tag:blogger.com,1999:blog-31146535.post2884766371260160617..comments2023-09-19T11:02:50.976-04:00Comments on Ob/Gyn Kenobi: The Good News and The Bad Newsdr. whoo?http://www.blogger.com/profile/10315615480530297472noreply@blogger.comBlogger42125tag:blogger.com,1999:blog-31146535.post-88735361822951335722007-07-07T19:37:00.000-04:002007-07-07T19:37:00.000-04:00Hey! Just found your blog today and look forward t...Hey! Just found your blog today and look forward to following it.<BR/><BR/>"But if you have any sure fire remedies for flipping breech babies, please do clue me in!"<BR/><BR/>Feels weird for this new doula to be giving medical advice to an OB, but you asked for it ;)<BR/><BR/>Here is an article on breech babies from spinningbabies.com. Obviously you will know what a breech baby is, why it is a problem, etc....so scroll down a bit and you will see the section on "breech timeline" with ideas:<BR/>http://spinningbabies.com/index.php?option=com_content&task=view&id=25&Itemid=32<BR/><BR/>also you probably know of most of these: play music or talk to baby low in the abdomen, shine flashlight low on abdomen in a dark room, lay in an inverted position with hips higher than head for long time, "tell" baby to move in your mind....there is little to no evidence to back any of these ideas up, but they don't seem to be of any harm, either. And as a doula, I always add the caveat, "check with your practitioner first". LOL.Kristinahttps://www.blogger.com/profile/18170096397537292209noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-5467887972826104582007-07-07T05:43:00.000-04:002007-07-07T05:43:00.000-04:00I have my fingers crossed for you! I got the all-...I have my fingers crossed for you! I got the all-clear from the sonographer two days ago re: my C-section.... the bottom section of my uterus has lengthened sufficently allowing plenty of clearance between my placenta and my dear friend Ms Cervix. Hang in there, all the best for the delivery and post-partum, I am sending happy-happy-joy-joy-no-rippy-ma-hoo-hoo vibes over to you!!!!<BR/><BR/>Mo from New ZealandAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-30851200562626146912007-07-06T19:22:00.000-04:002007-07-06T19:22:00.000-04:00Hope you are doing well -- best wishes as the arri...Hope you are doing well -- best wishes as the arrival of the Bean gets more imminent!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-71717520723983713012007-07-06T16:54:00.001-04:002007-07-06T16:54:00.001-04:00whoops...I meant 4th degree not surgery, but I bet...whoops...I meant 4th degree not surgery, but I bet you caught that.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-54240618220064073122007-07-06T16:54:00.000-04:002007-07-06T16:54:00.000-04:00I was doing good following along till the 4th surg...I was doing good following along till the 4th surgery thing, but based on what (little) I do know I am assuming that has to do with a ummm....tear in an area that pains me to even type? YIKES, cut my abs wide open....I do not want to tear myself a new one literally....Glad to hear the bean is good although huge! Only a few more weeks!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-25972023651879628262007-07-05T06:37:00.000-04:002007-07-05T06:37:00.000-04:00Have you had your baby yet??? :)Have you had your baby yet??? :)Angela Hammondhttps://www.blogger.com/profile/11084636795222419751noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-20290701874815825042007-07-05T00:31:00.000-04:002007-07-05T00:31:00.000-04:00Havn't seen in a post in awhile and hoping everyth...Havn't seen in a post in awhile and hoping everything is well.A Lupie Mommahttps://www.blogger.com/profile/06618715500094103713noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-52883616743182450402007-07-02T17:05:00.000-04:002007-07-02T17:05:00.000-04:00Dr. Whoo ... hope you're doing OK, and that the ba...Dr. Whoo ... hope you're doing OK, and that the baby has flipped over!<BR/><BR/>Those last few weeks are really challenging ... hang in there!<BR/><BR/>When you can, let us know how you're doing!