MOTHER’S CLASS

A maternal program of the Rural Health Unit involving pre-natal and post-natal services.

As a part of the health center's advocacy, a mother's class is a routine activity in the municipality. It aims to gather the
mothers in the community for a sit down to discuss pertinent issues with regards to health, not only of their children
but of their own as well.

A lecture on the effects of smoking was given by the group as part of the day's itinerary.

This class offers a good opportunity for expectant mothers to get information and knowledge about
pregnancy, childbirth and child rearing as well as to make friends with other mothers-to-be, so that
you can be confident toward the day you meet your baby.

Who

Pregnant women of Minato City residents at 20 weeks or more gestation

Capacity

Maximum of 35 entries per class (Pre-registration required. First-come and first-served basis)

Date & Time

From 1:15 p.m. to 3:30p.m. (sign-in starts at 1:00 p.m.)

Location
Public Health Services Center (Akasaka Temporary Office), Minato Public Health Center
* No parking is available. Please consider public transportation.
* Locations will vary during FY 2011. Please make sure to check the location.

Details

  Contents Lecturer
- Introduction to maternity-related benefits,Self- Midwife,
introduction of participants, How to bathe a baby Public Health Nurse
Day
- Group work Public Health Officer
1
- Environmental health (Environmental Health
Officer)
- Dental hygiene during pregnancy Dentist
Day
- Nutrition during pregnancy Professional Dietitian
2
Public Health Nurse
- Maternity Exercise, Labor process & support Midwife
Day
(comfortable, stretchy clothing is recommended) Public Health Nurse
3
- Closing
What to Bring

Maternal and Child Health Handbook, Writing materials, The parents class of Minato City
participating must have the textbook.

Application

Call "Minato Call"

Tel: 03-5472-3710
Service Hours: from 9 a.m. to 5 p.m.

 
URINE EXAM FOR ALBUMIN AND SUGAR/PREGNANT WOMEN

Microalbuminuria ( Albumin in Urine ) in pregnancy is to be evaluated for Preeclampsia, Gestational Diabetes, Kidney
Disorders, Impending Vascular disorders etc. Albumin/Creatinine ratio of the random urine sample twice is the most
important and specific screening test to detect the pre eclampsia. Albumin in Urine is one of the most common
causes of premature delivery and IUGR of the fetus, According to the American Diabetes Association, post lunch
values of 140-199 mg/dL is considered to be prediabetes. We recommend she gets herself completely evaluated
during this pregnancy for Gestational Diabetes, Pre eclampsia and Hypertension by the treating Obstetrician.

Hello, Your wife has a complication of pregnancy called preeclampsia/PIH.Its characterised by high BP and
protenuria.There are other more severe manifestations also.If its a term pregnancy then its perfectly fine to induce
labour.Esp if her BP isnt controlled.Both types of delivery can be done depending on various factors to be assessed
by her doctor.

 During pregnancy, you can normally have some amount of sugars in urine (Renal glycosuria), without gestational
diabetes. Very much possible. But i would suggest you to have a oral glucose tolerance test to rule out gestational
diabetes.

A glucose tolerance test is a medical test in which glucose is given and blood samples taken afterward
to determine how quickly it is cleared from the blood.[1] The test is usually used to test for diabetes, insulin
resistance, and sometimes reactive hypoglycemia or rarer disorders of carbohydrate metabolism. In the
most commonly performed version of the test, an oral glucose tolerance test (OGTT), a standard dose of
glucose is ingested by mouth and blood levels are checked two hours later. Many variations of the GTT
have been devised over the years for various purposes, with different standard doses of glucose, different
routes of administration, different intervals and durations of sampling, and various substances measured
in addition to blood glucose.

Reactive hypoglycemia or Postprandial hypoglycemia, is a medical term describing recurrent

episodes of symptomatic hypoglycemia occurring 1–2 hours after a high carbohydratemeal (or oral
glucose load). It is thought to represent a consequence of excessive insulin release triggered by the
carbohydrate meal but continuing past the digestion and disposal of the glucosederived from the meal.

Insulin resistance (IR) is a physiological condition where the natural hormone, insulin, becomes less

effective at lowering blood sugars. The resulting increase in blood glucose may raise levels outside the
normal range and cause adverse health effects, depending on dietary conditions. Certain cell types such
as fat and muscle cells require insulin to absorb glucose. When these cells fail to respond adequately to
circulating insulin, blood glucose levels rise. The liver helps regulate glucose levels by reducing its
secretion of glucose in the presence of insulin. This normal reduction in the liver’s glucose production may
not occur in people with insulin resistance.[citation needed]

Insulin resistance in muscle and fat cells reduces glucose uptake (and so local storage of glucose
as glycogen and triglycerides, respectively), whereas insulin resistance in liver cells results in reduced
glycogen synthesis and storage and a failure to suppress glucose production and release into the blood.
Insulin resistance normally refers to reduced glucose-lowering effects of insulin. However, other functions
of insulin can also be affected. For example, insulin resistance in fat cells reduces the normal effects of
insulin on lipids and results in reduced uptake of circulating lipids and increased hydrolysis of
stored triglycerides. Increased mobilization of stored lipids in these cells elevates free fatty acids in
the blood plasma. Elevated blood fatty-acid concentrations (associated with insulin resistance and
diabetes mellitus Type 2), reduced muscle glucose uptake, and increased liver glucose production all
contribute to elevated blood glucose levels. High plasma levels of insulin and glucose due to insulin
resistance are a major component of the metabolic syndrome. If insulin resistance exists, more insulin
needs to be secreted by the pancreas. If this compensatory increase does not occur, blood glucose
concentrations increase and type 2 diabetes occurs.[citation 

Insulin-dependent diabetes mellitus (IDDM) is a medical term that describes diabetes mellitus that
requires insulin therapy to avoidketoacidosis. IDDM is often considered a synonym for juvenile diabetes
mellitus and type 1 diabetes mellitus, though the three terms are not entirely congruent:

 Juvenile diabetes is considered an unsatisfactory and somewhat obsolete term because type 1
diabetes can develop in adults, and type 2 can occur in children.
 IDDM includes type 1 diabetes, but as type 2 diabetes progresses, in some people it may reach a
degree of insulin deficiency that requires insulin treatment.

 Diabetes mellitus type 2 – formerly non-insulin-dependent diabetes mellitus

(NIDDM) oradult-onset diabetes – is a metabolic disorder that is characterized by high blood
glucose in the context of insulin resistance and relative insulin deficiency.[2] Diabetes is often
initially managed by increasing exercise and dietary modification. As the condition progresses,
medications may be needed.

 Unlike type 1 diabetes, there is very little tendency toward ketoacidosis though it is not unheard

of.[3] One effect that can occur is nonketonic hyperglycemia. Long-term complications from high
blood sugar can include increased risk of heart attacks, strokes, amputation, and kidney failure