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    <td align="RIGHT"><b><font size="1" color="#FFFFFF">Health & Beauty</font></b></td>
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  <tr> 
    <td width="1%" align="left" valign="top"><img src="../../images/sports_health/preggybelly.jpg" width="100" height="200"></td>
    <td width="1%" valign="top" align="left"> <img src="../../images/sports_health/preggybelly.jpg" width="100" height="200"></td>
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        <tr> 
          <td colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><b>Health 
            & Beauty - E: <a href="mailto:kensington@myvillage.co.uk">kensington@myvillage.co.uk</a></b></font></td>
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        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><b><font size="1">Healthy 
            Pregnancy, Healthy Baby</font></b><font size="1"><b> (FDA Consumer 
            magazine) </b></font></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"><font size="1" color="#FFFFFF"><b><strong><a href="#care">Getting 
            Good Care</a><br>
            <a href="#eating">Eating for Two</a><br>
            <a href="#avoid">Avoid Infections</a></strong><br>
            <strong><a href="#stuff">The 'Naughty' Stuff</a><br>
            <a href="#med">Medications</a></strong><br>
            <strong><a href="#exercise">Exercise</a></strong> <br>
            </b> <a href="#home"><b>Home Pregnancy Tests</b></a><b><br>
            <a href="#testing">Testing for Birth Defects</a> </b></font></td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font color="#FFFFFF"><strong><font size="1">Exercise, 
            Good Food, And Prenatal Care Are the Keys </font></strong><font size="1">by 
            Rebecca D. Williams</font></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">When I was pregnant with my third 
              child, I had two friends who were also expecting. We would get together 
              once a week and, over milkshakes, compare our growing bellies and 
              laugh about our big maternity pants.</font></p>
            <p><font size="1" color="#FFFFFF">We would also share our fears. Together 
              we obsessed about nearly everything that could go wrong in the 40 
              weeks of pregnancy. What are these pains? Why am I so tired? How 
              much will labor hurt? Can I handle another child? And the big one: 
              Will my baby be healthy?</font></p>
            <p><font size="1" color="#FFFFFF">Worries and pregnancy seem to go 
              hand in hand. Fortunately, however, most women of childbearing age 
              are healthy and most pregnancies are considered "low-risk." For 
              most women, the surest way to have a healthy baby is to live a healthy 
              lifestyle. The March of Dimes suggests the following precautions:</font></p>
            <ul>
              <li><font size="1" color="#FFFFFF">Get early prenatal care, even 
                before you're pregnant. </font></li>
              <li><font size="1" color="#FFFFFF">Eat a well-balanced diet, including 
                a vitamin supplement that contains folic acid. </font></li>
              <li><font size="1" color="#FFFFFF">Exercise regularly with your 
                doctor's permission. </font></li>
              <li><font size="1" color="#FFFFFF">Avoid alcohol, cigarettes, and 
                illicit drugs, and limit caffeine. </font></li>
              <li><font size="1" color="#FFFFFF">Avoid x-rays, hot tubs, and saunas. 
                </font></li>
              <li><font size="1" color="#FFFFFF">Avoid infections.</font></li>
            </ul>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="care"></a>Getting 
            Good Care</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">When it comes to medical care and 
              pregnancy, you can never start too early.</font></p>
            <p><font size="1" color="#FFFFFF">"The best start to having a healthy 
              baby is to see your health-care provider before you conceive," says 
              Richard Schwarz, M.D., an obstetrician and national consultant for 
              the March of Dimes.</font></p>
            <p><font size="1" color="#FFFFFF">"There are lots of things you can 
              do ahead of time," Schwarz adds. "You can make sure you're immune 
              to rubella [German measles], you can know your blood type, you can 
              stop smoking and make sure your diet is healthy, and you can get 
              any illnesses you might have under control."</font></p>
            <p><font size="1" color="#FFFFFF">Once you're pregnant, your health 
              professional--either an obstetrician, family practitioner, nurse-practitioner, 
              or nurse-midwife--will have you begin with monthly visits that increase 
              to once a week or more at the end.</font></p>
            <p><font size="1" color="#FFFFFF">At each visit, the physician or 
              nurse will perform a series of examinations and tests to determine 
              the health of the mother and baby. These include measuring the growth 
              of the uterus, listening to the baby's heartbeat, taking the mother's 
              blood pressure and weight, and checking her urine for evidence of 
              protein or sugar, which could be symptoms of complications. The 
              care provider will ask the mother if she has any concerns or problems 
              such as blurred vision, leg cramps, abdominal cramps, or unusual 
              headaches. The mother may also undergo ultrasound and genetic tests 
              during the pregnancy.</font></p>
            <p><font size="1" color="#FFFFFF">Although prenatal visits may seem 
              simple and even mundane, their importance can't be overestimated. 
