When you’d like to prevent pregnancy, birth control pills are one of the most popular methods with over 99% effectiveness. But, did you know that there are numerous other reasons to consider taking birth control beyond preventing pregnancy? Here are some of the additional benefits:

• Regulate menstrual cycle: That time of the month isn’t exactly always pleasant, but it can be even worse if you never know when it is going to occur. One month it may last 3-4 days only to start again two weeks later and last for 7 days. If you have irregular periods or heavy bleeding, hormonal birth control methods may help to regulate your menstrual making periods lighter and more consistent.

• Less painful periods: An estimated 31% of women who use birth control pills say that menstrual cramps are one of their main reasons for taking them. Hormonal birth control, such as the pill, prevents pregnancy by preventing ovulation. Without ovulation, your uterus has no need to contract thus resulting in less painful periods.

• Improve the appearance of your skin: Acne that occurs during adolescence is often triggered by fluctuating hormones. That’s why hormonal acne in women commonly occurs during or following pregnancy. Birth control pills containing the hormones estrogen and progesterone are proven to help reduce or eliminate acne.

• Relieve symptoms of PMS: Painful cramps aren’t the only symptom commonly associated with your period. The hormonal fluctuations that occur leading up to your period may also cause premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD)–a form of PMS whose symptoms include mood swings, depression, anger, anxiety and irritability. Some birth control methods may help relieve these symptoms.

• Manage Polycystic Ovary Syndrome (PCOS): Polycystic ovary syndrome is a condition in which women have a hormone imbalance. Trademark symptoms include acne, excess body hair, weight gain, irregular periods and heavy bleeding. Birth control pills can help balance testosterone levels and regulate bleeding associated with PCOS.

• Manage endometriosis: Another condition affecting the female reproductive system, endometriosis occurs when the tissue lining the uterus grows in places other than inside your uterus. It causes both pain and inflammation. Hormonal birth control methods, continuous birth control pills and intrauterine devices (IUDs) can help manage endometriosis because they allow you to skip periods.

• Reduce the risk of uterine and ovarian cancer: In 2019, an estimated 61,800 new cases of uterine cancer will be diagnosed in the United States. However, women who take combination birth control pills are 50% less likely to develop uterine cancer. It is also proven to reduce the risk of ovarian cancer–the fifth leading cause in cancer deaths among women.

• Reduce the risk of ovarian cysts: During ovulation, small cysts may form in your ovaries. While these cysts aren’t considered harmful, they are often painful, particularly for women with PCOS who have a large number of these small cysts. Because they prevent ovulation from occurring, hormonal birth control can also help prevent these cysts from forming and help prevent the regrowth of former cysts.

As with any medication, women who take birth control may experience side effects. However, in many cases, the benefits far outweigh them. Keep in mind, it can take trying several different types of birth control before you find one that works best for your individual needs.

If you are interested in taking birth control to prevent pregnancy or for any of the reasons listed above, call (919) 876-8225 to schedule an appointment with Raleigh OB/GYN. Our providers can help recommend which method will work best for you based on your current health status, medical history, lifestyle and preferences.

Cord blood banking involves the preservation of a baby’s cord blood–the blood that remains inside the umbilical cord and placenta after birth. Usually, the umbilical cord and placenta are discarded with the blood still inside. But cord blood banking is a way to keep and store this valuable resource.

Why Should I Preserve and Store My Baby’s Cord Blood?

Cord blood is medically valuable because it contains hematopoietic stem cells. This type of stem cell can be used to treat certain diseases. Hematopoietic stem cells are different than most cells because while most cells can only make copies of themselves, these stem cells can mature into different types of blood cells. 

This type of stem cell is also present in blood and bone marrow. The stem cells in cord blood will match more people than those from bone marrow and stem cells from cord blood are less likely to be rejected by the transplant recipient. It is also easier to collect cord blood than bone marrow.

Hematopoietic stem cells can effectively treat more than 70 types of diseases. These diseases include genetic disorders, neurologic disorders, and immune system diseases. There are also some forms of cancer that have successfully been treated with hematopoietic stem cells, including lymphoma and leukemia.

