Historically, the role of women was confined to some extent to being a mother and wife, with women being expected to dedicate most of their energy to these roles, and to spend most of their time taking care of the home. In many cultures, women received significant help in performing these tasks from older female relatives, such as mothers in law or their own mothers. Regarding women in the workforce, mothers are said to often follow a "mommy track" rather than being entirely "career women". Mothers may be stay at home mothers or working mothers. In recent decades there has been an increase in stay at home fathers too. Social views on these arrangements vary significantly by culture: in Europe for instance, in German-speaking countries there is a strong tradition of mothers exiting the workforce and being homemakers. Mothers have historically fulfilled the primary role in raising children, but since the late 20th century, the role of the father in child care has been given greater prominence and social acceptance in some Western countries. The 20th century also saw more and more women entering paid work. Mothers rights within the workforce include maternity leave and parental leave. The social role and experience of motherhood varies greatly depending upon location. Mothers are more likely than fathers to encourage assimilative and communion-enhancing patterns in their children. Mothers are more likely than fathers to acknowledge their childrens contributions in conversation.
Indiana will start screening in 2020. Parents of newborns with a diagnosis of Krabbe disease can access online community support and resources below. Treatment
Although there is no known cure for Krabbe disease, bone marrow transplantation or hematopoietic stem cell transplantation (HSCT) has been shown to benefit cases early in the course of the disease. Generally, treatment for the disorder is symptomatic and supportive. Physical therapy may help maintain or increase muscle tone and circulation.A 15-year study on the developmental outcomes of children with Krabbe disease who underwent HSCT in the first seven weeks after birth found that patients have a better prognosis for both lifespan and functionality, with a slower progression of the disease. Even symptomatic individuals with later-onset Krabbe disease may benefit from HSCT if diagnosed early enough. Umbilical-cord blood is typically used as the source for the transplant stem cells. Clinical trials for gene therapy are currently enrolling patients. Management
Symptom management can be particularly difficult for individuals with infantile onset, as symptoms tend to progress rapidly. Because there is no treatment for Krabbe disease, management of the condition is typically supportive and aimed at alleviating symptoms. Frequent evaluation is encouraged in order to anticipate the onset of, and preparation for, certain symptoms. Physical therapy can help to alleviate motor difficulties and increase strength, mobility, and flexibility.Gastrostomy tubes are used to circumvent feeding difficulties and prevent aspiration. A simultaneous gastrostomy tube insertion and Nissen fundoplication procedure is commonly performed to prevent the need for a secondary surgical procedure.