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LIFE AFTER BIRTH: THE FIRST 6 WEEKS Life after birth can be chaotic, especially if this is your first baby. Taking care of your newborn is hard work and won’t be much fun until he or she develops a personality. In case you didn’t know, a newborn doesn’t laugh or smile, it can’t play or even hold its own head up without a supporting hand. All it can do is eat, sleep, dirty diapers, pass gas, throw up and cry. Despite all of this, you will – believe it or not – love your little tot more than anything else in the world. Moreover, you will learn a lot about yourself and your partner as you both navigate through these initial days of parenthood. Sex (or lack thereof) You should know that sex is off-limits for at least 6 weeks after your partner gives birth. Don’t forget that she just delivered a fair-sized human through a very tiny birth canal and her body will need time to heal. Your gal’s doctor will ask to see her about six weeks after delivery for a full physical and emotional post-baby follow-up. At this visit, the doctor will check to see how her wounds are healing. If everything is good, your partner will get the green light for sex. However, this doesn’t mean that she will be as keen and eager to get back into the game. She’ll likely be tired from the whole pregnancy ordeal and from the added responsibilities of caring for a newborn. Help out as much as possible and be patient. Her interest in sex will return…just don’t push her too hard. Sleep (or lack thereof) The good news is that babies need a lot of sleep – about 15-16 hours a day. Unfortunately, newborns don’t have regular sleep patterns and don’t sleep for long hours at a time. This means that you won’t have regular sleep patterns either. Get used to napping throughout the day. And if that doesn’t work for you, then get used to sleep deprivation. You and your partner may feel like you are losing your minds as you quickly realize how cranky and dysfunctional you can be after several nights of disrupted sleep. Hang in there. After about 8 or 10 weeks, your baby will start to sleep through the night (approximately five consecutive hours) and your sleep-deprived, zombie-like state will be a thing of the past. You may with to alternate night shifts to maximize the amount of uninterrupted sleep each partner gets. There really is no need for both of you to get up every time the baby needs to be fed, coddled or changed. Caring for Your Tiny Tot After your shopping spree for nursery items, layettes and strollers, you may have thought that you were fully ready for your baby. While these purchases were necessary, they are only a small part of what you need to survive postnatal care. There will be many new and strange things for you and your partner to learn. The ins-and-outs of feeding, bathing, diapering and umbilical cord care are in no way intuitive. Don’t get scared or discouraged by your new-found incompetence. Chances are that your partner is also incompetent in this area. It’s okay to make mistakes; every new parent does. The good news is that the parental learning curve is steep. You and your partner will quickly develop the skills needed to care for your tot. To give you a helping hand, here is are a few pointers on baby care basics: Feeding The first step is to decide your method of feeding – breast milk or formula? There are many benefits of breastfeeding, including nutritional and emotional advantages. Breast milk is a complete food source that contains hormones and disease-fighting compounds that are absent in formula. Nursing also helps build a special bond between mother and baby. Studies show that babies thrive on the skin-to-skin contact, cuddling and holding that occurs during breastfeeding. However, there are a variety of reasons why many women do not nurse. They may not be able to produce enough milk or they may have to return to work soon after birth and are not available to nurse the baby throughout the day. Whatever the reason, your gal should not feel guilty or uncomfortable with deciding to bottle-feed. There are many excellent formulas available which are highly nutritious. Speak with your partner’s physician or pediatrician about recommended formulas. Regardless of your method of feeding, you should know that most newborns eat about 8 times a day (approximately every two to three hours). However, you shouldn’t try to set scheduled eating times during the first few weeks after birth. Let your baby eat whenever he or she seems hungry. Bathing Because your baby’s umbilical cord will need to heal, it is very important that you keep it dry to prevent infection. After about two weeks, the gross looking stump (i.e., remnants of the umbilical cord) will fall off and your baby will be left with a cute little belly button. In the meantime, take extra care not to wet the umbilical cord during bathing. The best way to do this is to give your tot sponge baths until the cord heals. To give a sponge bath, you will need a stable surface, a soft washcloth and lukewarm water. Make sure that you test the water temperature before applying the cloth to your baby to prevent scalding him or her. Your elbow or the inner part of your wrist is a good place to test water temperature. Your hand is not a good guide since it is not very sensitive enough to tell how hot or cold the water really is. Now you can begin wiping your baby gently with the moistened washcloth. Begin by wiping your baby’s eyes (from inside to outside), ears and under arms. Then you can move onto legs and genitalia. When washing the bottom, make sure you wipe from front to back to avoid bringing any feces near the genitals. If you have had your baby boy circumcised, then you will want to speak with your pediatrician about caring for the penis while it heals. The most important thing to remember when bathing your baby is to NEVER leave him or her along – not