              Years of research have shown that pregnant women who get adequate 
              prenatal care are more likely to have healthy babies and fewer complications 
              during labor and recovery. Says Schwarz, "We know that pregnancy 
              outcomes are better in women with early prenatal care."</font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="eating"></a>Eating 
            for Two</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">Good nutrition is another crucial 
              step in having a healthy baby. A pregnancy takes about 300 extra 
              calories a day to maintain, and an average-sized woman can expect 
              to gain between 25 and 35 pounds overall.</font></p>
            <p><font size="1" color="#FFFFFF">Those extra calories should be nutritious 
              ones, however. A pregnant woman needs a balanced diet complete with 
              protein, fruits, vegetables, and whole grains, and a minimum of 
              sweets and fats.</font></p>
            <p><font size="1" color="#FFFFFF">"Good nutrition is extremely important 
              even before a pregnancy," says Shirley Blakely, Ph.D., a registered 
              dietitian with the Food and Drug Administration's Center for Food 
              Safety and Applied Nutrition. "If nature favors the growing fetus, 
              the mother will suffer if she hasn't had a good diet."</font></p>
            <p><font size="1" color="#FFFFFF">According to the March of Dimes, 
              a pregnant woman should increase her daily food portions to include:</font></p>
            <ul>
              <li><font size="1" color="#FFFFFF">6 to 11 servings of breads and 
                other whole grains </font></li>
              <li><font size="1" color="#FFFFFF">3 to 5 servings of vegetables 
                </font></li>
              <li><font size="1" color="#FFFFFF">2 to 4 servings of fruits </font></li>
              <li><font size="1" color="#FFFFFF">4 to 6 servings of milk and milk 
                products </font></li>
              <li><font size="1" color="#FFFFFF">3 to 4 servings of meat and protein 
                foods </font></li>
              <li><font size="1" color="#FFFFFF">6 to 8 glasses of water, and 
                no more than one soft drink or cup of coffee per day to limit 
                caffeine. </font></li>
            </ul>
            <p><font size="1" color="#FFFFFF">Some nutrients have been found to 
              provide specific benefit to mother or child. For example, the B 
              vitamins have been found to be especially important. One of them, 
              folate, or its synthetic form, folic acid, can reduce the risk of 
              birth defects of the brain and spinal cord, called the "neural tube."</font></p>
            <p><font size="1" color="#FFFFFF">Each year, an estimated 2,500 babies 
              are born with neural tube defects. The most common of these is spina 
              bifida, in which the spine is not closed. The exposed nerves are 
              damaged, leaving the child with varying degrees of paralysis, incontinence, 
              and sometimes mental retardation.</font></p>
            <p><font size="1" color="#FFFFFF">Because neural tube defects develop 
              in the first 28 days after conception, "Once you know you're pregnant 
              it's too late to do anything about [them]," says Blakely.</font></p>
            <p><font size="1" color="#FFFFFF">Because half of all pregnancies 
              are unplanned, the U.S. Public Health Service recommends that all 
              women of childbearing age get 400 micrograms of folic acid each 
              day. If all women received that amount daily, the incidence of neural 
              tube defects might be reduced by an estimated 45 percent, studies 
              suggest. To help reach this goal, FDA now requires that all flour 
              products, such as breads, buns and bagels, be fortified with extra 
              folic acid.</font></p>
            <p><font size="1" color="#FFFFFF">Natural sources of folic acid include 
              green leafy vegetables, nuts, beans, and citrus fruits. It's also 
              in many fortified breakfast cereals and some vitamin supplements.</font></p>
            <p><font size="1" color="#FFFFFF">Calcium and iron are also especially 
              important during pregnancy. Getting enough calcium will help prevent 
              a new mother from losing her own bone density as the fetus uses 
              the mineral for bone growth. Iron helps both the mother and baby's 
              blood carry oxygen. Most women need supplements to maintain adequate 
              levels of these minerals. A daily vitamin supplement, while not 