Stem cells collected from cord blood are used to treat diseases via two different types of transplants: 

• Autologous transplants are transplants in which the cord blood collected after birth is used by that same child. This is an uncommon transplant type due to the fact that it cannot treat the kind of diseases cord blood is often used for. This is due to the fact the stem cells have the same genetic makeup of the child.
• Allogenic transplants are transplants in which donated tissues, organs, or cells (in this case, the stem cells in cord blood) come from another person. Sometimes the cells are donated by a family member and sometimes they come from a stranger from a blood bank.

The American College of Obstetricians and Gynecologists can provide you with more detailed information on what makes cord blood valuable and how it is used on this fact sheet.

How is the Cord Blood Collected?

Cord blood collection poses no risk to the baby or mother. It happens after the umbilical cord has been cut so it is safe and pain-free for all involved.

There are two methods used to collect cord blood.

• In the syringe method, blood is drawn from the cord using a syringe, similar to a regular blood draw. The collection should take place shortly after the umbilical cord is cut.
• Using the bag method, the umbilical cord is elevated and the cord blood is drained into a bag.

Bags and syringes are pre-labeled with an ID number to link it to your baby. No matter which method is used, the cord blood collection should take place within the first 15 minutes after birth. The lab needs to process the cord blood within 48 hours of collection.

What Happens to Cord Blood after Collection?

Once cord blood is collected it must be processed. During processing, the cord blood screened and typed. Both the cord blood and the mother’s blood are tested for blood or immune system disorders, genetic disorders and infections before the cord blood is banked. 

The blood is then sent to the blood bank where it is “typed” (tested to see which blood type it is). When it is stored, it is entered into a computerized tracking system. That way it can be found and retrieved quickly when it is needed.

Choosing a Cord Blood Bank

When choosing a cord there are several things to consider. You want to choose a reliable and accredited blood bank equipped to store the cord blood properly. 

First, you need to decide the type of bank to use. The type of bank you use will depend on if you are donating the cord blood or keeping it yourself. There are two types of cord blood banks

• Public cord banks store cord blood for allogeneic transplants. There is no charge to store cord blood at public banks because you are donating the blood for someone else to use. Sometimes public banks offer something called “directed donation.” In a directed donation you donate the blood to be used for a family member that may benefit from stem cell treatment. Not all public banks offer this and often private blood banks are used for this purpose.
• Private banks store blood that will be used in autologous transplants or for a directed donation to a family member. Private banks charge fees to collect, preserve, and store the cord blood. Sometimes exceptions are made for directed donations, but not always.

Whichever type of blood bank you decide on, make sure you choose an American Association of Blood Banks (AABB) accredited blood bank.

Is Cord Blood Banking Expensive?

If you are using a private bank, cord blood banking does require an investment for the initial fee to have the blood collected, preserved, and initially stored. There is also the ongoing expense of storing the blood in the facility. 

The cost of private cord blood banking varies depending on the bank you choose. Often the initial fee is between $900 and $2,100 depending on how long the initial storage period is. Many private cord blood banks offer pre-paid and discount plans to help make cord blood banking more accessible for families that are interested. After the initial fee, annual storage fees are often around $100.

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At Raleigh OB/GYN we can provide you with education and support throughout your pregnancy. And if there is something more specialized you are interested in, like cord blood banking, we can help direct you to the best resources. We partner with Carolinas Cord Blood Bank (CCBB) which is part of the Duke University School of Medicine and one of the largest public cord blood banks in the world. 

To talk to someone on our team about pregnancy or gynecological care, request an appointment online or by calling (919) 876-8225.

Many women in the US have given birth via Cesarean, or C-section. There are many reasons that this may be necessary or planned for, but there are some preconceived notions about C-sections that may not be true. One of those notions is that once you’ve had a C-section, all of your subsequent deliveries must be via C-section as well. This is not necessarily true. Given the circumstances of your previous Cesarean, you may be a candidate for VBAC.

What is VBAC?

VBAC stands for vaginal birth after Cesarean. This type of delivery is pretty much what the name says: it is vaginal childbirth in a woman who has had a previous Cesarean. If you’ve given birth by Cesarean before, you will probably have a choice of how to give birth again: a scheduled C-section or a VBAC. The latter may not be an option for you depending on the circumstances of your previous Cesarean, but there’s a good chance that it is. Below are some things to know about VBAC when speaking to your doctor about the plan for your next delivery.

