, effective vaccines don't deliver themselves. With consistent, visible support from national and local leaders, every community can have 21st Century systems that reliably deliver lifesaving vaccines to everyone who needs them."
Odimegwu Onwumere is an award-winning journalist based in Rivers State, Nigeria. He contributed this piece via: email@example.com

subset: commoncrawl


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I didn't think I would live to see the day, but they did it. Obviously I have underestimated way too much the capabilities of our current technology ^_^ . The planets did have the benefit of being far away from their parents star, and they are huge, but still, it is quiet the accomplishment. I also found a science paper (which I found thanks to this) about the spectroscopy of the planets, if you want to read it (beware, not for your average joe). Yeah, not much to say about this one, the links will tell you everything.
Atmospheric Composition of Extrasolar Planets DetectedMarch 16, 2013
New Horizons For Extrasolar Planet DiscoveriesFebruary 21, 2013
There is exciting news for extrasolar planet enthusiasts. A planet smaller than Mercury has been discovered around a regular star, one similar to the sun. This is another excellent discovery done with the already very productive space telescope Kepler. The discovery was helped by the fact that the planet rotated very close to the star. After all, an astronomer needs to detect at least three signals in order to confirm a planet, and finding a planet that comes in front of the star from Earth's view is more probable the closer it is. The latter is important because Kepler finds planets by looking at a dip in the star's brightness caused by the plane moving in front of it.
Now, is it the smallest planet discovered ever? Possibly not, it is probably one of the planets of a pulsar system. But it kind of isn't fair, since pulsars have a very regular rotation period, which one can measure because it sends out jets of lights that crosses the Earth everytime it rotates. One can use discrepancies in the rotational period to detect planets that are very small in mass. For the transit method, though, this is very good. It means we are well on our way to discovering rocky planets in habitable zones. We just need to observe a lot longer. Three years for an Earth sized object that goes around in one year. And we get even more variety in our discoveries, instead of just gas giants and superearths, which have been dominating discoveries because finding bigger things is easier.


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All the coins and artefacts added to the Colchester Treasure Hunting database since 2016.
Click any title to display to the individual find details.
Infinite scrolling is used to load content continuously as you scroll down the page instead of pagination – the more you scroll the more you'll load until you've seen – everything!
Or Browse Coins…
Or browse coins by coin type:
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Carson County Land Market Overview
There was a combined $1 million of land, homesites and other rural acreage for sale in Texas's Carson County recently on Lands of America. The total acreage of all Carson County land and rural real estate for sale was over 600 acres. Carson County is among the top 10 counties in the United States with the most land currently for sale. Carson County ranks 176th in the Lone Star State for the total number of acres of land currently advertised for sale. Carson County is Texas 's 119th biggest county (924 square miles). Carson County is in the Texas Panhandle region of Texas. Among cities in Carson County with land and other rural acreage for sale, Panhandle had the most land for sale. Manufacturing and related services are the largest economic sectors in Carson County.
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SARIA bidet sprayers also known as SARIA Shattafs , have been a leading bidet spray for over twenty years. They have sold millions of quality made bidet sprays world wide. SARIA Shattafs is #1 throughout the Middle East.
The bidet is a four foot hose, with a sprayer at one end while the other end attaches to an existing toilet. Everything is included with the sprayer, the only tool needed is an adjustable wrench. A full diagram with the unit will show how to install the bidet in ten minutes on a typical toilet that has 3/8" compression fitting. About 5% of the toilets in the United States come with a 1/2 outlet, so a reducer is needed. Most plumbing stores sell these reducers, they can also be found at SARIA Shattafs web site for sale. The unit will also come with a T style control valve that controls the water pressure to the sprayer. The tank of the toilet will fill quickly and the water pressure to the hand spray is reduced to a lower pressure, the built in hand trigger on the sprayer is to reach desired spray.
There are millions of people who use some type of sprayer on a regular basis. The bidget sprayer is a great device for personal hygiene, and men, women and children can use the sprayer. The device will clean ones rectal/gentile areas providing a smooth and gentle spray of water to those areas.
The bidet sprayer has been also used to clean the toilet, the bath tubs. It can even be used to help clean a pet in the tub. It would be a great vice to help with the elderly and the physically challenged.
I was so fascinated when we received the bidget, I'd never used one before. We installed it very quickly and had no issues. I really love being able to clean cloth diapers without so much hassle now. No more soaking them in the basin. The unit is very durable and we have not had any leaking. We also have a very young man who finds wiping troublesome right now, we give his rear a spray and it saves many undies from becoming stained. The SARIA bidget sprayer has really become a wonderful asset in our home.
You can connect with SARIA Shattaf's bidet sprayer via Facebook , and Website


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Dear Sports Fans,
Spare me your "Finals will be boring" takes. The best player of this generation is matched up against the most talented team of this generation in a best of seven bloodmatch. We have endless star power, complex and entertaining characters, and of course spreads and totals to play. This is not the culmination of a year's long journey, we are at the end of a FOUR YEAR marathon to finally tally the score between LeBron and the Dubs. The King has virtually nothing to lose, this is his worst supporting cast to-date, 2 wins would be a worthy achievement and a series win would be akin to pulling off the impossible. Meanwhile, the Warriors have their own demons to overcome in order to cement their dynasty, even as the overwhelming favorites to hoist the Larry O'Brien trophy. Chances are good the losing team will not be back for Round 5 (at least not in its current form), so this is it… this is the end.
Enjoy the show.
No point in re-hashing the history, unless you've been in a coma you know we sit at 2–1. You remember Curry, Dray, Klay and Co. winning Round 1 against a battered Cavs team on the back of a spectacular defensive effort from Iggy. Round 2 was an unforgettable classic with LeBron and Kyrie overcoming a 1–3 deficit against the winningest team of all time. Adding Durant for the 3rd Round proved an impossible challenge for King James as the Dubs nearly pulled off the perfect postseason. Results for the previous 18 games in this series are summarized below.
Numerous angles to attack this years series betting market. The clear expectation and widespread belief from prognosticators is that the Dubs repeat the gentleman's sweep. Cavs pick up a mercy game in the Q and Dubs close out at home to win 4–1 (surprisingly pays +173). If you are feeling extra bullish on the Dubs (maybe based on how weak the East was, maybe based on the poor Cavs defense throughout the season), then the true sweep is available for the tasty price of +220. If you've got outstanding liability on the Warriors to win the title, like myself, then it may make more sense to explore the Cavs series future options. As discussed below, there may be additional reasons to support the Cavs keeping this a competitive series beyond protecting Warriors futures investments.
From a pure match-up standpoint and looking at the advanced stats of these teams, this series is a mismatch in favor of the Dubs based on the Cavs inability to adequately defend the 3-pt line when there is ball-movement and their poor ability to get back in transition; these are two areas where Golden State is excellent offensively. For these reasons, Cavs backers will need external factors to support any hope that this series will be competitive. In no particular order, some potential external factors include:
· LeBron's basketball IQ to this point is off the charts high, he has developed his offensive game in a way that specifically generates high percentage looks against a team like the Dubs who will always have one sub-par defender on the floor and are average at best when defending the rim, this suggests they can play at a slower pace (not unlike what we saw the Rockets employ) and still get key baskets, particularly late in games
· Draymond has become a true offensive liability and in the same way that the Cavs dared Marcus Smart (and later in the series Jaylen Brown) to shoot the 3, Green will get many opportunities to prove that he hasn't forgotten how to shoot (even though all evidence this postseason suggests he has)
· Injuries on the Warriors are a concern at this point given their meak bench; Steph is clearly still coming back to 100%, Klay has taken multiple shots this post season and although not widely reported, something is clearly not right with KD (more on this is a second)
· Lack of focus has been an issue for the Dubs all season, they could very well snap out of it now that we've reached the Finals but there likely be lackadaisical quarters, halves and potentially full games that handicap this team
· Warriors chemistry is something I have a close eye on, all is not well between the major personalities in the Dubs locker room, Draymond's hyseretics are wearing thin, Durant seems checked out to an extent (like he's ready to find a new challenge), Curry will likely be pressing to re-write his Finals legacy and Klay looks a little stoned all the time so who knows, Steve Kerr is definitely concerned
· Hate pointing to the Refs but LeBron has put on a masterclass at getting a favorable whistle this season and it's in the best interest of the League to have an extended series for millions, and millions of reasons.
Cleveland Cavaliers series games won +2½ +172
Golden State Warriors win series 4–2 +500
LeBron James wins NBA Finals MVP +700
…to go along with enormous positions on the Warriors to win the title placed throughout the season.
Have fun and enjoy the series folks, it's unlikely we'll get another match-up with this rich a cast and this much history in our lifetimes. BOL


