Are you pregnant and considering, or undecided, about having prenatal chromosomal testing done? Here’s some thoughtful advice that may help in your decision making.
1. What is the advantage of prenatal testing?
Early detection of Down's Syndrome is the primary advantage of prenatal testing, as it is the most common chromosomal abnormality among live births.
2. What factors increase my risks for chromosomal abnormalities?
Certain family history/medical history of chromosomal abnormalities, and advance maternal age, may put a patient at a higher risk for a chromosomal abnormalities. Nonetheless, all pregnant women, despite a known family/medical history of chromosomal abnormalities, or advanced maternal age, should be offered chromosomal aneuploidy screening before 20 weeks gestation.
Whether teenagers discuss it with their parents or not, they are likely to feel some aspect of social pressure regarding the initiation of sexual activity. In counseling our teenage girls, I try to get them to assess their own attitudes regarding their readiness for sexual activity, as well as their understanding of the potential consequences of engaging in sex, like risks for stds, pregnancy and social stigmata.
I love giving them my “It’s your Choice” talk, encouraging them on the option of abstinence, or waiting on sex. I want them to understand that the decision to engage in sex, is just one of the many decisions they’ll have to make for themselves, and that making a ‘good decision’, means understanding the risks of the behavior.
The flu season is definitely among us, with January being the peak season for influenza outbreaks. The CDC has predicted a more severe 2014-2015 flu season this year, with 91% of influenza infections thus far being due to the H3N2 virus. Unfortunately, because of the guesswork involved in manufacturer’s development of the upcoming year’s vaccine strains, this year’s flu vaccine has only a 48% match to the H3N2 viral strain. Nonetheless, flu illness does appear to be less severe in those having received the vaccine. Of particularly grave significance, is the prevention of the flu in pregnant women. Pregnancy infers particularly high risks for the development of severe illness in mothers to be. Pregnancy related changes in our immune systems make pregnant women at higher risk for developing severe complications of the flu, such as pneumonia, respiratory distress and even death. In the 2009 pandemic of the H1N1 influenza virus, 5% of deaths occurred in pregnant women, though pregnant women accounted for only 1% of the U.S. population. The CDC and ACOG strongly advise pregnant women to receive the flu vaccine, noting its safety in all trimesters of pregnancy.
If you’re pregnant, be sure to get your flu vaccine. The most common symptoms of the flu are fever, cough, nasal congestion, sore throat, headache, shortness of breath and muscle aches. Be sure to contact your health care provider if you’re experiencing any symptoms of the flu.
To know me, is to know the 'worker-bee'. My plate is usually quite full with the responsibilities of my career, a full-time Ob/Gyn physician, the ‘part-time’ role I play in assisting in the administrative duties of our practice, a Women’s health blogger, and Mommy, wife, sister, daughter and friend.
I’ve always enjoyed my work, never complaining about the dedicated additional time and energy it takes to build a high quality business that serves its public well. Though finding a healthy balance between my work life and personal/home life has been one of my perpetual challenges. (My Mom says I got the ‘work-a-holic’ gene from my Dad…She says she’s had “no problem” with knowing how to relax!)
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.