The journey to a healthy pregnancy and delivery begins with the selection of a healthcare provider, and the challenge is to find the right one. This is the person who will be in charge of your pregnancy up until the time of the delivery, so it certainly is not a casual date. For the next 280 days your life and the life of your unborn child will be in this person’s hands. A background check is therefore in order.
One of the best ways to find the right healthcare provider is by word-of-mouth referral from neighbors, friends, or family members however please don’t stop there. Labor and delivery nurses are also a great source of referral because they have seen physicians and midwives under their most vulnerable and challenging moments.
Don’t feel intimidated about checking a provider’s credentials — this is public information. You can find out whether the provider’s medical license is current or expired. You’ll also be able to obtain information on whether the provider has ever been disciplined by the board for medical malpractice or unprofessional behavior or misconduct. Healthcare providers are not exempt from problems with alcoholism, drug addiction, professional incompetence, and unprofessional or unethical behaviors. Although less than five percent of healthcare providers have egregious problems, you want to make certain that your provider is not one of them. Read more »
Art imitates life, and there’s nothing more hilarious than art imitating a woman in labor. I “stumbled” upon this incredible video and was in awe. Thea Monyee and her husband, GaKnew Rowel, are talented young poets who share their parenting experience at a Def Poetry session in Los Angeles.
What amazed me is the accuracy and clarity of Thea as she describes the laboring experience. Her comments regarding the labor-inducing medication Pitocin are both hilarious and laser-sharp and her description of the epidural placement were reminiscent of my days as an OB/GYN resident. Oh, would I get annoyed with the anesthesiology residents who couldn’t place the catheter correctly into a patient’s back on the first try.
Thea and her husband are a delight to watch. Have you had a similar experience while in labor? If so please share your stories, because as Thea and GaKnew so wisely state: “Nothing compares to having a baby.”
When the Nebraska lawmakers voted to end Medicaid prenatal care for approximately 1,500 women, their unborn babies paid the ultimate price.
Any labor room hospitalist who is responsible for the care of unassigned pregnant women will tell you that it is far easier to take care of pregnant women who have had prenatal care than it is to take care of women who haven’t. The recent vigil of the Equality Nebraska Coalition in front of their state capitol to honor five dead babies whose death can be related to the lack of access to prenatal care speaks volumes.
On or about February of 2010, Nebraska expectant mothers received a “Dear John” letter from Nebraska’s Health and Human Services stating that their pregnancies were no longer covered under Medicaid. It appeared that the rationale for making such a drastic decision involved a resistance of state politicians to pay for medical services of “illegal immigrants.”
However, when one reads the comments on a popular website called Baby Center.com, the pregnant women who were affected were U.S. citizens who were college students, wives of husbands who had lost their medical insurance, and unemployed women. Eventually all the women were able to receive government-sponsored healthcare coverage, but the panic preceding their reinstatement was palpable. Read more »
Although I’ve been a proponent for the prevention of medical errors for years and wrote a book to address those issues, I think my obstetrician-gynecologist (OB/GYN) colleagues are finally catching on.
Dr. Patrick Duff of the University of Florida’s OB/GYN department wrote an article in the December issue of the journal Obstetrics & Gynecology that caught my attention. In his article, “A Simple Checklist for Preventing Major Complications Associated with Cesarean Delivery,” Duff outlines steps that OB/GYNs should take in order to reduce complications during and after a cesarean section. Duff patterns his list after Dr. Atul Gawande’s book, “The Checklist Manifesto: How to Get it Right,” which has set the standard regarding reducing complications after surgery. According to Duff, the following steps should be taken in order to reduce complications after a cesarean section:
1. Clip hair at the surgical site just before making the incision to reduce wound infections. Duff states that there is a greater chance of promoting infections when the hair is shaved the night before the procedure. He also recommends clipping hair as opposed to shaving which reduces the rate of would infections.
2. Cleanse skin with chlorhexidine solution rather than iodine because medical studies have demonstrated a reduction in infections using chlorhexidine solution.
3. Give broad spectrum antibiotics before the surgical incision as opposed to after the newborn’s umbilical cord is clamped. Read more »
The holiday season is a time of both joy and sorrow. Tomorrow a childhood friend will be laid to rest — one of my favorite artists, Teena Marie, died unexpectedly two days ago and at least six other people have made their transitions as well. My own father died unexpectedly on Christmas Eve in 1981 leaving a great void in our family life. Why do people leave us during the holiday season? It has been said because they want to be remembered.
While I lamented about all the transitions that occurred in the past two weeks, one of my best friends announced that she had a new granddaughter that was born on Christmas Day. She stated that this was part of the “life cycle” or “circle of life.” Her comments gave me reason to pause and reflect. Read more »
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