When is a baby too premature to save?









































It was never easy, but trying to decide whether to save extremely premature babies just got harder.











A study called EPICure compared the fates of babies born 22 to 26 weeks into pregnancy in the UK in 1995 with similar babies born in 2006. In this 11-year period, the babies surviving their first week rose from 40 to 53 per cent. But an accompanying study comparing the fate of survivors at age 3 found that the proportion developing severe disabilities was unchanged, at just under 1 in 5.













"We've increased survival, but it's confined to the first week of life," says Kate Costeloe of Queen Mary, University of London, author of the first study. "Yet the pattern of death and health problems is strikingly similar between the two periods."












The absolute numbers of premature babies born over the 11 year period increased by 44 per cent, from 666 in 1995 to 959 in 2006. This meant that the absolute numbers of children with severe disabilities such as blindness, deafness or lameness also rose, increasing the burden on health, educational and social services.











Lifelong disability













"As the number of children that survive preterm birth continues to rise, so will the number who experience disability throughout their lives," says Neil Marlow of University College London, who led the second study.












By far the worst outcomes were for the youngest babies, with 45 per cent of those born at 22 or 23 weeks in 2006 developing disabilities compared with 20 per cent of those born at 26 weeks. In 1995 only two babies survived after being born at 22 weeks. In 2006, three did.











In 2006, a panel of UK ethicists concluded that babies born at 22 weeks should be allowed to die, as with babies born at or before 23 weeks in France and Holland.













Journal references: BMJ, Costeloe et al, DOI: 10.1136/bmj.e7976; Marlow et al, DOI: 10.1136/bmj.e7961


















































If you would like to reuse any content from New Scientist, either in print or online, please contact the syndication department first for permission. New Scientist does not own rights to photos, but there are a variety of licensing options available for use of articles and graphics we own the copyright to.









































































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If you are having a technical problem posting a comment, please contact technical support.








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New framework to improve safety of working at heights to be launched






SINGAPORE: New guidelines to improve the safety of working at heights will be launched early next year.

Co-developed by the Workplace Safety and Health (WSH) Council and Manpower Ministry (MOM), it is the first safety and health competency framework developed in Singapore, for a specific area of work.

Working at heights is the leading cause of workplace death.

More than 100 workers have died from falls over the past five years, while 16 have died so far this year.

The new guidelines will address concerns raised by industry on competencies.

It is also aimed at raising the capabilities of all stakeholders, from professionals to workers.

There will be training at four levels of vocation -- workers, supervisors, assessors and managers.

Workers will be trained on basic working at heights knowledge.

Supervisors will be trained to ensure that they know how to check that all fall preventive measures are in place before any work is carried out.

Managers will be trained to evaluate and ensure that all systems and processes are implemented.

While assessors, who will do independent checks to ensure all procedures have been adhered to, must be deemed as "competent" under the new framework.

The framework has undergone industry validation.

Highlighting the significance of improving the competency of the workers, Mr Suresh Navaratnam, MOM's director of Policy, Information and Corporate Services from the Occupational Safety and Health Division as well as member of the National Work at Heights Safety Taskforce said, "While best practices, systems and processes have been communicated to industry, they cannot be successfully implemented without a competent workforce.

"To effectively manage WAH (working at heights) risks on the ground, the solution must be to get every stakeholder group to understand the risks, plan the safe work procedures and implement them well.

"Hence, this comprehensive and encompassing framework will help us to ensure that the standards we hope to achieve can be practically carried out by managers, supervisors and workers."

All industry stakeholders are urged to sign up their employees for the courses once they are available in early 2013.

- CNA/lp



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Dropbox plans Windows 8 touch support



Aditya Agarwal, Dropbox's vice president of engineering

Aditya Agarwal, Dropbox's vice president of engineering



(Credit:
Stephen Shankland/CNET)



PARIS -- Dropbox plans to launch a version of its software that will let
Windows 8 customers use the file-sharing service on the Microsoft's new operating system.


