24.03.2015
Take our Sleeping Quiz to learn which sleep disorders, causes, and symptoms rule the night. Watch this slideshow to learn 10 tips on how to get a good night's sleep and avoid sleep disorders such as insomnia.
Learn about the causes of snoring like sleep apnea, viral illness, drinking alcohol, taking medications, mouth breathing, or from structures in the mouth.
So the research began, I was reading up and collecting information on places of interest for children. As for Melbourne, we took a day tour on the Puffing Billy, had a warm fuzzy lunch by the winery, yummy gelato at the Yarra Chocolatiere and had a guided tour of the Healesville Sanctuary (got up-close with the Red Kangaroos, emus, platypus and koalas). Blog - I started a blog when my first born was about 2 years old and began earning USD4-5 thousand monthly very soon after. Failing which, allow me to interview you and I will think of what you could do for a living from home.
I have been working with a company for 18 years and for the past 7 years, I have been working full time from home.
My kids were 3yo and 1yo then and I knew I wanted to spend those precious growing years with them and not having to depend on anyone else to care for them. Working from home does not mean that you can sit at home, shake legs and catch the latest Korean drama Yes - unfortunately for some.
In between work, I need to step to for my school run and this timing is fixed and has been shared with my manager and peers. Remember to take mini breaks and stretch or go for a little walk to get that blood circulating. We didn’t have a party for Honeybun, we had a small celebration for her at her play school and also with our families. Her favourite for the past few months has been rubber duckies (and bath toys) and particularly characters from a cartoon called Lucky Duck. I always suggest to friends who wanted to let go their jobs for a home business, to get some ideas about how and what their home businesses would be. I like to recommend to my fellow friends who want to resign and start a business, begin before you sign your resignation. He was in an art class holiday program which he enjoyed a lot; learning crafty things and the best part was that he had a good friend participating in the same program. He also attended a three-day Speech and Drama program in which the main program focuses on the kids having to perform a mini sketch.
Our bottom line is to plan properly, get mutual understanding with our spouse, decide and stick to the plan.
So much has happened in the last year that this New Year 2015, is a year full of changes for me and my family. So after all the stress that I went through last year, there was one blessing that entered my life despite having to quit my job and make regular visits to the hospital. Ashton went on a holiday without us for the first time and it was also the first time he was away from us.
Letting kids take a year out from school or at any time during the course of their educational path is a great choice that many parents are reluctant to make due to the kiasu nature of Asian parenting in always wanting to get ahead and staying ahead. We ourselves here have experienced taking a year out merely by accident but nonetheless a good thought out coincidence because my kids are only 10 and 5 this year yet they have already experienced what it is like to not only NOT go to school every single day but were given the great opportunity to explore the world and get to know themselves a bit better. EXTRA TIME - Being at home every day gave them the extra time to learn new languages and skills such as how to make glue, how to make sago Melaka, how to make Sugee Cake, how to prepare for a public exhibition, how to present publicly, etc. Iceland is a land of fairies; many locals still believe that trolls and elves still exist around the island. Watch this slideshow to discover which foods hinder sleep and which foods promote restful slumber.
Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women.
Effect of nocturnal nasal continuous positive airway pressure on blood pressure in obstructive sleep apnea. Fall in mean arterial pressure and fetal growth restriction in pregnancy hypertension: a meta-analysis. Pregnancy, sleep disordered breathing and treatment with nasal continuous positive airway pressure.
The influence of obesity on the relationship between body mass index and the distance to the epidural space from the skin. Magnetic resonance imaging of cerebrospinal fluid volume and the influence of body habitus and abdominal pressure. Obesity and the cephalad spread of analgesia following epidural administration of bupivacaine for Cesarean section. Transversus abdominis plane block reduces postoperative pain intensity and analgesic consumption in elective cesarean delivery under general anesthesia. So far, we have been taking the kids on holidays to no other than beach destinations in and out of Malaysia and the kids loved every bit of it, even more especially after they had learnt how to swim.
But then blogosphere got crowded and I got pregnant again and then went back to full time employment for a bit so the blog got put aside for awhile.
Finding something you could do from the computer is an easy and fast way to save some pocket money. I switched from a consulting job to a desk-bound program support job which enabled me to work from home full time and support the Asia Pacific region. So when I got this job, I thanked God and my colleague, Agnes because she was the one who roped me into her team.
We are all given a notebook to work from but since I am a teleworker, I am able to order additional accessories for my notebook which include a docking station, monitor stand and a 24 inch monitor so that I can comfortably work in front of the computer (like a geek). We should resign from our job in a way that reinforces our professional image and keep our current employer relationships positive. It might be different for those who resign and decide to stay at home taking care of family, without any proposal to do home-based business or work. Sugar is not just defined as the raw sugar that you put into your coffee but sugar from fruit, sugar from carbohydrates such as white flour, rice, noodles, bread and pastry.