even for a second. Babies squirm around a lot, so you should always keep your eyes and one hand on your little one during bath time. The same rule applies when you are changing your baby’s diaper. Changing Diapers Don’t avoid this responsibility because it you have never changed a diaper before. Because babies pee and poop so often, you will spend a lot of time changing diapers. Take advantage of this precious time with junior. You may also have to develop silly and immature techniques to comfort your baby if he/she does not enjoy the diapering process. As ridiculous as you may feel, this is actually an important part of establishing a parent-tot bond. While it may be dirty work, diapering is not rocket science. For easy to follow instructions, make sure to read our article on How to Change a Diaper at www.thefunkystork.com. Caring for Yourself and Your Partner As flighty and silly as it might sound, self-care is important. Neither you nor your partner is doing your tot any good by neglecting yourselves. Try a shift-work system where you schedule an hour or two during the day where one parent will care for the baby alone. This way, the other parent can practice self-care – taking a long, warm bath, going for a run, doing yoga, reading or just going for coffee with a friend. You will find that self-care will also help maintain civility in your relationship with your partner. By making time to do something for yourself, you will find that you won’t feel as overwhelmed by your initiation to parenthood. And don’t forget that this rule also applies to your partner. In fact, she will likely need more time for self-care than you since she will also be recovering from both 40 weeks of pregnancy and hours of childbirth. Also be aware that your partner is particularly vulnerable to postpartum depression during the first weeks after birth. Postpartum depression, which is a more serious case of the baby blues, can begin as early as a few days after delivery. Experts don’t know the real cause of postpartum depression, but they suspect that it has something to do with changes hormonal levels. Stress, disturbed sleeping patterns and changes in daily routine can all contribute to postpartum depression. Signs and symptoms include restlessness, irritability, changes in appetite, sadness and anxiety. If your partner is experiencing any of these symptoms or if you sense that something isn’t right with the way your partner is behaving, you should consult your physician immediately. Untreated, postpartum depression can develop into postpartum psychosis, which is a serious mental illness that requires medical intervention. Both you and your partner should take her postnatal psychological state very seriously. On a lighter note, you and your partner make an extra effort to keep the romance in your relationship. While your baby will require a lot of your time and attention, he or she will also be taking a lot of naps. Nap-time may be the perfect (and only) time for your and your partner to romance each other. Snuggle, watch a movie, make dinner or enjoy a glass of wine together. Whatever you decide to do, take a minute to set the mood with candles and relaxing music. Another important factor to consider is how involved you want your parents or partner’s parents to be. Parental intervention can add some seriously unneeded stress to the situation and unnecessary strain on your relationship. That said, you shouldn’t reject offers to help. 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Have you ever seen the effects of asbestosis, mesothelioma, or any of the various asbestos-related cancers that have killed or destroyed the livelihood of a close fried or relative? Believe me, some very powerful and influential figures have succumbed to these illnesses, so it is not just confined to manual workers working in factories or building sites where asbestos was involved. As early as 1898 the then Chief inspector of Factories in The United Kingdom in his report to Parliament submitted in his report regarding the ‘evil effects of asbestos dust.’ He described it even all those years ago as having a sharp, glass like nature, very susceptible to disintegrating into minute particles, which then very easily permeated every nook and cranny in a building, or even a district where such a product was in use. Litigation due to industrial exposure to asbestos remains the longest, most expensive joint claim in the world, with over 6,000 defendants, and at the latest count well over 600,000 claimants. With the current rate of detection of asbestos related diseases set to rise over the next decade, estimates of the litigation costs on the US alone is expected to rise to well over $250 BILLION. You would have thought that with such amounts at stake, anybody still manufacturing products based on asbestos or any asbestos-related products would be taking an enormous financial risk. In early times items made of asbestos were held in great esteem, especially by Kings and Emperors, and of equal value to gold. Many in fact were cremated in an asbestos shroud, to keep their ashes separate from any other combustible materials. How rash was that! In fact, talking of rashes, although asbestos fibres when coming into contact with the skin causes rashes, there are stories from ancient times that asbestos was actually prescribed for ailments of the skin – especially the itch. Although there are many forms of asbestos, they all have the same characteristic to a greater or lesser degree, that eventually however they may be packaged up within another material, they will all form asbestos dust particles at some point in their life. Due to asbestos’s fire-retarding properties, until the late 1980’s there were many applications within public and private buildings where asbestos in one form or another was used. Acoustic ceilings, putty, vinyl floor coverings, fire-retardant fillings, adhesives and