"We are going to be launching our client app for Windows 8," said Aditya Agarwal, Dropbox's vice president of engineering, speaking at the LeWeb conference here. The software will of course work in the traditional desktop mode shared with earlier Windows versions, but also with the new touch-centric user interface of Windows 8 spotlighted with Microsoft's new Surface
tablet, he said.




The move isn't a major surprise; core to the value of Dropbox's service is the idea of transferring files across many different devices. The Web interface is useful, but having files actually stored on a machine means they're backed up, immediately accessible, and discoverable through an operating system's search.


Dropbox already is available with Windows' earlier interface as well as on other major operating systems including OS X,
Android, and iOS. However, Agarwal didn't comment on whether the company plans to extend to Windows Phone.


YouSendIt, a competitor, launched its Windows 8 app last week.


"We're already seeing thousands of downloads a day," said Chief Executive Brad Garlinghouse. "I'm more bullish than many."

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Scientific Results From Challenger Deep

Jane J. Lee


The spotlight is shining once again on the deepest ecosystems in the ocean—Challenger Deep in the Mariana Trench (map) and the New Britain Trench near Papua New Guinea. At a presentation today at the American Geophysical Union's conference in San Francisco, attendees got a glimpse into these mysterious ecosystems nearly 7 miles (11 kilometers) down, the former visited by filmmaker James Cameron during a historic dive earlier this year.

Microbiologist Douglas Bartlett with the University of California, San Diego described crustaceans called amphipods—oceanic cousins to pill bugs—that were collected from the New Britain Trench and grow to enormous sizes five miles (eight kilometers) down. Normally less than an inch (one to two centimeters) long in other deep-sea areas, the amphipods collected on the expedition measured 7 inches (17 centimeters). (Related: "Deep-Sea, Shrimp-like Creatures Survive by Eating Wood.")

Bartlett also noted that sea cucumbers, some of which may be new species, dominated many of the areas the team sampled in the New Britain Trench. The expedition visited this area before the dive to Challenger Deep.

Marine geologist Patricia Fryer with the University of Hawaii described some of the deepest seeps yet discovered. These seeps, where water heated by chemical reactions in the rocks percolates up through the seafloor and into the ocean, could offer hints of how life originated on Earth.

And astrobiologist Kevin Hand with the Jet Propulsion Laboratory in Pasadena, California, spoke about how life in these stygian ecosystems, powered by chemical reactions, could parallel the evolution of life on other planets.


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Subway Push Murder Suspect Implicated Self: Police













A suspect believed to be responsible for throwing a man into the path of an oncoming New York City subway train who was taken into custody today has made statements implicating himself, police said.


According to Deputy Commissioner for Public Information Paul Browne, the suspect has been questioned by police since at least early afternoon and while the suspect is in police custody, he has not been officially charged.


Police are continuing to question the suspect and more lineups have been scheduled for tomorrow, Browne said.


Police have not released the suspect's name but began questioning him Tuesday afternoon about the death of Ki-Suck Han, 58, of Queens, N.Y.


Han was tossed onto the subway track at 49th Street and Seventh Avenue around 12:30 p.m. Monday after Han confronted a mumbling man who was alarming other passengers on the train platform. Han tried to scramble back onto the platform, but was crushed by an oncoming train.


The suspect fled the station, prompting a police dragnet for a man described by witnesses and see on surveillance video as a 6-foot-tall, 200-pound black man wearing dreadlocks in his hair.


Witnesses tried to revive the victim after he was hit and provided descriptions of the suspect to police.


Dr. Laura Kaplan, medical resident at Beth Israel Medical Center who was standing on the platform during the incident rushed to give Han aid after he was hit, she said in a statement released by her medical practice today.






