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The Cleveland Clinic this week announced the completion of our country’s first uterine transplant as part of a significant clinical trial. A 26-year-old woman who was born without a uterus received a uterine transplant in a nine-hour surgery on February 24. Unfortunately, the transplant recipient, identified only as “Lindsey,” experienced “sudden complications,” and the newly transplanted uterus had to be removed on March 9. Lindsey is recovering and expressed gratitude to her physicians. Despite the setback, Clinic officials will proceed with transplants planned for other women taking part in the trial.
When you’re pregnant, you have a lot on your plate. During National Nutrition Month, OBHG encourages you to include wholesome foods on that plate. “Eating for two” does not mean eating twice as much as you ordinarily would. Everyone is different, but pregnant women in general need about 300 calories more per day than before they were pregnant. Some physicians recommend a range between 2,200 and 2,900 total calories a day. The quality of these calories is important, because not only do you need adequate energy to go about your day, your baby needs essential nutrients for proper growth and development.
Every woman wants to have a healthy pregnancy that ends with the arrival of a perfectly healthy baby. Recent news related to the Zika Virus being suspected in a spate of microcephaly births is especially frightening. Despite every precaution, sometimes babies are born with conditions that can compromise their health and ability to function. March 3 is World Birth Defects Day, established to raise awareness around birth defect prevention, detection, treatment, and research.
As a full-time practicing OB/GYN, busy mother of two children, and daughter of an ailing parent, I found it difficult to juggle work and the rest of my life. A typical day in private practice included going to work by 7 am and leaving work just in time to pick up the kids to feed them dinner and get them ready for bed. Even in a large group with a very reasonable call schedule, there always seemed to be the patient that was so close to delivery that if I just stayed another 30 minutes, I wouldn’t feel like I abandoned her.
While being pregnant can be the most joyful time in your life, it is wrought with questions, leaving you feeling stressed and overtired. Pregnancy has been described as a nine-month treadmill stress test. That’s because your heart is pumping faster, and you may fear this is a symptom of heart disease. It is true that pregnancy can mimic heart disease, and it exacerbates risk in mothers who have a pre-existing heart condition.
When you are pregnant, your heart has to work at least 40% harder pumping additional blood to deliver oxygen and nutrients to your growing baby. Your body will feel like it’s constantly in a state of mild exercise. You may experience some shortness of breath, fatigue, and minor swelling. You literally are pumping blood for two.
Completing our blog series for International Prenatal Infection Prevention Month, this post discusses some of the less common infections such as Rubella and Listeriosis, along with a new infection to be aware of – Zika.
In the past, Rubella in pregnant women was of particular concern worldwide because, if passed to the newborn, it could cause serious birth defects such as cataracts, heart anomalies, blindness, and deafness. Rubella is the airborne virus that causes what is commonly called “German measles,” a disease characterized by a distinctive rash, fever, and upper respiratory infection. Widespread use of an effective vaccine has virtually eradicated Rubella, but it is wise to be tested to confirm immunity.
As up to 36 inches of snow blanketed central Virginia last month during a record-setting blizzard caused by Winter Storm Jonas, several Ob Hospital Group obstetricians scrambled to make sure there was coverage at area hospitals to serve any pregnant women who might experience labor during the storm. These physicians went beyond the call to ensure uninterrupted coverage during the storm, and their teamwork is noteworthy.
Continuing our blog series for International Prenatal Infection Prevention Month, this post discusses sexually transmitted diseases (STDs) along with Hepatitis B and C. Most STDs, including Syphilis, Genital Herpes, and Human Papilloma Virus (HPV), also can be passed to the baby. A very common sexually transmitted infection, Chlamydia trachomatis, targets a woman’s reproductive tract and can prompt pelvic inflammatory disease or other complications, including ectopic pregnancy, stillbirth, or even infertility.
Chlamydia can be passed to the newborn, increasing the risk of early labor and post-natal eye infection in the newborn, possibly even pneumonia at one to three months of age. Most women have no symptoms. If diagnosed, pregnant women can be treated with a number of safe antibiotics, and the infection can be eliminated before giving birth.
Findings from a study published recently by the New England Journal of Medicine (and widely shared online) cite OB/GYN as one of four top medical specialties targeted in medical malpractice claims. It’s true, but it doesn’t tell the whole story.
Approximately one out of every 10 OB/GYN physicians nationwide is named in a malpractice claim every year. 1 in 10! How healthcare facilities operate and utilize personnel can make all the difference in mitigating malpractice risk and delivering the best quality care possible to expectant mothers.
Mothers-to-be, especially first-timers, have many questions. Am I getting enough folic acid? Is drinking coffee OK? Should I get a flu shot? How much weight gain is normal? What is my risk for preeclampsia?
Because February is International Prenatal Infection Prevention Month, Ob Hospitalist Group (OBHG) wants women to be aware of both common and not-so-common prenatal infections, as well as actions that can prevent them. We will share information throughout the month about different infections.