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Nyaribari Chache MP Richard Tong'i has once again dismissed claims that Deputy President William Ruto's name won't be in the ballot in 2022 presidential polls.
Tong'i while speaking on Thursday when he joined the family, relatives and friends during the burial of the late Jeremiah Okiamba Mogire Headteacher of Intundero Primary school in his constituency reiterated that DP Ruto's presidential ambition has cause panic to rivals.
He said DP Ruto's name will not miss in the ballot arguing that Ruto's opponents have sensed a humiliating defeat in 2022.
"There is no way DP Ruto's name will miss in the ballot come 2022. Those thinking that they can use the backdoor to derail Mr Ruto's ambition to become President should mind their own business because DP Ruto has all it takes to take over from his boss President Uhuru Kenyatta in 2022," he said.
The Jubilee allied lawmaker noted that continued use of propaganda against DP Ruto will not change anything.
He said DP Ruto has built a massive following across the country.
"Ruto enjoys support in this country hence he will easily win the presidency in 2022," he added.


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jonty B needed a new book or magazine design and created a contest on 99designs.
A winner was selected from 44 designs submitted by 14 freelance designers.
Nassip Foundation
The Nassip Foundation exists to protect and promote Circassian language, history and culture. The Circassians are one of the most ancient surviving people on the planet, and today, our nation is on the brink of extinction. Our language is considered "at risk" by the United Nations. One of our key efforts is to promote the learning of Circassian among ethnic Circassian children.
I run a small non-profit foundation that is working to preserve a dying language. The language in question is called "Circassian". I am working on a simple, fun and engaging picture dictionary for children.
At this stage in the process, I need you to design for me a template that I will use for the pages of my book. Once printed, I envision my picture dictionary to be 1/2 the size of an 8.5 x 11 sheet of paper, viewed in landscape. So basically, the template I am looking for would be the left half of an 8.5 x 11 sheet of paper in landscape view.
I am looking for you to design a template that allows me to feature 4 - 5 words on each page. The pages need to allow for an English and foreign language translation. The foreign language (Circassian) is written in Cyrillic, and the words can get kind of long. I would like the fonts to be big and bold and fun and engaging.
I also need you to leave enough room so that I can place a large picture on each page of the book.
That said, I need the final work product to be fun and engaging, but SIMPLE.
In total, this children's picture dictionary will include 250 - 350 words. I hope to publish it in color, but your work product should look ok in gray scale, too.
I have been working on this project for some time. I am computer savvy, but I am not a graphic designer. It would be great if the template you produced were in PowerPoint, since I know how to use it, but if that's not possible, I can work in other formats, so long as they are simple and easy to use.
Once I get your template, I will work with another designer to get the pages all paginated and setup properly.
Bear in mind that your templates will be used to create a book that will require pagination, page numbers, etc....
This is a project for a good cause. I hope you can put your heart into it. =)
I am including a link to several examples of stuff that I think is in the ballpark. None of this is exactly what I am looking for, but it helps to provide some base understanding of where my mind is.


text: This is a follow on post to "trailer prep of brunnhilde". Installing a trailer brake controller as well as retrofitting the electric brake wiring from the cockpit to the 7-pin trailer turns out to be an involving project. I didn't want to do a hack job so it is like as if I was designing this aspect of the James Cook trailer prep design and execution. Tens of hours has gone into this.


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From a creative advertising and marketing agency Melbourne
Leap Agency was founded in 1989 (as Bristow & Prentice Response Advertising), and for more than 30 years we've been delivering The Science of Selling and driving results for some of Australia's most trusted businesses, brands and not-for-profits. In 2019, many things have changed in marketing, but the role of advertising agency to drive measurable response and sales is still paramount. Traditional direct marketing companies measured results in dollars and cents the day after but never really measured their influence in shifting emotions. Conversely, traditional agencies measured shifts in emotion, but not sales. That's where we are different. We combine the spirit of immediacy through direct marketing techniques with the ability to effect behavioural change and shift attitudes though traditional advertising. Experience what Leap can do as your advertising agency Melbourne.
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Made of cast polished pewter from the molds of real sand dollars found in Maine. Artisan crafted with attention to details. The large sand dollar ornament measures 2.5" across and comes with an eyelet for hanging on a cord or chain. Use it as a window or wall ornament, or wear it as a stunning and dramatic pendant. It looks amazing with a silk neck ribbon.High quality look and fine details for discerning Water Goddesses everywhere.


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Open Mic Night!
If you're happy and you know it, eat some froyo and sing a song! Or read a poem, play an instrument, or tell a joke! Our Burke, VA location recently held an open mic night at the store to bring together its community. The store loved having performers of all types entertain the crowd, and we got to see some great talent come out. Maybe next time we'll see Scoop and Cookie show off their dancing skills!


