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Doctor Q&A for Dr. Alison Stuebe

A female asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
No: Untreated gdm increases glucose levels. Glucose should not cause a false positive drug test.
A 28-year-old female asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Nurse a baby: Simply having a baby at breast can induce milk production. Some hormones can help, but they can have side effects.
A 20-year-old female asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
More Breastfeeding: The best way to increase milk supply is to nurse more often. If this isn't helping, see a lactation specialist to see if there is an issue with your breast tissue or your baby's suck.
A 30-year-old member asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Hard to know: We understand much less than we should about why lactation sometimes does not work. I've blogged about this here: http://bfmed.Wordpress.Com/2013/01/04/establishing-the-fourth-trimester/ seeing a physician with expertise in breastfeeding medicine may help - try amy evans at the center for breastfeeding medicine in fresno.
A 38-year-old female asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
What supplement?: Some herbs interact with medications - it depends on what you are taking.
A 47-year-old member asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Not clear...: It seems to work better in early pregnancy - in studies, Aspirin reduced risk when started before 16 weeks - so it probably helps the placenta to form properly.
A 29-year-old male asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
1st Dx in pregnancy : Gestational diabetes is high blood sugar that's first noticed during pregnancy. Hormones increase blood sugar levels during pregnancy. If levels get too high, it's called gestational diabetes. Some moms have had high sugars before pregnancy, but haven't been tested. That's why moms with gdm should have sugars checked again after birth.
A 35-year-old member asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Probably : Hormonal birth control might affect milk supply, so it's best to use a non-hormone method, like a copper iud. Birth control that doesn't have estrogen, like Nexplanon implants or the mini pill, is probably better than a regular pill like yaz (drospirenone and ethinyl estradiol). If you start on birth control with hormones, keep track of how much milk you are making, and consider another method if it decreases.
A 41-year-old member asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Should be...: Very little cortisone from cream on your skin gets into milk. Moms applying cream to their breasts should wipe it off before the next feeding.
A 36-year-old female asked:
Dr. Alison Stuebe
Obstetrics and Gynecology 20 years experience
Yes...: A couple of doses of Percocet to control pain after a surgical procedure should not be a problem. Feel better soon!
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