              an adequate substitute for a healthy diet, helps fill in the gaps 
              on days when a woman's diet is less than perfect.</font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="avoid"></a>Avoid 
            Infections</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">Many infections during pregnancy 
              can be dangerous to an unborn child. Urinary tract infections and 
              any sexually transmitted diseases need to be treated immediately.</font></p>
            <p><font size="1" color="#FFFFFF">Cat litter and raw meat may contain 
              the parasite <i>Toxoplasma gondii</i>, which can cause toxoplasmosis 
              infection<i>. </i>It's rare for a pregnant woman to get the infection, 
              but if she does, her baby could be at risk for serious illness or 
              death. Get someone else to change the kitty litter if possible, 
              or wear a face mask and rubber gloves for protection.</font></p>
            <p><font size="1" color="#FFFFFF">Problems also may arise when a pregnant 
              woman eats undercooked or raw foods, or cooked foods that have been 
              cross-contaminated with bacteria from raw food nearby. Food poisoning 
              can cause meningitis, pneumonia, or even death to an unborn child, 
              plus the vomiting and diarrhea involved leave the mother exhausted 
              and dehydrated. (See "On the Home Front" in the November-December 
              1997 FDA Consumer.)</font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="stuff"></a>The 
            'Naughty' Stuff</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">Nearly everyone knows pregnant women 
              shouldn't take illicit drugs, but it's the legal ones--alcohol and 
              tobacco--that are more commonly the source of pregnancy problems.</font></p>
            <p><font size="1" color="#FFFFFF">"I think if women truly understood 
              the adverse impact smoking and drinking have on their babies, they 
              would quit," says Jeffrey King, M.D., the director of the division 
              of maternal and fetal medicine at Wright State University School 
              of Medicine, and the author of a recent study on substance abuse 
              in pregnancy.</font></p>
            <p><font size="1" color="#FFFFFF">Smokers put their babies at a significantly 
              higher risk of preterm birth, low birth weight, and stillbirth compared 
              with nonsmokers. After birth, the babies of mothers who smoked during 
              pregnancy are more likely to have poor lung development, asthma 
              and respiratory infections, and to die of sudden infant death syndrome 
              (SIDS).</font></p>
            <p><font size="1" color="#FFFFFF">If a woman quits smoking early in 
              pregnancy, however, she can still improve her chances of having 
              a healthy baby. Expectant fathers or other members of the family 
              should quit, too, because studies suggest breathing second-hand 
              smoke may be dangerous as well.</font></p>
            <p><font size="1" color="#FFFFFF">Alcohol, too, can damage a developing 
              fetus. Alcohol travels rapidly to the bloodstream, so when an expectant 
              mother drinks, her baby drinks also.</font></p>
            <p><font size="1" color="#FFFFFF">Alcohol is known to cause mental 
              retardation and facial abnormalities in babies, a condition called 
              fetal alcohol syndrome. The Institute of Medicine estimates some 
              12,000 children with fetal alcohol syndrome are born in the United 
              States each year. No one knows what amount of alcohol is safe during 
              pregnancy; therefore, the U.S. Surgeon General recommends pregnant 
              women avoid alcohol altogether.</font></p>
            <p><font size="1" color="#FFFFFF">A few other activities are known 
              to be dangerous during pregnancy. X-rays can expose the fetus to 
              radiation and potentially cause birth defects. Hot tubs and saunas 
              can raise the core temperature of a pregnant woman's body and could 
              potentially harm the fetus. Warm baths, however, are fine if the 
              water is kept at body temperature.</font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="med"></a>Medications</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">Many drugs are appropriate for use 
              in pregnancy, if really needed. But a pregnant woman shouldn't take 
              any medication, even an over-the-counter one, unless she checks 
              with her doctor first. If possible, she should avoid taking drugs 
              in the first trimester or taking more than one medication at a time. 