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You're in the middle of a potty training regression and don't know what to do! Before you have a full-on breakdown, take a deep breath and continue reading.Read More
After reading a few "How To Potty Train Your Toddler In 3 Days" posts, I started believing it would be so easy. Until I realized it was not but luckily for me, at least it's a lot more amusing to talk about my toddler potty training fail.Read More


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Stephan Manuel Pool, born and raised in the tough streets of The Bronx, sadly lost his life by crazed, jealous man in D.C. area.
Pool, originally from The Bronx, NY lived in the Upper Marlboro area of D.C., where just a little after midnight on September 2nd, came forward with an untimely attack.
Pool was found innocently talking to and hugging the girlfriend of 27-year-old Leon Allen Smith. According to witnesses and court documents, Pool and two others drove to meet up with Smith. From there, Smith angrily yells at Pool, "Oh, you trying to talk to my girlfriend, huh?"
A witness identified as Smith's girlfriend told police she saw the defendant, Leon Allen Smith first punch Pool with a closed fist then walked away. After that, the witness told police she saw Smith holding a silver knife with a blue handle and heard Pool surprisingly scream, "Oh my God. He stabbed me."
Unfortunately, the female witness was still no help in explaining to Pool's family, how and why exactly this situation occurred. "We are in the dark as far as any real details are involved with the case," stated Wanda Pool, Stephan's sister.
Pool was found with an obvious stab wound to his chest where he eventually succumbed to his injuries. Doctors at a nearby hospital pronounced the victim dead.
Leon Allen Smith, 27 was quickly arrested at the scene, where a witness held him till police arrived and was later charged with second-degree murder, while armed.
Stephan Manuel Pool, 45 had once worked in the Department of Justice in Maryland, and was a well-regarded, decorated war veteran, who traveled abroad.
Pool was a large guy with an intimidating look, but was a well-liked man, with great kindness and determination, plus shared the warmest charm, explained his middle sister, Wanda Pool, who sadly learned of the unfortunate incident the day of her birthday.
Stephan was American of Dominican descent, and many times surprised people when he spoke clear Spanish, leading many to think he was African-American at first.
Pool leaves behind a mother he had great love for and three sisters. Pool's heartbroken mother and sisters will return to the D.C. area where a military service will be held in Arlington to also commemorate what could have been Stephan's birthday on November 28th.
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I've had a few requests for a DIY for the embroidered Hogwarts tee I made, so.. of course I had to make you lovely people a tutorial!
Tag: Easy
Easy Christmas Nails
Merry Christmas everyone! Christmas parties are in full swing and that means not only am I looking for outfit inspo on Pinterest and Instagram, but also Christmassy nails that you can actually do yourself at home. So I decided to try a few of the designs out for myself to see what ones are actually doable!
Easy Naughty Christmas Elf Ideas
It's that time of year again!! And for loads of parents, this means not only Christmas shopping but also their 'Elf on the Shelf' will be making an appearance soon. Now, when it comes to said elf or elves, remembering to actually have them do something overnight can be a bit tricky.. especially when the Christmas drinks are flowing! So this year, I've put together 25 quick and easy 'Elf on the Shelf' ideas for you to do when you've simply forgot or haven't got much time.
Easy Halloween Pumpkins And Snacks
Hello lovelies! Halloween is fast approaching; which means we're all thinking of cool decorations and snacks that we don't see everyday! And this often means searching the depths of Pinterest for hours on end finding some pins which don't look impossible to do at home.
So I've decided that I'll put together some pumpkin decorating ideas along with two quick and easy things you can do for Halloween snacks!


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In Case You Missed It (#ICYMI) is a daily feature highlighting news in and around Montreal.
#ICYMI: Religious symbols, 'fake' terrorist attack, more news
In Case You Missed It (#ICYMI) is a daily feature highlighting news in and around Montreal.
A strong majority of Quebecers support the Coalition Avenir Québec government's plan to ban religious symbols for persons in authority including teachers, a new poll shows.
Philip Authier files this report: Majority of Quebecers support the CAQ's plan to ban religious symbols
A man with ties to Quebec far-right groups discussed staging a fake terrorist attack to "wake up" people in the province and encouraged his peers to start training with firearms.
Christopher Curtis files this report: Far-right group spoke of staging 'fake' terrorist attack in Quebec
Jesse Galganov, the young Montrealer who went missing nearly 14 months ago in the mountains of northern Peru, is often in the hearts and minds of his friends. Now they have banded together to organize a fundraiser for Movember, a passionate cause of his.
Susan Schwartz files this report: Friends of Jesse Galganov carry on the Movember tradition he started
Molson-Coors says it was surprised to learn the city of Montreal had reserved the right to match any offers on sales of its historic property on Notre-Dame St. E.
Marian Scott files this report:Molson irked as city claims first dibs on sale of brewery site
The iconic Archambault sign that has graced the corner of Berri and Ste-Catherine Sts. for 88 years was unceremoniously pulled down Monday.
Marian Scott files this report: Montreal's iconic Archambault sign comes down
The wife of a West Island man convicted of cocaine smuggling struggled to explain Monday why she hurried out of their home in her pyjamas on the night he was about to be arrested.
Paul Cherry files this report: Wife of West Island drug smuggler struggles to make case for leniency
A man who was key in ensuring the contract to build the McGill University Health Centre superhospital was awarded to a consortium led by SNC Lavalin was taken into custody Monday after he pleaded guilty to four charges related to the fixed bid.
Paul Cherry files this report: MUHC superhospital: Former exec pleads guilty to taking $10M in bribe
In what is being billed as a North American first, the city of Montreal announced Monday it has will build its controversial Rosemont-La-Petite-Patrie bus depot three storeys underground in order to lessen negative effects on the heavily populated neighbourhood that surrounds it.
René Bruemmer files this report: Montreal to bury its new $254-million Bellechasse bus garage underground
Montreal's opposition says the Plante administration should kill the office to study the Pink Line of the métro, and divert the money to study a tramway in the East End.
Jason Magder files this report: Ensemble Montréal proposes diverting Pink Line funds to plan tramway
Young Quebecers have launched a class-action lawsuit against the Canadian government for failing to protect them from the devastating effects of climate change.
Read more here: Young Quebecers sue Canada for climate negligence
A court has ordered the city of Montreal to pay $28,000 to a woman who slipped on an icy sidewalk and broke her ankle.
Read more here: Woman who slipped on icy sidewalk will get $28,000 from Montreal
Quebec's automobile insurance board, the SAAQ, on Monday launched a publicity campaign aimed at highlighting the dangers of driving while impaired by alcohol or drugs.
Read more here: Just in time for Christmas, SAAQ launches 'don't drive impaired' campaign


