At Home with Chris Jessen 2018 - 201

BUNDLES of joy

A good birth doesn't stop at
delivery - postnatal support for
mum and baby is crucial, too

IT'S VITAL TO EXCLUDE
MORE SERIOUS
REASONS
FOR BLEEDING
experience progressively longer gaps
between their periods.
It is important to see a gynaecologist
because irregular bleeding should not
be ignored and most conditions are
easily treatable. It is particularly
important for those women whose
periods become heavy and troublesome.
There is a range of treatments
that can improve irregular bleeding,
such as medication to help thin the
lining of the womb.
It's vital to exclude more serious
reasons for abnormal bleeding, too,
such as endometrial hyperplasia (the
overgrowth of the womb lining).
A simple hysteroscopy can be
performed (usually under anaesthetic),
to inspect the lining of the womb by
endoscopy, and any abnormality is
removed or a biopsy is taken.

MEET THE EXPERT
Ms Karen Joash,
BSc (Hons), MSc,
MBBS, MRCOG,
is a consultant
obstetrician and
gynaecologist.
She specialises in
maternal medicine,
perinatal mental
health, advanced labour ward practice
and early pregnancy scanning. Her
gynaecology expertise covers well
women checks, scanning, fertility and
contraception; menstrual disorders,
polyps, endometrial hyperplasia, fibroids,
postpartum perineal wounds, infections,
HPV vaccine and ovarian cysts.
As well as gynaecology, Dr Karen
Joash delivers babies at Imperial
Healthcare Trust, Lindo wing and the
Portland Hospital.
Having graduated from Imperial
College, London University, Ms Joash
is Director of Medical Education for
the Women and Children's division at
Imperial Healthcare Trust.

Every new mother in Finland is
entitled to receive a special box
containing all the essentials her
newborn needs to see them through
the first few months of life.
Funded by the government, it
includes bibs, nappies, clothing,
a snowsuit, bathing products, a
mattress and educational materials
for mum. The box itself is made from
sturdy cardboard and can double as
a bed for the baby.
Concerned by the increase in
Sudden Infant Death Syndrome
(SIDS) in the UK, consultant
obstetrician Ms Karen Joash launched
a baby-box trial in the UK in 2016.
She explains: 'These boxes and
the education resources that sit
alongside them have been proven to
help reduce the infant mortality rate
in Finland. We are hopeful that these
results can be replicated in the UK.'
REDUCING COT DEATH
While antenatal attendance is not
a problem in the UK, postnatal
support can be lacking. Having a
baby is a challenging experience and
some new mums struggle for months
after giving birth and often don't
know where to turn for help. This is
where the education materials in the
baby box, currently being rolled out
across the UK, can help.
Doctors hope the boxes will help
reduce the number of cot deaths in
the UK - now up to 300 a year - by
encouraging mums to put tots to
sleep in them, rather than taking them
into their own bed, a behaviour that
can put the baby at risk of SIDS.

FOR MORE INFORMATION
Call 0203 291 1981
Visit drkarenjoash.com
Email secretary@drkarenjoash.com


http://www.drkarenjoash.com

Table of Contents for the Digital Edition of At Home with Chris Jessen 2018

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