Although you may lose weight purely by limiting the portions and the quality of food that you eat, exercise is still incredibly important because it not only strengthens your bones and muscles but promotes the circulatory system within your body.
Chinese schools give their students a lot of homework so my husband and I have to watch him finish his homework every day. We even introduced Nooh very light housechores for him to assist Mommy & Daddy with, and we began to seriously organise more fun-filled family activities on alternate weekends. To be fair, not everyone in Malaysia is educated enough about health but they should really take the initiative to learn it up as it is their own bodies and they should never take that for granted.
Sometimes, he gets drinks of water for me and tells me that when I am sick, I need to drink a lot of water. This year alone, we got to participate in entrepreneurial markets where my eldest daughter got to learn how to barter, trade and sell. They also managed to hone in on their language skills and dug deeper into any subject of interest such as loom bands and art and model making. The world becomes clear and there is no pretence on any part when you know who you are, what you are capable of, where you want to go and how you are going to get there. When people are directionless sometimes, they take a year out from the hustle and bustle of work and spend a year traveling or doing other things to decide where they truly want to be.


We departed from KLIA to Schipol, Amsterdam and transited for about 8 hours to taste the freshness of raw herring, standing on the bridge overlooking a canal near Central Station.
I asked my children about going back to Iceland and they replied that they really wanted to visit Iceland again. He has set ideas on colours for girls and boys - pink and red are for girls and blue is for boys.
My son already knows simple arithmetic like 1+2=3, 4+5=9 and can count the money I give him .
All you need to do is to have samples of your writing in hand and inform them that you are available. Get out of your comfort zone and start a business where you will be in complete control of your life. When I work from home, I am very productive because I already save time to get ready for work and to commute to and from work and there have been times that I work through lunch as well. But the good news is; on the 1st week itself, the teacher informed us that she just sobbed a little and stopped after we left. Good circulation ensures that every part of your body functions well and gets good quality oxygenated blood that is filled with the nutrients that each part of your body needs. Usually this is not possible and especially not for children when they are fussy eaters and thus, good, natural supplements are necessary. This is because water has Hydrogen and Hydrogen is everywhere in our cells binding our DNA. If you do not sleep enough, you are giving the free radicals more opportunity to multiply within your body. However, after meeting his friends and as the learning session begins, he starts to enjoy himself.
As much as I tried to moderate little tiffs and differences in opinions, some women are so set in their ways and are unforgiving. She had always been a sparkle of health doing daily morning brisk walks and eating mostly vegetables and fish with very little oil and lots of fruit, but still despite the clean health record from the Doctors, she died suddenly when her heart stopped without warning. Instead of taking prescribed drugs from the Doctors which could potentially lead to other problems, let alone side effects and what not, I am now healing with only these natural supplements and it has been very positive. My husband also stayed behind to be with me so my mother-in-law and father-in-law took Ashton on the trip.
We had a great time with the orphans and I am very glad that Amber Chia Academy and Pensonic supported this campaign. With all this time, the world was their oyster and they only needed to drown themselves in anything that they wished.
Unfortunately for us, this was also a year that my Mother-in-Law passed away, my Mother passed away and the diagnosis of my heart disease happened, all within this last 2 months. It is nourishment for their soul to find themselves and it is only when you know who you are that you can truly succeed in this amazing world. We went to the district which is famous for the hidden valley of elves, fairies, and puffin! I think it is because of the different experiences they had while they were in Iceland - rivers, waterfalls, larva field, fjords, valleys, hills, glaciers, icebergs, beaches, lagoons, towns, villages, and many more. It is a different stage of motherhood, a different set of experience and I enjoy every moment of it. Sometimes when I ask him about a certain character, he will go to Youtube and tell me the history.
So, we narrowed it down to Hong Kong (as they have Disneyland there), Japan (Disneyland too, but main language is in Japanese) and Australia (heard good reviews from people who travelled there with young children). Generally, the people there are ever willing to give an extra hand and give way to people with strollers. This is also something I have done before and is a good way to earn if you do not like moving about. If you have poor circulation, certain parts of your body will start deteriorating and over time, disease sets in. I have led a life of over indulgence eating lots of sugary desserts and chocolate, and I literally ate anything I wanted to as nobody slapped me into consciousness. When you truly know yourself, you get to dictate your own terms on how you will live your life and not have the urge to compare yourself and your life to anyone else like the majority of people do.
This makes me realise that there is a reason for everything and had we not taken a gap year, the stress of these changes might have flung me towards a nervous breakdown. We wanted to discover Iceland’s glory for ourselves and decided that the best way to explore the country was on a road trip. I have been trying to conceive for a year and I thought a relaxing holiday may well do the trick.