ceiling tiles, acoustic curtains in theatres, and in brake disk pads in cars, busses and trains, clutch plates, gaskets, fire blankets – the list is endless, as is the lurking danger. In fact, many a worker in the American shipyards during the Second Word War were heavily exposed to this asbestos danger, and even some top people were affected and struck down with asbestosis, mesothelioma, or asbestos-induced cancers of some sort. Now, with many asbestos based products no longer allowed in new construction, there must be thousands upon thousands of sites where asbestos is still lurking, and even demolition and or removal creates its own hazard conditions. Interestingly, in the interest of ‘profit’ there are still a number of applications where asbestos is still in use, and can even be found in some consumer products, such as talcum powder. In all, the list of asbestos based products is still scarily quite long. Asbestos-cement corrugated and flat sheets; asbestos clothing for heat resistant applications, pipe line wraps, roofing felt, and many applications in the auto industry, including automatic transmission system components, clutch plates, friction pads such as disk brake pads and so forth are still being manufactured. How many of us have smelt the acrid fumes when a train applies it’s brakes in your local station? Because of all this historical use of asbestos, we are all constantly exposed to certain levels of asbestos dust. These are usually quite low levels (between 0.00001 to 0.0001 fibres per millilitre of air we breathe) with the higher levels predominately in towns and cities. Some drinking water can also contain asbestos fibres from natural sources, but this is usually very closely monitored. Where asbestos removal takes place, whole buildings have to be hermetically sealed to try and trap the bulk of the dust. If you have been unfortunate enough to breathe large quantities of asbestos dust, either in a short burst, or over a period of years the effects are usually very much the same. 1. This dust, on the lungs and the membranes inside us, will eventually cause scar like tissues in the lungs, and in the pleural membrane (lining) surrounding the lungs. This ‘asbestosis’ as it is known will usually cause coughing, difficulty in breathing, and sometimes, enlargement of the heart. Asbestosis is very serious, and often results in death. However, it is usually confined to those who worked in the asbestos industry. 2. Lower levels of intake of this deadly dust may cause changes called plaques in the pleural membranes. Effects here are not as serious as with asbestosis, but restricted breathing may still take place. 3. Any irritation of the lungs, or any other membrane in the body will have a marked increase in the formation of cancers, and lung cancer and mesothelioma, which is a cancer of the thin lining (pleural membrane) surrounding the lungs is a well-know side effect of breathing asbestos dust. 4. Children are particularly at risk, as how many of them may play around old buildings, and take great pleasure in smashing up old sheets of asbestos, not realising that they are really playing with something more deadly than an unexploded time-bomb. As a successful property renovator, and provider of buildings for my property club members, asbestos is of a very serious concern to me. In all, asbestos, although having served mankind “Faithfully?’ down throughout the ages, has now been identified as the spectre of danger that it presents, but unfortunately we have been mining the stuff for centuries, so it will not go away quietly, and without a fight. 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Impotence is men’s inability to achieve or maintain an erection sufficient for sexual intercourse. It includes the failure to get an erection as a result of sexual stimulation or to lose your erection prior to ejaculation. Types of impotence Arteriogenic impotence: The arteries supply blood to the penis. When arteries narrow, they fail to bring in sufficient blood to the penis resulting in erectile dysfunction. It mainly occurs in elderly people. Those who are diabetic or have high blood pressure are also prone to it. Arteriogenic impotence due to injuries is common but often goes unnoticed because of ignorance. Later the injured discovers it and seeks medical help. Venogenic impotence: During erection, the veins of the penis close down in a normal individual. This hardens the penis assisting a complete erection. But when the veins leak blood, the penis fails to sustain an erection thus leading to Venogenic impotence. It is the most common form, which accounts to 30-70% of impotence. Neurogenic impotence: The nerve supply to the penis is sensitive and complicated. These nerves control the arteries and veins, which change the blood flow within the penis. An injury to the back or other nerves related to the penis can cause Neurogenic impotence. Many operations on the rectum, prostrate, urethra, spine and urinary bladder are performed for improving the performance. Impotence from Diabetes Mellitus: Impotence is very common among diabetics. A study showed around 50% of diabetics as patients of male impotence. Endocrinologic impotence: When there is an imbalance of sex hormones in the blood stream, erection doesn’t occur. Nearly 5 to 10% of men suffer from Endocrinologic impotence. Mixed impotence: More than one factor can cause impotence in men. It could be physical factors as well as psychological factors. Mixed impotence refers to this form of impotence. Psychogenic impotence: Sometimes, the problem lies entirely in the mind. There will be no physical factors accompanying erectile dysfunction. This is a state of Psychogenic impotence. People often undergo bouts of depression and anxiety. See a doctor if you have difficulty in attaining or maintaining an erection. The earlier you find out, the easier it becomes to diagnose and treat.