Top 3 Questions You’re Embarrassed to Ask Your OB-GYN

top-3-questions-embarassed-to-ask-ob-gyn-dr-lori-gore-green

For first-time and veteran mothers alike, pregnancy can bring up a variety of questions that might feel a little awkward asking out loud. The good news is that most women have had those same questions at some point and that there are answers from trained professionals.

 

Here are some questions about pregnancy you may have wanted to ask but felt too nervous to do so:

 

How Likely Is a Bowel Movement During Delivery?

This fear comes up frequently with new mothers, to the point where they can become so fixated on not having a bowel movement that it inhibits their ability to push.

 

It’s actually extremely common to have a bowel movement during labor, and it’s nothing to be ashamed of. There’s a simple reason why it happens: the same muscles a woman uses to push a baby out of her uterus are the same ones she uses when having a bowel movement. With the added weight on her colon and rectum as the baby moves through the birth canal, it’s a very natural bodily reaction.

 

While it may seem embarrassing, keep in mind that childbirth is a very private affair. Doctors are not only undaunted by this, but generally expect it. They’re trained professionals and their primary concern is making sure the mother and baby are healthy throughout the entire pregnancy and delivery.

 

Will My Vagina Be Stretched After I Give Birth?

Not really. Believe it or not, vaginas have muscle memory. The vagina is also made to accommodate childbirth; in other words, it stretches during childbirth and then contracts to its normal size. If a woman wants to strengthen her pelvic floor muscles, there are Kegel exercises, though make sure to check with a doctor first before trying them.

 

Why Does Sex Hurt After Birth?

Having a baby is hard work! With childbirth comes natural trauma to the vaginal area, and it needs time to heal. It’s natural for the sex drive to decrease, given how exhausting caring for a newborn can be. On top of that, if mothers choose to breastfeed, that can change her hormone levels as well, particularly her estrogen levels. This can lead to problems with lubrication. One potential solution is to use a lubricant, as well as giving the body time to adjust postpartum.

 

If the pain continues to exist months after birth, however, it’s best to speak to a doctor to make sure there aren’t any lasting issues.

C-Section Rates Too High in China

China C-section rate high

The C-section rate in China stands at about 50% of all deliveries and must be reduced.

According to a commentary recently published in BJOG: An International Journal of Obstetrics and Gynecology and summarized in an article completed for Science Daily, the rate of cesarean sections in China is far too high and efforts need to be made to reduce the reliance on the procedure.  The research completed for the commentary indicates that, of the sixteen million babies born in 2010, approximately half of them were delivered through cesarean section.  However, the article did acknowledge that the exact rate of births by cesarean section, but the literature available on the topic in China indicates that the rate of C-sections could range anywhere between thirty six percent and fifty eight percent.

Several reasons for the priority placed on cesarean sections are discussed.  With the existing high number of deliveries occurring in the nation, cesarean sections may simply be the preferred method, due to the advantages of managing an enormous volume of births with limited resources.  There are also a series of financial incentives for hospitals and physicians who engage in cesarean sections as opposed to traditional vaginal deliveries.  Insurance is more willing to cover the costs of childbirth, if the baby is delivered by cesarean section.  Physician and hospital revenues are also increased with the procedure as well; in addition, physician salaries are often supplemented, based in patient volume and collections.  In this sense, cesarean sections allow for a higher salary for physicians, as they collect more than traditional vaginal deliveries.

Money also plays a role in the staffing influences over choosing cesarean sections as the preferred method of delivery.  Staffing levels in China public hospitals are low and limited, due to government regulation.  Per one thousand people in the population, there is only one and a half nurses or midwives.  As cesarean sections require less nursing hours when compared to vaginal deliveries, it makes sense to pursue this avenue in the interest of staffing.  Finally, training is varied and inconsistent in obstetrics and gynecology in China; less than two percent of physicians complete a masters or PhD level in their training.

There is also a factor of patient preference.  Since the One Child Policy has been passed, mothers demand perfect outcome on the one and only attempt, particularly in wards that don’t offer pain control, epidurals or much nursing support.  Fundamentally, there is a fear of labor that inclines mothers towards cesarean sections.  However, in November, a less strict version of the One Child Policy is expected to go into action, which would allow for the birth of a second child.  With the increased number of births would come an increased reliance on cesarean sections; therefore, the commentary postulates that this will force medical professionals to return once more to traditional vaginal deliveries, as to cut back on the risks in childbirth.

World Health Organization Increases Access to Safe Blood for Pregnant Women

Women lose a large amount of blood during pregnancy and childbirth.

Women lose a large amount of blood during pregnancy and childbirth.

In a recent article published by FIGO, the International Federation of Gynecology and Obstetrics, The World Health Organization (WHO) is making an attempt to further reduce maternal mortality rates by providing better access to safe blood. WHO is targeting this call to governments to improve access to safer and cleaner blood. During pregnancy, after pregnancy and during childbirth, severe bleeding is the world’s leading cause of maternal deaths. This severe bleeding can unfortunately kill a healthy woman in as little as two hours, unless she receives appropriate careas soon as possible.

The World Health Organization is taking action to make sure that these child bearing women receive clean blood transfusionsto keep them healthy.

The World Health Organization is taking action to make sure that these child bearing women receive clean blood transfusionsto keep them healthy.

