Obstetrician Gynecologist

Obstetrician Gynecologist

OBGYNDoc

Minneapolis, MN

Female, 36

I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.

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Last Answer on July 14, 2017

Best Rated

Does the use of marijuana prior to becoming pregnant heighten the risk of a baby having health complications?

Asked by Mellie (TX) almost 5 years ago

Yes. The active ingredient in marijuana, THC, crosses the placenta and enters the circulation of the baby. Use of marijuana in pregnancy can result in poor blood flow and growth of the baby. In addition, there have been studies that have shown cognitive delays, hyperactivity and behavioral disorders in babies born to mothers who abused marijuana.

What's the probability of having a miscarriage after you've already had one?

Asked by Anaponc almost 5 years ago

After having one miscarriage, the risk of having subsequent miscarriage is only slightly higher (approximately 30% rather than 25%).

Do you think it's a good thing that science is finding ways to let women have babies at later and later ages? Even if it's POSSIBLE, don't the risks of complications skyrocket?

Asked by davidlyons about 5 years ago

It is absolutely true that the risk of complications in pregnancy increase as maternal age increases. In particular, the risk of genetic disorders such as Down Syndrome, miscarriages, preterm labor, gestational diabetes, stillbirth and cesarean section rises with maternal age. However, if a patient is in good health and does not have a significant history of obstetric complications, then I support her in pursuing her pregnancy goals. As our society continues to delay childbearing to later ages, we see more and more patients beginning their families in their 40's. Advances in treatment of infertility have made it possible for these individuals to aggressively pursue childbearing. There certainly are examples of misuse of this technology- for example pregnancies that result in high order multiples, or pregnancies in patients with serious chronic medical problems. However, in general, this technology has allowed for countless women to conceive babies in the face of a heartbreaking struggle with infertility.

If a baby has health complications resulting from a difficult delivery, do you ever feel guilty, even if you did everything you could?

Asked by Anonymouse about 5 years ago

The practice of obstetrics is almost always a gratifying, life-affirming, joyous career. When things go badly, however, it can be devastating. Regardless of how meticulously and skillfully we perform deliveries, there will continue to be complications. Any time there is a complication, I feel the loss, grief and disappointment in a very personal way. I don't think "guilty" is the appropriate word- I always do my absolute best to "do no harm". But I think it is natural for any physician to replay any difficult delivery over and over again in his or her mind to see if there is anything that could have been done differently. While the answer is inevitably no, I hope that each challenging delivery can broaden the depth of my experience.

I know you're not a psychiatrist or therapist, but I'll ask anyway: is there anything that can be done during pregnancy to decrease the likelihood of postpartum depression?

Asked by anonymous about 5 years ago

While I am certainly not a therapist or psychiatrist, postpartum depression and other mood disorders are absolutely something I diagnose and treat on a daily basis. Although I don't know that we can prevent postpartum mood disorders, I certainly think we can prepare ourselves for and lessen the severity of postpartum mood disorders. Firstly, its important that you take care of your physical health- healthy diet, exercise and healthy sleep habits are the first line treatment for depression at any stage of life. Secondly, its important to utilize all of the social supports available- when a friend, neighbor or family member offers to help so that you can take a break from your newborn, then by all means, accept. Being cooped up with a fussy newborn while suffering from extreme sleep deprivation will lower anyone's threshold for a mood disorder. Lastly, but certainly not least, we need to be educated and informed on the signs and symptoms of postpartum mood disorders. Many times the earliest warning signs are attributed to "hormones" or "baby blues" when, in fact, they are a red flag for something much more serious. As an OBGYN, it is my job to educate my patients so that they can recognize the symptoms should they develop.

How do you feel about VBAC's? My first baby was (despite my best efforts) a c-section because he presented face up. I really want an all natural birth next. What are my chances?

Asked by Jakesmom almost 5 years ago

The cesarean section rate is at an all time high right now, and while cesarean section is usually a very safe surgery, there are risks to performing any major surgery. Having a vaginal birth after cesarean section (VBAC) is one way to reduce the cesarean section rate. Benefits to having a VBAC include less bleeding, a shorter and less painful recovery, and lower overall cost. However VBACs also come with significant risk. The uterine scar, through which the baby was delivered at the time of cesarean section, may be weak, and may not tolerate the stress of repetitive uterine contractions. If this is the case, the scar could open up, or rupture. Although rare, uterine rupture can potentially result in hemorrhage, loss of blood flow to the fetus, and ultimately fetal and/or maternal death. When we discuss the possibility of VBAC, we want to make sure that the patient is a good candidate for a successful VBAC- we aren't willing to take this risk unless there is a high likelihood of success. Therefore, patients who had their cesarean sections performed for poor labor progression or because the size of her pelvis was too small for the baby to pass through may not be ideal candidates. If you are considering VBAC, you need to have a discussion with your physician to see if you are a good candidate. If you decide to attempt VBAC, you will be monitored very closely during your labor, and if anything out of the norm occurs, your doctor will likely recommend a cesarean section. It's very important that you understand that at any time during the labor, if there are worrisome signs for uterine rupture or the baby not tolerating contractions, you will likely undergo a cesarean section.

Do you notice a difference in nerves, cooperation, and stress among couples who are having their FIRST baby versus those who have already had one?

Asked by abeline almost 5 years ago

Most couples do relax a bit with their second and subsequent pregnancies because most of the anxiety is related to the fear of the unknown. Just having had the experience of knowing what a labor room looks like, what it feels like to have an IV, what to expect when it is time to push, and how to cope with the sleepless nights of caring for a newborn can alleviate the stress that a first-time parent experiences.