What are the Benefits of VBAC?

There are many reasons women are interested in Vaginal Birth after Cesarean. One is that a lot of women desire the experience of vaginal birth. Also, if the woman is planning on giving birth to more children in the future, VBAC can help them reduce the risk of complications from multiple C-sections.

A big reason VBAC is attractive to a lot of women is that it does not require abdominal surgery. Recovery after childbirth is different for every woman no matter how she delivers, but major surgery can make it a little more difficult.

Cesarean is often necessary for the safety of the mother and child, but if it’s an option, some women might choose vaginal birth so they do not have to cope with the longer recovery period of a major surgery while taking care of a new baby.

Also, because there is no surgery required, the risk of infection and blood loss are lower in a VBAC.

What are the Risks of VBAC?

Of course, along with benefits, VBAC has risks. You and your doctor should pay special attention and go over your medical history, especially involving pregnancy and birth when considering VBAC over a repeat Cesarean. But before you have that conversation with your physician, there are a few risks you might want to know about.

The American Pregnancy Association says the biggest risk for women who have had a previous C-section is that of uterine rupture during vaginal birth. Or rather, rupture of the Cesarean scar on the uterus. This risk is fairly low statistically, as stated below, but if you have had a previous uterine rupture or have a condition that makes you vulnerable to uterine rupture, Vaginal Birth after Cesarean should not be attempted.

Other risks include infection, blood loss, and other complications related to vaginal childbirth.

What are the Statistics on VBAC?

Most studies show results of about 60-80% of women who have previously undergone Cesarean birth can successfully give birth vaginally.  As stated above, the biggest risk is generally uterine rupture, and in the past, the American College of Obstetricians and Gynecologists (ACOG) reported that in women with previous C-sections with low transverse incisions (instead of high vertical, or classical, incisions), the chance of uterine rupture during vaginal delivery was about 1 in 500.

What Makes Someone a Good Candidate for VBAC?

There are a number of criteria that should be met for someone to be a good candidate for Vaginal Birth after Cesarean. In recent years, these criteria have become a bit less restrictive as more has been learned about the risks and benefits of VBAC. And in accordance with the statistics above, many women will fit into these criteria. These include:

• Your prior Cesarean was performed using a low-transverse incision rather than a high
• You’ve never had a uterine rupture.
• Past uterine surgeries haven’t been extensive, such as a myomectomy to remove fibroids.
• Having access to a doctor on-site who can monitor labor and perform an emergency Cesarean if needed.
• In addition to the doctor who can do the C-section, other doctors and personnel such as an anesthesiologist as well as equipment are available to you and your baby.

What Factors Might Make a VBAC Less Likely?

There are other factors that make it less likely for a woman to be considered a candidate for VBAC. These factors may create conditions that could pose a threat to the health of the mother or the child. These risk factors include:

• Being overweight
• Going beyond 40 weeks of gestation
• Requiring labor induction
• Being an older mother
• Having a short period between pregnancies, usually 18 months or less
• Having a baby with a high estimated birth weight. This is usually over 8.8 pounds or 4 kg

Schedule an Appointment

Of course, you and your doctor are the only ones who can determine if you can safely deliver vaginally after having a previous cesarean. The board-certified physicians at Raleigh OB/GYN can work with you figure out what your birth plan might look like. If you want to talk more about Vaginal Birth After Cesarean and whether or not it might be possible for you, schedule an appointment by calling (919) 876-8225

 

Birth control is not a one-size-fits-all solution, nor is it even one-size-fits-most. From pills to implants and everything in between, there are a wide variety of birth control options available.

The type of birth control that is best for you will be determined by your health, lifestyle, access to certain methods, and even your insurance coverage. Your physician can help you make the most informed decision, but be prepared that you may have to try several different methods before finding the best one for you.