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-38788558580994173402007-07-02T11:30:00.000-04:002007-07-02T11:30:00.000-04:00New to your blog, but love your commentary. Congr...New to your blog, but love your commentary. Congrats on the pregnancy! You must be so busy between work and family, but if you have time to give advice, it would be appreciated. Would appreciate your opinion as I can relate to your blog personality.<BR/><BR/>Am female, 27 going on 28. Finished med school and 2 years of residency in a field (not Ob/Gyn) I don't see myself practicing and find boring but affords nice lifestyle. Can't seem to squash interest in OB/Gyn since I decided not to enter it 2 years ago. Now debating whether to switch into Ob/Gyn and "bite the bullet" for the next 4 years and just do it. I enjoy the patient population and find the topic fascinating. <BR/><BR/>But I am torn because I feel like I can't "have my cake and eat it too." I feel that I would be giving up my personal life/time with my husband (also in medicine) and future children. Would be doing Ob/Gyn residency during childbearing years. Definitely want to have at least 2 kids in the next 5 years, and be involved with raising them! <BR/><BR/>What are your thoughts having gone through it, about my starting Ob/Gyn now in light of all this? Should I give up on this dream and focus on being a mom and not being an Ob/Gyn? I don't think there is another field in medicine I would want to do...Help!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-49083684226234308512007-06-30T20:33:00.000-04:002007-06-30T20:33:00.000-04:00Go for the section - I've had 3 vag. deliveries (a...Go for the section - I've had 3 vag. deliveries (all had tears, two involved the recturm and then a section b/c of the prior 4th degree tear's after effects). Having had both, I prefer recovering from a c-section than the random surprises that may await a big bad vag. delivery. KWIM?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-75544467892436090822007-06-29T15:01:00.000-04:002007-06-29T15:01:00.000-04:00Had my last sonogram this pregnancy (hopefully). ...Had my last sonogram this pregnancy (hopefully). It was a normal sonogram, so I don't trust it for marker checking really. Baby still one week behind, but consistent with the last two sonograms. Fluid good (this was important to me as many trisomy babes have problems with fluid levels). Heart beat 150, and everything looked as good as you can get. I'm measuring 28.5 weeks. Supposed to be 29.5, but that's alright. Baby is around 3 lbs. My bp was 120/70. Very good. Only 1 lb in weight gain in 2 weeks so I am pleased. Baby is almost head down right now but is at a 45 degree angle with legs up under my right ribs. I know you've seen plenty of these, but I think being able to see my cervix on sonogram is cool (I think the internal cervix looks like a heart, or lips about to kiss). Placenta is out of low lying position, still anterior but much higher now. <BR/><BR/>Hope your little one moves head down without much difficulty.<BR/><BR/>DawnAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-13256952133555056932007-06-27T08:07:00.000-04:002007-06-27T08:07:00.000-04:00I just stumbled my way in here. Hehe! A big baby! ...I just stumbled my way in here. Hehe! A big baby! I had one of those 4 months ago. 4.46kg. Best of luck with him. I needed a LSCS in the end as missy wasn't engaged and well past her eviction date. She was also breech up to about 36 weeks, and then turned. But <B>still </B> needed a caesar in the end. It wasn't bad at all. Don't worry one bit about it! Big babies are lovely and contented things.Angela Hammondhttps://www.blogger.com/profile/11084636795222419751noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-48494027420948427872007-06-26T23:18:00.000-04:002007-06-26T23:18:00.000-04:00I'm not an OB, nor a midwife, but it's my understa...I'm not an OB, nor a midwife, but it's my understanding that in certain positions the pelvic diameter (I think even including the soft tissue/ perineal area) is roomier than others... those positions being squatting and on all fours (I know the all fours bit is used in the case of shoulder dystocia) ... but, these positions might be hard to get into if one is under the influence of an epidural. I guess my point is, perhaps there are other factors such as birthing position and your personal anatomy, beyond big