August 22nd, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Research
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About 15 to 20 percent of women who know they are pregnant will have a miscarriage. The loss of a pregnancy before 20 weeks is considered a miscarriage. Many women suffer grief and shock after a miscarriage and fear there is something wrong with them or that they did something to cause it. But the reasons for miscarriage are usually not known. Women are often told to wait “a few months” to get pregnant again to let their bodies recover.
A new study published in the British Medical Journal looked at over 30,000 women who had a miscarriage in their first recorded pregnancy and subsequently became pregnant again. They found that women who conceived again within six months were less likely to have another miscarriage or problem pregnancy. They were even less likely to have a cesarean section, preterm delivery or infant of low birth weight. These women were more likely to have an induced labor.
The researchers wrote: “Women wanting to become pregnant soon after a miscarriage should not be discouraged.” These women had the best reproductive outcomes.
*This blog post was originally published at EverythingHealth*
August 14th, 2010 by KerriSparling in Better Health Network, Opinion, True Stories
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While I was at CBC a few weeks ago, one of the staff members asked me if I was planning on having more children. “I don’t think so,” I said, without hesitation. “I love my daughter endlessly, and now that she’s part of my family, I can’t imagine my life without her, but I can’t lie to you. I didn’t enjoy being pregnant. I wanted a baby, but spending nine months pregnant was very, very stressful.”
The staff member who asked the question looked disappointed. And in that moment, I sort of wish I had lied. “Oh, you look disappointed. I’m sorry! It’s not just because of diabetes stuff. It’s my own personal preference. I don’t want to lie!”
And I won’t lie. The end result of my pregnancy was the most beautiful, smiley baby I have ever laid eyes on, and having her as part of our family has been the greatest joy that Chris and I have ever experienced. Seriously — it sounds like a cheesy Hallmark card, but it’s true. This kid fills a hole in my heart that I didn’t even know existed until I heard her cry and I finally felt complete. But being pregnant, the actual journey of carrying her inside of me, was not an experience I’m looking to repeat. This isn’t entirely a diabetes-based decision, either. Read more »
*This blog post was originally published at Six Until Me.*
August 11th, 2010 by Lucy Hornstein, M.D. in Better Health Network, Health Policy, Health Tips, Opinion
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I like Dr. Rob, the one with the “distractible mind.” And although I thoroughly agree with the stance he takes in his recent post against cholesterol screening in kids, I must take issue with his opening statement:
I have a unique vantage point when it comes to the issue universal cholesterol screening in children, when compared to most pediatricians. My unique view stems from the fact that I am also an internist who deals with those children after they grow up on KFC Double Downs.
From Dictionary.com:
“Unique: existing as the only one or as the sole example; single; solitary in type or characteristics.”
Your med-peds training allows you to follow patients from birth to death (but no obstetrics or gynecology). You can care for all organ systems and all stages of disease (but without as much training in psychiatry). Congratulations! You’ve just (re)invented family practice (except for the above shortcomings). Oh, wait — that’s already a recognized specialty with its own residency programs, boards and everything like that, forty years now.
This misuse of the word “unique” is one of my pet peeves. “Unique?” I don’t think that word means what you think it means. After twenty years in practice, I agree that there probably isn’t much difference between what Dr. Rob does and what I do. After twenty years, I’m not even sure how much relevance remains from our “training.” Still, there remains a great deal of confusion about the very real differences between family practice and med-peds residencies. Read more »
*This blog post was originally published at Musings of a Dinosaur*
August 4th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, News, Opinion
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Recently I ran into the office manager for one of Houston’s largest pediatric practices. New patient visits are way down and their doctors are looking for ways to keep business rolling. The same day I picked up this piece in the Wall Street Journal which shows declining admissions and doctor visits as a national trend. This is bad news and shows how our faltering economy is finally working its way more visibly into healthcare.
And apparently we’re making fewer babies –- admissions to neonatal intensive care units are down. This is a problem. For large tertiary medical centers and hospitals specializing in maternal-child health, babies are the critical customers of a healthy operation.
A few thoughts on what to look for (or dare I say, what to “expect”) with fewer babies:
Pipelines. Look for tighter referral relationships between large tertiary centers and the smaller community hospitals that deliver babies in need of specialized care. Centers already aligned with ready-made networks should be well-positioned for the downturn. Read more »
*This blog post was originally published at 33 Charts*
July 31st, 2010 by Medgadget in Better Health Network, News, Research
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A team of biomedical engineering masters students at Johns Hopkins have developed a device that they hope will be able to spot oncoming pre-term labor in pregnant women earlier than by using an external tocodynamometer.
The CervoCheck device is meant to be inserted into the vaginal canal/cervical opening where it then can measure electrical signals characteristic of contractions. Prototypes of the device are currently being tested in animals. We sympathize with those who have to insert them into pigs(?). Read more »
*This blog post was originally published at Medgadget*
