Doctor insights on:
How Can I Prevent An Episiotomy
Communication!: The idea that automatic episiotomy is the standard of care stopped being the norm about 2 years ago and many physicians have adopted this belief. Make sure your doctor is on the same thought process as you! another idea is "perineal massage", whereby your partner gently massages/stretches the bottom of the vaginal opening with a gel (k-y jelly) for the last 8 weeks in preparation for delivery. ...Read moreSee 1 more doctor answer
Delayed reaction: Rashes from antibiotics are typically delayed reactions. Your doctor may give you another class of antibiotics to avoid such reactions. But if it is necessary to receive an antibiotic from a class you reacted to in the past, your doctor can premedicate you with oral antihistamines and steroids if necessary, these are things you need to discuss with them. ...Read more
Pregnancy prevention: To prevent an unplanned pregnancy you either abstain from sexually intercourse or you use an effective means of contraception. Examples of more effective reversible contraceptives include the iud, the oral contraceptive pill, depo-provera, implanon, and nuvaring. Examples of more effective non-reversible contraceptives include essure, a tubal ligation, and a vasectomy. ...Read more
Can't.: Unfortunately there is not much we can do to prvent early miscarriages, those that occur before 12 weeks. They are most often caused by a random misalignment of the baby's chromosomes. Such misalignments are spontaneous, random events that are out of the control of outside factors. The good news is that after one miscarriage, your chances of having a normal baby are just as good as before. ...Read moreSee 1 more doctor answer
Difficult: It is difficult to actually prevent an acl tear. We have studies that show some small benefit from plyometrics and prevention exercises, but overall there is no easy way to keep the fluke event from occurring. Patients with partial tears or patients with looser knees do have a higher chance of acl tears, but even then, we cannot prevent the tear altogether. ...Read more
Get w/the Guidelines: Surgical infections have more to do with what i can do as a surgeon rather than anything my patients do. There are well-established guidelines that, when followed, can lower infection rates. These include using antibiotics within 1hr. Prior to surgery, appropriate skin cleansing, short operative times, and getting anything "foreign" (catheters, tubes, ivs, etc.) out as soon as possible. ...Read moreSee 1 more doctor answer
Fiber: There are many dietary recommendations that have been widely disseminated (things to avoid, etc), but recent studies have found no basis for those recommendations. The one thing that has been shown to prevent a second episode of diverticulitis (once someone has has a first episode) is to take a tablespoon of fiber supplementation (phyllium) daily. ...Read moreSee 1 more doctor answer
Silvadene (silver sulfadiazine) cream: Yes, silvadene (silver sulfadiazine) cream1% used twice daily helps heal burn and other wounds. This is a prescription medication. See your pcp. Scar management is best addressed by your local plastic surgeon but the otc care usually includes use of moisturizers, sunblock, scar care creams or silicone gel sheets etc. ...Read more
Recurrent UTIs: Having more then two urinary tract infections a year is a pain. Usually an evaluation for this involves cystoscopy to look for a physical reason. If there isn't a physical reason there are few medication management possibilities. 1) pre-prescribed as needed antibiotic use for symptoms/activities 2) alternative monthly between two antibiotics. 3) other options too. Talk to your doctor about them. ...Read more
A few things: We don't really know what causes preterm labor, but there are a few things that tend to increase the risk: serious trauma (wear your seatbelt!) smoking doing drugs high order multiple pregnancies uncontrolled diabetes but for the most part we don't know. A great answer would win the nobel prize for medicine! ...Read moreSee 1 more doctor answer
Depends: Have you had miscarriage in the past? If yes, why? Do you have a clotting disorder? In general, getting a good diet with fresh fruits and vegetables, prenatal vitamin, regular exercise, scheduled relaxation time, adequate sleep, no herbal meds or supplements, and low stress levels are helpful. If you have certain problems as above, the need the advice of an obstetrician. Good health! ...Read more
Stay healthy: Lower risk by not smoking or drinking. Establish a high level of fitness through exercise prior to getting pregnant. Take prenatal vitamins and eat a healthy diet prior to getting pregnant. If you are overweight do everything you can to get to a normal body weight before becoming pregnant. Finally, if you are in an abusive relationship, LEAVE and do not get pregnant with the abuser. ...Read moreSee 3 more doctor answers
Sterile process: Epidural abcerss=1 in a million- lethal in 12 hours complication. Prevent by anesthesiologist must wear a mask and hat. Wash hands sterile gloves. All people breathing in the room should wear a mask. The equipment (needle etc) should be sheathed and covered when not being used. Air dry the sterile prep. Do not wiped off. Use saline not air for lor, sterile dressing- remove if catheter disconnected. ...Read moreSee 1 more doctor answer
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