baby-ness, that would determine whether/ how severely you would tear?Anonymoushttps://www.blogger.com/profile/05563329042104337144noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-84049997477076016072007-06-26T14:49:00.000-04:002007-06-26T14:49:00.000-04:00http://www.medicalnewstoday.com/medicalnews.php?ne...http://www.medicalnewstoday.com/medicalnews.php?newsid=74317&nfid=nlAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-88428469221825627142007-06-26T06:41:00.000-04:002007-06-26T06:41:00.000-04:00Hey there! I am so glad to have found your online...Hey there! I am so glad to have found your online journal... I am a blogger of 3+ years and have only recently ventured out of the AOL blogosphere... I thoroughly enjoy reading your blog, you remind me so much of myself. I am a former journalist (first career) turned RN (ER, then OB) and mother of three wonderful kiddos. I will definitely bookmark... you do a great job are a great read!<BR/>~Erin<BR/>http://journals.aol.com/elgeiselman/unwavering-me/<BR/><BR/>http://journals.aol.com/elgeiselman/Porkchop/Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-71784289019323799292007-06-24T22:07:00.000-04:002007-06-24T22:07:00.000-04:00Oh, and I hear handstands in a pool works wonders ...Oh, and I hear handstands in a pool works wonders for flipping a baby. I've also met women who have had their babies flip while in labor... Why not wait and let your baby pick his birthday rather than giving him an early eviction notice? You never know, your body (and his) might surprise you.Mama to Monkeyshttps://www.blogger.com/profile/14696704625536509191noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-76268293518064417502007-06-24T22:05:00.000-04:002007-06-24T22:05:00.000-04:00As an OB, don't you know how notoriously inaccurat...As an OB, don't you know how notoriously inaccurate late term ultrasounds are for predicting size?? A perfect example is a girlfriend of mine who was told she "needed" a c/s for a gigantic ten pound baby. Baby girl turned out to be just six and a half pounds five days past her due date...<BR/><BR/>Have you seen the website spinningbabies.com? It might help you avoid that most likely unnecessary surgery. <BR/><BR/>Good luck!Mama to Monkeyshttps://www.blogger.com/profile/14696704625536509191noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-58248284010533794032007-06-24T20:44:00.000-04:002007-06-24T20:44:00.000-04:00Nope.. The only thing I know about delivering babi...Nope.. The only thing I know about delivering babies is how to push them really fast out of my ED up to OB...<BR/><BR/>My wife works L&D, and she just told me that most external repositions usually flip back around the way they were used to if they aren't delivered very soon after turning... (yeah, I know.. I'm full of encouragement!)<BR/><BR/>But all three of my kids were C-section babies... At least they have cute heads right after birth!!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-85984130120454650762007-06-24T01:11:00.000-04:002007-06-24T01:11:00.000-04:00I turned a 33-weeker who weighed 6 lbs 13 oz two w...I turned a 33-weeker who weighed 6 lbs 13 oz two weeks later at birth by scrubbing a floor. My husband opened a can of paint to show me how too-yellow it was for the baby's room, poured some into a cup, then hammered the lid back down, sprayed yellow droplets everywhere. I was on my hands and knees under the kitchen table, swearing like a sailor and scrubbing energetically, when WHOOSH! I felt the baby flip-flop and sure enough the next day at the OB she could feel the head (unfortunately at 33 weeks I was less than thrilled to be dilated at all but at least the head flipped down). So maybe some angry scrubbing?Elizahttps://www.blogger.com/profile/13788282464956879318noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-27772864934760887552007-06-24T00:11:00.000-04:002007-06-24T00:11:00.000-04:00Get your multip, proven pelvis self hooked up with...Get your multip, proven pelvis self hooked up with Midwife with a Knife to get yourself one of those vaginal breeches she is awesome at facilitating ;)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-19493351619132898152007-06-22T15:20:00.000-04:002007-06-22T15:20:00.000-04:00Thanks for your blog - I had a baby girl 10 months...Thanks for your blog - I had a baby girl 10 months ago and am pretty fascinated with the Ob field in general because of it. It's fun hearing a dr's side of pregnancy.