Plan Your Pregnancy

We've stopped tracking small pox, but it's not time to stop tracking maternal deaths. The CDC reported that our USA maternal mortality rates were 13.3 deaths in moms per 100,000 babies born alive in 2006. But in 1996 we only had a rate of 7.6. But now we have a rate of over 17 per 100,000. Rates of maternal deaths are going up. Those rates don't publish women with very serious 'close calls.". And there are some indications out of smaller studies like the California Maternal Quality Care Cooperative , that just reported the rates of maternal mortality in California, that the rates are going even higher. And many states, like Illinois, have enacted programs to specifically address risks to mom, such as conditions of acute bleeding or having a blood clot in your leg or lungs around the time of a birth. Other programs look at risks in sub populations, like African Americans who are at more risk than other ethnic groups. Physicians have to go through programs, help run drills, answer questions, and repeat the follow up programs for each hospital in which they do obstetrics as part of team approach that should see the rare event of maternal mortality become even rarer. The newest program is Merck for Mothers which is going to donate money to programs around the world and in the US to prevent deaths from pregnancy.Before pregnancy, go to your gyno, get evaluated for diseases, including genetic problems you may not know that you have. When you are pregnant see your gyno promptly as prenatal care is the best way to avoid many of these medical problems.

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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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