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Posts for category: Pregnancy Care

By J. Gabriel Guajardo, M.D.
May 01, 2018
Category: Pregnancy Care
Tags: Postpartum Care  

OBGYNS recommend that women come in for a postpartum visit approximately 6 weeks after giving birth. Unfortunately, medical reports state thatPostpartum Care the percentage of women that actually go to these appointments is staggeringly low. Of course, while a woman’s primary focus might be to care for their little one, it’s also important that women are getting the proper care they need to tackle their new role as a mother.

Any woman who has just given birth can tell you just how much pregnancy changes your body. Perhaps it changed it in ways you didn’t even imagine. So it goes without saying that those nine months of changes means that it’s going to take time for your body to bounce back to the way it was pre-baby. If you had a vaginal delivery it’s normal to experience vaginal discharge, urination problems, hemorrhoids, mood swings, hair loss, contractions, and vaginal soreness.

It’s important that you have an OBGYN that you trust to answer your questions and provide you with advice and help when you need it. An OBGYN can also be a wonderful source of emotional and mental support, which can be invaluable for a new mother.

One issue that’s often discussed during the postpartum phase is mood swings. Some women experience the “postpartum blues”, which only lasts a few weeks; however, postpartum depression is characterized by intense feelings of sadness and anxiety that can last up to one year. As you might imagine, postpartum depression can have a profound impact on a woman’s outlook and mood, making it particularly challenging when she has a new baby to take care of. An OBGYN can help provide you with the care you need and, if necessary, offer a referral for a mental health professional that can truly listen to your needs and help you on the road to healing.

Furthermore, if a mother has been diagnosed with a chronic medical condition like diabetes, hypertension, thyroid disorders, or mood disorders prior to pregnancy it’s also important that she has a follow-up visit with her gynecologist after the baby is born to ensure that she is still receiving ongoing maintenance and care for these long-term health problems to keep them in check.

It’s important that all women take postpartum care seriously to ensure that they continue to maintain good physical and mental health. Taking the time to care for yourself is important, even though you have a new baby to take care of. Ensuring that your health is in tip-top shape will allow you to spend more time with your beautiful family.

By J. Gabriel Guajardo, M.D.
April 03, 2018
Category: Pregnancy Care

Woman with Hyperemesis GravidarumIt’s normal for a lot of pregnant women to experience morning sickness, particularly during the early months of pregnancy. Of course, there are some women who deal with such severe morning sickness that it affects not only their daily lives but also their health. This severe form of morning sickness is known as hyperemesis gravidarum.

While normal bouts of morning sickness can cause nausea and even occasional vomiting during the day (or even at night), if you have hyperemesis gravidarum you will experience severe nausea and vomiting that is so persistent and invasive that it can lead to weight loss, dehydration and even fainting episodes. Women who experience true hyperemesis gravidarum are usually unable to keep food down.

This condition often manifests itself between four and six weeks, but may continue to occur up until the 13-week mark; however, there are some women who still experience symptoms throughout the course of their pregnancy.

Unfortunately, there is no way to prevent this from happening to you. The best thing you can do is visit your obstetrician right away if you suspect that you might have hyperemesis gravidarum. In more severe cases, you may need to be hospitalized. This is often the case if you are severely dehydrated or have low electrolyte levels and are unable to keep food down. When this happens, an IV is administered so that you can get the nutrients and vitamins your body needs.

It’s also important to discuss any medications that you may want to take prior to taking them as they could have some negative effects on you or your baby. Fortunately, there are other non-medicinal ways to reduce hyperemesis gravidarum symptoms. We will provide you with a variety of different options for how to keep your nausea and vomiting under control.

If you are dealing with severe nausea and vomiting during your pregnancy it’s important that you turn to your obstetrician for the care you need. Pregnancy should be an exciting time but we know that you will have questions and concerns along the way. Turn to an OBGYN you can trust to help guide you through this exciting journey.

By J. Gabriel Guajardo, M.D.
January 15, 2018
Category: Pregnancy Care

Zika virus has certainly gotten a lot of attention in the news lately. If you’ve been traveling recently then no doubt you’ve also seen the warning signs in the securityZika Virus lines. Despite the headlines in newspaper, websites and the news, perhaps you still aren’t entirely sure what Zika virus is and what it could mean for your pregnancy.

The Zika virus is contracted by a mosquito bite, but it can also be sexually transmitted or transmitted from a mother to her unborn baby. This condition can cause symptoms such as a rash, pink eye, muscle aches, low-grade fever, fatigue, and headaches. The symptoms can last a couple days or up to one week. While the symptoms are usually mild and self-limiting, this virus can be dangerous for pregnant women. If a woman contracts the Zika virus during pregnancy it can lead to brain deformities such as microcephaly, neurological disorders (e.g. seizures), vision and hearing impairments, and developmental problems in the unborn child.