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Hospital - Midwife-Led Unit - Home Birth Comparison
We've put together some useful information if you are hoping to have your baby in hospital or a midwife-led birth unit or at home. Many women choose to have their babies in hospital where there is everything you need to help you birth your baby. Some prefer to have their baby in a midwife-led unit or birth centre these are halfway houses between hospital and home and as long as everything is going well and there is room; you can go for this option. Just make sure you ask about this early on. And now a-days, many mums are choosing to stay at home as long as possible and because they feel so comfy and safe choose to deliver their baby at home with just their midwives and birthing partners present.
Its best to look at all your options and make a preferred decision with the support of your birthing partner and midwives. Enter labour with an open mind as our babies can be born anywhere and at anytime. As long as you have prepared emotionally, mentally and physically you will birth like the warrior you are! And this is why Clare and I have created this resource centre for you so can be prepared for all the different kinds of situations that could arise so here's a few things worth exploring:
Where would you like to give birth?
A lot depends on your pregnancy and your health and vitality and your babies health. Many women simply prefer to go to hospital where they feel safer and happier giving birth. It can be reassuring to know that medical help is on hand if you need it. |It your midwife of doctor thinks you need extra care during labour and birth then they will advise you to give birth in hospital.
You may choose to give birth at home or in a midwife-led unit feel assured that if any complications arise you will be transferred to hospital. In hospital you have access to all types of pain relief. Until you are in labour it is difficult to know which one will want to use but you will have immediate access to all of it.
Hospital Birth
Many women like to go to hospital because there is the opportunity for recovery time afterwards, if you have other children at home this time can be precious. Also it can be a great advantage to get the help and support with your baby in terms of feeding and general care if it isn our first child.
We suggest making your hospital visit your own by bringing your own pillow (with a colourful case so it doesn't get confused with the hospital pillow). Your own blanket anything that will make you think of home and keep you relaxed. Use your pillow and blanket you used when Questing or rewriting your birthing beliefs as this will add that extra layer of 'home' to the hospital environment.
Although each hospital has its own policy on how long a labour should take and will offer you intervention at these stages to speed up labour, you can feel empowered enough to ask questions to see if these things are actually needed for you and your baby and then make an informed decision that is right for you.
Some hospitals are better at encouraging an active birth, allowing you the time and space you need to get comfortable during labour and progress at your own unique rate. Remember, when you are in deep labour you won't be interested or worried about anyone else, you will be in 'the zone' and so its beneficial if your birth partner is empowered enough to ask the right questions and make decisions of the back of what they know you would prefer.
A useful tool to apply to all the content presented to you or any research you undertake personally, and crucially when you need to make any choices during birth is B.R.A.I.N:
B = What are the BENEFITS?
R = What are the RISKS?
A = What are the ALTERNATIVES?
I = What does your INTUITION tell you to do?
N = What are the outcomes or possibilities if we do NOTHING?
When faced with a decision, or when at a cross-roads, take a moment to ask yourself and/ or your midwife/doctor questions based on the above, to help you make informed choices.
Facilities in hospital
Most hospitals have adjustable beds, space for you to move around, birth balls, mats, wall bars to help you lean or squat, birth pool, en-suites with baths, some look more homely than others but feel free to bring what you need to make you feel more relaxed. You need to ask in advance if there is a birthing pool and if you can use it. You can dim the lights and play music just make it as comfy and cozy as you can. Some midwives are trained in complimentary therapies to ease labour. Many hospitals are happy for you to have a tour so you can have a good see where you will be and what's on offer just give them a ring and arrange an appointment. BirthChoiceUK is a great website that will help you make a birthing decision.
How will you get to Hospital?
Its good to come up with a few plans about how you will get to hospital and who will take you there. Babies can decide to come at all times of the day and night so its good to know the roads in case its rush hour, if birth partners are working away, if it's in the middle of the night; having contingency plans is key. Some women choose to stay at home for as long as possible until they go to hospital; always best to phone your midwife when you know you are ready.
One thing to take into account is that because you have been practising your birthing breath techniques and yoga poses and actively engaged with our Hypno Birthing-Quests you may 'sound' over the phone, like you're handling the labour well and may give the midwife the wrong impression in terms of how far along you are. So please let them know you have been doing our course and going to our classes and that you are ready to transition to hospital even if you might not sound like it.
It also helps to do a practice run, looking at all routes to hospital and where your birthing partner or driver can drop you of and park and where they will go inside the hospital to find you again. Make sure you have the right money for parking.
What pain relief options do I have at Hospital
All of it depending on what you need and when you need it such as:
Medical Pain Relief
Entonox (gas & air) works quickly and wears off. May cause nausea.
Pethidine - This is an opiate given as in injection in the thigh. It is very effective in relaxing stressed women who have had a long latent phase of labour but, it can cause nausea and vomiting.
Epidural - a local anaesthetic is injected into the epidural space between the second and third lumbar vertebrae. The drug action the spinal nerves to produce a sensory and partial block. It is pain free, women can sleep and good for long labours and complicated deliveries. Mobility, however is restricted and the risk of having further medical intervention and assisted with rises.
Remember: "Everything has a place!"
Examinations can really help you know how far along you are in your labour and whether the baby is in a comfortable position. You can choose when it is right for you, it is ok to say no if it is not the right time. Off course sometimes it's very important that some of the tests are carried out given different circumstances, but you can judge this and decided the necessity. Every hospital has hand held monitors so ask them to use one of these before you are confined to the bed to be monitored. You will then have much more freedom of movement and be able to do some of the Yoga Birthing Moves you have learnt in your LushTums Classes.
Types of examinations:
• Cervical examinations • Electrical Foetal Monitoring
• Monitoring on the baby's head
Pain Relief Ladder
Before going straight for the medical relief try some of these alternatives first. You will be surprised just how well they go with all of the positive Birthing Mindset tools and techniques you have to birth you baby with ease and love.
• Yoga Birthing Poses
• Birthing Breath
• Massage
• Heat
• TENS Machine
• Reflexology
• Aromatherapy
• Acupuncture
• Bachs Flower Remedies
• Bath/Birth Pool
• Homeopathic Remedies Midwife-Led Unit and
Birth Centres Birth centres are maternity units that are usually staffed by midwives and they aim to offer a homely, rather than clinical, environment. They are especially good at supporting women who want a birth without medical interventions. Most are set up with furniture and facilities designed to help you feel calm and in control.
The aim for birth centres is to treat labour and birth as a straightforward, normal thing to happen, rather than a risky event. You may also hear birth centres referred to as:
• Community maternity units (CMUs) in Scotland.
• Midwife-led units (MLUs).
• Midwifery units.
• Birthing centres.
• Birthing units.
Some birth centres are separate from a hospital (freestanding midwifery unit), but many hospitals have midwife-led birth centres alongside their conventional, consultant-led, maternity units (alongside midwifery unit).
Who can use a birth centre?
You will probably only be able to book into a birth centre if your pregnancy is low-risk, and you have a good chance of having a normal birth, at full-term. Complications during a previous pregnancy or your current pregnancy may mean that the likelihood of being transferred to hospital during labour is increased, and your doctor or midwife may recommend that you give birth in a hospital instead. Some birth centres won't accept you if you are over a certain age, either.
Your doctor or midwife may recommend that you don't give birth in a birth centre, if, for example:
• You have complications such as gestational diabetes, high blood pressure or anaemia.
• You have had complications or interventions in a previous pregnancy, such as preeclampsia, caesarean section, or a baby with shoulder dystocia.
• Your baby has problems that have been picked up during pregnancy.
• Your baby is at risk of being born early.
• You're having twins or more.
Some birth centres accept women from any area of the country. Others will only accept you if you are registered with a local GP, or are under the care of local community midwives. Most birth centres are happy to accept first-time mums whose pregnancies are going well.
If you would really like to use a birth centre, but have some complications or other risk factors, ask to meet a senior midwife or consultant at the hospital. They'll be able to talk you through your options and help you work out whether a birth centre is right for you.
What do birth centres offer?
Birth centres offer a compromise between home and hospital. They offer a relaxed atmosphere, and are well-equipped and staffed with highly skilled midwives. Birth centres often offer facilities that aren't available in hospital, such as:
• Comfortable, low-tech birthing rooms.
• A calming interior, with soft mood lighting.
• Labour aids, such as birth balls, padded flooring and birth stools.
• Complementary therapies, such as aromatherapy and massage.
• Accommodation for your family.
• A birth pool.
You may be more able to relax into the sensations of birth, cared for by supportive midwives, and using nothing stronger than gas and air (Entonox). Your midwife will encourage using natural coping strategies, such as immersion in warm water. She will also encourage you to have an active birth by moving around and using different positions. Everything that you have learnt at our LushTums Pregnancy classes or within this Birthing Resource Centre will support you to birth your baby naturally.
Compared with some hospital labour wards, a birth centre is likely to give you and your partner:
• More privacy.
• One-to-one midwife care. • A more homely, calm environment.
