Author name: Diane

Infertility Woman_210623618
Infertility Education, OB, PCOS Education

Why Can’t I Get Pregnant?

“Why can’t I get pregnant?” is a question asked by many women in their attempts to become a mother. However, medical conditions are often the reason for infertility. Although these conditions can be difficult to diagnose, treatment options are available. Infertility in women is defined as trying to get pregnant for over a year without success. After a year of unprotected and frequent sex, a woman should seek treatment by an OB/GYN. An OB/GYN can determine if there is a physical problem causing infertility. Likewise, a woman’s male partner should also be tested by a specialist to rule out if he has a medical condition attributing to the infertility. In women, several factors can disrupt the process of human reproduction at any step in the process. Infertility Reasons Include: 1. Ovulation Disorders Infrequent ovulation is the most common cause of infertility. Problems with the regulation of reproductive hormones can cause ovulation disorders. 2. Damage to Fallopian Tubes Blocked fallopian tubes or damaged tubes keep sperm from getting to the egg. This can block the passage of the fertilized egg into the uterus. Causes of fallopian tube damage or blockage can include: 3. Endometriosis Endometriosis occurs when tissue that typically grows in the uterus implants and grows in other places. This extra tissue growth and removing it in surgery can cause scarring. This can block fallopian tubes and keep an egg and sperm from coming together. Endometriosis can also disrupt implantation of the fertilized egg. This condition also affects fertility in less-direct ways, such as damage to the sperm or egg. 4. Uterine or Cervical Causes Several uterine or cervical causes can interfere with the egg implanting or increase the risk of miscarriage: Infertility Risk Factors Certain factors may put you at a higher risk of infertility, including: Tips to Prevent Infertility For women thinking about getting pregnant, these tips might help prevent infertility: When to Seek Infertility Treatment by an OB/GYN Women should seek help with infertility, depending on their age: Depending on your medical history, your OB/GYN might want to begin testing or treatment right away. Seek an OB/GYN if you have recognized fertility problems, or if you have a history of painful or irregular periods, pelvic inflammatory disease, PCOS (polycystic ovary syndrome), miscarriages, endometriosis or cancer. Seeking early treatment from an experienced OB/GYN can often be key in finding the root problem. Occasionally, the reason for infertility is not found as it can be a combination of a few factors from both partners. However, in most cases, the sooner treatment is sought, the greater the chances are for a successful pregnancy.