Here is a general overview of the different birth control methods that may be available to you:

• Oral Contraception (the pill): Some birth control pills contain only the progestin hormone, while others contain a combination of estrogen and progestin. In addition to preventing pregnancy, they can also help lessen painful menstrual cramps, achieve lighter periods, or help reduce symptoms of premenstrual syndrome (PMS). The downside is that it can be difficult to remember to take daily, and it’s most effective when taken at the same time each day.
• Barrier Methods: Barrier methods of birth control such as diaphragms block sperm from entering into the uterus. The greatest benefit is that it is a hormone-free method. However, to be most effective they should be used in combination with spermicide and left in place for a minimum of six hours after intercourse.
• Condoms: Condoms are the only birth control option that also prevents the spread of sexually transmitted diseases and infections. There are options available for both women and men.
• Patch or Ring: The patch or ring are hormonal birth control methods similar to the pill, but don’t require the daily activity of having to remember to use it. The patch is a small piece of plastic that can be placed externally on your arm, stomach or buttock. It does need to be replaced weekly. The ring is a small, flexible device that is inserted in the vagina. It can be used for three weeks at a time but requires removal for one week each month in order for you to have a period.
• Shots: For longer-term results, a hormone (progestin) shot in the arm every three months can block ovulation to prevent pregnancy. This method may also reduce the risk of uterine cancer and protect you from pelvic inflammatory disease. On the downside, you will have to go to the doctor’s office each time you need a shot. It can also cause more irregular bleeding, especially in the first few months of use, compared to the pill, patch or ring.
• Intrauterine Device (IUD): An intrauterine device is considered one of the most effective forms of birth control. A T-shaped device is inserted into the uterus by your doctor. There are both hormonal and non-hormonal IUDs. Hormonal IUDs will likely make periods lighter if not completely absent, but whereas non-hormonal IUDs may make periods heavier with more cramping.
• Hormone Implant: Hormone implants are another invisible method. Your physician will insert a small, matchstick-sized piece of plastic containing progestin just under the skin on the upper arm. Some women will not have a period at all, but many women will have irregular bleeding, which can be a downside. It can prevent pregnancy for three years before needing to be replaced.
• Permanent Birth Control: The above birth control methods are all temporary–meaning you can start or discontinue use at any time. For women who know they do not want to have children or are confident they are finished having children, permanent birth control is another option.The two methods of permanent birth control available are tubal ligation (often referred to as having your tubes tied) and vasectomy (for men).

Contact Raleigh OB/GYN Centre

Based on your individual circumstances and medical history, your physician can help you decide which birth control method is most suitable for your needs and lifestyle.

Raleigh OB/GYN Centre has three convenient locations in Raleigh, Wake Forest, and Clayton. The practice has been serving the community for more than 40 years, and currently has seven obstetricians and gynecologists committed to providing quality care for every stage of a woman’s life. To schedule an appointment, call (919) 876-8225 or complete our online appointment request form.

Postpartum depression affects more women than you might think. And not all women who struggle with it are aware that what they’re experiencing goes beyond the “baby blues.”  That’s why we’re outlining a few of the warning signs of postpartum depression for Maternal Mental Health Month in May.

The Postpartum Period

A full-term pregnancy is made up of three trimesters, but did you know there’s actually a fourth trimester? Postpartum refers to the time period after the birth of a child when a mother’s body transitions back to its non-pregnant state.

Every woman and every birth is different, but postpartum recovery may include the following:

• Abdominal pain, as your uterus shrinks back to normal size
• Baby blues
• Constipation
• Hemorrhoids
• Hormonal shifts
• Perineum soreness
• Sore nipples and breasts
• Stitches
• Vaginal bleeding and discharge
• Water retention
• Weight loss

If that sounds like a lot, that’s because it is. Mothers should be patient with their bodies both physically and mentally during this time. We know, easier said than done, right? If you are having a difficult time adjusting in the weeks and months following labor and delivery, you are not alone. An estimated 1 in 9 women experience symptoms of postpartum depression. Even more experience a postpartum mood disorder which includes the following subcategories:

• Baby blues
• Postpartum depression
• Postpartum psychosis
• Postpartum anxiety
• Postpartum obsessive-  disorder
• Postpartum post-traumatic stress disorder

Approximately 70-80% of all new mothers experience some negative feelings or mood swings following the birth of their child. Depending on how the birth of the baby went, the symptoms of “baby blues” will often hit within four to five days after the birth. Sometimes they may be noticeable early.

