Pregnant and thinking about induction of labor? HYPITAT may have the answer.

Induction of labor is the bringing on of labor prior to the spontaneous onset of natural labor. The reasons for needing an induction may be either based on the health of the mother or the health of the baby, and the optimal time is when both the health of the mother and the health of the baby is considered. Some studies say that being born on time, not very much before or after this "on time" date is the best for babies. But moms may have their own health consideration, and one common medical problem is hypertension in pregnancy. A relatively new study called HYPITAT, which specifically studied hypertension in pregnancy, was quoted as saying that induction of labor "should be advised for women with mild hypertensive disease beyond 37 weeks' gestation." For more information regarding the specifics (warning some is written in Dutch!) you can go to The study of Hypertension and Preeclampsia at Term . Some of the most interesting information regarding this trial came from the fact that it challenged the common misconception that IOL (induction of labor) increases the risk of C/S, it did not in these patients! This will likely radically influence the way we counsel mothers at term. Most groups that have weighed in on this topic think that in general that birth should not be induced before one week before your best due date if you are carrying one baby, and not before two weeks before your due date if you have twins. You and your gyno will have to work this out. Because ultimately: we want this happy baby look!

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Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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