A pregnant by jizhen1947


									          ENHANCE HEALTH

                                        Ask Elevate
                                        HOW CAN I PREVENT
                                        STRETCH MARKS DURING
                                        PREGNANCY? AND CAN
                                        THEY BE TREATED TOPICALLY
                                        IF I DO GET THEM?

                                        More than half of all preg-
                                        nant women will get stretch
                                        marks, and because they’re
                                        not simply a surface issue
                                        but rather a rupture in under-
                                        lying tissue—and have a lot
                                        to do with genetics—they’re
                                        very difficult to treat. The
                                        best way to prevent them is
                                        to stay within recommended
                                        pregnancy weight gain par-
                                        ameters. This is usually
                                        between 20 to 40 pounds. (But
                                        always think of your baby’s
                                        well-being first; don’t under-
                                        nourish yourself in an attempt
                                        to avoid excess weight gain.)
                                        Also, keep yourself and your
                                        skin well-hydrated and avoid
                                        scratching, even when skin
                                        feels tight and dry. Instead,
                                        rub on a soothing moisturizer.
                                           No topical treatment will
                                        completely eradicate stretch
                                        marks, but Mederma Stretch
                                        Marks Therapy ($40, at drug-
                                        stores; mederma.com) has
                                        been clinically proven to visibly
                                        improve the appearance of
                                         stretch marks after12 weeks.
                                         This is because it contains
                                          potent botanical extracts,
                                           as well as skin- quench-
                                            ing and firming hyaluronic
                                            acid. It works best on newly
                                           formed stretch marks, so
                                            act quickly: once they fade
                                             to silvery white, they won’t
                                              respond as well to top-
                                               ical treatment. —MSP

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                 A pregnant pause                                                                                      BY ROSEMARY COUNTER

                  IT’S IRONIC, REALLY: Pregnancy, a time when swollen                                                  too: “There’s almost always phth-
                                                                                                                       lates in anything with a fragrance,”
                  feet and skin eruptions have moms-to-be craving some                                                 says Deacon, and because of pro-
                  primping and pampering, is also the time they’re most                                                prietary perfume laws, they can
                                                                                                                       be hiding beneath the label “fra-
                  worried about what goes on—and, therefore, in—their skin                                             grance” or “parfum.” The bottom
                  and body. The science is often contradictory and convoluted;                                         line: they’re not safe, so enjoy your
                                                                                                                       nine months by going fragrance-
                  certain ingredients are safe in some forms but not others, and                                       free.
                  sometimes it’s a mere matter of dosage. So Elevate asked the                                         Essential Oils
                  experts: Which ingredients in common beauty products should                                          MANY MOTHERS TO BE like to
                                                                                                                       turn to aromatherapy to sooth their
                  we avoid? Which are nothing to worry about? And how can                                              symptoms, but just because they’re
                  women look their best and stay healthy during pregnancy?                                             natural, essential oils are not auto-
                                                                                                                       matically safe. “I actually worry
                                                                             avoid these products.                     more about naturopathic things,
                                    Salicylic Acid                                                                     because there are even less studies
                                    THIS MILD ACID, most commonly            Parabens                                  about them than the drugs,” says
                                    seen in acne and anti-aging creams,      THIS COMMON and inexpensive               Dr. Kellett. Some, like lavender or
                                    is a member of the aspirin family—       preservative—linked to endocrine          chamomile, are just fine to relax
                                    it reduces redness and inflamma-         disruption and breast cancer—has          in the tub with, while others can
                                    tion. High doses in oral form have       been the topic of much recent con-        cause uterine contractions which
                                    been shown to cause birth defects,       troversy. “Parabens mimic hormone         may lead to miscarriage. Before you
                                    and there’s no evidence topic-           development, and you don’t want           drop anything into your bathwater,
                                    al application in low dosages could      to mess around during pregnancy,          ask your doctor or midwife.
                                    do the same. “But since we know          when hormones are driving the
                                    taking it orally is a problem, we tell   bus,” says Gill Deacon, author of         Benzyl Peroxide
                                    people to avoid it,” says Dr. Lisa       There’s Lead in Your Lipstick (Pen-       LIKE MOST peroxides, the organ-
                                    Kellett, MD, FRCPC, DABD, a              guin Group, 2011). Others believe         ic compound benzyl peroxide is a
                                    dermatologist in Toronto. If pim-        it’s all hype: “Preservatives are a lot   powerful bleaching agent found
                                    ples are a problem, Dr. Kellett sug-     better than bacteria and fungus           in hair dyes and teeth whiten-
                                    gests a fruit acid to rid yourself of    growing in your facial cream,” says       ing kits—even white flour. But
                                    dead skins cells.                        Dr. Kellett. If you’re concerned,         it’s most famous as a very effect-
                                                                             more companies are offering para-         ive acne treatment—the Archives of
                                    Retinol A                                                                          Dermatology found nearly three in
                                    RETINOL—and its many deriva-             ben-free products, making the
                                                                             switch easier than ever before.           10 women suffered from worsened
                                    tives—is an animal form of vita-
                                                                                                                       acne during pregnancy—and even
                                    min A that speeds up cell division,      Phthalates                                better: it’s considered by doctors
                                    making it a very popular addition        THIS JANUARY, after two decade’s          to be very safe. Though there have
                                    to everything from exfoliants to         of studies showed they disrupted          been no studies, no case reports
                                    wrinkle creams. While some vita-         testosterone production in male           indicated risk to an unborn child.
                                    min A is necessary for fetal develop-    fetuses, Heath Canada banned
                                    ment, excess can be harmful to your      many plastic-softening phthalates         Accutane
                                    unborn child. Also, most women           from children’s toys and bottles.         THIS ONE’S a no-brainer: “Abso-
                                    already carry all the vitamin A          But most people don’t know phthal-        lutely not,” says Dr. Kellett. Signifi-
                                    stores they’ll need, so it’s best to     ates pop up in grown-up products          cant studies indicate Accutane (aka