Common symptoms of the “baby blues” include crying for no apparent reason, irritability, anxiety, fatigue, insomnia, sadness, mood changes, and restlessness. These feelings typically last for a few minutes or up to a few hours each day, and often resolve within two weeks post-delivery.

In some cases, these symptoms last longer which may be an indication of a more serious postpartum mood disorder. While they are similar to the “baby blues,”  postpartum depression symptoms are much more severe.

Red flags that may be a sign of postpartum depression are:

1. You might find yourself withdrawing from your partner or other loved ones, and are experiencing an inability to bond well with your baby.
2. You might find that your anxiety is out of control to the point of preventing you from sleeping, even when your baby asleep, or eating appropriately.
3. You might find overwhelming feelings of guilt or worthlessness or begin to develop thoughts preoccupied with death or even wish you were not alive.

If you are unsure whether your feelings fall within the normal range of “baby blues,” you can use the Edinburgh Postnatal Depression Scale–a screening tool designed to detect postpartum depression. Follow the instructions carefully and answer the questions honestly. If you score greater than 13, it is important that you consult a healthcare professional as soon as possible for a more thorough assessment.

The team of physicians at Raleigh OB/GYN are experienced in caring for women in all stages of life including postpartum. Call 919-876-8225 to schedule an appointment today.

We’ve all heard the stereotypes about premenstrual syndrome (PMS) that make it seem like women who suffer from it are just irrational and unpredictably moody. But PMS can be more than pesky mood swings that are inconvenient to the person dealing with PMS and those around them. Severe PMS can be a condition that disrupts daily life for several days every month.

What is PMS?

As the name suggests, premenstrual syndrome is a condition that affects women before their menstrual period. According to the Office on Women’s Health, the symptoms can occur up to two weeks before the start of menstruation. 

While there no one definitive cause of PMS, according to the Mayo Clinic, it is thought to be related to cyclical hormone changes, fluctuation in chemicals in the brain, and perhaps even undiagnosed depression. However, it is impossible to positively diagnose with a lab test or physical examination.

Symptoms of PMS

The most common symptoms can be emotional or related to behavior. These symptoms include depressed mood, mood swings, irritability, anger, crying spells, change in libido, and insomnia.

Physical symptoms of PMS can include abdominal bloating, breast tenderness, weight gain, fatigue, headache, joint or muscle pain, digestive issues, and acne flare-ups.

How to Ease PMS Symptoms

In some cases, PMS can be managed with lifestyle changes. In other cases, consultation with women’s health care professional is necessary. Severe PMS may be a sign of premenstrual dysphoric disorder (PMDD), which is a more serious condition.

If you are suffering from the symptoms of PMS and they are becoming difficult to manage on your own with lifestyle changes or over the counter medication such as ibuprofen or acetaminophen to ease discomfort, you should talk to your doctor to get a definitive diagnosis and professional treatment. 

For many women, here are some other tips that may help ease PMS symptoms:

 

1. Exercise 

Exercise is something that can help with a multitude of health issues. Along with diet, exercise will help keep your body in top working condition. It is one of the most basic steps you can take to improve your overall health. 

Exercise helps with the depressed mood and fatigue associated with PMS. It is recommended that you get at least 30 minutes of exercise most days of the week. Aerobic exercises like swimming, biking, and walking briskly are good options

 

2. Change in Diet

Like exercise, changing dietary habits is one of the most frequently recommended things to improve your health and wellness. To ease PMS symptoms, take the following steps to manage your diet:

• Avoid caffeine and alcohol
• Limit salt to help with bloating
• Eat frequent smaller meals rather than a few big meals
• Look for foods high in calcium (a supplement may also help)
• Avoid processed simple carbohydrates and eat complex carbs instead. Complex carbohydrates include fruits, vegetables, and whole grains

If you need more help with your diet, you can consult with your OB/GYN for suggestions or seek counseling from a qualified nutritionist or dietician.