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OB Patient Stories

Placental Abruption Scare – Laci’s Pregnancy Story

A placental abruption and a breech baby were not what Laci had in mind when she and her husband Luke began trying for a baby. At that point, Laci had faced a devastating journey of miscarriages, yet she remained determined to make their dreams come true. Laci visited Cherokee Women’s Health to seek answers on what was causing her miscarriages. Cherokee Women’s Health Discovers the Cause of Laci’s Miscarriages Through hormone testing, her doctor discovered she had MTFHR, also known as hyperhomocysteinemia. It’s a condition where homocysteine levels are elevated. High homocysteine levels, coupled with low folic acid levels, can lead to pregnancy complications, including miscarriages. With this discovery, Laci’s prenatal vitamins were adjusted, and she was started on progesterone. Pregnant with Rainbow Baby Girl A few months later, Laci was pregnant with her rainbow baby girl! “Advocating for myself was a big thing after my miscarriages. I couldn’t sit there and let myself go into depression. I wanted to find out more about my body and learn about myself.” – Laci shares about her infertility journey Fetal Change Scare at 36 Weeks Laci had a smooth pregnancy — up until 36 weeks — when she started to notice her baby not moving as much. She was hesitant to share her concerns because she could still feel her baby move, just not as much. Also, Laci found herself having high anxiety with each ultrasound appointment due to her past of hearing bad news. Laci knew she had to speak up, so she explained her worries to her doctor. Dr. Lisa McLeod performed a stress test. It was during that test that she noticed the baby’s heart rate was sporadic. Dr. McLeod sent Laci to the hospital for further monitoring. Laci shared, “I started having anxiety during the stress test, so I thought that I was causing the test to go a little bit crazy. But Dr. McLeod said that there may be something going on and she needed to send me to Labor and Delivery at Northside Hospital Cherokee in Canton. I’m very thankful that I spoke up and that Dr. McLeod was there for me.” Further Evaluation Leads to Delivery at Hospital Once Laci and Luke arrived at the hospital, Dr. James Haley began to monitor her and run more tests. “When we were sent to the hospital that day, and I saw Dr. Haley was on call, I just felt at peace. I looked at my husband, and I said, if they want to take the baby today, I’m at peace with that because I had been praying that Dr. Haley would be the one to deliver our baby anyway.” – Laci recalls being grateful that Dr. Haley would be delivering her baby All of Laci’s tests came back normal, she had no pain or bleeding, and everything appeared to be fine. Dr. Haley continued monitoring the baby’s movements and started to discuss Laci going home. Although there were no obvious worrisome signs on the fetal monitor, Dr. Haley had a gut feeling that things were not quite right. He decided to keep Laci in the hospital and monitor her longer. When he was unable to feel reassured with the baby, he felt it best to proceed with delivery. Laci revealed about her discussion with Dr. Haley, “I remember asking Dr. Haley, “Do you have peace about sending me home? Or do you have peace about delivery?” He replied, “I don’t have peace about sending you home, but I’ve got peace about going ahead and getting you delivered.” And so that’s what we did!” Breech Baby and Placental Abruption During Dr. Haley’s evaluation, it was determined the baby was in a breech to transverse position, and therefore a C-section would be the safest option for delivery. At the time of the C-section, it was discovered that she had a placental abruption. Placental abruption is when a portion of the placenta shears off from its attachment to the uterine lining resulting in loss of blood and oxygen to the baby. It can readily lead to the death of the baby and serious problems for the mother. Within minutes, Dr. Haley and the team had everything under control and Laci and her baby were out of danger. After this life-threatening emergency, Laci and Luke were able to welcome her healthy baby girl, Livian Joan, into the world. Baby Livian Joan was named after Laci’s mother-in-law and grandmother, and Joan means, ‘God is gracious’, so her name carries even a bigger meaning after her scary entrance into the world. Grateful for Dr. Haley and Cherokee Women’s Health Sharing more about her experience, Laci added, “Dr. Haley has a light about him, and I could feel he has a good heart. I fully trusted him and that gave me peace to deliver that day. It takes a while to build trust with a doctor over time, but there are some doctors when they walk in the room, you know you can trust them, and Dr. Haley is one of them.” – Laci’s gratitude toward Dr. Haley Laci goes on to say, “I believe everyone at Cherokee Women’s could have handled it, but Dr. Haley handled it with such grace. There are so many bad outcomes with placental abruptions. God was there through it all. I’m so thankful for Dr. Haley for making that call to deliver because we were so close to going home, and it may not have turned out the way it did.”

