12-TKE CAROLINA TIMES-SATURDAY, NOVEMBER 6, 1S82 '
Pregnancy In The Older Woman Has
Snecial
Concerns'.
Women who are age
34 or older have special
concerns if they are preg
nant but often can expect
a . favorable . outcome
because of advances in
obstetrical - care , and
prenatal counseling'.
Dr. William .:N.P
Herbert,' assistant pro
fessor of obstetrics and
gynecology at the
University of v North
Carolina at Chapel Hill
School Of Medicine, said
165,000 women age 33
and older will deliver
babies in 1982. The
number of deliveries to
women in this age group
is expected to increase by
40 percent during
1978-1988, he added-.
Among X the reasons ;
women cite for delaying
pregnancy, Herbert said,
are careers, delayed mar
riages, second and third
fnr . .
marriages, and infertility .they're older. Likewise .fAWp. n-J
of the wife or husband. M they may feel somewhat hakh Wofessionals not
"Older , obstetriccal aiienatea irom i tneir con- 'F'?IJZU To mistake the maturity
paucnu aic jx,uu,
Herbert said. VThey may
feel alienated irom otner
temporaries who are the
same age but are not
pregnant.
pregnant women because ; " Women
in their
w. in fly iv in -
timwd ' "and enormous
changes have been made
in obstetrical care since
that time." Herbert said
1
' ADVERTISED ITEM POLICY
Each o tan ttnma 'Quito to oe
cawWy fvMabw for UK Mch Krogtr Slort tictpl
aaofcaiv nod i h 1 d n out a an atfvwMad
Mm. w oHv you your choc 0 CompjriOit itm.
hMiy r4wtmn tha um uvmat or a ramchacfc
whcti mMM cu lo pwcitaaa ttw advaroaad nam at tht
advartajad one wnnm juoaya
COPYRIGHT 1982-THE KROGER CO. ITEMS AND PRICES
S000 SUNDAY OCT. 31 THRU SATURDAY NOV. 1 1982 IN
OURHAM
WE RESERVE THE RIGHT TO LIMIT QUANTITIES. NONE
TO DEALERS.
m2
HOLLY FARMS, U.S.D.A.
GRADE A
Pick Of
The Chiit
MET
T
( 0 a
oE) J?7
U.S. GOV'T GRADED CHOICE.
RFFF
Center Dlatle Cot
Chuck Roust
"GENUINE"
Idaho
Potatoes
SVWKKLVVSa'
UbUA
4CII0ICE)
ii ! m-o.(atr rf JiX,
Polar Pal:
Ice Cream
Vi-Oal.
On.
V
Yellow
Onions
KROGER
Grade A
Largo Eggs
SPOTLIGHT
Dean
Coffee. ...
lb.
0
Doz.
COST CUTTER
Sandwich
24-oz.
Loaf
, , "IN THE DELI DEPT." ,
Frosli Daltcd
French Bread
16-oz.
Lcsf
BREAD NOT AVAILABLE AT YOUR IOXBORO ROAD
. OURHAM KROCiR
ier 0.5
Lowfat T1ilk
in
NON RETURNABLE BOTTLE,
MOUNTAIN DEW,
Diet Pepsi or
isi Cola
UiruraDG "Oft
QDOSQ
Li J
ASC3
Kregr premlm to pay vow Triple th Dlffarmc In cash If you can do your normal waokly food
shopping for loss at any othor upormarkat In Durham. Krogor can maka this premlia bocausa
v havo thoutandt of tow Cost Curtor pricot throughout our sterol. Just purchaso not toss than
2S nor mora than 50 Horns 'totaling $20 or mora at Kroger (excluding Items prohibited by law
mmA mm itMiV Camnara iIimo orlces with anv other Durham supermarket. H the total
IBwew ---t r
amount for the Identical Items Is less at any other supermarket In Durham this week well
Triple the Difference In cash. Bring your Kroger register tape plus the other store's prices to
your Kroger store. See for yourself who really has low prices In Durham.