With increasing the access to safe blood, a large number of women’s lives could be saved with the help of blood transfusions. However, in order to have a blood transfusion, there needs to be access to safe blood for the doctors to use and this is where the problem lies.  According to WHO director, Dr. Margaret Chan, “If all facilities provided safe blood for transfusion, many of these mother’s lives could be saved.” This being said, there is still a major need and shortage for safe blood to provide to patients. This continues to prove to be the main contributor to high maternal mortality in many countries.

Many hope that World Blood Donor Day will draw attention to issues surrounding blood supplies to women who are in desperate need of healthy, clean blood. It will be marked as a global event in Colombo, Sri Lanka in order to raise awareness in other countries.

Study Finds that Hormone Treatments Extend Survival of Lung Cancer

Hormones may be utilized for several purposes.

Hormones may be utilized for several purposes.

A study was recently conducted by Ann G. Schwartz, PhD, MPH, of Karmanos Cancer Institute of Detroit, Michigan.  Schwartz was the lead author on the study, which sought to observe the potential connection between hormone use and lung cancer outcomes in women.  The findings of the study were published in the March issue of the International Association for the Study of Lung Cancer’s journal—the Journal of Thoracic Oncology.  An article recently completed by Science Daily summarized the study and the findings.

Four hundred and eighty five women were included in the study.  At the start of the study, baseline data was collected, which included the stage of the disease at diagnosis, treatment type (surgery or radiation), smoking status, age, race and educational attainment.  Once this data was gathered, the only factor taken under consideration was the use of hormone therapy and its ability to predict the survival outcomes in women with lung cancer.  Some women were treated with just estrogen; others were given a combination of estrogen and progesterone.  On average, women diagnosed with lung cancer without any hormone therapy as treatment survive 37.5 months.  Those who are given hormone therapy survive, on average, eighty months.  Specific averages for patients given just estrogen survived approximately eighty-three months, while those who were provided with a combined treatment of estrogen and progesterone survived eighty-seven months.

From these findings, Schwartz was able to declare that reproductive and hormonal factors do influence women who have been diagnosed with non-small all lung cancer.  However, she disclaims that research in this field is limited and that further studies would be required to observe the effect these treatments could have on long-term sufferers from lung cancer.

Physicians on Social Media

Professionals should always market themselves positively on any social media profile.

Social media can be a touchy subject for some individuals depending on their lifestyles, careers, areas of expertise, and so on. While social media can help many professionals, if an individual is not careful enough with what the put on the Internet, it is also something that can hurt. In a recent video on obgynnews.com, Dr. Matthew DeCamp, tells us what physicians specifically should leave off the Internet.

Matthew DeCamp is an assistant professor at the Johns Hopkins Berman Institute of Bioethics and in the Johns Hopkins division of general internal medicine. He expresses in this video that there are certain things that physicians post on their social media forums that can be detrimental to their careers and the lives of their patients. In particular, some dangerous areas to post about are alcohol consumption, profane language, or statements about patients – even without mentioning names.

Many times an individual in the medical field, or any professional field for that matter, will post something on social media that is derogatory or exploits someone’s personal business, and even when they think they are in the clear because they’ve kept names out of it, they are wrong. That patient may be identified by any other individual reading the post. As a physician, there are tons of documents that need to be signed and confidentiality is huge. There is never a reason for a doctor or nurse or assistant to be speaking about a patient or client on the Internet. This is absolutely an invasion of privacy.

Social Media is not a bad thing by any means, however the users must be extremely cautious of what is on their profiles, as well as what is in the fine print. Some social media profiles allow the public to see almost everything you put out there, so awareness is key. Educate yourself on every single profile you are on or wish to be on. Privacy settings are another very important part that individuals must read through entirely. Social media can be the perfect way to market and advertise a business or skill set as well. Learn how to make it a positive and stay away from anything questionable!

About Infertility

The stress and struggles that come with infertility don't have to be with us forever.

A number of women suffer from infertility. Infertility is the term for when women try to get pregnant and within a year of trying fails or has miscarriages. This can happen for several reasons.

Women’s ovaries provide them with tons of eggs throughout their lifetime. Normally, during ovulation, eggs are released from the ovaries and they travel down the fallopian tube until they are fertilized. If these eggs are not used, they are shed during a woman’s menstrual cycle. For women who are infertile, they either re not producing the eggs at all, or they are producing eggs that cannot be fertilized. Premature Ovarian failure or Polycystic Ovary Syndrome may be the reason for these two problems.

The good news is that there are treatments for infertility that include medicine, reproductive technologies or surgery. Sometimes it is difficult to find out if one is infertile. The process takes time because everyone’s body is different. It also takes time to find the treatment that is best for each individual.

Infertility in women can come from her environment, a physical problem, lifestyle factors or hormones. Men can also be infertile. 1/3 of the time it is because of the man, 1/3 of them time it is because of the woman, and the other 1/3 of the time, no specific issue is found. More good news is that 2/3 of couples who cannot have children and are found infertile and treated for it, they are then able to have children.

The medical world is extremely advanced and will just keep advancing. When it comes to technology, it has really helped doctors save lives and create lives. Infertility no longer means you absolutely cannot have children, there is usually an answer.