Australian Open Betting Preview and Free Pick: Na Li vs. Kim Clijsters

#9 Na Li

#3 Kim Clijsters

The first Grand Slam of the year will be handed out on Saturday morning in Australian Open betting action, as Kim Clijsters takes on Na Li at Rod Laver Arena in Melbourne Park.

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This is the biggest stage that Li has ever been on, as she is searching for her first Grand Slam title. This is her first ever finale, as she made it through the semifinals for the first time after a failed attempt last year here Down Under. Li has been absolutely clinical in this tournament, as she didn’t drop a single set until facing the world’s No. 1 rated player, Caroline Wozniacki. Wozniacki had her down two match points, but Li fought back, breaking service in the second set and storming to a 6-3 victory in the third and decisive set. The argument could be made that Li played the match of her life against the Dane, as she only committed 15 unforced errors, the fewest she has made in a match in this tournament, and she won 74 percent of her first service points, also her best mark at the Aussie Open.

Unfortunately for Li though, this is a significantly more difficult challenge. Clijsters might have been ranked third in this tournament at its outset, but she was always the Australian Open favorite ever single step of the way. She has never won a Grand Slam event outside of the US Open, but she does have three straight triumphs and four straight finals appearances in Flushing Meadows in the US Opens that she has entered. This is the second time that Clijsters has been a finalist in the Australian Open, as she came up short in 2004. She was also a semifinalist four other times before retiring for a few years in 2007. The Belgian has some momentum on her side as well because she recently announced that this is most likely her last year on the WTA Tour, and if that holds true, this might be her last chance at a Grand Slam event. Clijsters hasn’t even really been pushed that hard in this tournament, as she has not dropped a set and has only had to play three tiebreakers in six matches.

After going with Li for several matches though, we have to stay in her corner. We tend to believe that the Australian Open lines are really inflated due to the Clijsters announcement, and though we recognize that the Belgian should absolutely be the favorite to win this event, she clearly isn’t going to win it more than perhaps four out of seven times. We’ll take our chances that Li gets the job done in the Australian Open final to give China its first ever Grand Slam winner.

Australian Open Free Pick: Na Li +245 at BetPhoenix

San Francisco — Pregnancy soon after bariatric surgery does not appear to pose safety concerns for the mother or newborn, Dr. Tuoc N. Dao reported at the annual meeting of the American Society for Bariatric Surgery Surgeons have generally recommended that bariatric surgery patients should not become pregnant until 12-18 months after the procedure because of a perceived risk to the fetus or the woman during the period of large weight loss and limited calorie and nutrient intake following the surgery, said Dr. Dao, a surgical resident at Baylor University Medical Center at Dallas.

Although her review of 24 patients indicated that “the desire for pregnancy should not be a deterrent to Roux-en-Y gastric bypass as a weight-loss procedure,” she and her colleagues still recommend that bariatric surgery patients wait 12-18 months’ before becoming pregnant “due to the psychological component of trying to undergo all of these changes at one time. Trying to lose weight and deal with a pregnancy at the same time I think would be too much for people.” Several previous studies have not reported any major adverse events or outcomes in women who became pregnant after bariatric surgery. In a study of 298 deliveries, no adverse perinatal outcomes were reported in women who had restrictive or malabsorptive surgery, although Roux-en-Y gastric bypass (RYGB) was associated with an increased risk of premature rupture of membranes, labor induction, and fetal macrosomia (Am. J. Obstet. Gynecol. 2004;190:1335-40).

A separate review of 18 pregnancies after gastric bypass showed few metabolic problems or deficiencies in vitamin [B.sub.12] or iron (South. Med. J. 1989;82:1319-20). In another group of 46 deliveries, four of seven preterm infants were born to mothers who became pregnant within 16 months of their surgery Pregnancy was safe outside of that time period (Am. Surg. 1982;48:363-5). go to web site countdown to pregnancy

Pregnancy during the period of rapid weight loss immediately after surgery can cause deficiencies in iron, folate, calcium, and vitamin [B.sub.12]. It also has been questioned whether women will be able to lose additional weight post partum during the early postoperative phase. Fetal and maternal deaths have been reported in a few cases of postoperative small bowel herniations and ischemia, but other reports have recorded good outcomes with early detection and treatment of this complication, Dr. Dao said. in our site countdown to pregnancy

In her review of 2,532 patients who underwent RYGB at Baylor during 2001-2005, 24 became pregnant within i year after the surgery These patients were 32 years old with a body mass index of 49 kg/[m.sup.2] at the time of surgery At the time of delivery the women were 34 years old and had gained a mean of 0.3 pounds during pregnancy, although this varied widely from losing 70 pounds to gaining 45 pounds.

The patients’ mean body mass index dropped from 34 kg/[m.sup.2] when they became pregnant to 32 kg/[m.sup.2] at a mean follow-up of 13 months after delivery At follow-up after delivery, they had lost an average of 76% of their excess weight. Only one patient failed to sustain the excess weight loss.

The 24 women had 26 pregnancies, 2 of which were early miscarriages in women who soon became pregnant again and carded to term. Of three other miscarriages, two occurred in the first trimester and one at a gestational age of 20 weeks. Another patient had an ectopic pregnancy.

One patient had mild iron deficiency during pregnancy that resolved with iron supplementation. One patient had symptomatic cholelithiasis and underwent laparoscopic cholecystectomy after the delivery of her baby. An internal hernia in one patient was detected early and repaired without any incident. Another patient with a gastrogastric fistula was treated conservatively until her delivery. Two patients had preterm labor. One patient had preeclampsia and one had mild hypertension that was much improved since her last pregnancy before bariatric surgery The 21 babies (including one set of twins) had an average birth weight of 2,874 g. Three neonates, including the twins, had a low birth weight (less than 2,500 g). One infant had intrauterine growth restriction (born to the mother with an internal hernia). Another infant had intrauterine growth restriction plus a low birth weight (born to the mother with a gastrogastric fistula). No infants had any congenital or developmental defects.

In five of the women who had pregnancies before their RYGB surgery, there were fewer instances of diabetes, hypertension, and complications during postsurgery pregnancies than in those that occurred before the operation.

Dr. Dao did not know how many of the other patients who received RYGB in the cohort were lost to follow-up, but she said that patients who report pregnancy at clinical visits or on follow-up surveys are interviewed to gather information.

BY JEFF EVANS Senior Writer

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