 

3. Stress Reduction

Stress can make almost any health issue worse, and PMS is no exception. To combat stress you can try:

• Getting adequate sleep
• Yoga
• Massage
• Deep breathing exercises
• Progressive muscle relaxation

 

4. Medication

If lifestyle changes do not help enough, your doctor may prescribe medication or suggest over the counter meds.

• Antidepressants are often prescribed to help with PMS and PMDD mood symptoms. The types of antidepressant used in the treatment of these conditions are selective serotonin reuptake inhibitors (SSRIs). Your doctor may prescribe one of these types of antidepressant such as Prozac, Sarafem, Zoloft, Paxil, Pexeva and their generic versions.
• Hormonal birth control may be prescribed to treat PMS symptoms. Hormonal birth control stops ovulation, which can make your menstrual cycle more regular and decrease the intensity of symptoms. There are also hormonal birth control options available that prevent you from having a period. For these reasons, hormonal birth control is also prescribed for women who experience heavy and painful periods.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) are some of the most common over the counter pain relievers. They can be helpful in treating cramps and breast tenderness. You are probably familiar with many of these drugs, which include ibuprofen (Advil and Motrin IB) or naproxen sodium (Aleve).
• Diuretics can help reduce water retention and ease bloating when exercise and limiting your salt intake are not effective enough. Known as “water pills,” diuretics like Spironolactone push excess fluid through the kidneys. Although versions may be available over-the-counter, diuretics should never be taken without first consulting a licensed healthcare provider.

 

5. Alternative Remedies

While these treatments are not regulated by the FDA, and are not scientifically proven, many women report they have benefitted from alternative medicine. Anecdotal evidence is not a viable replacement for professional medical advice. Examples of alternative remedies that may help are:

• Vitamin supplements
• Herbal supplements
• Acupuncture

The main thing to remember with vitamin and herbal supplements is that they are not regulated by the FDA, so there is a small chance you won’t be getting exactly what is on the label. You should always speak to your provider before trying products, even those marketed as “safe” and/or “natural.”

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If you make positive lifestyle changes for a while and do not experience enough of an improvement in your symptoms, it might be time to consult a professional. At Raleigh OB/GYN we offer comprehensive gynecological care and can help with issues related to your menstrual cycle, including PMS. To make an appointment, call 919-876-8225 or request one online.

Whether you are currently pregnant or planning on getting pregnant, you have probably thought about birthing plans and the different ways babies can be delivered.  

While vaginal birth is generally the recommended option in uncomplicated pregnancies, some women may require a C-section due to complications either during pregnancy or while in labor.

It is important to talk to your OB/GYN and other members of your care team to decide on the best plan to keep you and your baby safe and healthy. But it is good to have some information going into those conversations. With any pregnancy, it’s always a possibility, so it’s important to know what to expect if you have a C-section: 

What is a C-Section? 

A cesarean section, or C-section, is the surgical delivery of a baby through incisions made in the mother’s abdomen and uterus. This is done as an alternative to vaginal delivery. A C-section may be necessary for the safety of the mother and/or baby when a vaginal delivery poses some danger.

A C-section is abdominal surgery, so before the procedure, you will be prepped for the operation. You will be given an IV to administer fluids and medications, which can include anesthesia medication or medication to prevent infection. Your abdomen will be washed and other sanitary measures will be taken. You will also be given a catheter to keep the bladder empty during surgery, which decreases the risk of injury to the organ during the procedure.

A C-section requires anesthesia and you may be given general anesthesia, a spinal block, or an epidural block. General anesthesia will put you to sleep, so you will not be awake during the procedure. The other two methods numb the lower half of the body and you will be conscious during the procedure.

 There are multiple layers that your surgeon must go through before reaching the baby. These include incisions in your abdominal wall and then in the wall of the uterus. These incisions can either be transverse (horizontal) or vertical. The doctor and surgical team will deliver the baby through the incisions, the umbilical cord will be cut, followed by the removal of the placenta. The uterine incision will be closed with special stitches that will dissolve into your body as it heals. The abdominal incision will be closed using staples or stitches.

When is a C-Section Necessary

There are certain conditions and situations that make a C-section a safer option than vaginal delivery. The C-section may be planned due to pre-existing conditions or issues that develop during pregnancy. It may also be deemed necessary if complications arise once labor for a planned vaginal delivery has begun.

