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

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.

Are the risks of trying to have kids in your 30's exaggerated? Obviously it doesn't get EASIER as we age, but are 30-somethings as at-risk as some of the reports suggest?

Asked by Thirty-something almost 5 years ago

As women age, risks of complications such as infertility, miscarriage, chromosomal abnormalities such as Down Syndrome, preterm labor, diabetes, hypertensive disorders and stillbirth increase. There is no black and white cutoff at which one reaches a "high risk" age. We choose the age of 35 as our designation of Advanced Maternal Age because this is the age at which we see a sharp rise in the risk of chromosomal abnormalities such as Down Syndrome, as well as an increase in the medical problems listed above. Although the risks are much higher at 35 than at 25, they are still relatively low. The risk of having a baby with Down Syndrome at age 35 is still <1%. But I don't think the risks are exaggerated- they are certainly real and should be taken seriously. If you have underlying medical problems such as obesity, hypertension, diabetes or pre-diabetes, then your risk of having a complication in pregnancy is much higher. However, if you are in good health and have the approval from your physician, then you are statistically likely go on to have a normal, healthy pregnancy.

How harmful is drinking during pregnancy, and at what stage is it most harmful to the fetus?

Asked by emiliaK almost 5 years ago

The studies on alcohol consumption in pregnancy are unequivocal- drinking alcohol while pregnant can result in many complications ranging from birth defects to growth restriction, mental retardation and stillbirth. There is a clear dose response relationship between alcohol and poor outcomes, which means that as higher quantities of alcohol are consumed, the risk of complications is higher. However, because every individual metabolizes alcohol differently, there is no "safe" amount of alcohol that can be consumed in pregnancy. Bottom line, I recommend abstaining from all alcohol while pregnant. The critical developmental period for vital organs (such as the brain) occurs in the first trimester. Therefore, it makes sense that most of the birth defects are related to drinking in the early part of pregnancy. However, drinking later in pregnancy can result in cognitive and developmental delays. Of course, if there is a special occasion or celebration, I tell my patients it's acceptable to have a rare glass of wine. But my overwhelming opinion is that drinking in pregnancy should be avoided- why take the risk?

I'm an avid runner and have heard so many different opinions on this: is running a bad thing to do while pregnant?

Asked by Mellie (TX) almost 5 years ago

If you are an avid runner, then I think it is safe to continue running during pregnancy, with modifications. First of all, you need to stay well hydrated whenever you are exercising and avoid overheating. Secondly, listen to your body; if it hurts or is uncomfortable, don't do it. Thirdly, you are not trying to condition or train, just maintain. So decrease the intensity and never push yourself to the point of chest pains, extreme fatigue or weakness, dizziness or severe shortness of breath. In general, I tell patients if you were previously pushing yourself to 100%, then dial it back to 50%. At some point in the pregnancy, it is likely that you will need to decrease your distance and/or pace. Again, listen to your body. I don't think that extreme long distances, such as marathons, are a wise choice during pregnancy. In general, you shouldn't be running as fast as you can or as far as you can, so I ask my patients to use common sense when deciding whether to continue running during pregnancy. Of course, if you develop contractions, pain, bleeding or other worrisome symptoms, you should immediately stop and contact your physician.

What's your opinion on water-births?

Asked by Benny T. almost 5 years ago

In my practice, we do not perform water births. For one, when a patient is in a tub full of water, it is extremely difficult to intervene should an unforeseen emergency arise. I have seen enough difficult and harrowing deliveries to know that I always need to be prepared for an emergency- vacuum and forceps deliveries, as well as maneuvers for shoulder dystocia (when the baby's shoulders get stuck under the mother's pubic bone and won't deliver) can be life-saving, and the decision to use these maneuvers is made in a split-second. Every minute of delay could result in permanent injury to the baby. Secondly, as a provider, it is also important that I protect myself from exposure to any bodily fluids. When a patient is delivering in a tub, I think it is nearly impossible to avoid direct contact with the water, which is contaminated with the patient's bodily fluids. We all should practice with universal precautions- protect ourselves from direct contact with blood, amniotic fluid, etc, regardless of who the patient is and what diseases they have been tested for. I don't have a problem with laboring in a tub, however. As long as the baby can be monitored safely and appropriately, and as long as the baby's heart rate is appropriate, then I think a tub labor can be a nice alternative for someone who is hoping to avoid an epidural or IV pain medications.

If during a patient visit you notice that the patient's lady parts don't exactly smell ... "fresh" ... do you say anything about it? Or do you just focus on whatever the primary reason is for the patient visit?

Asked by Very curious almost 5 years ago

If a patient has evidence of an infection, I would certainly bring it up.

Why do some doctors work these crazy 24 or 36-hour shifts? Doesn't their judgment get impaired from the exhaustion?

Asked by ay caramba almost 5 years ago

During my training, I often worked for 48 hour shifts without sleep between, only to return 12 hours later for another shift. This was the traditional way of training residents. Nowadays, there a strict rules in place that limit the number of hours one can work at a time. In real practice however, we continue to work 24-36 hour shifts simply because we don't have the person-power to take shorter shifts. In addition, in our field, there is a need to keep continuity of care- we prefer to follow a patient in labor through delivery, and shorter shifts would mean more frequent turnovers in patient care. If I feel I am ever overtired or impaired, I would certainly call on my colleagues for help.