After all of the talk about preferences, goals, side effects and other concerns, your doctor is likely to recommend the easiest, most effective and safest methods.
The American Congress of Obstetricians and Gynecologists (ACOG) had their Annual Clinical and Scientific Meeting last week, and one topic has stirred quite a bit of controversy. The debate centered on whether or not to induce all low risk women at 39 weeks in an effort to reduce neonatal and maternal morbidity and mortality.
For many women and couples, side effects are a critical factor in choosing a birth control method. Side effects can be quite varied, from method to method as well as person to person. Not every user will have every possible side effect, but it’s important to understand the possibilities, almost all of which are temporary and will resolve when the method is stopped.
I wake up around 6:30 to get ready for work. There are mommas in the hospital ready to go home on this Mother’s Day.
The ultrasound showed I wasn’t as far along as I thought. Only five and a half weeks. And there was no heartbeat. The doctor came in and told me what he saw. I held on to the hope that it was just too early. My bleeding had almost stopped. Another ultrasound a couple weeks later confirmed what the doctor already knew. I was having a miscarriage.
When I was in residency, our local zoo was loaned two giraffes (Autumn and Walter) as part of a breeding program, the Species Survival Project. The entire city was thrilled when Autumn became pregnant with her first baby.
People have been trying to control family size throughout history, but with the advent of modern contraception, it’s become easier and easier to plan pregnancies. This is because modern methods, in addition to being safer, are more effective than many methods used previously.
I am not one of those women who loves being pregnant. In fact, I do not terribly enjoy being pregnant at all. I have always wondered how some women are blessed with “the glow,” and others, like myself, get acne and “cankles”.
I did everything right: I carefully selected a hospital with good, evidence-based TOLAC policies, I found a nurse-midwife practice with patient, yet thorough providers, I ate reasonably well, and I exercised regularly. At 39 weeks and 4 days, I started to go into labor.
As an obstetrician-gynecologist, I often joke with my colleagues about the “OB birth juju”, meaning that we, as OB/Gyns, tend to have weird stuff happen to us with our own births. The joke often seems like a truth.