New York Police Department













Bystanders Pull Mom, Son From Subway Tracks Watch Video







"A security guard and I performed 3-4 minutes of chest compressions. I hope the family may find some comfort in knowing about the kindness of these good Samaritans, as they endure this terrible loss," Kaplan said.


"I would like the family to know that many people in the station tried to help Mr. Han by alerting the subway personnel," she said.


Kaplan said she wanted to console the family of Han, who she called "a brave man trying to protect other passengers that he did not know."


The suspect had reportedly been mumbling to himself and disturbing other passengers, according to ABC News affiliate WABC. Police told WABC that the suspect could be mentally disturbed.


The suspect could be heard arguing with Han just moments before he hurled Han onto the track bed, according to surveillance video released by the police. The suspect is heard telling the victim to stand in line and "wait for the R train."


A freelance photographer for the New York Post was on the platform and said he ran towards the train flashing his camera hoping to alert the train to stop in time, but the train caught Han against the shoulder deep platform wall.


The photographer, R. Umar Abbasi, caught an eerie photo of Han with his head and arms above the platform and staring at the oncoming train.


Han was treated by EMS workers on the platform for traumatic arrest and rushed to Roosevelt Hospital, where he was pronounced dead, according to the Fire Department of New York.


"I just heard people yelling. The train came to an abrupt stop about three-quarters into the station and that's when I heard a man was hit by a train," Patrick Gomez told ABC News affiliate WABC.


Police set up a command post outside the train station Monday night searching nearby surveillance cameras to try and get a clear image of the suspect, reports WABC. They said Tuesday that the investigation is ongoing.


Anyone with information is asked to call Crime Stoppers at 1-800-577-TIPS (8477). The public can also submit tips by logging onto the Crime Stoppers website at www.nypdcrimestoppers.com or by texting their tips to 274637 (CRIMES) then enter TIP577. All calls are strictly confidential.



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Green shoots are growing in oil-rich Texas

















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Texas has a reputation as the fossil fuel and climate change denial capital of the US, but things are quietly changing






















CHRISTINA ESCOBAR cast a nervous eye at the spiral of smoke on the horizon as she set off to buy groceries. By the time she returned an hour later the police had closed the highway. Two weeks later, when the road finally reopened, the only possession she could find in the ashes of her house was her great-grandfather's Purple Heart medal.












The wildfires that swept across Bastrop County in autumn 2011 were the worst in Texan history. They burnt 140 square kilometres of forest and destroyed around 1700 houses. The state climatologist, John Nielsen-Gammon of Texas A&M University, is reluctant to attribute the event to climate change, stressing that droughts are a regular feature of the Texan climate. He nonetheless describes the combination of extreme drought and record-breaking temperatures as "off the charts".












Visiting Texas last month as part of my research into the psychology of climate change, I found a state of extremes that in many ways reflects the tensions and contradictions across the entire US. A state where attitudes to climate change are a mark of cultural identity, where the political economy is still inextricably bound to fossil fuels and yet there is a raw economic drive that offers the hope of a rapid transition to new fuels.












There is no shortage of concern about climate change in the liberal enclaves of Austin, or outright denial in the Republican heartlands. One old lady, coming out of a Baptist church in Houston, told me that she had "prayed for wisdom" and now knew that climate change is "a Marxist plot by the Muslim terrorist Obama to impose one world government".












Generally, though, my questions about climate change were met with polite embarrassment and a swift change of topic. Escobar could not recall a single discussion about climate change in relation to the Bastrop fires. Nor could the mayor, the editor of the local newspaper or the head of the chamber of commerce. The topic appears to have been actively excluded from public discourse.












Nevertheless, Gerald North, professor of atmospheric sciences at Texas A&M, detects a subtle shift. He feels that the extreme weather has caused a mellowing: "Even among Republicans I think there's a lot more belief in this than people are willing to say out loud. They just can't talk about it."












Nielsen-Gammon says that policy-makers are becoming more open to climate change too, as long as it is framed as a long-term risk and adaptation issue.












