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The Carolina times. (Durham, N.C.) 1919-current, November 06, 1982, Page 12, Image 12

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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)

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