• Better facilities for your partner, such as a place to sleep and access to a kitchen.
Some birth centres offer antenatal care and classes, as well as regular clinics with a visiting obstetrician.
Free-standing birth centres sometimes also offer a high standard of care after your baby is born. You may have a private, en-suite room, so that you can relax with your baby in peace and stay until you feel ready to go home. Some of your family may be able to stay overnight, too. You'll also get plenty of help with breastfeeding.
However, some centres only offer care during and immediately after labour and birth. So you may be transferred to a postnatal ward on the main maternity unit after you've given birth.
What pain relief options do I have at a birth centre?
Most birth centres offer the following forms of pain relief:
• Gas and air (Entonox).
• Diamorphine or pethidine injection.
• Water birth in a birth pool.
• TENS machine – not all birth centres have TENS machines so you might have to hire one.
Some birth centres also offer acupuncture, which can reduce the need for other kinds of pain relief. There are also other alternative pain relief methods that are often supported in birth centres, such as the hypnobirthing you've been doing in this Birthing Resource Centre.
This is an important conversation to have with your midwife before you choose where you want to give birth, as pain relief options could be a deciding factor.
What facilities won't I get at a birth centre?
You won't have immediate access to highly skilled obstetricians, anaesthetists, or neonatal nurses. Some stand-alone birth centres may have cover from these specialists, but most don't; but many birth centres sit right next door to hospitals.
This means that you're unlikely to be able to have an epidural while under birth centre care. Similarly, if you need extra help from a healthcare professional with particular training, you may need to be transferred to hospital.
Why do transfers to hospital usually happen?
Transfers are fairly common, particularly for first-time mums. About one in three low-risk first-time mums are transferred, compared with about one in 10 mums who've had a baby before. You may be slightly less likely to be transferred if you give birth in an alongside birth centre than a free-standing one.
You'll need to be moved to a consultant-led unit if:
• You need strong pain relief, such as an epidural.
• Your labour isn't progressing well, and your baby needs help to be born, for example by forceps or ventouse, or caesarean section.
• Your baby needs special care after the birth, and you're in a free-standing birth centre.
Try not to worry about being transferred, but do prepare yourself for it. If you do need to be transferred, your midwife will arrange it, and she'll also go with you, so you'll be well looked-after every step of the way.
You may be transferred by trolley, wheelchair, or bed if you are in a birth centre attached to a hospital. From a free-standing centre you will be transferred by car or ambulance .
If you are transferred, you should be offered some choice in the practicalities, such as if you want to walk to the ambulance, or would prefer to sit or lie down. Your birth partner should be able to come with you in the ambulance if you want, or he can follow you in the car. Remember to bring all your things with you!
Some women feel relieved to be transferred, while others feel disappointed, depending on the reason for the transfer. You may miss the more personal atmosphere of the birth centre. However, you should still receive one-to-one midwifery care in hospital, and you'll know you're doing what's best for you and your baby.
At what point do transfers usually happen?
Transfers are rarely emergencies, so there's usually plenty of time for a calm transition. First-time mums-to-be are much more likely to be transferred during labour than after the birth, for the reasons mentioned above.
Sometimes, a transfer is needed after the birth, rather than during. Reasons for a postnatal transfer include:
• Stitches for a perineal tear or episiotomy.
• Heavy bleeding.
• Retained placenta.
If you're an older first-time mum-to-be, it can increase your chance of transfer. But if you've had a baby before, your age won't make a difference.
What are the benefits of having my baby at a birth centre?
Birth centres usually only accept you if you are likely to have an uncomplicated labour and birth. So you probably already have a higher chance of having a straightforward, rewarding experience, if you're booked into one.
At a birth centre, you're more likely to:
• Manage your labour and birth without strong pain relief.
• Have a straightforward vaginal birth.
• Avoid having an episiotomy or c-section.
• Be satisfied with your birth experience.
The midwives at the birth centre will offer you plenty of support with breastfeeding, too. So you'll be more likely to get off to a good start, and breastfeed your baby for longer.
Are birth centres safe?
Having your baby in a birth centre is no more or less risky than in hospital, although you are less likely to need an assisted birth in a birth centre. If you're a first-time mum, having your baby at a birth centre is slightly safer than giving birth at home. But if you've already had a baby, giving birth at home is just as safe as a birth centre or hospital.
Rates for serious problems during labour and birth in the UK are very low, so wherever you have your baby, it's highly likely to be a safe experience.
Can I pay for private care?
Maternity care in NHS birth centres is free of charge, but if you want to pay for your care, there are some private birth centres in London and other regions of the UK. As a rough guide, one private birth centre in London charges between about £7,000 and £9,000. Much depends on how early in your pregnancy you start your care with them.
What should I ask when choosing a birth centre?
You may want to ask the following questions to find out if a birth centre will accept you, and whether it's right for you:
General information
• Do you accept women from my area?
• Do you accept women of my age?
• How many women do you help to give birth each year?
• How many first-time mothers book with you?
• What is the average length of stay?
• Do I have to be registered at a local GP practice?
• Does the birth centre ever have to close? If it does, where will I go?
Questions about labour and birth
• Will I have one-to-one care from a midwife throughout labour?
• Can my family and children be with me at the birth?
• What percentage of normal vaginal births do you have each year?
• How would you monitor my baby during labour?
• What pain relief is available, including non-drug methods?
• Is there a time limit on the second (pushing) stage?
• Is there a midwife trained to use ventouse?
• What percentage of women have an episiotomy?
• Are complementary therapies available, and are they practised by qualified practitioners?
• Can I eat and drink during labour?
• Is there a birth pool available?
Questions about transfers to hospital
Sometimes circumstances mean that you need to be transferred to hospital. You may want to ask:
• How many women are transferred to hospital during labour?
• What are the main reasons for transfer?
• Which maternity unit would I be transferred to in labour?
• Which hospital would my baby be transferred to if he needs special care?
• What are the average journey times to these units?
• Would the midwife caring for me carry on looking after me in hospital?
Questions about postnatal care
• What kind of help will I get with breastfeeding?
• Do you have facilities for a postnatal stay?
• How long will I be able to stay?
• Can members of my family stay with me
Keep asking those important questions every step of the way so you can make informed decisions which will positively impact on your postnatal recovery.
Home Birth
If your pregnancy has been straightforward with no complications you ought to be able to have your baby at home. If you have had a baby and experienced complications during that birth or if you have a medical condition you may be advised to have your next baby in hospital, but this doesn't mean a home birth is out of the question. Use B.R.A.I.N and ask about the risks and benefits and make your informed decision.
A community midwife will come out to your home to see how you are getting along, she'll watch a few contractions and talk to you and your birth partner and she may examine you if you'd like her too, to see how far along you are. You can ask her to sit with you or in a different room while you and your birth partner concentrate on birthing. A second midwife will be called to join her for the birth of your baby. Ideally two midwives ought to be present when your babies born. Then, if there's an emergency, one midwife can look after you and the other one looks after your baby.
What equipment do I need?
Not much!
• Plastic sheeting or bin liners to protect your floor, bed or sofa.
• Old towels or sheets to cover the plastic sheeting.
• A couple of containers, in case you are sick during labour.
• A warm blanket or throw, in case you get cold. • Bin liners for dirty linen and rubbish.
• Old sheets or towels can create a covered path between where you labour and give birth, and the toilet.
• Clean warm towels, a baby blanket keep your baby warm after she's born.
• Clothes for baby & nappies.
• Bottles and Baby formula.
• Boobies for breast feeding!
Otherwise you'd need the same things you would pack for your hospital birth, (see Hospital Bag PDF) clean comfy clothes for you and your baby, toiletries, home comforts, snacks, foods, water, beverages, and because you're at home candles, music, incense, low lighting anything that will make you really comfy!
Placenta Delivery
Once the placenta is delivered, your midwife will check to see if you have a tear that needs stitching. Most tears can be stitched up by your midwife. If the placenta doesn't come away, or if you have a very bad tear, you'll need to go to hospital.
If all is well, the midwives will probably leave you and your partner alone with your baby for a while. Then they'll check your baby over and weigh her. Whether you are breastfeeding or formula-feeding, your midwife will help you with the first feed, if you need it.
Your midwife will stay until she's happy that you are comfortable and well. She'll see you into bed, and clear up any mess before leaving.
Your newborn will have a physical examination around three days after the birth. A midwife or doctor may call to do this or you may have to take your baby into hospital to have it done.
You may have more visits from your midwife or a maternity support worker until your care is transferred to a health visitor. In some areas, you may have the choice of going to a clinic or children's centre for your postnatal checks.
What pain relief options do I have at home?
• Gas and air (Entonox).
• Water birth in a birth pool if you have hired one.
• TENS machine if you have hired or bought one.
What happens if I need to go to hospital in labour?
Most transfers from home to hospital during labour or just after birth are not urgent but they are very common. One reason why home birth is as safe as it is in the UK is because women are transferred to hospital when they need extra help.
A large study of home births in England found that for low-risk pregnancies, about 20 per cent (one in five) of mums-to-be were transferred to hospital.