            elevatemagazine.com                                                                                                      may +june.11 | elevate      47

e.mj11.enhance-safety.3-2.indd 47                                                                                                                        4/12/11 10:21:03 AM
                                                                                 ENHANCE HEALTH
                  D r.              T i m    S p r o u l e ’S

                                                                                 ‘‘  I ACTUALLY WORRY MORE ABOUT
                                                                                 NATUROPATHIC THINGS, BECAUSE THERE

                                                                                 ARE EVEN LESS STUDIES ABOUT THEM
                                                                                 THAN THE DRUGS.

                Cosmetic Surgery Suites
                                                                                                                         DR. LISA KELLETT,
                                                                                                                          MD, FRCPC, DABD
                                                                                                               DLK ON AVENUE, TORONTO DLK

                  416-439-1766 • www.plasticos.ca
                 605 McCowan Road, Scarborough, ON M1J 1J9 (South of Lawrence)   Isotretinoin) causes fetal brain and heart abnormalities, as
                                                                                 well as miscarriages, fetal loss and major birth defects. It’s
                  Dr. Tim Sproule is a member of the royal College of            been designated Category X—meaning it must be avoid-
                  Surgeons and accredited by the Canadian Association of         ed under all circumstances during pregnancy—and if acci-
                  Accreditation of Ambulatory Surgical Facilities                dental exposures continue, the March of Dimes may call on
                                                                                 the FDA for a systematic banning of all forms: “No preg-
                  He HAS been in THe meDiA on: Skin Deep, Plastic
                  Makes Perfect, Global News, Canada AM, CTV & CBC               nant woman should ever take isotretinoin, and no women
                  Radio and is a lecturer in the Department of Surgery at the    taking isotretinoin should ever get pregnant,” said medical
                  university of Toronto. He works with interplast and has        director Dr. Nancy S. Green.
                  founded his own charitable organization: The Canadian
                  reconstructive Surgery Foundation.
                                                                                 THE SYNTHETIC version of cortisol, the “stress hormone”
                  Dr. Tim Sproule and the accredited staff of anesthetists       produced by your adrenal gland, hydrocortisone cream
                  and experienced nurses of evolution (formerly plasticos)       sooths itching and skin irritations—from psoriasis to hem-
                  are equipped to provide a complete range of cosmetic           orrhoids. A number of studies have demonstrated a slight
                  surgery procedures including:                                  increase in cleft palates and decrease in birth weight in mice,
                  • Facial plastic surgery, Rhinoplasty                          but data doesn’t support this in the great majority of human
                  • Breast enhancement, lifts and tummy tucks                    pregnancies. Because the benefits of hydrocortisone (should
                  • Specializing in body contouring for clients who              you need it) seem to far outweigh the risks, most doctors
                    have achieved substantial weight loss
                                                                                 believe low doses are just fine.
                  • Botox and Fillers
                                                          For your               MORE AND MORE beauty products—especially face
                                                      convenience we             washes and eye creams—are adding caffeine to their reci-
                                                       have a private,           pes. Besides stimulating skin circulation, caffeine increas-
                                                                                 es your heart rate and metabolism, making you feel more
                                                        fully staffed            alert. It does the same to your baby, however, so moderation
                                                     overnight suite to          is key: more than 200mg a day (two cups of coffee or cola)

                                                        care for you.
                                                                                 could increase miscarriage or contribute to low birth rate. A
                                                                                 fractional amount on your face is negligible in comparison,
                                                                                 so slathering up should be no problem at all.
                                                                                 Hair Colour
                                                                                 IF YOU’RE STILL ANTSY about the hair dye cancer scare of
                                                                                 the early 1980s, relax—many of these chemicals were long
                                                                                 since removed. It is possible that some chemical compounds
                                                                                 in dye could cause birth defects, but you’d need extreme-
                                                                                 ly high doses. That’s not to say you shouldn’t be proactive:
                                                                                 “Find out what’s in the hair dye you want to use and bring
                                                                                 it to your obstetrician,” suggests Dr. Kellett. And just to be
                                                                                 safe, many moms-to-be wait until after the first trimester to
                                                                                 get a colour touch-up.
                                                                                     Ultimately, it’s all about how much of a pregnancy purist
                                                                                 you want to be, says Dr. Kellett. There are chemicals in
                                                                                 every product, not to mention the air and water, so find
                                                                                 your own balance between beauty and health—then don’t
                                                                                 let it make you crazy. “You do want to be that extra bit cau-
                                                                                 tious when you’re pregnant,” says Deacon, “but you can’t go
                                                                                 bonkers with worry either.”

        48     elevate | may +june.11                                                                                     elevatemagazine.com

e.mj11.enhance-safety.3-2.indd 48                                                                                                          4/12/11 10:30:35 AM

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