Last year, officials surrendered to a revolt by scientists over attempts to purge all mention of climate change and sea level rise from a report on the environment of Galveston Bay. And criticism from climate specialists, North and Nielsen-Gammon among them, led to the 2012 State Water Plan including mentions of "potential" climate impacts, albeit as an "ambiguous" risk. One of the contributors, Jennifer Walker of the Sierra Club environmental organisation, describes even this small victory as a "major breakthrough".












The real political minefield, though, is carbon mitigation. This is understandable when one considers that Texas is in the midst of an oil and gas boom. It already has the highest carbon dioxide emissions of any US state; if it was a separate country (as a good few Texans would like) it would be the seventh highest emitter in the world.












The boom is being fuelled by technological breakthroughs in hydraulic fracturing, or fracking, which have given declining oil and gas deposits a new lease of life. The city of Midland is now ringed by hundreds of wells amid the cotton fields. Oil companies are investing over $1 billion a month in drilling; trailer parks are springing up to house workers migrating in to take up 48,000 new jobs. One study estimates that shale gas could create half a million jobs by 2015.












At the same time, the low tax, low regulation policies that have facilitated the fracking boom have also fuelled a remarkable growth in renewable energy. Texas now has the highest installed wind-power capacity of any US state. For several days last month, wind was generating over a quarter of its electricity.


















Texas's second city, San Antonio, has embraced the new energy economy and is reinventing itself as the Silicon Valley of renewables. The local utility company CPS Energy has installed wind turbines with a total capacity of 1000 megawatts and has just issued contracts for 400 megawatts of solar installations. To the delight of environmental campaigners, it is retiring a 871-megawatt coal-fired power plant. San Antonio is well on course to generate 20per cent of its power from renewable sources by 2020, a target that the European Union is struggling to meet.












Even so, carbon remains a taboo subject. When Chris Eugster, strategy and technology officer for CPS, describes the project his talk is of "new energy" rather than the low carbon economy.

























Continue reading page

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If you would like to reuse any content from New Scientist, either in print or online, please contact the syndication department first for permission. New Scientist does not own rights to photos, but there are a variety of licensing options available for use of articles and graphics we own the copyright to.









































































All comments should respect the New Scientist House Rules. If you think a particular comment breaks these rules then please use the "Report" link in that comment to report it to us.


If you are having a technical problem posting a comment, please contact technical support.








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Hockey: India lose to Germany but finish top of pool






MELBOURNE: India finished top of Pool A despite going down 3-2 in their pool game to Olympic champions Germany at the Champions Trophy in Melbourne on Tuesday.

India will now face win-less Belgium, who finished fourth in Pool B, in a quarter-final on Thursday.

Elsewhere, England blew their chance to finish on top of Pool A after being held to a 1-1 draw against New Zealand, while the Netherlands had a scare against Belgium, but hung on to win 5-4.

A win will put India into the semi-finals and a chance for their first Champions Trophy medal since their bronze at Amstelveen in 1982.

Striker S.K. Uthappa said his team still took confidence going forward despite the loss to the Germans.

"Team morale is very high because we knew that it wouldn't be an easy game to play against the Olympic gold medallists, so we were prepared for a good fight and that's what happened," he said.

"It was most important that we finished on top and that is what we did."

German captain Moritz Fuerste said his team would reassess now they were at the quarter-final stage.

"The first three games weren't that important, but we are definitely happy to avoid Australia or Holland," Fuerste said.

Germany have to await the outcome of the match between Australia and Pakistan later on Tuesday to see who their quarter-final opponents.

India made the best possible start with Gurwinder Chandi finding space in the circle to deliver a powerful shot for the opening goal.

Germany worked themselves back in the game minutes later, with Oliver Korn following up his first shot which hit the post to fire home the rebound and level the game.

The match continued at a frantic pace, with India producing several shots on goal which were all stopped by German goalkeeper Nicolas Jacobi.

