Go Low and Take it Slow

What level of sodium becomes injurious to women health?

It is mostly agreed that Sodium is an essential mineral for the body, we all need the daily recommended amount of sodium for a proper functioning of our body like maintaining blood pressure, maintaining a level of body fluids etc. The normal level for blood sodium is 145 mEg/L. Sodium levels higher than this may cause Hypernatremia, a condition that causes symptoms such as confusion, Hyperreflexia, seizures, coma and Neuromuscular excitability. The recommended dietary allowance of sodium for adults in 500mg and not more than 2300 mg per day and between 120-400mg per day for children.

Sodium content in drinking water is not usually a major health concern unless the person suffers from any condition that requires them to restrict the sodium intake. Drinking water may contribute to 10% of an individual’s total sodium intake.

Everything is good when consumed in moderation and sodium intake is no exception. Sodium if consumed in excess quantities may be a contributor to many diseases, particularly for people suffering from chronic conditions like Hypertension. It has been said that sodium in drinking water causes elevation of blood pressure, although it is still not proven. Even in women, high dietary sodium intake can cause cardiovascular diseases and add the same through the intake of water can increase the risk. Increased intake of water high in sodium content during pregnancy can harm the infant.

 

What kind of issues they can face if they are drinking high sodium water?

Excess sodium consumption will lead to the excess availability of sodium in the blood which leads to restrained blood vessels. This will, in turn, cause the cardiac muscles to thicken which can cause increased risk of hypertension, stroke and CCF (congestive cardiac failure).

Otherwise generally sodium content in drinking water does not pose as much a risk because there are regulations for the level of sodium content in bottled waters and that amount may not necessarily cause adverse effects on the health of an individual unless one is on a sodium free diet.

 

How precautions woman in Dubai should take?

Sodium content in water is close to negligible, high content of sodium is definitely not good and will harm the body, hence when worrying about excess sodium content, one should think of the sodium content in the food consumed than the water. Because of the hot weather in Dubai, a lot of people generally get dehydrated, hence the amount of water consumed may not be possible to limit but what can be done is reducing the sodium intake in food. Precautionary measures to reduce sodium intake is eating a lot more of fresh food, opting for ‘low sodium’ products, excluding salt from recipes whenever possible, limiting the use of sodium laden condiments like soy sauce, salad dressings, sauces, dips, mustard etc. Instead of more spices and herbs must be used to season the food, salt substitutes should also be used wisely.

Dr.Keya Rahul Shivadey

Specialist Obstetrician & Gynaecologist 

Aster Clinic, Business Bay 

Dr Keya

News Source – http://www.thenational.ae/uae/uae-doctors-urge-residents-to-monitor-sodium-content-in-drinking-water

The National - 31st Dec-min

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Three Things You Really Need to Know About the Maternity Leave

Planning to take maternity leave? It may not be exactly what you think — or hope — it is if you live in the UAE. Here are some tips to bust your queries.

The government recently announced that a committee has been set up to review UAE maternity leave.

What are the current rules for UAE maternity leave?

Private companies in the UAE currently offer some of the lowest levels of maternity leave in the world. Compared to The International Labour Organisation’s recommendation that mothers take a minimum of 14 weeks off work, the UAE currently offers women around 6 weeks maternity leave.

This differs depending on a few factors:

Women in the private sector

According to UAE law, all women employed in the private sector are entitled to 45 days maternity leave if they have worked for their current company for more than 12 months, this includes both pre and postnatal periods. Women who have worked for a company for less than a year, however, are only entitled to 45 days with half-pay during a leave.

Women working in DIFC

Women working in Dubai International Financial District (DIFC) are entitled to a slightly different deal, under the free zone’s rules they are allowed a total of 65 days maternity leave, including 32 days on half-pay and 33 days on full pay.

Women working in the public sector

Women working in the government sector are entitled to 60 days paid leave and 100 days unpaid leave.

 

So what’s changing?

The biggest change is the creation of a new committee in the month of November 2016, to review all aspects of the UAE’s current Maternity Law. It is still not clear whether the committee will advise the government to increase maternity leave in the country, however, the fact the government is having a conversation about maternity rights is a positive step towards any possible reform.

 

Are there any other changes we can expect?

Although it is not certain which (if any) changes will be implemented, His Highness Shaikh Mohammad Bin Rashid Al Maktoum, Vice-President and Prime Minister of the UAE and Ruler of Dubai has made it clear that improving gender equality is set to be a key government focus. Earlier last year he set up the UAE Gender Balance Council, which is currently reviewing several aspects that affect female employees, including flexible work hours, support for women at work and improving overall gender balance.

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Gestational Diabetes

Gestational diabetes is a form of diabetes which is seen in pregnant women who have increased blood glucose levels during pregnancy. Studies suggest that the prevalence of gestational diabetes can be as high as 9.2%.Unlike other types of diabetes, gestational diabetes isn’t permanent. Once the baby is born, the blood sugar will return to normal levels most of the times.

Gestational diabetes is seen affecting mothers in the late pregnancy, ie after the baby’s body has been formed. Therefore it does not cause any birth defects, however, may interfere with the normal growth pattern of babies.

Effect on the baby

  • If your blood glucose levels are high your baby will also have high blood glucose.
  • Baby’s pancreas will have to make extra insulin to control high blood glucose.
  • The extra glucose in baby’s blood is stored as fat if untreated or uncontrolled.
  • Baby born larger than normally called macrosomia, which can lead to difficult delivery.
  • Can have breathing problems called respiratory distress syndrome.
  • More likely for baby as it grows to become overweight and develop type 2 diabetes.

Effect on the woman

  • Preeclampsia (high blood pressure, sometimes with fluid retention and proteinuria)
  • Polyhydramnios (excessive accumulation of amniotic fluid )
  • Maternal birth trauma
  • Higher chances for C-Section
  • Developing Type 2 Diabetes
  • Reoccurrence in next pregnancy

Who is at a risk of Developing Gestational Diabetes?

About 5 to 18 percent of all pregnant women are likely to get gestational diabetes during pregnancy. The following factors may predispose you to gestational diabetes:

  • Age of 25 or older
  • Family history of Diabetes
  • Overweight as suggested by the Body mass index
  • Have Polycystic Ovarian Syndrome (PCOS)
  • Have a medical condition that makes diabetes more likely such as Glucose intolerance
  • Have had Gestational diabetes before
  • Certain ethnic subgroups such as African American, Native American, Hispanic or Pacific Islander

Prevention of Gestational Diabetes

Unfortunately, there is no way to guarantee that you won’t get Gestational diabetes. However, there are some things you may do to reduce the risk of developing it:

  • Eat a balanced diet: chose food high in fiber and low in fat and calories. Focus on eating fruits, vegetables, and whole grains.
  • Control on portion sizes
  • Regular exercise: Try and exercise for 30 minutes daily with some moderate form of exercises such as swimming or a brisk walk
  • Lose excess weight before pregnancy: If you are planning a baby, losing a few extra kilos may help you have a healthier pregnancy. Doctors do not recommend losing weight during pregnancy so plan the weight loss before you conceive.

 

Dr. Sejal Devendra Surti

Specialist Obstetrician/Gynaecologist

Aster Hospital Mankhool

 

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Botox – an anti-aging tool

Botox is one of the most “in things” these days. Loads of people swear by it and there are many who swear against it. Botox along with fillers are  considered the “holy grail” against ageing. But did you know that Botox is actually a toxin?? Sounds Strange, but yes it is. The whole  beauty of using botox in medical science is that we have been able to use its lethal effect for our benefit. (more…)

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