Cocooned Health

Whats the impact of a western diet in pregnancy on child development? Expert Guests: Professor Morten Arendt Rasmussen and Dr David Horner
It is unclear what the impact of a western diet is like on the unborn child. Now, a large observational clinical study from the University of Copenhagen and the Copenhagen Prospective Studies on Asthma in Childhood at the Danish Paediatric Asthma Centre, Herlow and Gentofte Hospital, find a relationship between maternal diet during pregnancy and the presence of ADHD and autism in children. The more of a Western diet a woman has in pregnancy - e.g. high in fat, sugar, processed products while lower in fish, fresh vegetables, and fruit—the greater the risk appears to be for her child developing ADHD or autism. Today we are joined by Professor Morten Arendt Rasmussen and Dr David Horner University of Copenhagen who led on this research to tell us what this means for pregnant women. Thank you do being with us today
 

Ep 17. DEBRIEF- Health optimisation -  How to protect against a disease that affects 90% of children under the age of 2 years. RSVAround 90% of children are infected with Respiratory Syncytial Virus (RSV) by 2 years old. This episode discusses health consciousness and the desire to protect oneself. Discussions revolve around prevention medicine and how that coincides with other healthy lifestyle choices like organic food, exercise and mindfulness. We discuss how to balance the rare side effects with health optimisation. In this episode Dr Lydia Yarlott and Dr Eliz Kilich talk about how to balance the benefits and risks when thinking about vaccines. 

Episode 16: Pregnancy RSV Vaccine Update. Expert Guest: Professor Paul Heath. Join us for an update on the respiratory syncytial virus (RSV) vaccine given during pregnancy. Hear what the latest evidence is. This vaccine protects babies against a common cause of bronchiolitis which can be severe in newborns. The UK has made a decision to prevent against RSV with Abrysvo™, the maternal vaccine, manufactured by Pfizer. Previously the UK had been considering the use of Nirsevimab instead. This is an RSV monoclonal antibody for newborns (Beyfortus™, manufactured by Sanofi Pasteur). Both the vaccine and the antibody were recommended as safe and effective options in 2023 by the JCVI. After a cost-effectiveness analysis and financial tender by the Department of Health, a decision was made to move to Abrysvo™.
The maternal vaccine success was revealed following a study involving over 7000 pregnant women, published in early 2023, the MATISSE trial. They showed that the Abrysvo™ maternal vaccine is highly effective at preventing severe infection in babies up to 180 days after birth. Vaccination is approved from 28 weeks of pregnancy in the UK. At the same time, the MELODY and HARMONIE trials showed the monoclonal antibody for babies Beyfortus™, currently unavailable in the UK, also effectively prevents RSV for up to 6 months after administration. This vaccine can be given to all babies anytime from birth. 
We now we hear about what the evidence is now that the UK has been giving the vaccine since September 2024.Tune in now. 

Episode 15: Debrief: Cravings and Places: when your pregnancy craving lead you astray 
Dr Eliz Kilich and Dr Lydia Yarlott. In this follow-up to our insightful discussion with Dr. Matthew Gilmour in "Ep 14: Brie-ing Safe in Pregnancy – Christmas Special!", we delve deeper into the nuances of food safety during pregnancy.We summarise the main points in a shorter recap and highlight some of the areas that need further explanation. For instance here we talk about Listeria's rarity, the outbreaks, the food industry's role in protecting pregnant women, and practicalities. This episode offers practical advice on identifying actual risks, understanding potential consequences of consuming high-risk foods, and recognising the most hazardous items to avoid.We also examine the significant 2019 listeriosis outbreak in UK hospitals linked to pre-packaged sandwiches. Our discussion covers the events, the subsequent investigation by the UK Health Security Agency (UKHSA), and the lessons learned to enhance food safety protocols.assets.publishing.service.gov.uk
Resources:UKHSA's report on the 2019 listeriosis outbreak: https://assets.publishing.service.gov.uk/media/5fbd0f898fa8f559e9ea363e/2019-05-Listeria-CC8-Outbreak-Report.pdf
Tune in to gain valuable insights and join our debate on this critical topic. Please remember this is not direct medical advice, sharing knowledge and thoughts. Please do contact your own healthcare professional if seeking personal medical advice