CSLT CKE CF EMI ITEai PKCSlCl KM tE ISEB III
C0SI CVmXBXAKdS
Low prices on quality guaranteed products, day-in and day-out.
uver luuainereni items, rroauci wim u numo yuu wn mui
a auality arade you can count on. Products you can depend on
. i " i ' 1 I I . .1 ' tAi n
JJTv i a quality grade you can count on. Products you can depend
H H tS J ' every day and priced as low or lower than, "no name foods''
at
9 VOI J W J V IV w w w ' ' r f w .
Ifronnr vau know exactlv what vou're cfettina when vou buy it,
not when you open it. And each and every "Cost Cutter" ilem is
. . . . V. . . .
backed by Kroger s datiSTaction uuaraniee.
HillGtmrough Road At La Salle
Itbxboro & Lattd Roads
I WKEHLYlf ''SsaBF
VARISTY
In Every department. You can select from over 10,000 items and
over 200 kinds and cuts of meat, including Lamb, Veal, Fresh
Seafood and 7 kinds of Ground Meat. You -will also find one of
the widest selections -of fresh fruits and vegetables, plus a
Delicatessen, international foods section, gourmet and diet
foods, institutional sizes and more.
Lakeaood Shopping Contor
East Franklin St. Chapol Hill
n mistake the maturity 1":
of a : woman for. j.
. knowledge about .:-,
pregnancy. .. , .:?:.
He said the older :
- obstetrical patient usual-. :
ly Is seen by a physician-,,
on a more frequent basisuc
; than i other patients.
"Hypertension is a
disorder ' that certainly
does increase with ad-; "r.
vancing age and we like o. -to
monitor blood":
pressure a little bit more
carefully in the older pa
tient," Herbert explain--ed,
"Diabetes is another1
disorder which becomes"--manifest
at a increasing:
rate with , increasing .:
age." . ..
Herbert said obstetri
cians are particularly in-
terested in accurately' .
assessing the gestational ::
age of the fetus- in.
women who are in theifr
mid-30s or beyond. The
, risk of having twins goes .
up four-fold between tht ..:
ages of 20 and 3, he i
said, and women who
have had previous
children also have an inr -creased
chance of having "
twins. '
"There's no , doubt -that
the risk of having jtj;
child with birth defect r
Increases with age,' '
Herbert said. "Down
syndrome is the single
CKMt common entity but
there are a variety of.'
chromosomal abnor
malities that are more :
common to older pa
tients." For example, he said, -for
women age 30-34 the ;
risk of delivering a child "
with a chromosomal ab- ;
normality is one in 640'
and this risk increase
ten times between . the'
ages of 35 to 39.
"It is important to
remember that there is
not a magic change at
age 35," Hebert said.
"In fact, the risk of hav
ing a chromosomal ab
normality increases'
steadily, year by year,
beginning at age 31."
Pr econceptual
counseling and prenatal
diagnosis through ultra
sound and amniocentesis
can give a couple good,
factual " information
about risks present and
options available,
Herbert said.
Dr. John W. Seeds,
assistant professor of
obstetrics and
(gynecology at UNC-CH,
said it is important to
consider a couple's
ethnic nririn. family
histories and personal
health histories when ex- f
amining the risks involv- j
ed in certain inherited
diseases. i
"Each of us carries
recessive genes, probably
four to six," Seeds said.
"The fact that inborn er
rors of metabolism are !
extremely rare sorts of
diseases is because the )
chance meeting of two j
unrelated people with the
same defective gene is
very unlikely."
Metabolic diseases are
genetically transmitted in
a number of different !
ways, Seeds said, and iti
may or may not be possi-1
ble to identify carriers of j
the disease in advance. 1
"For example," v he
said, "Tay-Sachs is a
rare, degenerative cen
tral nervous system
disease that affects
Ashkenazi Jews. One in
3,600 Ashkenazi births is
at risk for Tay-Sachs and
carrier status can be
identified before a cou
ple plans a child.
."Cystic fibrosis is the
most common recessive
disease we see," Seeds
said. "It occurs in one of
every 2,200 live births.
One out of every 22 of us
carries r the recessive
genes for the cystic
fibrosis and there is cur
rently no commercially
available technique.. for
identifying carrier status
or using prenatal
diagnosis."
In addition to' in
herited inborn errors of
metabolism, Seeds said,
the fetus also can-be
liarmed by a mescal
jondition present ia the
Bother such as, poorly
xmtrolled diabetes..-or
intreated epilepsy. ,
Seeds said the Uver.en
yme) deficiency known
is phenylketonuria
iresents a special case.
Once a baby who. is
torn with PKU grows
tp. the special diet that
Continued on Page J5)