              She can also ask for the lowest dose possible to treat her condition.</font></p>
            <p><font size="1" color="#FFFFFF">Some medications have a long history 
              of being used in pregnancy without problems. A pregnant woman shouldn't 
              be deprived of drug therapy she really needs, says Sandra Kweder, 
              M.D., the co-chair of FDA's task force on pregnancy labeling. She 
              adds that women with pre-existing medical conditions such as epilepsy, 
              lupus, asthma, or high blood pressure shouldn't quit their drugs 
              because of pregnancy. Safer drugs can be used if necessary, but 
              those medical conditions still need to be treated.</font></p>
            <p><font size="1" color="#FFFFFF">Kweder explains, "A common thing 
              with patients is that they'll say, 'I know I'm supposed to take 
              medication, but I'm worried about my baby, so I'll take less of 
              it instead.' They'll take it every other day, or half as much. That's 
              not wise."</font></p>
            <p><font size="1" color="#FFFFFF">The risks of a drug have to be weighed 
              against its benefits. For example, some epilepsy drugs are known 
              to cause birth defects, but an epileptic seizure can cause brain 
              damage to the fetus. Most experts agree that the benefits of medication 
              in such cases outweigh the risks.</font></p>
            <p><font size="1" color="#FFFFFF">Other drugs, however, are not so 
              clear-cut. "It's really hard because there aren't easy answers," 
              says Kweder. "For a baby to be healthy, it needs a mother who's 
              healthy." However, most drugs have not been tested scientifically 
              in pregnant women. Reliable scientific information about medication 
              use in pregnancy is often incomplete or nonexistent. FDA is trying 
              to change that.</font></p>
            <p><font size="1" color="#FFFFFF">The agency has begun a comprehensive 
              review about how it regulates drugs for pregnant women and how safety 
              information is communicated on the label. The present system is 
              not as helpful as the agency would like. "The system has been criticized, 
              and rightly so," says Kweder. "It is complicated to interpret data 
              for medications used in pregnancy. We're making progress, but it's 
              slow."</font></p>
            <p><font size="1" color="#FFFFFF">A new system is needed, she says, 
              but it will be difficult to create. Drugs can't be tested in pregnant 
              women the same as in other groups of people. Animal studies, while 
              helpful, don't necessarily show what a drug will do to a woman and 
              developing fetus.</font></p>
            <p><font size="1" color="#FFFFFF">In the meantime, a woman who has 
              taken a drug and discovers she is pregnant should consult her doctor 
              and avoid making decisions about her pregnancy in panic. While about 
              80 percent of approved drugs lack adequate scientific evidence about 
              use in pregnancy, that doesn't necessarily mean they can harm the 
              fetus or are harmful in the doses prescribed.</font></p>
            <p><font size="1" color="#FFFFFF">Only a very few drugs definitely 
              known to be extremely bad for a human fetus are clearly labeled 
              or, in one case, have special requirements attached to their approval. 
              The drug thalidomide, which was recently approved by FDA to treat 
              leprosy and is being explored for other uses, is devastating to 
              developing fetuses and causes severe deformities of the arms and 
              legs. FDA is requiring that patients who take the drug enroll in 
              a national registry that will track their progress monthly and record 
              the occurrence of any pregnancy. The hope is that this process will 
              discourage physicians from prescribing the drug to women who might 
              become pregnant and keep patients from "sharing" the drug with a 
              woman of childbearing age.</font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><font size="1" color="#FFFFFF"><strong><a name="exercise"></a>Exercise</strong></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p><font size="1" color="#FFFFFF">There's increasing medical evidence 
              to show that exercise, even a vigorous workout, is healthy during 
              pregnancy. An October 1998 study published in the American Journal 
              of Public Health found that exercise is usually safe during pregnancy, 
              and that women who exercised vigorously were more likely to carry 
              their babies to full term compared with women who exercised less 
              or not at all.</font></p>
            <p><font size="1" color="#FFFFFF">A pregnant woman should check with 
              her doctor before exercising, however. If she gets the OK to work 
              out, she should do so at least three times a week for 20 minutes 
              each time, recommends the American College of Obstetrics and Gynecology.</font></p>
            <p><font size="1" color="#FFFFFF">Walking, swimming, riding a stationary 
              bicycle, and joining a prenatal aerobics class are all excellent 
              exercise choices for a pregnant woman. Exercises that require jerky, 
              bouncy movements and being outside in hot weather are not good choices. 