If you are interested, send me your CV and tell me what you like to do and I will find you a work from home job based on your interests, your time that you want to put in versus how much money you would like to make. Processed food contain food preservatives, additives, fillers, food conditioners and flavourings, or you would not be able to keep them in your pantry for more than a few days.
Because it not only feeds our already existing but dormant cancer cells within our body but overworks our pancreas and gallbladder into producing excessive insulin.
Exercise will also strengthen bones and build muscles, keep a healthy heart and give you overall great health. Sleep is the time when our cells regenerate and heal, so if you sleep very little, there is very little opportunity for your cells to do a thorough and complete cell renewal process.
And as much as I tried to diffuse situations, it was only me in the end that ended up getting burnt to charcoal.
It was an amazingly rich experience for us just spending the whole 35 days as a family unit moving from city to city, having to make decisions, compromise and spend quality time with host families in every country. Snoring is associated with a higher incidence of gestational hypertension, preeclampsia, and fetal growth retardation when compared to non-snorers. They are stuck because they never had the forethought to keep something for themselves and when shits hit the fan, they are well and truly stuck with not enough options.
So when’re you can, do sleep and best by 11pm because that is the best time the body starts its healing work. The ring is not my style but I love it and wear it because it was given to me by my beloved son.
At that moment, I saw a different side of my son, the expressive side and the confident side. I truly think now that if you want your kids to love school, to give them a year out and keep them at home but do NOTHING with them until they get so bored that they are begging to go back to school. I am thankful that we did just that and so although we are terribly saddened by their deaths, we are not crippled and celebrate their passing with continuing their legacies in our daily living. And suddenly last year, when I least expected it just before my Mother passed away, I had a bout of chest pain and was diagnosed with heart disease. Another blessing is that I found a business that I could run from home and am exploring other business opportunities too! Over time, our body becomes insulin resistance and despite the pancreas producing more insulin, it no longer works to remove the sugar from our blood. However if you exercise or are active and sweat a lot, then there is no harm drinking a little more than your recommended water intake.
If you have work to do, wake early to do it even at 4am, but sleep early rather than sleep late.


It is not that I have no confidence in him but he is such an active character, always bouncing about, moving and learning ever so quickly that I am amazed he could listen to the drama teacher’s instructions pretty well. Just be the politician and be nice to everyone even if you do not really agree with what others do. Some people are not so fortunate and feel a deep sense of regret, sometimes for the rest of their lives. I am very grateful that my kids had this opportunity to give themselves the time and love for the things they are truly passionate about.
We grabbed a couple of souvenirs at Paddy’s Market for decent prices and our kids were overjoyed with their new kangaroo and platypus soft toys. Like it or not, we will die without water and water contains good Hydrogen that will repair and cleanse out our defective cells known as free radicals from the body. I want to spend as much time as possible with him so I try to cut down on my trips and travel. Free radicals are defective cells that get produced from bad food, stress, environmental pollutants, smells, creams, pollution, and the mere act of breathing because our body is like a car and cars produce fumes as a by product from burning fuel. If any of you are Stay-At-Home-Moms and want to have something for yourself apart from children and the household only, there are definitely options that you could explore.
This review describes the anaesthetic concerns in obese parturients at risk for OSA, and presenting to the labor and delivery unit. And I believe that even if you had the most forward thinking women in a group, this problem will still surface.
Prevalence of obstructive sleep apnea Currently, there are no large prospective population-based epidemiologic studies addressing the prevalence of OSA in parturients. Some of this fat gets shipped out, but a part of it remains in the liver and builds up over time and you get Liver Disease. Eating sugar also increases bad cholesterol and triglycerides and can contribute to Leptin resistance which will then cause weight gain, cravings, sleep problems and such. Increase in estrogen induces hyperemia, nasopharyngeal mucosal edema, and vasomotor rhinitis, which can lead to a narrowing of the upper airway with increased airflow resistance.
Increased ventilatory drive along with resultant respiratory alkalosis during pregnancy has been postulated to cause instability in respiratory control pathways.
Small airway closure at the lung volumes greater than the functional residual capacity, particularly in late pregnancy, results in ventilation perfusion mismatch. Episodes of apnea and hypopnea, coupled with low maternal oxygen reserves, may increase the risk of maternal hypoxemia and compromise oxygen delivery to the fetus. However, the preference of the parturients' for lateral sleep posture to maintain uterine blood flow along with fetal movements during pregnancy lessens the risk of OSA in obese parturients [Table 1]. A recent cohort study of obese parturients reported an increased risk of gestational diabetes mellitus, pregnancy induced hypertension, pre-eclampsia, preterm labour at less than 34 weeks gestation, caesarean section, instrumental delivery and postpartum infection compared with parturients of average weight.