baby sawyer with mom chelsea
OB Patient Stories

Sick During Delivery – Chelsea’s Pregnancy Story

Cherokee Women’s Health patient, Chelsea, delivered her first baby boy and candidly shares her personal pregnancy and labor journey. Chelsea is a rock star and shows, once again, that women can do anything! Induced with First Baby I was induced with my first baby, Piper, where I had a long, painful and unpleasant experience. I wanted so badly to be able to work closely with my midwives to do all we could to have this baby without being induced. They reassured me that if there was anything slightly concerning or if I end up needing an ultrasound, they could arrange it at the hospital. Real Contractions or Braxton-Hicks ? I was 39 weeks and five days pregnant and around noon on a Monday, I began experiencing cramping, which I assumed were Braxton-Hicks contractions. I timed them and they were 6-8 minutes apart and they kept happening so the possibility that they were real contractions definitely crossed my mind. The cramps were uncomfortable but not painful, so I proceeded to go about my day playing with Piper and doing chores. Staying busy, I barely noticed them so I continued to tell myself they were not real contractions. As the discomfort grew, I drank extra water, took a shower and layed down to see if they would go away. They slowed down but continued. I barely mentioned it to anyone, not even my husband Caleb. I was in complete denial. After I put Piper to bed, I watched a movie with my dad and grandma and continued timing the contractions. They were 30-40 seconds long and 5-6 minutes apart for one hour. At 10 pm that night, they were intensifying and I think I started to realize that these were in fact, real contractions. These Contractions are Real I assumed I would go past my due date so I wasn’t fully prepared to have a baby that night. I started getting ready just in case. I thought I had at least until the next day but I kept preparing. I threw in Piper’s laundry, finished packing the hospital bag, and got things ready for Piper’s grandmas to watch her. At 11 pm that night, I crawled into bed and was extremely uncomfortable. I told Caleb that I was having contractions. We timed them and they were 4 minutes apart. I got up and got in the shower. I draped myself over the yoga ball because I was too tired to stand and it hurt to sit. The hot water on my back felt great but nothing dulled the contractions at this point. I got out of the shower and called the on-call midwife at Cherokee Women’s. The contractions were back-to-back and often less than 3 minutes apart. “Oh honey, you’re having a baby tonight. It’s time to come in and see us.” – The on-call midwife at Cherokee Women’s I started panicking a little. I changed the laundry and then went to wake up Caleb. He started gathering things and I went to let my mom know. I asked my mom, “What if this isn’t labor and they send me home?” She said, “So what! It will be okay.” “But what if this is really labor and they don’t send me home?” I asked. She laughed, “Then you’ll have your baby!” These questions may not make much sense but the realization was setting in and I was honestly a little scared. Having My Baby at Northside Hospital We drove to Northside Hospital Cherokee, where the intensity of the contractions quickly increased. While checking in, I could not sit down. Once in the room I changed and went to the bathroom where I saw that I had lost my mucus plug and had what is called a “bloody show.” That’s when I knew I wasn’t going home. When the nurse checked me, I was only dilated to 3 centimeters, and they decided to have me stay. They started me on antibiotics because I was GBS+. GBS (group B strep disease) is a common bacteria that is present in one quarter of pregnant women. You can be positive with one pregnancy and negative with another. There is no way to cause or prevent it and it’s not harmful to the mom, but can be harmful for the baby. The goal of the doctor and nurse were to have two rounds of antibiotics given before the baby arrived. I grew incredibly uncomfortable and needed to get out of bed. They wanted to monitor the baby for 15 minutes before I moved around. Once that time was up nothing could keep me sitting there. My body ached with each contraction. There was barely a moment in between each of them, making it hard to function. I asked to get into the tub and I sat in there for five minutes. It felt great but at some point that didn’t even help. Epidural, Please! Caleb stood behind me and tried different pressure points on my back and hips to try and help me through. This is when I told them I wanted the epidural as soon as possible. I could no longer catch my breath because the contractions would not stop. As one would end the next would begin. We had been there for only 45 minutes at this point. I couldn’t stop shaking. They checked me and I was 6 centimeters dilated. They told me I was shaking because my body was dilating so fast. I couldn’t stay lying down so I spent the time waiting for the epidural as I leaned on Caleb or the bed. I’m Scared, I Can’t Do It! I remember telling my wonderful nurse to shut up at one point. I think she was explaining something to me in the middle of a contraction. I was definitely not my most pleasant. But Mandy, my nurse, was so good at centering me and reminding me to breathe. Caleb was such a rock star too and super supportive. “I’m scared. I can’t

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High-Risk Pregnancy Education, OB

Fetal Distress

Fetal distress is the term used when the baby is compromised in labor or during delivery. It is a medical condition which generally refers to “hypoxia”, or low levels of oxygen in the baby. It’s possible to occur before labor, but more commonly occurs during the delivery process. Oxygen deprivation can result in decreased fetal heart rate and requires immediate action to protect your baby. While pregnancy can be a joyous time in a woman’s life, not all pregnancies are the same, and some women may have a healthier journey than others. Among the common problems that can occur throughout pregnancy, delivery, and after, is fetal distress.   Learn about common problems throughout pregnancy, delivery and after. What Causes Fetal Distress? Fetal distress may be caused by several factors, including: Preeclampsia Placental abruption Too much or low levels of amniotic fluid Labor complications Umbilical cord prolapse Pregnancy-induced hypertension An overdue pregnancy Uncontrolled diabetes Anemia What are the Signs? Sometimes, mothers notice signs of fetal distress on their own. These symptoms include: Decreased movement in the womb Vaginal bleeding Excessive weight gain Inadequate weight gain Fetal distress is diagnosed based on fetal heart rate monitoring, which is monitored throughout pregnancy and taken at every prenatal appointment. The fetal heart rate should be between 110 and 160 beats per minute during the third trimester of pregnancy and labor. Heart rate abnormalities that are signs of fetal distress: Bradycardia- An abnormally slow heart rate Tachycardia- An abnormally fast heart rate Variable decelerations- Abrupt decreases in heart rate Late decelerations- Lat returns to the baseline heart rate after a contraction Help for Fetal Distress Your doctor must closely monitor all pregnancies — especially high-risk pregnancies — and continuously assess the health of the mother and baby. If your doctor recognizes or is alerted to signs of fetal distress, they will monitor the baby and decide the safest way to proceed. If there are signs of fetal distress on the fetal heart rate monitoring, the main goal is to return the baby to an oxygen-rich state as soon as possible. In some cases, the best way to alleviate fetal distress is to remove the baby from an oxygen-deprived environment and deliver. A C-section delivery may be the safest way for this to occur. Lasting Effects of Fetal Distress Babies who experience fetal distress are at a greater risk of complications after birth. Lack of oxygen during birth can lead to very serious complications for the baby, including brain injury, cerebral palsy and even stillbirth. Can I Prevent Fetal Distress? While you can’t prevent fetal distress, your odds of it occurring are lower if you are going to all your prenatal appointments and following your doctor’s recommendation for a healthy pregnancy. Monitoring is the key to identifying fetal distress, treating it before it leads to irreversible complications, and preventing it in the first place. If you have been diagnosed with a condition that increases your risk of fetal distress, like gestational diabetes or preeclampsia, it is especially important to remain closely monitored. Many women don’t necessarily notice when a baby is in fetal distress, so an increasing number of prenatal appointments towards the end of your pregnancy allow your doctor to monitor your baby’s heart rate. If you’ve noticed a change in fetal activity or your kick count is off and you’re concerned, call us right away. Our Board-Certified OB/GYNs are Here For You Fetal distress can be a scary medical condition and maintaining an open dialog with your OB/GYN throughout your pregnancy can help alleviate some of your fears. Don’t hesitate to contact us with any questions or concerns regarding fetal distress or any other pregnancy-related condition. A trained staff member will be happy to answer any questions or schedule a consult. Call us today at 770.720.7733 or request an appointment online.