<BR/><BR/>Sorry to hear that your little guy is breech. After a vaginal delivery where I had "the works" (vacuum, forceps, episiotomy) and recent laparoscopic surgery to repair a lot of damage - I'm wondering if c-sections aren't the way to go. Probably would've been a quicker recovery in my case.<BR/><BR/>Best wishes as you endure the last few wks of your summer pregnancy. ;-p<BR/>-a fellow mommy in OhioAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-27284853628137572112007-06-22T07:06:00.000-04:002007-06-22T07:06:00.000-04:00Interesting blog! (I'm from TX and we go call it O...Interesting blog! (I'm from TX and we go call it OB/ GIN) LOL <BR/>It's nice to get a OB docs perspective as a patient. I'm pregnant with my first - a boy due Aug. 3rd!<BR/>I'm an nurse but I do ICU. No OB experience except for a brief rotation in school. I've been trying to read up on everything like crazy to refresh my memory.<BR/>Do you have any experience with perineal massage and stretching? Does it work? I realize you don't want to give out medical advice but maybe you know of some links or studies. I've read it can be helpful in preventing lacerations but it doesn't sound pleasant to perform! <BR/><BR/>What about circumcision? My husband and I are really on the fence about it. Just when one of us thinks yes, the other thinks no. And then we both have a change of heart and flip sides. I guess we need to hurry up any decide one way or the other. Any advice? So many decisions to make!<BR/><BR/>Good luck on the remainder of you your pregnancy. I hope that BP stays in check. And I don't know any great ways to get the little one to turn. Maybe you can have a heart to heart with him and convince him to be agreeable! Whatever your method of delivery, I wish you a speedy recovery.<BR/>I've enjoyed reading your blog!<BR/>Thanks!ICU toohttps://www.blogger.com/profile/03463472661788581661noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-45525214121525779682007-06-21T21:25:00.000-04:002007-06-21T21:25:00.000-04:00No surefire cure for flipping breech babies. Even...No surefire cure for flipping breech babies. Even OFP postures sometimes fail.<BR/><BR/>My shortest offspring tried to be breech, but flipped around week 35 or 36. He was 8 lbs 14 oz when he was born (not sure if that's ginormous in your estimation or not -- but it sure FELT big!) and I ended up with a 2nd degree tear along the line of my old episiotomy scar.<BR/><BR/>My cousin's wife's had both a vaginal birth and a c-section. Her take on the c-section was that it really wasn't bad at all. She knew when her daughter was being born (breech, like your bean), she got a good night's sleep, and although the incision recovery wasn't fun she said it wasn't as terrible as she was afraid it would be.<BR/><BR/>And because she and my cousin are sick people, they deliberately opted for a birthday of Friday the 13th for their child. My family cracks me up :)Amandahttps://www.blogger.com/profile/14775794907218052899noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-91799368958422464452007-06-21T19:35:00.000-04:002007-06-21T19:35:00.000-04:00Oh, and on the subject of pre-eclampsia, I'm sure ...Oh, and on the subject of pre-eclampsia, I'm sure you've read all about this, but I just found out:<BR/><BR/>"Antiplatelet agents during pregnancy are associated with moderate but consistent reductions in the relative risk of pre-eclampsia, of birth before 34 weeks' gestation, and of having a pregnancy with a serious adverse outcome."<BR/><BR/>http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=17512048XEhttps://www.blogger.com/profile/02522455400636588309noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-38729996541792941472007-06-21T19:12:00.000-04:002007-06-21T19:12:00.000-04:00Sorry about the possible c-section Dr. Whoo. Hopef...Sorry about the possible c-section Dr. Whoo. Hopefully your little guy will flip around and you'll be able to deliver him normally after all.XEhttps://www.blogger.com/profile/02522455400636588309noreply@blogger.com