These women are also prone to develop overt diabetes and chronic hypertension in the future. The authors focused that pre-eclamptic parturients had significantly more apnoeic episodes per hour as well as more oxygen desaturations. Similarly, a high incidence of congenital malformations, including spina bifida, cleft lip, cleft palate, and heart defects have been documented. In an overnight sleep study involving 35 parturients with underlying OSA, four women desaturated, three of whom had accompanying fetal heart rate decelerations. Systemic hypertension and increased neck circumference (> 40 - 42 cm) at the cricoid cartilage level during pregnancy are consistent with the presumptive diagnosis of OSA. It is essential to obtain a meticulous sleep history for women with pre-existing obesity and a large neck size and who develop gestational hypertension or preeclampsia.
The Berlin questionnaire is a 10-item self-reporting instrument (5 on snoring, 3 on excessive daytime sleepiness, 1 on sleepiness while driving, and 1 inquring history of hypertension. In a retrospective analysis of 301 pregnant and post-partum women, 23% were found to have a high risk score on the Berlin questionnaire. Among the women at high risk, there was a high prevalence of habitual snoring (61%), observed apneas (7%), and daytime sleepiness (24%). The sensitivity and specificity of diagnosing OSA in parturients using the Berlin questionnaire was 35% and 64%, respectively, when compared to polysomnography. A recent systematic review on the screening of OSA has described that the STOP-Bang [Table 3]and Berlin questionnaires were found to have the highest sensitivity and specificity, respectively, in predicting moderate or severe OSA in a non-obstetric surgical population. Polysomnography is the gold standard for the diagnosis of OSA, and is indicated in parturients with hypertension, previous pregnancies with unexplained intrauterine growth restriction, and persistent sleep-related symptoms (hypersomnia or insomnia) associated with snoring or obesity. None of them had an AHI > 5, a usual threshold to define OSA in the non pregnant population. Systolic and diastolic blood pressure levels decreased starting at the 30 th week of gestation in the treated group, whereas blood pressure levels increased at the point in the usual care arm.
At 35 weeks, CPAP-treated women required less blood pressure medication and had a significantly lower mean daytime blood pressure, 87 mmHg compared to controls who had a mean blood pressure at 108 mmHg.
These results are especially important in the context of pregnancy when physicians and women alike want to avoid medication, and when antihypertensive drugs are known to impede the fetal growth.
An epidural catheter placed preoperatively could minimize the intraoperative and postoperative opioid requirements, and serve to increase early the ambulation and discharge from hospital.
However, the use of short acting neuraxial opioids with low dose morphine (< 150mcg) with monitoring of maternal oxygenation and respiratory rate, are found to be safer during the peripartum period. The need for an optimally functioning epidural catheter is emphasized by the fact that obesity is associated with an increased incidence of fetal macrosomia, which is a known risk factor for more painful contractions and complicated labour. Identification of midline for needle insertion The difficulty in location of the midline increases the likelihood of lateral projection of the needle, increasing the depth of the space and malpositioning of the catheter. Various techniques have been reported to identify the midline in difficult scenarios, which include: The line joining the occiput or prominence of C-7 and the gluteal cleft can be used to approximate the position of the midline. The possibility of having a difficult airway mandates that proper planning and appropriate care is taken to prevent oxygen desaturation. A difficult airway cart that includes a laryngeal mask airway, gum elastic bougie, McCoy laryngoscope, video laryngoscope and equipment for emergency surgical airway should be immediately available. When general anesthesia is warranted, it is safer to administer short-acting anesthetic drugs, less-soluble inhalational agents, titrate opioids and avoid sedation [Figure 3].
Application of PEEP and aortocaval compression can lead to severe reduction in the cardiac output and profound hypotension which needs appropriate positioning, vigilant monitoring and treatment. The trachea should be extubated on 100% oxygenation only after the patient is fully awake and neuromuscular blockade completely reversed.
Patient should be propped up and CPAP will help reduce the postoperative desaturation.Postoperative careParturients with moderate to severe OSA receiving general anesthesia should be allowed to recover in a high dependency unit with cardio respiratory monitoring. However, there is a limited evidence of a retrospective trial that does suggest that postoperative CPAP reduces airway obstruction, major postoperative complications and the hospital stay. There are a plethora of medications that can be considered under a multimodal analgesic regimen, including oral nonsteroidal anti-inflammatory drugs, acetaminophen, tramadol, ketamine, gabapentin, and dexamethasone. Intravenous dexmedetomidine has been particularly beneficial because of its opioid sparing effect and the lack of respiratory depression.



Make me sleep now
Relaxation techniques for sleep during pregnancy

Comments Sleep apnea and pregnancy complications

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    Interest is soon possible covariates such as age, body mass.