Obstetrician Gynecologist

Obstetrician Gynecologist


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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118 Questions


Last Answer on July 14, 2017

Best Rated

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 12 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.

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

Asked by Mellie (TX) almost 12 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.

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 almost 12 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.

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

Asked by Anaponc almost 12 years ago

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

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 almost 12 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.

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 almost 12 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.

What made you decide to choose this area as your specialty? Are there other areas you think, in retrospect, you might have preferred?

Asked by Gina G almost 12 years ago

The amazing thing about my job is that every day is a different challenge. I take care of women from their adolescent or teen years all the way through menopause and beyond. For most women, I am seeing them once a year for their annual exam, with an occasional visit in between for problem visits. Over the years, I get to know my patients, and really feel that I am a part of their lives. I see them through graduations, relationships, marriages, pregnancies, career changes,etc. When my patients get pregnant, I have the privilege of participating in perhaps the most memorable and emotional 9 months of their lives, culminating in the most life-changing experience possible when I am attending the delivery. Every day when I leave work, I can reassure myself that I have done my best to make the world a better place. While a career in OBGYN is immensely fulfilling, it obviously has its down sides as well. For one, the job requires taking call, which means that there are times when I have to be available at all hours of the night. I have had many 36+ hour stints during which I am constantly on the go. In addition, there is an immense amount of stress that comes with the knowledge that the actions I take can be life-or-death determining actions. I can't imagine doing anything else right now, but there are certainly moments after a long night of call when I wish I had considered a career in dermatology. But then I remind myself... rashes give me the willies!