First Trimester Bleeding

Vaginal bleeding early in pregnancy is very common and usually not dangerous. If the bleeding becomes heavy, that can be a sign of an impending miscarriage. First trimester bleeding with […] Continue

C-Section Risks

A c-section is a very safe surgery and the risks of surgery are very few. The risks of any surgery are bleeding, infection, damage to other tissues, and anesthetic risks. […] Continue

Indications for a C-Section

There are several reasons that a woman may need to deliver by c-section. Breech or transverse position, fetal distress, previous uterine surgery, or failure to progress are all indications for […] Continue

Anesthesia for C-Section

The three main types of anesthesia that are used for c-sections are: spinal, epidural, and general anesthesia. Spinal anesthesia is the most common followed by epidural. General anesthesia is much […] Continue

House Visitors

I recommend keeping visitors to a minimum after having a baby. You will be tired and the baby is more prone to infections in the first month after birth. People […] Continue

Routine Followup

All women need to be seen 6 weeks after delivery by their obstetrician for a complete exam. If you had a c-section your doctor may want to see you at […] Continue

C-Section Recovery

A c-section is a major abdominal surgery and it will take time to recover. In addition to recovering from surgery, you also have a new baby to take care of. […] Continue

Preeclampsia

Preeclampsia is the triad of High blood pressure, protein in the urine, and swelling. Delivery of the baby will cure preeclampsia. Magnesium sulfate is often used to protect the woman […] Continue

Cervical Exam

Cervical exams check for fetal position, cervical dilatation, effacement, and station. Membrane stripping can also be done. There is usually a cervical exam at 36 weeks and again at the […] Continue

Gestational Diabetes

Gestational diabetes is diabetes that is diagnosed in pregnancy. It is treated with a low carbohydrate diet and exercise. Sometimes Insulin shots or oral medication will be needed. As long […] Continue

Pregnancy Disability

For uncomplicated pregnancies in the United States, most people go off work on disability at 36 weeks. Standard disability after delivery is 6 weeks for a vaginal delivery and 8 […] Continue

32 Week Wall

32 weeks of pregnancy is when normal symptoms of pregnancy tend to get worse. This is the point when many women stop enjoying being pregnant and just want to get […] Continue

Edema

Edema is the medical term for swelling and is very common in pregnancy. Swelling in just one leg could mean a blood clot in the leg which is an emergency. […] Continue

Group B Strep

The Group B Strep test or GBS is a Q-Tip swab to the vagina and rectum at 36 weeks. If it is positive, you will need to get antibiotics during […] Continue

Soft Signs of Labor

The baby dropping, passing the mucous plug, and bloody show are all soft signs of labor. They mean the body is getting ready but none of these are emergencies. You […] Continue

Labor Precautions

If you are at term and having contractions that are hard and coming every 3-5 minutes, it is time to go to the hospital. If your water breaks, go to […] Continue

Kick Counts

In the third trimester the baby should have a period of activity at least once per day in which you can feel at least 10 individual movements in 2 hours […] Continue

Fetal Position

When the baby is laying with the head down towards the vagina that is called vertex presentation. This is the position that is the safest for a normal vaginal delivery. […] Continue

Preterm Labor

More then 6 contractions in an hour before 37 weeks needs to be addressed. There are behavioral treatments as well as medications that can help treat preterm labor. Deliveries before […] Continue

Rhogam

If you have an Rh negative blood type you will need to get a shot of medicine called Rhogam at 28 weeks of pregnancy. When you deliver, the baby’s blood […] Continue

Feeling Movement

Most women are feeling the baby move by 20 weeks. Kick counts is a test done in the third trimester to test that the baby is doing well. The early […] Continue

Body Changes

It is during the second trimester that you will begin to “show”, that is, your tummy will begin to bulge out. The exact timing is different for each pregnancy. Generally […] Continue

Genetic Testing

There are several genetic screening tests available: blood tests, ultrasound, cvs, and amniocentesis. These are optional tests and all have advantages and disadvantages. The blood test goes by different names, […] Continue