              Don't try deep knee bends, sit-ups (or any exercise that requires 
              you to lie on your back after the first trimester), and toe touches. 
              Other sports to avoid include downhill skiing, rock climbing, and 
              horseback riding.</font></p>
            <p><font size="1" color="#FFFFFF">Wear a supportive bra and properly 
              fitting athletic shoes while exercising. Stop if you feel dizzy, 
              faint, overheated, or in pain. Drink plenty of water.</font></p>
            <p><font size="1" color="#FFFFFF">Staying in shape will help you keep 
              up your stamina during your own impending marathon--labor! And, 
              afterward, the more muscle mass you have, the quicker you'll regain 
              your pre-pregnancy shape and be able to pack away those maternity 
              pants.</font></p>
            <p><font size="1" color="#FFFFFF"><cite>Rebecca D. Williams is a writer 
              in Oak Ridge, Tenn.</cite></font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr bgcolor="#990033"> 
          <td valign="top" colspan="2"><font size="1" color="#FFFFFF"><b><a name="home"></a>Home 
            Pregnancy Tests</b></font></td>
        </tr>
        <tr> 
          <td valign="top"><font size="1" color="#FFFFFF"><img src="../../images/sports_health/preggybelly100.jpg" width="100" height="100"></font></td>
          <td width="100%" valign="top"> 
            <p> 
            <p><font size="1" color="#FFFFFF">Think you might be pregnant? A home 
              pregnancy test is simple to do and can give you an accurate answer 
              in 2 to 5 minutes.</font></p>
            <p><font size="1" color="#FFFFFF">Improved technology has made the 
              urine home pregnancy test about as accurate as blood tests--99 percent 
              under perfect conditions--although in actual use it may be less 
              than that.</font></p>
            <p><font size="1" color="#FFFFFF">Using a woman's urine, a home pregnancy 
              test detects the presence of human chorionic gonadotropin (hCG), 
              a hormone produced only during pregnancy. The tests contain monoclonal 
              antibodies, which are molecules coated with a substance that bonds 
              to the pregnancy hormone. If the hormone is present, a colored stripe, 
              dot, or other symbol appears in the test windows. The tests also 
              contain "control" windows to indicate whether the device has functioned 
              properly.</font></p>
            <p><font size="1" color="#FFFFFF">Although the makers of today's tests 
              say their products can detect hCG as soon as the very day a missed 
              period was supposed to begin, they also advise taking the test again 
              a few days later to confirm the result. If the result is positive, 
              see a doctor as soon as possible.</font></p>
            <p><font size="1" color="#FFFFFF"><cite>--R.D.W.</cite></font></p>
            <p>&nbsp;</p>
          </td>
        </tr>
        <tr> 
          <td valign="top" colspan="2" bgcolor="#990033"><b><font size="1" color="#FFFFFF"><a name="testing"></a>Testing 
            for Birth Defects</font></b></td>
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            <p><font size="1" color="#FFFFFF">Many women undergo tests during 
              pregnancy to check for birth defects, genetic disorders, and other 
              problems. A few of the most common tests are ultrasound scans, the 
              alpha-fetoprotein (AFP) test, amniocentesis, and chorionic villi 
              sampling (CVS). Each of these can be helpful in diagnosing problems, 
              but the tests are not necessary for every pregnancy. Check with 
              your doctor about what tests, if any, are appropriate for you.</font></p>
            <p><font size="1" color="#FFFFFF">Ultrasound--Ultrasound technology 
              uses high-frequency sound waves to form pictures of the fetus on 
              a computer screen. The test can verify a due date, determine causes 
              of bleeding, check the overall health, development, sex and position 
              of the baby, measure the amniotic fluid, and check the condition 
              of the placenta. There are no known risks from the tests, and many 
              women have one or two ultrasounds in routine pregnancies. However, 
              there is little scientific evidence that normal pregnancies benefit 
              from ultrasound tests.</font></p>
            <p><font size="1" color="#FFFFFF">Alpha-fetoprotein Screening (AFP)--A 
              simple blood test that poses no risk to the fetus, AFP screening 
              measures the levels of alpha-fetoprotein in the mother's blood. 