The transfer rate was lower for women who'd had a baby before, at 12 per cent (about one in eight). It was highest for first-time mums, at 45 per cent. It is common to feel some disappointment if you have to be transferred to hospital, either before, during or after your baby's birth. Although you're much less likely to feel this way if you are well informed about why the decision has been made.
The two most common reasons for transfer to hospital, whether you've had a baby before or not, are if:
• Your labour is taking a long time.
• Your baby becomes distressed during labour.
• You need an epidural.
Although this all sounds like it's happening at the last minute, be reassured that your midwife will monitor you and your baby during labour. If she suspects a problem is developing, she'll recommend that you transfer into hospital in good time.
If you are transferred to hospital, it will be by ambulance, so you won't have to worry about traffic or parking. If your transfer is considered non-urgent, you'll probably be in hospital in less than an hour. If your transfer is considered urgent, it's likely to be much quicker than this. Your birth partner may be able to travel in the ambulance with you although it may be beneficial if they were to follow in the car with your 'just in case hospital bag'.
Make sure you have a hospital bag packed and ready. Put the things you'll need just for the birth in one place, in a box or plastic container. Then you can still use them at home, but they'll be ready to put in a bag at quick notice. This would be a good job for your birth partner, if you have one.
Once you get to hospital, your home birth midwife may carry on caring for you, although it's more likely that other midwives on the labour ward will look after you. Ask your midwife what the set-up is in your area.
Who will be with you at the birth?
This is a very important question to think about. It's very popular to have the Dad step into the role of birth partner but they don't necessarily have the right skills emotionally, mentally and physically to support you in birth. It may be that you choose someone else to be your support and that they are there to simply be present. Or it may be that they are the best person to support you in what will probably be the most life enhancing experience ever!
Whomever you choose they need to play an active supportive role so it is imperative that when you create your Birthing Wish List of the back of digesting all of this information, that they are privy to it and can stand up and, in some cases take a stand, on your behalf. You need to trust in them explicitly that they have your back and will action your birthing wishes, needs and demands on your behalf. It's important for all birth partners present to remain calm and collected and be in full support of you as the birthing mother, even if you go off "plan" and change your mind about anything on the Birth Wishes list. It is your body and your decision, and birth partners need to be able to hold that space openly and with a compassionate and kind heart - fully supporting you in those moments where you may change your mind about what she would rather have happen.
In preparing for birth, a couple should discuss the role of a birth partner, and ensure everyone understands the expectations. Some couples may decide together that a friend or family member may be better suited to this role - and that's okay. Better to discuss this before hand!
You may also want to consider hiring a doula to have an extra pair of hands and provide that additional emotional support and consistency. Statistics show having a doula onboard reduces the need for medical intervention by 60% and it is now the recommendation of the World Health Organisation (WHO) that doulas attend all births.
A doula is a professional trained in childbirth who provides emotional, physical, and educational support to a mother who is expecting, is experiencing labor, or has recently given birth. The doula's purpose is to help women have a safe, memorable, and empowering birthing experience.
Your relationship would ideally start a few months before your baby is due. Giving your enough time to develop a relationship in which you feel safe, nurtured and empowered to give birth.
Doulas do not provide any type of medical care but their knowledge in many aspects of labour and delivery is extensive and in most cases, priceless.
A doula acts as an advocate for the mother, encouraging and helping her fulfil specific desires she might have for her birth. The goal of a doula is to help the mother experience a positive and safe birth, whether in hospital, at home, in a midwife- led unit and especially with cesarean.
We highly recommend having a Doula with you as studies have shown that intervention decreases massively, the cesarean rate decreases by 50%, the length of labor by 25%, the use of oxytocin by 40%, and requests for an epidural by 60%.
We have a great relationship with Kate Woods from Conscious Birthing so for more information and to find a Doula near you go to http://www.consciousbirthing.co.uk
Induction - natural and / or medical?
• Walking/Circling - moving pelvis to stimulate the baby moving down and connecting with your cervix.
• Raspberry Leaf Tea - up to 8 weeks prior to your due date - will strengthen the uterus and can soften the cervix.
• Have sex / make love. Semen contains a prostaglandin, which stimulates the cervix. It took oxytocin to make the baby - it takes the same hormone to birth them too. If things start to happen, but slowly, then encourage more Oxytocin around your body try connecting and cuddling with your partner and getting a bit intimate. Oxytocin increases dramatically when nipples are stimulated.
• Go quiet, dim lights, be still - let baby know all is well and safe - Relax, it's natures way of helping women give birth in safe environments.
• Water /bath/aromatherapy - all aid relaxation and calm.
• Eat hot, spicy food. Capsaicin in chilli peppers stimulates endorphins and chillies can stimulate labour.
• Acupuncture or reflexology can help, as can homeopathic remedies.
• Pulsatilla 6c to progress and Caullpphyllum to start it - consult a qualified Homeopath.
NOTE: 60% of baby's are born around day 10, so might be worth discussing with your midwife to make induction day, day 11 0r 12 instead. About 4% of baby's come on their due date; It ought to be called 'Birth Month'.
Sometimes a doctor and midwife may need to make a cut in the area between the vagina and anus (the perineum) during childbirth. This is called an episiotomy and makes the opening of the vagina a bit wider, allowing the baby to come through it more easily. Sometimes a woman's perineum may tear as the baby comes out. An episiotomy can help to avoid a tear or speed up delivery.
The National Institute for Health and Care Excellence (NICE) recommends that an episiotomy should be considered if:
• The baby is in distress and needs to be born quickly
• There is a clinical need, such as a delivery that needs forceps or ventouse, or a risk of a tear to the anus
If you have a tear or an episiotomy, you'll probably need stitches to repair it. Dissolving stitches are used, so you won't need to return to hospital to have them removed. If your doctor or midwife feels you need an episiotomy when you're in labour, they will discuss this with you, it is ultimately your decision.
We're seeing a reduction in the need for intervention such as forceps or ventouse in our ladies who attend our LushTums Pregnancy Yoga and Preparing for Birth Intensive Workshops (see our website www.lushtums.co.uk for details). With the use of the different kinds of Birthing Breathe and Yoga Poses we are finding mums are consciously holding their babies int he birthing canal and breathing them down and out without the need of intervention.
Dad or birth partner to deliver the baby, cut the cord?
Whether you have a home birth, hospital birth or birth in a midwife-led unit your birth partner, Dad of other Mum can deliver the baby and cut the cord. This needs to be discussed before hand and written into your Birthing Wish List. Of course they can change their mind at the last moment and the midwife or doctor will deliver the baby.
The Delivery of the Placenta - Physiological Third Stage or Actively Managed?
It's very exciting when the baby has been born and many want to share the good news straight away, with pics and phone calls. But this next stage, the third stage is probably seen as the most important from the Doctors point of view; the delivery of the Placenta. With this in mind, enjoy your baby and take the time to connect and bond rather than jumping on your phone to share the news.
You have two choices in how you deliver the placenta, naturally or with medically helped.
• Physiological - can take up to an hour. No drugs given. Umbilical cord is left attached to baby and the Mother births the Placenta with Uterine Contractions and pushing.
• Active Management - This can take up to 30 minutes, although it is usually much faster. Syntometrine is given via and intra-muscular injection into Mother's leg, which causes the muscle constriction and the placenta to be expelled.
Delayed cord clamping
THE GOLDEN MINUTE - the first 90 seconds after the birth gives the baby the oxygen they need and the iron for growth, so it is very important to leave the cord unclamped for around this length of time - or until the cord has finished pulsating. This ensures the remaining 1/3 of the baby's blood which resides in the Placenta and cord has the time to transition into baby.
It's estimated that a 2 or 3 minute delay in cord clamping can increase your baby's blood supply by up to 30%. This can mean your baby has 60% more blood cells. This is usually the standard procedure but it is good to add this to your 'Birth Wish List'. If there are any complications or the baby needs medical assistance this may not be possible.
What to do with the Placenta?
• You can take your Placenta home with you. Many people bury it and plant a rose bush or tree over it.
• Offer it over for stem cell research.
• Get it encapsulated.
• Let the hospital dispose of it.
When is Vitamin K needed - injected or oral?
Vit K helps blood to clot which some babies are deficient in. Vit K is passed through breast milk and by day 8 the baby's reserves of Vit K are up to 'normal' levels. Vit K comes in a shot or oral if low risk, over a few weeks or can come as a single does injection. Again do some more research so you can make an informed decision when the time comes.
• Babies born before 37 weeks
• Babies born by forceps, ventouse or c-section
• Babies have been bruised during labour
• Babies who have breathing difficulties
• Babies with liver problems at birth
• Babies whose mothers have taken drugs during pregnancy for epilepsy or to prevent clots of TB.
Skin to Skin
Skin to skin with mum is very important not only for bonding but to regulate baby's heart beat. And whilst sometimes it is necessary for baby to have skin to skin with dad in the first 30 mins of being born, it doesn't have the same effect in terms of regulating the heart beat and connection with mum. If it can happen with mum first, then make sure they have good quality bonding time together before dad gets a cuddle.
Quiet time after baby is born, for a little while, before calls are made and photos sent. You can also ask to delay weighing and measuring to allow for this important bonding time. It is good to note that all tests, including the hip test can be done right next to you. The baby does not have to be taken away from you for these tests to be carried out, unless off course there is some kind of emergency.