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GYN Problems

5 Symptoms Women Should Never Ignore – and Why You Should See Your OB/GYN ASAP

There are five health symptoms women should never ignore and as OB/GYNs, we have seen many cases where women have waited too long to take care of their own health problems, and often regret it later after a bad diagnosis. Do not let this happen to you. Following are five of the most concerning women’s health problems that you should never neglect. If you have any of these five symptoms, make an appointment with your OB/GYN as soon as possible. 5 Symptoms You Should Never Ignore 1. Heavy or Painful Periods When it comes to your periods, you know what’s normal for you. If you experience heavy or painful periods that are out of the ordinary, you need to be seen by an OB/GYN. These symptoms can signal gynecological problems that need treatment. Some could be very serious, such as cancer, but many women have noncancerous uterine fibroids or tumors that cause heavy or painful periods. There are treatments available for uterine fibroids and other gynecological problems known to cause heavy or painful periods. 2. Abnormal Vaginal Bleeding If you experience bleeding between periods or bleeding after menopause, see your OB/GYN. Although abnormal bleeding can occur for many different reasons, gynecological cancers like cervical or uterine cancer are among them. Endometrial hyperplasia happens when the uterine lining grows thick, and is a noncancerous cause of abnormal bleeding. Abnormal vaginal bleeding is what it sounds like – abnormal – and is nothing to take lightly. See your doctor ASAP for treatment or to rule out anything concerning. 3. Pain During Sex Pain during sex can be caused by many different issues. A serious medical condition would need to be ruled out. It also could be endometriosis, which can even lead to infertility. Endometriosis is when tissue similar to the lining of the uterus starts to grow outside of the uterus. In addition to painful intercourse, watch for pelvic pain, extremely painful periods, and pain when you go to the bathroom. There are treatment options available, but you need to know what is going on with your body to be proactive. 4. Lumps in or Around the Breast Regular mammograms and self-breast exams are a must. Do not put off getting regular mammograms and see your OB/GYN at least once a year for evaluation. With no family history, mammograms should begin for every woman at age 40. If there is a family history of breast cancer, your OB/GYN may recommend you start getting mammograms earlier. If you notice anything unusual or different during a self-breast exam, in your breast, around your breast, or under your arm, see your doctor immediately. As OB/GYNs treating thousands of women over the years, we have diagnosed breast cancer in all ages and types of women, even if it there is no family history. The earlier you are diagnosed, the better your prognosis may be so do not delay seeing your OB/GYN or regular mammograms – ever. 5. Nipple Discharge It’s extremely important to pay attention to your breasts. In addition to checking for lumps or changes in breast size or shape, watch for nipple discharge. Discharge, especially bloody or clear discharge, can be a sign of breast cancer. Don’t put off getting checked by an experienced OB/GYN who can properly evaluate you and order the appropriate images and tests. Listen to Your Body If you have symptoms that are not typical for you, or something doesn’t feel right, listen to your body. You know your body best and can sense when something may be wrong. Seeking treatment early can help ensure the best outcome possible. Make taking care of yourself a priority. You are too valuable to neglect. Make an Appointment Today Our board-certified OB/GYNs are here for you. Call us at 770.720.7733 or schedule an appointment online to make an annual exam appointment or to discuss any issues of concern.

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