Feeling Better

People tend to feel best during the second trimester. The nausea and vomiting is going away, energy is back, and you are not so uncomfortable as you may be in […] Continue

Cervical Incompetence

It is very rare to miscarry in the second trimester. Cervical incompetence is a rare condition that can cause second trimester pregnancy loss. Cervical cerclage is a procedure that treats […] Continue

Exposures

Exposure to alcohol, cigarettes, or drugs very early in pregnancy is unlikely to cause birth defects. It may increase your risk of miscarriage but as long as that exposure is […] Continue

Precautions

There are very few things that really need to be avoided early in pregnancy. For the most part women can continue to do all the normal activities they enjoyed prior […] Continue

Normal Symptoms of Pregnancy

Nausea, vomiting, breast tenderness and swelling, tiredness, mood swings, cramping, bloating, and of course no periods are all normal symptoms of early pregnancy. Nausea and vomiting are very common symptoms […] Continue

Fetal Heart Tones

The baby has a heart beat at 6 weeks. By 10-12 weeks the heart tones can be heard in the office. The most common reason for not hearing the heart […] Continue

Treatments for Miscarriage

Treatment options for miscarriage include: waiting for the body to pass the tissue on its own, using a medication called Cytotec, and having a procedure called a D&C. For most […] Continue

Miscarriage Overview

Miscarriages are common and not preventable. They can occur very early in pregnancy or much later. The bleeding may be like a period or more severe. They are not a […] Continue

Ectopic Pregnancy

Ectopic pregnancy is a pregnancy that occurs outside of the uterus. It is a potentially life threatening situation but it can be treated successfully with surgery or medication. Ectopic pregnancy […] Continue

Nausea and Vomiting

Nausea and vomiting are very common in early pregnancy but usually go away by the first trimester. There are behavioral and medical treatments for nausea and vomiting. People who have […] Continue

Dietary Restrictions

There are very few things that you should not eat or drink during pregnancy. Caffeine, lunch meats, cheese, fish, and sushi are all safe in moderation. There is currently no […] Continue

Physical Care

The body will undergo many changes after delivery of the baby. The uterus will go from the size of a baby back to the normal size in about 6 weeks. […] Continue

Postpartum Room

After having the baby you will be moved to another room called the postpartum room. This is where you will spend the rest of your time in the hospital Many, […] Continue

Nuchal Cord

When the umbilical cord is wrapped around the baby’s neck this is called a nuchal cord. This is very common and not dangerous. About 25-35% of normal deliveries have a […] Continue

Meconium

Meconium is the baby’s feces (poop). Sometimes this will be passed before the baby is delivered. This will mix with the amniotic fluid and has the potential for causing some […] Continue

People in the Room

Ask your doctor what the hospital’s policy is regarding how many people are allowed in the room and if there is an age restriction for visitors in the hospital that […] Continue

Fetal Monitoring

Fetal monitoring helps us understand more about your labor and how the baby is handling the stress of labor. External monitors are initially used. They go on your abdomen and […] Continue

Baby at Delivery

After the baby is delivered it will usually be put on your chest but sometimes will be taken to a warmer at your bedside. The cord will be trimmed and […] Continue

Dilation, Effacement, Station

There are three important words to be familiar with to help understand the labor process. They are dilatation, effacement, and station. Dilatation is a measurement of how open the cervix […] Continue

Epidural

Epidural anesthetic is very safe and will in most cases relieve all the pain of labor. It is given in a continuous drip so it will last during the entire […] Continue

Delivery of the Placenta

The third stage of labor is delivery of the placenta, also known as afterbirth. After the baby is delivered the placenta must come out. The placenta is an organ which […] Continue

Episiotomy

An episiotomy is a cut in the bottom part of your vagina. The doctor may preform this just before the baby is born. This helps make more room for the […] Continue

Delivery

Once the head of the baby comes out, you will stop pushing and the doctor will usually suction the nose and mouth of the baby so no unwanted substances enter […] Continue

Pushing

Once you are completely dilated, it is time to start pushing. Pushing is considered a valsalva maneuver. Usually you will be asked to push 3-4 times with each contraction holding each […] Continue