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Whether you're a first-timer, a coach of beginning players or a coach who's looking to take the next step in your career, our instructional clinics are designed to help you achieve your goals.
The Level 2 curriculum is geared toward coaching players who have an understanding of the basic skills and objectives of the game. Coaches also will learn how practice planning fits into overall tactical objectives for their season. Coaches will receive detailed instruction on building the tactical elements of their team based on overarching principles for offense, defense and transition.
Please visit US Lacrosse to Register now.
For more information or questions please contact Rich Kimball


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INSIGHT: Teachable Tastes website and digital campaign. The program aimed to increase the association between Mott's and their brand purpose through content that helps parents instill positive eating habits in their children at a young age.
Teachable Tastes
There are four key "barriers" that hinder kids from eating right. Texture, appearance, flavor and aroma. With the help of leading child nutritionists, Teachable Tastes would tackle those barriers. We developed video, editorial, and website sections to address these four common barriers. Each section hosted five recipes (twenty in total).
Site visitors of Teachable Tastes were 14% more likely to identify the brand purpose. Visitors spent an average of 33% more time with Teachable Tastes recipes than Mott's recipes. Almost 90% of respondents said they were "very likely" to purchase Mott's products after visiting Teachable Tastes and 70% said the content was relevant to them as a parent. As a result, this Campaign earned a Shorty Awards Finalist spot for best Family & Parenting Campaign.