India continued on with their form after half-time, with a deflection from Nithin Thimmaiah from a penalty corner retrieving the lead.

India continued to play attacking hockey in search for another goal, however the disciplined German defence held firm.

This eventually paid dividends with a lapse in concentration from India allowing Germany back in the game.

Tobias Matania levelled with 13 minutes remaining and scored again two minutes later to seal the win.

The Netherlands improved their claims of finishing on top of Pool B despite a close call against Belgium 5-4.

While they came away with the win, they were pushed by the Belgians, who fought back from a 3-0 half-time deficit.

Dutch captain Klaas Vermeulen said despite the close call they would take the positives heading into the quarter-finals.

"The tournament is starting now (with the quarter finals). We have to forget the second half and remember the first and stay focused," he said.

Earlier, England let slip a chance to finish on top of Pool A when they were held to a 1-1 draw with New Zealand.

They scored the first goal of the game through Mark Gleghorne, however the Kiwis controlled the second half with veteran Phillip Burrows levelling the score.

New Zealand will next play whoever finishes on top of pool B in the quarter-finals, with captain Dean Cousins saying his team has more scope for improvement.

"We are pleased (today), but need to keep getting better as it is going to get tougher as we go on (throughout the tournament)," he said.

- AFP/de



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My Best Tech Gift Ever: Meeting James 'Scotty' Doohan



You might not know it from his expression, but CNET copy editor Jeff Sparkman got the thrill of a young geek's life in 1987 when dad Frank took him to meet actor James Doohan. That's Jeff's brother Josh in Doohan's lap.



(Credit:
Jeff Sparkman)


Every day this week, a different CNET writer or editor will recall a tech or geek-centric present that left a mark. Read yesterday's story by Crave contributor Eric Mack here, and look for another installment tomorrow at midnight PT.

It was hard picking the greatest tech gift I ever got -- we got a lot of tech as gifts for the whole family. Should I pick the Atari 2600 or the Sega Genesis? Should I pick the Texas Instruments TI99/4A, the Commodore 128, or the Magnavox HeadStart 500 (the first computer we owned with a CD-ROM drive)? I was almost tempted to pick the Coleco Adam we got one year because it was the first system to teach me about backing up my documents. Heck, my parents just got me a
Nexus 7
tablet for my birthday, and that's pretty spiffy, too.


But since I can't decide, here's my pick for best tech (well, geek) gift: the day my parents took me to our local video store not just to buy "Star Trek IV: The Voyage Home" on VHS (yes, I'm that old), but to get it autographed by James "Scotty" Doohan himself. This was right in the middle of my full-on "Star Trek" geekdom.


What's the best tech gift you ever got? Send your stories and photos to crave at cnet dot com (subject line: Best Tech Gift) for possible inclusion in an upcoming feature.


I also brought my copy of "Mr. Scott's Guide to the Enterprise," a kind of faux technical manual, to get signed. I mean, I knew he was an actor, but in so many ways, he was also the embodiment of future tech to me. Being able to look up things on a computer just by talking to it, instant personal communication, and interstellar travel -- all that stuff held my interest much more than sports,
cars, or any semblance of a social life.

When I met Scotty (he insisted I call him that), it was the first time I thought I could have a career in the tech field. Granted, I'm a copy editor, so I'm more concerned with the spelling of dilithium than trying to recrystallize it, but I'm here.

Find a memorable gift for the people in your life by visiting CNET's 2012 Holiday Gift Guide.

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Mars Rover Detects Simple Organic Compounds


NASA's Mars rover Curiosity has detected several simple carbon-based organic compounds on Mars, but it remains unclear whether they were formed via Earthly contamination or whether they contain only elements indigenous to the planet.

Speaking at the American Geophysical Union annual meeting in San Francisco, Curiosity mission leaders also said that the compound perchlorate—identified previously in polar Mars—appeared to also be present in Gale Crater, the site of Curiosity's exploration.

