Winnipeg Free Press

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CA T E L E P H O N E : ( 2 0 4 ) 6 6 1 - 9 5 5 5 TO L L F R E E : 1 - 8 0 0 - 5 3 9 - 3 07 3 * These great prices are extended finance prices on in- stock vehicles with Birchwood Ford with all rebates to dealer. Vehicles may not be exactly as shown. All payments OAC. Finance example: $ 10,000 at 4.99% Per annum for 96 months is $ 139.46 per month with a total obligation of $ 13,388.16. Cost of borrowing is $ 2,371.16. ^ Aeroplan � mile destination calculations approximate and subject to change. See www. aeroplan. ca for more details. WE'VE ALWAYS SHARED OUR PASSION. NOW WE'RE SHARING G O O U U R R P PR R I I C C E E. BIRCHWOOD IS EXCITED TO BE THE ONLY FORD DEALER TO OFFER AEROPLAN � MILES NOT AN AEROPLAN � MEMBER? SIGN UP IN SECONDS AT BIRCHWOOD FORD! T ORONTO - New mothers living in big cities in Canada have a higher risk of postpartum depression than women in less- populated areas of the country, a study has found. Postpartum depression can occur after a woman has given birth and is a serious health risk for both women and their babies. The symptoms are more intense and longer lasting than the typical baby blues and may eventually interfere with a mother's ability to care for her child. The study, published Monday in the Canadian Medical Association Journal , is based on a 2006 national survey of almost 6,500 new mothers. It found almost 10 per cent of the women living in cities with a population of at least 500,000 reported experiencing postpartum depression. That compares with six per cent of new moms in rural areas, almost seven per cent in semi- rural, or small- town areas, and about five per cent in semi- urban areas, the latter defined as having a population of 50,000 to 500,000. " Social support was a major factor," said lead author Dr. Simone Vigod, a psychiatrist at Women's College Hospital in Toronto. " So women in large urban areas were reporting much lower levels of social support than women in all three other groups." Many large cities, such as Vancouver, Toronto and Montreal, also have a higher percentage of women who have immigrated to the country compared with ruraland small- town Canada, Vigod said. " And those women in particular in our study appeared to be at increased risk of having high levels of postpartum depression symptoms," she said. " It was found to be happening independently of poor social support, although there is a potential that they may be related," said Vigod, adding women who are immigrants, but whose families live elsewhere, may not have the same kinds of support. There may also be cultural or other barriers to getting help from health professionals who could treat postpartum depression - or even prevent it, by identifying women with an elevated risk. Programs aimed at helping new mothers, such as having a nurse make a home visit in the days after the birth, may not be appropriate for all cultures, she said. " Perhaps there are communities in which that's not as acceptable, for whatever reason. And perhaps a peer member of the community might be a more acceptable alternative. " We can't necessarily give them mothers and friends and sisters that aren't there, but can we look at other ways of increasing support?" Most new mothers experience mood disruptions linked to poor sleep and hormonal changes. But symptoms of postpartum depression go beyond those reactions to include: loss of appetite; insomnia; intense irritability and anger; lack of joy in life; feelings of guilt or inadequacy; difficulty bonding with the baby; and suicidal thoughts, the Mayo Clinic says on its website. Untreated, postpartum depression may last for many months or even longer. In rare cases, a new mother can develop postpartum psychosis, and may experience hallucinations and delusions; and paranoia. The psychosis may cause her to harm herself or her infant. Monday's study has particular resonance because of the recent death of Lisa Gibson, whose body was pulled July 27 from the Red River - three days after the bodies of her two- year- old daughter Anna and two- month- old son Nicholas were found unresponsive in the bathtub of the family's Winnipeg home. They were pronounced dead at hospital. As the Winnipeg Free Press has previously reported, the 32- yearold was diagnosed with postpartum illness shortly before her death. - The Canadian Press By Sheryl Ubelacker Increased postpartum risk in big cities: study LONDON - Chinese scientists have found the strongest evidence yet a new bird flu strain is sometimes able to spread from person to person, but they are emphasizing the virus still does not transmit easily. The new bird flu strain, known as H7N9, was first reported by Chinese authorities in March. As of the end of May, there were 132 cases and 37 deaths in China and Taiwan linked to the virus. Health officials suspect patients were most likely infected by birds in live animal markets but acknowledged there were probably sporadic cases of the virus spreading among humans. Except for a single case reported last month, the infections appear to have stopped since Chinese authorities took measures to slow the virus, including shutting down live markets across the country. In the new study, Chinese researchers interviewed the family and close friends of a father and daughter both killed by H7N9 in eastern China to figure out how the virus might have spread between them. Both patients were critically ill during the investigation and could not be interviewed. The father, 60, was in charge of buying food for the family and bought six live quails before falling sick. His daughter, 32, rarely left the residential district where they lived and didn't have any known contact with birds, except for two black swans raised by the property owners. The daughter took care of her father when he became ill, without wearing any protective equipment. She fell sick several days afterward and died one month later. " In this cluster, the virus was able to transmit from person- to- person," wrote Xian Qi of the Jiangsu Province Center for Disease Control and Prevention, who was the lead author of the study. The scientists concluded the transmission was " limited and non- sustainable." The paper was published online Tuesday in the journal BMJ. - The Associated Press Person- to- person bird flu spread found A_ 07_ Aug- 07- 13_ FP_ 01. indd A7 8/ 6/ 13 11: 38: 28 PM ;