• The Girlfriend's Approach To Gynecology
    The Girlfriend's Approach To Gynecology
    "Gynecologists with simple answers to women's health concerns".
  • Latest Articles
    Latest Articles
    See the latest blogs here.
  • Gyno Myths
    Gyno Myths
    Clearing up some of the common misconceptions in women's health.
  • Discussions on Women's Health Issues
    Discussions on Women's Health Issues
    A forum where you can post your comments on related health issues.

View All Articles

Do you like our site?

follow-tw
This user has reached the maximum allowable queries against Twitter's API for the hour.
Tag: cesarean section

Can we Reduce the Rate of Cesarean Section Births?

 

Whether common knowledge or not, the Cesarean Section birth rate in the U.S. hovers around 31%. meaning that 1 of 3 babies in our country are born by Cesarean Section.  In the last 2 decades, the rate of Cesarean Section births has continued to rise, even for first-time mothers.  According to our national organization, ACOG, the most common reason for Cesarean Section birth among first-time mothers is abnormal progess in labor.  The rate of Cesarean Section birth among first-time mothers varies throughout the country, raising their concern for the re-evaluation and standardization of the definitions of 'normal labor progress' among practicing Obstetricians in our country.

Continue reading

Common Reasons why a Cesarean Section may be recommended in Labor

Cesarean Section Delivery isn’t Failure…It’s ‘Plan B’

 

If I had a nickel for the many times I’ve heard a laboring patient say, “I really don’t want a Cesarean Section!”  In addressing their labor concerns, often times I try re-clarifying with them what they really mean in saying “I don’t want a Cesarean Section”.  I believe what most of our patients really mean is:

“I’m really ‘hoping’ for a vaginal birth”…

“If I had a preference for delivery, it would be vaginally, rather than by Cesarean Section”…

However…

“If circumstances arise for which a Cesarean Section would be better for the health and safety of my baby, I’d definitely agree to Cesarean Section delivery”…

 


Continue reading

Cesarean Section on 'Maternal Request'? Be Sure to Understand Your Risks

 

In modern obstetrics, there is a growing trend in expecting mothers’ request for ‘elective’ Cesarean section (‘Cesarean Section on Maternal Request’.)  This ‘elective’ cesarean delivery, is a maternal request for Cesarean section delivery, in the absence of any maternal or fetal need (nor medical indication) for Cesarean section birth.  (This particular ‘request’ for Cesarean section refers to a maternal request for a first-time Cesarean delivery… not a request for a repeat Cesarean birth, as in the case of a mother with previous Cesarean Section deliveries.)  In the U.S. 2.5% of births are performed by Cesarean section for this request.  In my experience, concern and anxiety regarding pain in labor seem to represent the most common reason for this request.

Continue reading

Understanding the negative stigma of Genital Herpes...It's the Newborn who's at greatest risk

 

Understandably, for many persons, a new diagnosis of genital herpes may lead to feelings of shock, shame, guilt or embarrassment. Often times, patients are unaware of how common this virus is among the general population.  Some studies have shown up to 1 in 5 of sexually active people have been infected with the Herpes virus, whether they’re aware of it or not.

 

Genital herpes is a treatable condition.  Aside from being sexually transmitted, much of the negative stigma around this infection seems to come from the fact that you don’t ‘get rid of’ it, and that recurrences can happen.  Herpes is a viral infection (like HPV,) and though the symptoms (a cold sore in the case of oral herpes, or a genital sore in the case of genital herpes) can be treated, the virus itself remains present in our blood stream indefinitely. Even in its dormant state (no symptoms present,) the virus remains detectable by blood test, and can lead to partner-to-partner spread of infection (from asymptomatic shedding of the virus) when no detectable ‘sore’ is present.  Gonorrhea and chlamydia, different from the Herpes virus and HPV, are bacteria or bacterial-like infections that are cured with treatment, with no detectable bacteria remaining after adequate therapy (unless the individual is ‘re-infected’.)

 

Though a diagnosis of genital herpes can be an embarrassing nuisance, it’s actually a newborn baby who’s at the most serious risks from a genital herpes infection.  A newborn baby infected with genital herpes is at risk for multi-organ infection, that can be fatal if left untreated.  If you are pregnant, with a known history of genital herpes, it’s important to let your healthcare providers know that information.  Certain measures (anti-viral medications in the last month of your pregnancy, and performing a Cesarean section if active lesions are present at the time of labor) should be taken, to decrease the risk of spread of infection to your newborn baby.

Continue reading

What does 'Natural Birth' mean to You?

 

A natural birthing experience is desired by many expecting mothers…But what does ‘Natural Birth’ really mean?  For some women it means a vaginal birth with little or no medical interventions, for some it means a vaginal birth without pain medications (or without an epidural), for others it may mean any accomplished vaginal birth, and not a cesarean section.

 

Nearly a third of babies in this country are delivered by cesarean section. The more recent adoption of early skin-to-skin contact and intraoperative breastfeeding, not only benefit maternal-infant bonding, but also benefits the baby in terms of earlier success with breastfeeding.  It simulates a more ‘natural birthing’ experience, preventing the feeling of ‘disconnect’ for the parents of cesarean section babies, while separated from their baby in the operating suite.

 

As a practicing Ob/Gyn, I hold no strict or definite definition of ‘Natural Birth’.  I allow the patient to decide and define whatever ‘Natural Birth’ means to them.

 

 

Suzanne Hall, MD (@drsuzyyhall)

Continue reading

Join the Cause

If you have expertise in the health profession and would like to join us please Click Here

Stay In The Loop

Stay in touch with new articles, posts, stories important happenings at Gyno Groupie! Join the mailing list today! Click Here