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Feeling forgotten when it comes to a birth plan because you have a high risk pregnancy? Most birth plans are geared toward low risk pregnancies and may not apply to your high risk birth. That doesn’t mean that you don’t get any say in your delivery! Having a high risk pregnancy can make labor and birth more complicated and will require certain adjustments from a low risk birth plan, but there are absolutely things you can do to customize your labor and birth. Whether you want to keep things as natural as possible, or just want to be prepared and learn about what you might expect in the hospital, having a birth plan in a high risk pregnancy is still a great idea! Read on to learn more about the different options!

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Many women, whether by medical necessity or personal preference, will undergo induction of labor during their pregnancies. There are many methods available, both natural and medical. Some of these methods are research proven, others are old wive’s tales that have been shown to be ineffective, or even harmful. This series will look at research articles regarding different methods commonly used, and their effectiveness at inducing labor. Part 1 of this series will discuss research on Membrane Stripping. buy doxycycline 100mg for chlamydia

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Bleeding in early pregnancy can be a scary. Unfortunately, it is very common and can have many causes, most of which are no direct threat to the pregnancy. These can include a vaginal infection, a urinary tract infection, and postcoital (after sex) bleeding. While bleeding can be a sign of a miscarriage, it can also be due to a subchorionic hemorrhage. Subchorionic hemorrhage, also known as a subchorionic hematoma, is a frequent cause of vaginal bleeding in early pregnancy.

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AGOC has new recommendations for managing labor to help decrease c-section rates. Parts 1 and 2 look at the article your doctor should be reading. Part 3 will discuss what you should expect them to recommend based on the research and what this means for you.

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Part 1 reviewed the current state of cesarean sections in the US. It also reviewed ACOG recommendations for management of abnormal first and second stage of labor. Part 2 will discuss the second most common indication for primary c/s, an abnormal fetal heart rate tracing, as well as the effects of induction on c/s rate, and other common indications for primary c/s, such as twin and breech presentation. Part 3 will discuss what the patient can expect from their provider based on these recommendations.

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One in three women in the US will give birth by cesarean section. ACOG recognizes that this is a problem, and that many of these cesareans are unnecessary and can be prevented by a change in labor management. I will be reviewing their 2014 Obstetric Care Consensus findings and recommendations in a 2 part series. I will follow that in Part 3 with what the patient can expect from their provider, based on these new recommendations.

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In the last post, I discussed the important points regarding Cholestasis of Pregnancy from the research article listed. In this post, I will discuss their findings as it relates to the patient.

Continue reading “Cholestasis of Pregnancy Part 2: For the Patient”

Cholestasis of Pregnancy Part 1: Research Review

This post will be reviewing an article regarding Intrahepatic Cholestasis of Pregnancy (ICP). It discusses causes, symptoms, labs, complications, and treatment options.

Continue reading “Cholestasis of Pregnancy Part 1: Research Review”