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

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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 about 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.

What's your opinion on water-births?

Asked by Benny T. about 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.

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 about 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.

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) about 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.

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

Asked by emiliaK about 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?

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 about 5 years ago

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

Has being an OBGYN affected your own beliefs about when "life" begins? Or swayed your opinions one way or the other on the abortion debate?

Asked by andrea_85 about 5 years ago

Without becoming too political with this question, I'll simply say no. My responsibility to my patients is to provide them with counseling and the resources available to them when faced with a difficult decision about continuing or terminating a pregnancy. I always support my patients in their decisions. For every pregnant patient, I present the options for genetic screening available. Some people choose to be tested because they are looking for peace of mind, others choose to be tested because they would prefer to be prepared in the event that they are having a child with special needs. Others choose to be tested because they would terminate the pregnancy if there was an abnormality. All are valid options, and I want my patients to feel empowered to make their own decisions based on the education I provide and based on their own personal beliefs.