Doctor insights on:
Midwife Vs Ob Gyn
Depends: You need to look at the training and credentials. A certified nurse midwife has training and experience that a lay midwife will not have. Check out the website of the american college of nurse midwives (http://www. Midwife. Org) for more reliable information. Our academic department has several certified nurse midwifes on our faculty as colleagues. ...Read more
Obstetricians deal with pregnancy and helping women to have a healthy baby. Gynecology deals with women's reproduction health, so gynecologists treat reproductive health problems like irregular periods, vaginitis, abnormal pap tests. Gynecologists also help women to maintain or achieve overall health--and so address issues of ...Read more
Depends: It really depends on your ob. In my practice, I offer a concierge service where I limit my OB patients so that I am available to be with my patients during their entire labor, not just once its time to deliver. If having your ob/midwife there during your entire labor is important to you, then that is one of the questions you should ask when choosing the professional who will deliver your child. ...Read more
Usually the Same: Your out of pocket costs will be the same. Most insurance companies only pay a set amount regardless of who does a delivery. Most midwives only get hospital or l&d privileges if they are affiliated with an OB so they usually make less but the patient rarely knows how the delivery fee is divided up. Then there are hospital fees, anesthesia fees (if needed), & supply charges. It can be extensive. ...Read more
What would be a good way to convince my wife to go a hospital and ob-gyn instead of at home with a midwife in water?
Investigate degrees: I am highly supportive of women seeking care from certified nurse midwives. We have a great cnm who works in our office. They have phd or masters degrees in advanced practice nursing and are highly trained qualified medical professionals. Other practitioners use the term midwife but have very different backgrounds and training. Make sure you understand the different types of midwives. ...Read more
Surgery: Both mid wive and obgyns can delivery low risk pregnancies and do well women exams. An obgyn can do what mid wives can plus high risk pregnacies and surgical procedure as well as some more specialized procedures. ...Read more
Many do not: Great question. It is essential that you ask your midwife that exact question and make sure you clearly understand the protocol. Certified nurse midwives (cnm) generally do have a formal relationship with a doctor. We have one in our practice. Cpms (certified professional midwives) who are not allowed to work in hospitals generally do not have formal on call coverage. Make sure you understand this important difference. ...Read more
Good idea: Ideally, a girl should first see a gynecologist around 13-15 years old. This will allow her to establish a relationship with her doctor, understand the importance of female health, and learn about issues that pertain to her body. Important topics like the menstrual cycle, puberty, std prevention, pap tests, and contraception can slowly be introduced. Pap tests should begin at age 21. ...Read more
NO!: If you have had 3 cesareans, do not attempt trial of labor at term under any circumstances; it has never been proven to be safe and I am very concerned that it is not safe for both mother and baby! A 4th cesarean is what awaits if you keep getting pregnant - so make family planning and long-acting contraception a top priority to preserve your health/life. It would be a shame to create 3-4 orphans. ...Read more
Infertility: A general OB/ Gyn can do infertility evaluations and treatment. The infertility specialist works with the more difficult cases. Typically in vitro fertilization is only done by the specialists. Infertility doctors will usually send pregnant patients back to the generalist for delivery. A woman older than 35 with infertility should probably be seeing the specialist. ...Read more
Changing doctors: Depending on the reason that you desire to change OB - it might be uncomfortable but I would still discuss with your current OB & ask for names. I changed an OB with one pregnancy - the first guy was fine but the guy I saw on call was a fantastic physician. I spoke to my OB and was candid about the reason I desired to make the change. He was very professional & helped with the switch. ...Read more
Medical prep: Congratulations on your interest to pursue medicine. To start, every college/university has to follow a set core classes considered. ...Read more
FSH levels: If you think that you have premature menopause (presence of physical symptoms, i.e. Hot flashes, irregular periods, vaginal dryness, etc), your doctor can test your fsh levels to see if your ovaries have slowed down production of estrogen, indicating that you are in menopause. In addition, blood work and a physical exam should be done to rule out other conditions. ...Read more
If you are moving: get all of you prenatal records and ask for suggestions from your current provider, they my have a colleague in the area you are going.