A C-section may be necessary for one or more of the following reasons:

• Breech presentation
• A very large baby
• Pregnancy with multiples (twins, triplets, etc.) which has an increased risk of premature labor, poor positioning, or other issues
• Maternal medical conditions like hypertension or diabetes
• Maternal infections such as HIV or herpes
• Failure of labor to progress (the cervix may not open enough for the baby to move into the vagina)
• Concern for the baby due to abnormalities detected in fetal monitoring or umbilical cord compression
• Concern for the mother such as hemorrhaging or placenta
• Uterine rupture
• Placental abruption, which is the placenta peeling away from the uterine wall

If you have had a C-section with a previous pregnancy you are more likely to require the procedure for additional births. However, it is possible to have a vaginal birth after cesarean delivery (VBAC) in some cases. Talk to your doctor about the risks to see if you are a candidate for VBAC.

What are the Risks and Complications Associated with a C-Section?

While a C-section does carry increased risks, most complications are usually easily treated. Some of the risks are specific to cesarean delivery, but many are the same as the risks of other surgeries that require anesthesia. The most common risks include:

• Blood loss
• Blood clots in legs, lungs, or pelvic organs
• Adverse reaction to anesthesia or other medications
• Injury to the bowel or bladder
• Infection

What is Recovery from a C-Section Like?

As with other surgeries, recovery from a C-section can vary from woman to woman. Unless you were given general anesthesia, you will be able to see your baby immediately. After delivery, the baby is often placed on the mother’s chest. You should also be able to breastfeed right away. 

Typically, the hospital stay after a C-section is two to four days long. While you are in the hospital recovering, your incision will be checked regularly. Your blood pressure, pulse, and breathing will also be monitored following the surgery. You will need to stay in bed for a while after the procedure, but as soon as the anesthesia has worn off you will be encouraged to start taking short walks. The first few times you leave the bed you should have assistance from a nurse or another adult.

The most common issue women experience during recovery from a C-section is pain or soreness at the incision site. Your doctor can prescribe pain medication to ease the pain after the anesthesia wears off after surgery. Other symptoms you may experience during the recovery period include: 

• Bleeding or discharge for 4 – 6 weeks
• Cramping, especially if you’re breastfeeding
• Bleeding with clots and cramps

Before you are discharged from the hospital, you will be instructed on how to care for the incision to prevent infection or trauma. You will also be given instructions on limiting your activity and other ways to take care of yourself when you return home.

If you develop a fever or if the pain or symptoms above worsen, contact your OB/GYN immediately as these can be signs of infection. 

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Whether you and your doctor have decided on a scheduled C-section or you require one to safely deliver the baby after the onset of labor, Raleigh OB/GYN will be there for you every step of the way. We strive to create a supportive and nurturing environment no matter the birthing situation. Our doctors, nurses, and staff are all committed to providing the highest standard of care to you and your baby at every stage. To make an appointment, call 919-876-8225 or request one online.

Most parents are well-versed in preventative healthcare for their children. They follow the recommended schedule for well visits and immunization and schedule the sports physical so their child can play soccer. They know when it’s time for dental cleanings, and inevitably when it’s time to consult an orthodontist. But, when it comes to raising girls, parents may not realize a first gynecologist visit should be scheduled between ages 13 and 15.

What to Expect

Most girls will not need a pelvic exam during the first visit. Many gynecologists will just do a regular health exam and talk to your daughter about her development. A regular health exam typically includes:

• Basic checks for vitals such as weight, heart rate and blood pressure
• Breast exam to detect lumps, cysts or breast problems
• External exam
• Pelvic (internal) exam, if needed
• STD testing, if sexually active

The provider will ask questions that can help determine which tests to run and what issues to discuss, such as:

• When was your last period?
• Are you having any problems with your period, such as pain or heavy bleeding?
• Have you noticed any unusual vaginal discharge or sores, itchiness or discomfort in the vaginal area?
• Are you, or have you ever been, sexually active?
• If so, are you using birth control or protection for sexually transmitted diseases?
• Do you think you could be pregnant?