              Abnormal levels can indicate a brain or spinal cord defect, the 
              presence of twins, a miscalculated due date, or an increased risk 
              of Down syndrome. Because AFP levels can be elevated for a number 
              of reasons, a positive test is usually repeated or followed up by 
              other tests before a diagnosis is made. Very few women with elevated 
              AFP levels are found later to have babies with birth defects.</font></p>
            <p><font size="1" color="#FFFFFF">Amniocentesis--This test examines 
              the cells shed by the fetus into the surrounding amniotic fluid. 
              Performed about 16 weeks into pregnancy, the test involves inserting 
              a long, thin needle through the mother's abdomen to extract fluid 
              from the womb. The cells must be cultured in a laboratory and it 
              may take up to a month for test results to be ready. The test is 
              a reliable indicator of chromosomal abnormalities such as Down syndrome 
              or genetic disorders such as Tay-Sachs disease, Hunter's syndrome, 
              and others. While usually safe, amniocentesis can trigger cramping, 
              leakage of amniotic fluid, and vaginal bleeding, and it may increase 
              the risk of miscarriage by about 0.5 to 1 percent. The test is only 
              done on women at increased risk of having babies with genetic disorders 
              or to assess the maturity of the baby's lungs in the last trimester.</font></p>
            <p><font size="1" color="#FFFFFF">Chorionic Villi Sampling (CVS)--Performed 
              between 10 and 12 weeks of pregnancy, CVS can detect the same genetic 
              abnormalities as amniocentesis. It involves inserting a catheter 
              or needle into the womb and extracting some of the chorionic villi 
              (cells from the tissue that will become the placenta). The chorionic 
              villi contain the same chromosomes as the fetus. The test is relatively 
              safe but it has a greater risk of miscarriage than amniocentesis. 
              While there has been some concern that the test itself may be associated 
              with limb deformities, many geneticists believe that CVS performed 
              between 10 and 12 weeks of pregnancy does not increase that risk.</font></p>
            <p><font size="1" color="#FFFFFF"><cite>--R.D.W.</cite></font> </p>
            <p></p>
            <h2><font size="1" color="#FFFFFF">More About Pregnancy</font></h2>
            <p><font size="1" color="#FFFFFF"><strong>March of Dimes</strong></font></p>
            <p><font size="1" color="#FFFFFF">(Organization devoted to healthy 
              pregnancies and preventing birth defects.)<br>
              1275 Mamaroneck Ave.<br>
              White Plains, NY 10605<br>
              (914) 428-7100<br>
              <a href="http://www.modimes.org/"><b>www.modimes.org</b></a></font></p>
            <h3><font size="1" color="#FFFFFF">FDA Publications</font></h3>
            <font size="1" color="#FFFFFF">"Important Patient Information on Thalidomide"<br>
            <a href="http://www.fda.gov/cder/news/thalidomide.htm%20"><b>www.fda.gov/cder/news/thalidomide.htm</b></a> 
            </font> 
            <p></p>
            <p><font size="1" color="#FFFFFF">"Decreasing the Chance of Birth 
              Defects"<br>
              FDA Consumer article<br>
              <a href="http://www.fda.gov/fdac/features/996_bd.html"><b>www.fda.gov/fdac/features/996_bd.html</b></a></font></p>
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