If you are having a personality conflict and trying to address the issues is not possible then contact friends with children and ask for suggestions from them. Often you will find that several of your friends go to the same provider. Get records ...Read more
Visit to ob/gyn:
1. Past medical history (beginning of her first period, length, #days, how frequent, history of std, family history (breast, ovarian, utering cancer), her general health, surgical histories, etc)
2. Vaginal and cervical exam, pap swear, breast exam
3. Urine test, if pregnancy suspected or std
4. The following evaluation depends from the answers above. ...Read more
Probably okay: Period length and heaviness Can vary month-to-month. It will likely return to normal the following month. If you have concerns, you can see your GYN. ...Read more
No: You need a referral from obgyn.Get a more detailed answer ›
Possibly: The physical done by the OB will likely be more thorough with the female organs and issues and the exam by the primary care provider will likely be more thorough with the rest of your body and issues. ...Read more
This question is for an ob/gyn. What is pos? I heard is more previlent in african american women.
I'm going to a high risk OB GYN Monday but I'm going to see a nurse, not the Dr... Why?? I need to he seen by a Dr
You will: At some point. Likely they will have a nurse practitioner see you first. NP's are extensively trained, and usually extremely competent. In either event, the doctor will be readily available, and they can easily get him or her if there is some sort of problem. Hope this helps! ...Read more
I have a 15 year old child who a scheduled to see a ob/gyn should I go in with her or will it make her feel weird?
Little bit of both: Usually I start with mom in the room to judge the situation but then ask mom to leave for a more confidential time with the teenager. In the state in which I practice, I need to obtain teens permission during this private time to discuss aspects of her situation with mom. If teen desires, I then have mom back in the room using teens guidance on which parts of the visit mom should be included in. ...Read more
My OB/Gyn called to tell me my AC1 levels were elevated at 5.7 and that I am at risk of diabetes, what is this means?
HgA1c: Is an index of your average blood sugar over the previous 90 days. You do not have diabetes and can prevent it from developing by changing your diet. You should thank your doctor for ordering this test! Every carb has a glycemic index. Find a list online and choose carbs with a low glycemic index. Eat more veggies and protein. Avoid refined sugars. You'll be amazed at how much better you feel! ...Read more
Ob/gyn said 5 weeks along in pregnency. When would conception have taken place? Last cycle was 8/10/12 but was about a week late.
About 3 weeks ago: If your dates put you at 5 weeks and this is confirmed by ultrasound, the you would have conceived about three weeks ago. By convention menstrual dating is used to determine gestational age - this means that at the time of conception your gestational age would be 2 weeks as we assume you ovulate 2 weeks after you started your last period. This is accurate only if your periods are regular. ...Read more
After 3 consecutive missed miscarriages ob/gyn won't do any tests. I have had other children but don't agree with his 'bad luck' diagnosis.
Re-evaluate: I think most doctors would consider a work-up after 3 consecutive miscarriages, even if you have had children previously. Something may have changed with your body. You want to make sure that there is nothing that needs to be done differently before attempting to get pregnant again. ...Read more
Who can I ask about getting an iud? My ob gyn thinks I'm too young (i'm 22 years old) and says its not recommended because I haven't given birth yet.
It's safe.: Iuds are safe for adolescent and nulliparous women (those who are young and not had children). The most recent acog committee opinion can be found here: http://www. Acog. Org/resources_and_publications/committee_opinions/committee_on_adolescent_health_care/adolescents_and_long-acting_reversible_contraception. ...Read more
Women's specialist: Ob-gyn is the short for obstetrician-gynecologist, the medical subspecialty that deals with women's issues such as pregnancy, menses, dysfunction and disorders of the female reproductive tract. They are certified md's with post medical school training (internship and residency) focusing on these areas and some taking further training to enhance their skills. ...Read more
A variety: A general Ob/Gyn can perform most surgeries involving the female organs. They perform C/Sections; Hysterectomies; Laparoscopic procedures on the tubes, uterus and ovaries; tubal ligation; procedures on the cervix such as a LEEP or cone; incontinence surgeries such as TVT; and many other procedures. Best wishes. ...Read more