These question may your daughter feel uncomfortable, but before the appointment discuss the importance of answering truthfully.

How to Prepare

Before your daughter’s first well-woman exam with a gynecologist, there are a few things you can do to help prepare and make her feel more comfortable.

For starters, before her first appointment, you may consider bringing her with you to one of your exams. This will help alleviate any nerves by letting her see firsthand what a well-woman visit entails.

If either of you doesn’t feel comfortable attending one of your appointments together, have a conversation about what to expect and why the doctor is doing it.

Here you can introduce to her gynecologist and prepare her for the first examination.  Also mostly the first examination is just a simple regular health check and talk about the developments.  Apart from that, if any case your daughter is sexually active, she should take her exams with the gynecologist. Even she is not; still, she needs to know about how to keep her healthy and protected.

Contact Raleigh OB/GYN Centre

The team at Raleigh OB/GYN includes six board-certified physicians–both male and female should you or your daughter have a preference for which she sees. Our practice believes that routine gynecological care is key to living a happy, healthy life. For this reason, we begin seeing patients in their adolescence and continue this relationship throughout their lifetime. To schedule an appointment for your daughter’s first gynecological exam, call (919) 876-8225.

 

Each time we turn on the news or scroll through social media, it seems like another female celebrity is sharing her experience with endometriosis–a disease in which the lining of the uterus grows in other places in the body.

From Dancing with the Stars’ Julianne Hough and Top Chef host Padma Lakshmi to Susan Sarandon and Whoopi Goldberg, it’s apparent that endometriosis doesn’t appear to discriminate based on race, ethnicity or socioeconomic background. While these women and countless others have helped raise awareness about this disease, it’s important to focus on the facts.

Here are six signs of endometriosis that all women should know:

• Painful periods: An estimated 75% of women with endometriosis have been found to have a history of painful, crampy periods that can be traced back to their adolescence. We’re not talking about the occasional slight cramps on your heavier day, but pain to the extent that it interferes with daily life like your work day, relationships, ability to have intercourse or ability to exercise. You may start to feel pain before your period starts and possibly for several days after.
• Abnormal bleeding: Heavy periods lasting longer than 7 days that may or may not include large clots, or breakthrough spotting or bleeding between periods, may be signs of endometriosis.
• Pain with intercourse: Pain during or after sex is a common symptom of endometriosis, particularly with deep penetration or orgasm. This can be due to positioning, but it often means that the endometriosis is deep in the rectovaginal septum and pelvic walls. Women who experience this symptom may lose their desire to have sex and develop intimacy issues.
• Pain with bowel movements: Depending on the areas of the body affected by endometriosis, it may hurt to go to the bathroom. In severe cases, it might also cause bleeding and/or constipation.
• Changes with urination: In some cases, endometriosis may affect the bladder which can cause pain with urination, a greater sense of urgency or increased frequency.
• Infertility: An estimated 40% of women with infertility have endometriosis. In fact, seeking treatment for infertility is often how many women are first diagnosed with endometriosis. Inflammation caused by endometriosis may damage the sperm or egg or interfere with their movement through the fallopian tubes and uterus. The fallopian tubes may be blocked entirely by adhesions or scar tissue in severe cases.

Additional symptoms, especially during menstrual periods, may include diarrhea, constipation, nausea or bloating. Because endometriosis shares many of the same symptoms as other conditions it is sometimes mistaken for pelvic inflammatory disease (PID), ovarian cysts or irritable bowel syndrome (IBS).  

It’s important to note that not all women with endometriosis experience pain. If you have any of the signs that may indicate endometriosis, you should consult a physician. The condition can be difficult to manage, but not impossible and early detection may result in more effective management of your symptoms. Call Raleigh OB/GYN Centre at (919) 875-8225 to schedule an appointment today.

Contact Raleigh OB/GYN Centre

At Raleigh OB/GYN Centre, we offer a full range of obstetrical care from preconception to delivery. We have offered state-of-the-art care for mothers, daughters and now granddaughters since 1974 and have since grown to three locations to best serve our patients including Raleigh, Wake Forest and Clayton, North Carolina. For more information or to schedule an appointment with our team of dedicated providers, call 919-875-8225.