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Yahoo! News (US), September 1, 2000
Pic A Foul Ball, Chicago Sez
HOLLYWOOD (Variety) - Two Chicago officials say Paramount's Windy City-set picture "Hardball" is not playing fair with foul language. Mayor Richard Daley and public schools head Paul Vallas ripped the Keanu Reeves starrer for its profanity-peppered portrayal of inner-city youth, many of them black.


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Kelowna Family Photographer - The Mackenzies
I cannot wait until the snow is melted and I can start taking family sessions again. This family braved the cold fall day for me and we created so beautiful memories for them. The oldest daughter just clung to her dad and it was the sweetest thing to witness. Also, when I asked mom and dad to kiss, she buried her face away. It was the cutest thing ever!
Also, when mom received the gallery, she told me the greatest thing to hear when your a photographer. That she loved them all and that it was going to be so difficult to choose images for their Christmas cards! I received one of the cards and she did a wonderful job selecting images.
Then there's the dad. This family is friends of ours, and I get a text from him letting me know he needs some help for Julie's Christmas gift. He wants to blow some images up and frame them for her so they can display them in their home as a gallery wall!!! I don't think I have to mention how excited and happy that made me. So, I helped him with the process and Julie was thrilled with her gift this year! I cannot wait to see them on display and hopefully I will be capturing more memories for this family in the future.


text: Pinch to zoom I'm in! Personalised Rose Gold Dad Est Date Cufflinks by EVY Designs £32$58.70€36.33$39.73 1 customer review(1) free gift wrap Favourite Favourite Ask Seller View your favourites first cufflink choicefirst cufflink choice (required)DadDaddyfirst cufflink choice (required)DadDaddyfirst cufflink choice (required)DadDaddyfirst cufflink choice (required)DadDaddy est. date (required) quantity personalise PRODUCT DETAILS made in britain exclusive can be personalised free gift wrap Classic styling and design in beautiful and charming rose gold. The perfect gift for your father to treasure, with a lttle etched heart you can choose to have dad or daddy engraved on the first cufflinks and engrave the second cufflinks with an Est. date. They make an ideal gift for so many occasions for Birthdays, Christmas, Father's Day and are perfect sentmental gift for Father of the bride. Our timeless and elegant products accentuate your outfit and enhance your look. EVY Designs Ltd pieces make fabulous gifts for loved ones or a delightful treat for you! Presented in EVY Designs signature gift packaging perfect for gifts! Designs and images are solely the property of EVY Designs Ltd© and cannot be used or reproduced without permission. made from: Rose Gold Plated Metal Polish with Soft Cloth dimensions: 2cm x 1.6cm product code: 696187 see more see less CUSTOMER REVIEWS 1 customer review read about our product rating system trusted independent customer feedback forum DELIVERY This product is dispatched to you by EVY Designs. RETURNS You have 28 days, from receipt of cancellable goods, to notify the seller if you wish to cancel your order or exchange an item. Please note: goods that are personalised, bespoke or made-to-order to your specific requirements, perishable products and personal items sold with a hygiene seal (cosmetics, underwear) in instances where the seal is broken are non-refundable, unless faulty. Read more about our returns policy.Should you choose to return or exchange your order you will need to deliver the item(s) to the UK, where this seller is based.


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PET is a specialized radiology procedure used to examine various body tissues to identify certain conditions. PET may also be used to follow the progress of the treatment of certain conditions. PET is a type of nuclear medicine procedure. It uses a tiny amount of a radioactive substance, called a radionuclide (a radiopharmaceutical or radioactive tracer). The radionuclide is injected into the body during the procedure to assist in the examination of the tissue under study. A special type of camera can then detect the radioactivity in the body. Specifically, PET studies evaluate the metabolism (utilization of tagged glucose molecules) of a particular organ or tissue, so that information about the physiology (functionality) and anatomy (structure) of the organ or tissue is evaluated, as well as its biochemical properties. Thus, PET may find biochemical changes in an organ or tissue. These changes can identify the start of a disease process before anatomical changes related to the disease can be seen with other imaging processes, such as CT or MRI. More recently, PET/CT does PET and CT at the same time and produces a composite image that can both produce a picture of an organ and measure its use of sugar.
These scans take pictures after injecting into the body a substance called radionuclides that release a low level of radiation. Special cameras create pictures of where the material travels and collects. A tumor may show up as a "hot spot." These scans are used to detect tumors and bone abnormalities. Some common nuclear scans are bone scan, PET scan, thyroid scan, MUGA scan, or gallium scan.


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Best Logos
Best Logos
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- 148 Responses
- wendog0
- Yeah? For real? Its sort of an eye-sore. I really like your triple letter logo...it works well.TaylorB
- Wendog, have you been drinking one to many Yuengling's...utopian
- hah...best of the new ugly.akrokdesign
- you just ruined this threadOctober
- I WAS KIDDING! AND I HAVENT HAD MORE THAN 4 YUENGSwendog
- This is only good because it's shitness makes you notice itkushman
- akrokdesign0
- creepy eye mark.Iggyboo
- akrokdesign0
- man i want some girl scout cookies right now.OnesandZeros
- Hate the type but their clover leaf symbol is brilliantIggyboo
- +1Ampersanderson
- TaylorB0
- 403
- protected by MULLERakrokdesign
- wow...who knew?TaylorB
- um - click refresh?amullins
- NO HOTLINKING! :PximeraLabs
- again, RefControl for Firefox helpsrafalski
- 403
- _me_0
- the new canadian boarder logo?akrokdesign
- this is like the beer and everything eelse they make.. not so much.Iggyboo
- hmm. never seen before, but dig it.Ampersanderson
- please, close it and lock it... foreverPoint5
- _me_0
Bunch more here:
- TaylorB0
- well, if its says best, it goto be the best. heh.akrokdesign
- wendog0
- How did guess, LOLutopian
- YES!TeganTorch
- Now you really ruined the thread...
- Great Beer!section_014
- mistermik0
i think the panda is great.
- ukit0
- TaylorB0
- yeah, nice.ian
- lovely, there is such a big story behind this logomoamoa
- +666OnesandZeros
- +1Iggyboo
- Dope!nidobrand
- its a good one.akrokdesign
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