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Doctor insights on: Labor Doula

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Hospital labor and delivery, what to expect?

Hospital labor and delivery, what to expect?

Hospital tour: Birthing experiences vary widely to each person, facility and family. Schedule tours with the birthing center where the delivery may occur, and discuss the different birthing plan options available. You will likely be surprised at how much information you will gather and it will make the entire experience less stressful. ...Read more

Dr. Jeffrey Stevens
16 doctors shared insights

Doula (Definition)

A doula is a person that provides non-medical support to the woman both during the pregnancy ...Read more


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Nifedipine for preterm labor risks?

Nifedipine for preterm labor risks?

Much safer: Nifedipine (brand name: procardia) is a much safer class of medication for premature labor than it's predecessors, such as terbutaline or ritodrine, which could cause fast heartbeat, high blood sugars, and even pulmonary edema. ...Read more

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Can a midwife deliver the baby?

Can a midwife deliver the baby?

Yes: Midwifes are trained to deliver babies and manage uncomplicated pregnancies. Different states have different laws regarding privileges for midwives. Plan ahead and research your options. ...Read more

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Is back labor a difficult labor?

Is back labor a difficult labor?

It can take longer: Back labor is when the back of the baby's head enters the birth canal facing down towards the rectum of the mother and does not rotate and comes out facing upwards. That type of birth often takes longer in the "pushing phase"(2nd stage) of labor and can get "stuck" more often resulting in a cesarean section. ...Read more

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Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

SecondaryInfertility: A person who has one pregnancy and cannot get pregnant a 2nd time is usually not due to the previous 26 week delivery. An incompetent cervix means that the patient got pregnant again. A vigorous scraping at a d & c post partum can cause infertility. ...Read more

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

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Are deliveries by midwifes safe?

THAT DEPENDS: On the training and your stituation and if the midwife delivers in the hospital and has the proper backup provided by a board certified obgyn who can respond quickly in an emergency situation. I have worked with some very good midwives and shortly with some bad ones. My patients go to me because I do all of my own deliveries and they know that I am trained to take care of a problem. ...Read more

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Difference between braxton hicks contractions, trimesteral uterine contractions and regular labor contractions??

Difference between braxton hicks contractions, trimesteral uterine contractions and regular labor contractions??

Cervical change: Braxton-Hicks contractions are real contractions, but are not putting you into labor, as evidenced by changing your cervix. Keep well hydrated, and time them. If they are coming ever 5 minutes, you need to be evaluated by your obstetrician. ...Read more

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Are midwives or doulas delivering at home a risky proposition?

Are midwives or doulas delivering at home a risky proposition?

Love 'em to death ?: A couple approaching childbirth has a limited knowledge base, preferring the "never would happen to me" approach.Some think that if problems arose they could just call an ambulance and things would be fine. In the best of situations it would take an hour to get to a specialized delivery room or operating suite. Minutes lost can mean permanent injury or death. ...Read more

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Do epidurals slow labor down?

Do epidurals slow labor down?

No: The actual answer is yes & no! the only part of labor it has been shown to prolong is pushing. Without the sensation of pressure pushing may be less effective. That said, i've also seen patients actual accelerate progress in labor after an epidural. This is thought to be from a patient being able to relax. ...Read more

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Will having amnio cause preterm labor?

Will having amnio cause preterm labor?

It can.: Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal dna testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur. ...Read more

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Is delivery of stillborn baby always vaginal?

Is delivery of stillborn baby always vaginal?

No.: When the timing of cessation of heartbeat is not certain, most will at least try to save the baby with an emergency c-section. ...Read more

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Hospital labor & delivery vs birth center. Which is better and why?

Hospital labor & delivery vs birth center. Which is better and why?

Define Birth Center: I deliver at a birth center which has private rooms, newborn rooming, birth plan receptive... But still offer 24/7 epidural service, full or availability in-house for emergencies, full time peds/neonatologist if needed, and full lab & blood bank services. Most hospital l&d units are emulating birth centers & maintain all support services in case of emergencies. Tour & deliver where you feel safe. ...Read more

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Effectiveness of cervadil vs pitocin (oxytocin) induction?

Effectiveness of cervadil vs pitocin (oxytocin) induction?

Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more

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Preterm labor concerns. They said my cervix is shortened?

High risk of PTL: Short cervix can increase the risk of preterm labor and delivery. There is treatment that can decrease the risk. Discuss the management of preterm delivery with your physician. ...Read more

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How dangerous are labor epidurals?

Depends.: As far as the mother is concerned, pretty safe in good hands, other than a remote risk of chronic low back pain. As far as the fetus is concerned, early epidurals are associated with increased occiput posterior and cesarean sections, fever in labor and sepsis work-up in the nursery. Of course, the alternative (intravenous narcotics) is even worse for the fetus! ...Read more

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What is cesarean birth?

What is cesarean birth?

Abdominal delivery: A cesarean birth is when the baby is delivered via an incision on the uterus through the abdomen. ...Read more

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