Pertussis, or the disease known as Whooping Cough has been
on the rise in communities across the USA . Check here if cases have been
reported in your back yard. Since very young infants are at high risk for both
getting the infection and getting a serious form of the infection the newest
recommendation of the US Advisory Committee on Immunization Practices in 2013
has now recommended that all pregnant women between 17 and 36 weeks of
pregnancy get the Tdap vaccine that has a booster of diphtheria toxoid to
protect women against tetanus, and a vaccine against pertussis. We are trying
to reach pregnant women to confirm that this is a current recommendation, and
that they would benefit from this injection. We know that many eligible
patients have still not gotten their vaccine, and we encourage you to discuss
with your gyno if you are at this point in your pregnancy but haven’t taken the
vaccine yet. This is recommended during every pregnancy, even if you have had
this vaccine as recently as your last pregnancy. This is a new recommendation
and it is supported by the very best studies as to be an effective strategy. The
vaccine is very safe. It can be administered on the same day as other vaccines
you should get in pregnancy, such as their flu shot. It is possible that a
woman will have a low grade fever after vaccination, and most pregnant women
can safely use Tylenol for that, but check with your own physician regarding
any medication use. Other than fever, a list of potential side effects can
include headaches, bruising or pain at injection sites and other reactions that
will be listed in your health care provider’s information. There are specific
contraindications to this vaccine that you can also check with your health care
provider, and people with any acute illness that is running a fever will
probably want to defer their treatment. Health care workers and women over the
age of 65 are also recommended to get this vaccination. We know that women
should do this vaccination, and that they have their reasons for avoiding, but in
spite of the warnings it has a very good track record., we are just saying…
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...
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