The possible discovery of organics—or carbon-based compounds bonded to hydrogen, also called hydrocarbons—could have major implications for the mission's search for more complex organic material.

It would not necessarily mean that life exists now or ever existed on Mars, but it makes the possibility of Martian life—especially long ago when the planet was wetter and warmer—somewhat greater, since available carbon is considered to be so important to all known biology.

(See "Mars Curiosity Rover Finds Proof of Flowing Water—A First.")

The announcements came after several weeks of frenzied speculation about a "major discovery" by Curiosity on Mars. But project scientist John Grotzinger said that it remains too early to know whether Martian organics have been definitely discovered or if they're byproducts of contamination brought from Earth.

"When this data first came in, and then was confirmed in a second sample, we did have a hooting and hollering moment," he said.

"The enthusiasm we had was perhaps misunderstood. We're doing science at the pace of science, but news travels at a different speed."

Organics Detected Before on Mars

The organic compounds discovered—different combinations of carbon, hydrogen, and chlorine—are the same or similar to chlorinated organics detected in the mid-1970s by the Viking landers.

(Related: "Life on Mars Found by NASA's Viking Mission?")

At the time, the substances were written off as contamination brought from Earth, but now scientists know more about how the compounds could be formed on Mars. The big question remains whether the carbon found in the compounds is of Martian or Earthly origin.

Paul Mahaffy, the principal investigator of the instrument that may have found the simple organics—the Sample Analysis at Mars (SAM)—said that while the findings were not "definitive," they were significant and would require a great deal of further study.

Mahaffy also said the discovery came as a surprise, since the soil sample involved was hardly a prime target in the organics search. In fact, the soil was scooped primarily to clean out the rover's mobile laboratory and soil-delivery systems.

Called Rocknest, the site is a collection of rocks with rippled sand around them—an environment not considered particularly promising for discovery. The Curiosity team has always thought it had a much better chance of finding the organics in clays and sulfate minerals known to be present at the base of Mount Sharp, located in the Gale Crater, where the rover will head early next year.

(See the Mars rover Curiosity's first color pictures.)

The rover has been at Rocknest for a month and has scooped sand and soil five times. It was the first site where virtually all the instruments on Curiosity were used, Grotzinger said, and all of them proved to be working well.

They also worked well in unison—with one instrument giving the surprising signal that the minerals in the soil were not all crystalline, which led to the intensive examination of the non-crystalline portion to see if it contained any organics.

Rover Team "Very Confident"

The simple organics detected by SAM were in the chloromethane family, which contains compounds that are sometimes used to clean electronic equipment. Because it was plausible that Viking could have brought the compounds to Mars as contamination, that conclusion was broadly accepted.

But in 2010, Chris McKay of NASA's Ames Research Center and Rafael Navarro-Gonzalez of the National Autonomous University of Mexico published an influential paper describing how dichloromethane can be a byproduct of the heating of other organic material in the presence of the compound perchlorate.

They conducted the experiment because NASA's Phoenix mission had discovered large amounts of perchlorate in the northern polar soil of Mars, and it seems plausible that it would exist elsewhere on the planet.

"In terms of the SAM results, there are two important conclusions," said McKay, a scientist on the SAM team.

"The first is confirming the perchlorate story—that it's most likely there and seems to react at high temperatures with organic material to form the dichloromethane and other simple organics."

"The second is that we'll have to either find organics without perchlorates nearby, or find a way to get around that perchlorate wall that keeps us from identifying organics," he said.

Another SAM researcher, Danny Glavin of Goddard, said his team is "very confident" about the reported detection of the hydrocarbons, and that they were produced in the rover's ovens. He said it is clear that the chlorine in the compounds is from Mars, but less clear about the carbon.

"We will figure out what's going on here," he said. "We have the instruments and we have the people. And whatever the final conclusions, we will have learned important things about Mars that we can use in the months ahead."