Of course, your risk of contracting the Zika virus in the US is very low; however, if you are planning to travel internationally and you are pregnant, you will want to check to make sure that the Zika virus cannot be contracted in these regions in which you are visiting.

The best way to protect yourself from Zika virus is to not travel to regions in which you can contract this infection or to avoid sex with anyone who has traveled to these regions (or, at the very least, use a condom everytime you have sex). Of course, if you must travel to these areas while pregnant, there are some precautions that you can take to prevent mosquito bites including,

  • Wearing long sleeves and pants
  • Applying and reapplying insect repellant often
  • Making sure that there are screens on door or windows in the place you are staying

If you start to come down with symptoms of Zika virus then you will want to see a doctor right away. Women who are pregnant who have to travel to these regions should talk to their doctor about regular testing.

The Zika virus can remain within the body for up to six months. Of course, once the Zika virus has gone away, this should not affect any future pregnancies you might have. If you are frequently traveling and you are pregnant, chances are good that you may have questions about Zika virus and protecting both yourself and your unborn child. Don’t hesitate to reach out to a pediatrician if you have any concerns.

By J. Gabriel Guajardo, M.D.
December 13, 2017
Category: Pregnancy Care
Tags: Breastfeeding  

When it comes to our babies, we only want to give them the very best. As a new mother, there are so many decisions you will have to make regarding yourBreastfeeding child’s health and well-being. One of the biggest decisions to make is whether or not to breastfeed. Many women hear that breastfeeding is the best option for providing the proper nutrients to their growing newborns, but why is that the case?

Breast milk is ideal for your little one because it contains all the proper nutrients and vitamins your baby needs during the beginning stages of their life. You may not realize this, but breast milk has the ability to provide your little one with immunoglobulin A (IgA), which they need to help fight against diseases and infections such as meningitis, ear infections, and respiratory diseases.

Breastfeeding your baby may also protect them against certain allergies. Some studies have found that babies who drink formula or cow’s milk were more likely to develop certain food allergies than babies who were breastfed. There have even been some studies that have found a link between cognitive development and whether your child drinks breast milk.

Breastfeeding may also reduce your child’s chances of becoming obese in later years. This may have to do with the fact that breast milk doesn’t have as much insulin as formula or that babies who are breastfed are better able to determine when they are full and should stop eating, which may create a healthy habit that they carry on throughout life.

Breastfeeding can also benefit the mother, too. When you nurse your baby it releases oxytocin, which helps mothers feel more relaxed. Since the first few months with your baby can be new and stressful, having these moments to reduce stress and lessen the symptoms of postpartum depression can make this transition into parenthood much easier.

The American Academy of Pediatrics advises mothers to breastfeed their babies for at least six months, even though they can continue to do so even after the first six months. If you have questions about breastfeeding or if you are having concerns or issues with breastfeeding, this is the perfect time to talk to your OBGYN, who will be able to address your concerns and make the breastfeeding process easier for you and your baby.

By J. Gabriel Guajardo, M.D.
December 01, 2017
Category: Pregnancy Care

At some point during the course of your pregnancy, you will create a birth plan with your OBGYN. In your birth plan, you will decide what you do and don’t wantBreech Delivery, Abnormal Labor throughout the course of your labor and delivery. You’ll decide everything from whether you want a natural birth to where you want to deliver your baby. While our goal is to ensure that you have a smooth and healthy delivery that goes along with your birth plan, certain issues can arise that may change this course.

There are issues that can arise during labor that affect how it’s supposed to progress. A challenging or difficult labor may be known as dystocia or dysfunctional labor. When labor becomes extremely slow, it may be known as a protraction of labor. If labor stops progressing altogether, it’s called an arrest of labor. An arrest of labor is when the cervix hasn’t dilated over the course of two hours and the baby hasn’t progressed at all down the birth canal.

When this happens, your obstetrician may administer oxytocin to the mother, which can help stimulate contractions needed to progress and advance labor. The amount of oxytocin that is administered will depend on the mother and other factors specific to the woman.

Another factor to consider is if your child is in the proper position for a safe and smooth delivery. In most situations, the head is the first to go through the birth canal; however, there are times when the buttocks (also referred to as a breech delivery) or shoulders may go first. Based on your baby’s position, the labor may be more challenging than if they are in an ideal position (e.g. head first).

In the case of a breech delivery, where the feet or buttock are first, babies are more likely to become injured during a vaginal delivery. A breech delivery is more likely if the baby is born prematurely, if the mother has uterine fibroids or if there is a birth defect. In some cases, your obstetrician may be able to get the baby to turn during labor so that there are no complications with a vaginal delivery; however, for the healthy and safety of the mother and the child, a cesarean section is often performed.

It’s impossible to know what will happen during the course of your labor or delivery, but it’s important to be equipped with the knowledge you need to make informed decisions about your health and the health of your baby so you can have a smooth delivery. If you have questions or concerns, don’t hesitate to talk to your OBGYN.