3'*’t ^lortlanb QObserucr Page 6 by 1) k . R ic h a r d N. W a ld m a n Reduce Birth Defects with Folic Acid Approximately 2.5(H) children each year in the US are born with defects of the neural tube— the part of a growing fetus that will become the brain and spinal cord— which can cause severe mental and physi­ cal disability or death. Spina bifida, the most common form of neural tube defect, occurs when the bones of the spine do not completely form around the spinal cord. Anencephaly, another defect, is a fatal condition in which an infant is born missing parts of the brain. Folic acid— an essential B vita­ min necessary for proper cell growth and vital to the development of a baby’s neural tube and central ner­ vous system— is an integral com­ ponent in preventing birth defects. Women who get enough folic acid have a 50-70 percent reduced risk of having a baby with neural tube and other defects, such as cleft lip and palate. Folic acid is most effective when it is abundant in a woman’s body before she gets pregnant and dur­ ing the first three months of preg­ nancy, around the time when the neural tube begins to develop. Neu­ ral tube defects occur in the first weeks of fetal development, often before a woman even knows she is pregnant. But because nearly half of all pregnancies in the US are unplanned, many women are at risk of beginning a pregnancy with a folic acid deficiency. Therefore, health experts recom­ mend that all women of childbearing age take a daily multivitamin that contains 400 micrograms (.4 milli­ grams) of folic acid, regardless of whether they are currently planning a pregnancy or not. Taking folic acid before pregnancy ensures that the nutrient is present, even if an unplanned pregnancy occurs or if a pregnancy is not discovered for several weeks. It’s also a good idea to eat a diet rich in natural sources of folic acid including leafy green vegetables, citrus fruits, and beans, and folic acid-enriched grain products, such as breads, cereals, flours, pastas, and rice. Most women will still need a supplement because it can be difficult to meet the daily require­ ment through food sources alone. Women who have had a child with a neural tube defect or certain other birth defects, are pregnant with twins, have particular medical con­ ditions (such as sickle cell disease), or take some forms of medication (such as antiseizure medication) re­ quire 10 times the amount of folic acid recommended for most women. A daily4,000microgram (4milligram) folic acid supplement can be pre­ scribed. Women should not con­ sume large amounts of folic acid through regular multivitamins be­ cause the quantities of other vita­ mins and minerals included may be harmful. Dr. Richard N. Waldman is president o f the American Con­ gress o f Obstetricians and Gyne­ cologists. All services available in Span­ ish and English. You may be eligible for free health insurance for your chil­ dren, even if your child is not a US Citizen or you work full time. Chiropractic Auto Injury Clinic, PC Zchon R. Jones, DC 333 NE Russell St., #200, Portland, OR. 97212 (503) 284-7838 A c H I R O r R A C T I C Russell St I Family C aregiver Support G ro u p - This topic-oriented group offers a sale place to discuss the stresses, challenges and rewards of providing care to an older relative or friend. Meets the first Thursday of each month at 3 p.m. at Legacy Good Samaritan Hospital. C hronic Pain S upport G ro u p - Meets the first Wednesday at 4 p.m. to 5:30 p.m. and the third Wednesday of each month, from 7 p.m. to 8:30 p.m. For more information, call 503-256-4000. Cholesterol Profiles - Get the resources to help you keep an eye on your cholesterol and other indicators of heart health. Educational material provided. For more information, call 503-261-6611. • • Bereavem ent Support G roups - Free, safe confidential group meetings for those who have experienced the death of a loved one offered on various nights and locations. For information and registration, call 503-215-4622. M aternity W ater W orkout - Helping new moms regain muscle tone, strength, and flexibility, all in the support and freedom of the water. Call 503-256-4000 for more information. Senior Aerobics -- A low-impact workout geared specifically toward seniors. Call 503-449-0783 for current schedule. O steoporosis Screening — An ultrasound bone density screening with personalized education; fee $30. To schedule an appointment, call 503- 261-6611. M ind Body Health Class - Learn and practice techniques to help you improve your mood, health and wellbeing, including effective ways to manage difficult emotions and chronic stress or illness. Registration is $70 for Kaiser Permanente members and $95 for nonmembers. Call 503-286- 6816. T enderfoot C are - Treat your feet with a soak, nail trim, buffing and massage from a licensed nurse at one of six clinics or at your home. Call 503-251 -6303 for more information. Free Body Basics - This physician recommended class is appropriate for all ages and health conditions. Plan to attend this one-session class and learn the simple guidelines for safe exercises, including stretching. Call 503-256-4000 to register. Families with Mental Illness — A free, 12-week course for people whose family members live with mental illness is offered at Emanuel Hospital, Mt. Hood Medical Center and Providence Medical Center. The course has been described as “life-changing” by former participants. Registration is required by calling 503-203-3326. B etter B reathers — An asthma educational support group meets on the 1 st T uesday of the month from 1:15 p.m. to 2:45 p.m. at Adventist Medical Center. For information, call 503-251 -6830. We are located on the comer ofM LK and Russell Street, on the second floor above the coffee shop. 353 ME Ru rsell #200 vtcii Managing Chronic Hepatitis C -- Third Wednesday of each month at 5 p.m. The informative session is led by a registered nurse to help you manage side effects of medications and dosage preparations and admin­ istration; doctor referral required. To register, call 503-251-6313. Truly making a difference in the lives of Auto Accident victims and Injured Workers for nearly 20 years. If you or someone you know has been in an accident, call us so we can help you with your needs. (503) 284-7838 Parking Area H ealth Red Cross Certification - The Oregon Trail Chapter Red Cross now offers credits to helps professionals maintain licensing or certification. For a cumulative list, visit pdxinfo.net. Health Insurance for Your Child The N orthside Family Support Applegate site at 7650 N. Com ­ Center is having a health insur­ mercial Ave. ance Sign-Up Clinic on W ednes­ Assistance with food stamp ap­ day, Jan. 26 from 8:30 a.m. to 3:30 plications will also be available. p.m. For an appointm ent for insurance The clinic will be at the center’s or food stamps, call 503-916-5875. January 19. 2011 |OT ta Cancer Resource Center — Providence St. Vincent Medical Center and the American Red Cross have joined forces to create the first in-hospital resource center providing books, printed material, computer access and more for individuals and families dealing with cancer. The center is open Monday through Thursday, 9 a.m. to 4 p.m. Lead Poisoning Prevention - Learn how to protect your family from lead poisoning. Ideal for folks in live in older homes with children or pregnant women. Qualified participants receive a free kit of safety and testing supplies. Call 503-284-6827. Parenting Classes - Newboms don’t come with instruction manuals but parents and parents-to-be can learn about a variety of topics from pain and childbirth to breastfeeding to infant CPR and much more. For a schedule of events, call 503-574-6595 or visit: providence.org/classes. Cardiac-Rehab Exercises—A medically supervised exercise program for people dealing with heart conditions. For information, call 503-251 -6260.