Author of the National Geographic e-book Mars Landing 2012, Marc Kaufman has been a journalist for more than 35 years, including the past 12 as a science and space writer, foreign correspondent, and editor for the Washington Post. He is also author of First Contact: Scientific Breakthroughs in the Hunt for Life Beyond Earth, published in 2011, and has spoken extensively to crowds across the United States and abroad about astrobiology. He lives outside Washington, D.C., with his wife, Lynn Litterine.


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Kate's Illness Sometimes Linked to Twins













Hyperemesis gravidarum, the reason newly pregnant Kate Middleton is in the hospital, is a rare but acute morning sickness that results in weight loss and accounts for about 2 percent of all morning sickness, doctors say.


The condition is sometimes associated with women having twins, experts said.


Women diagnosed with hyperemesis gravidarum have lost 5 percent of their pre-pregnancy weight, or 10 pounds, said Dr. Ashley Roman, a professor and OB/GYN at New York University Langone Medical Center.


It poses little danger to the tiny heir, doctors said.


"It's traditionally thought that nausea and vomiting is a sign of a healthy pregnancy," Roman said


Dr. Nancy Cossler, an OB/GYN at University Hospitals in Ohio said the condition does not cause loss of pregnancy or birth defects, but it can be a torture to endure.


"The biggest problem with this is how it interferes with your life," Cossler said. "Constantly feeling sick and puking is difficult."


Click here to read about other women with hyperemesis gravidarum.


Hyperemesis gravidarum is thought to be caused by higher levels of the pregnancy hormone, hCG, or human chorionic gonadotropin, Cossler said. Extra hCG can often be brought on by carrying more than one fetus, she said.






Chris Jackson/AFP/Getty Images











Kate Middleton Pregnant, Admitted to Hospital Watch Video









Kate Middleton, Prince William Expecting Their First Child Watch Video









Prince William and Kate Middleton's Big News Watch Video





In other words, it could be a sign that Middleton is carrying twins. Although there's very little data on twins and hyperemesis gravidarum, one study showed that women carrying twins had a 7.5 percent higher risk of experiencing the acute morning sickness, Roman said.


The extreme morning sickness is usually diagnosed about nine weeks into the pregnancy, and in most cases resolves itself by 16 or 20 weeks, Roman said. In rare cases, it can last the whole pregnancy.


"As the pregnancy is in its very early stages, Her Royal Highness is expected to stay in hospital for several days and will require a period of rest thereafter," a statement from St. James Palace said. Prince William is at the hospital with Middleton, according to the Britain's Press Association.


Click here for photos of Kate through the years.


Roman said doctors prescribe vitamins and ginger capsules at first. If that doesn't stop the vomiting, they will prescribe antihistamines and stronger anti-nausea medications.


Women with hyperemesis gravidarum are also treated with fluids, said Dr. Jessica Young, an OB/GYN at Vanderbilt University. But if left untreated, a pregnant woman who is severely dehydrated for a long period of time could die, "just like any person," Young said.


In extreme cases in which the woman is losing weight and unable to eat, doctors will treat her with intravenous nutrition, Young said.


Hospital stays can vary, and women will often have to be admitted more than once before the condition passes, doctors said.


Hyperemesis gravidarum is somewhat mysterious because some expectant mothers have acute morning sickness during only one of their pregnancies, but have no morning sickness for subsequent pregnancies.


There is a chance that higher levels of hCG, which likely caused Middleton's nausea, could be a sign of a molar pregnancy instead of twins, Cossler said. This would mean Middleton is carrying only a benign growth in her uterus instead of a fetus, or she is carrying a fetus with abnormal DNA and a benign growth. Neither is considered a viable pregnancy.


However, Cossler said molar pregnancies become apparent early on, and doctors would already know whether Middleton had one.


"They would not have released this information," Cossler said of the birth announcement. "I'm certain that they have already eliminated both of those [types of molar pregnancies]."



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