Diane, Author at Cherokee Women's Health - Page 54 of 59

Author name: Diane

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Surviving Holiday Travel With a Baby

  Holiday travel – two words that can incite overwhelming fear into the hearts of new mothers everywhere. How will your baby react on an airplane? Can you spend 6 hours in a car with an infant? What if junior doesn’t nap well over at grandma’s house? All these thoughts are enough to make a new mother stay home, but with a little planning and a lot of patience, you can enjoy visiting during the holidays without losing your mind. Here are are few of Cherokee Women’s Health‘s favorite tips and tricks to surviving holiday travel with a new baby. Traveling with a Baby Expect delays. Even during regular holiday travel, not everything runs as smoothly as it should. This is especially true when it comes to traveling with a baby. Pack extra finger foods or bottles in the event of a delay. If you’re formula feeding, pack more formula than you think you’ll need (but be mindful of the restrictions of liquids allowed – bring the powder to mix up as-needed). Pack extra diapers, wipes, and a change of clothes for baby and for you. You never know when a blowout might occur, leaving you stranded without an extra set of clothes. For older babies who might be newly mobile, plan for plenty of rest stops if you’re traveling by car or allow for some time in the airport before you board to exert some of that curious crawling. To ease ear pain often caused by airplane takeoff and landing, offer your baby a pacifier, bottle or sippy cup. Here’s a helpful link offering even more tips on airplane travel with a baby. Maintaining a Sleep Schedule One of the toughest things about traveling with a baby or toddler is maintaining their normal sleep schedule. No nap or a night filled with more wake-ups than usual can make even the sweetest babies cranky. If at all possible, don’t plan activities during your baby’s normal nap time. If you have a baby that naps once in the morning and once in the afternoon, try to plan a holiday lunch gathering to accommodate the sleep schedule. If you’re traveling, pack all of baby’s favorite sleep essentials. Maybe a blanket or a soft toy that will help soothe them, even in a new space. Books, favorite music or a sound machine can also work wonders to help get baby to sleep in a new place. A few days before you leave, set your baby to sleep in the pack n’ play where she’ll be sleeping during the visit. This will help her adjust to a new sleeping space, and it won’t be such a shock when you arrive at your destination. If you’re crossing time zones, get your baby used to the different sleep times by slowly inching up naps and bedtime a few days before leaving. If you’ve already “been there, done that” as far as holiday travel with kids, what other suggestions would you recommend? Share by leaving a comment below, and safe travels to all from Cherokee Women’s Health.

Dr. Litrel's Blog

Holiday Stress Can Be Hazardous To Your Health

We listen to our patients! And we can say with certainty that women feel the stress of the holidays more than men. Many of the activities that make the holidays special are carried out by the woman – gifts for loved ones, holiday cooking and celebrations, hosting guests and family in your home. Those responsibilities can lead to a sense of being overwhelmed, and even take a toll on your health. Here are three important but easy tips to keep in mind during your holiday celebrations:  1. Don’t abandon healthy habits. Don’t let the holidays become a free-for-all. Overindulgence adds to your stress and guilt. Have a healthy snack before parties so you don’t go overboard on sweets, cheese or drinks. Continue to get plenty of sleep and physical activity. 2. Take a breather. Make some time for yourself. Spending just 15 minutes alone, without distractions, may refresh you enough to handle everything you need to do. A short walk outside can do wonders. Look around at what you see to get “out of your head”. You will be amazed at what this simple action can do!  3. Be realistic. The holidays don’t have to be perfect or just like last year. As families change and grow, traditions and rituals often change as well. Choose to hold on to a few, and be open to creating new ones. For example, holiday dinners can be potlucks, with shared responsibilities; they don’t have to be an exercise in perfect decorations and menus. Dr. Litrel talks about a family holiday celebration that didn’t start off in quite the right way in this excerpt from his new book “Family – A MisMatch Made In Heaven: Surviving True Love, Children, and Other Blessings In Disguise“.  Holiday Crackers My doctor partners and I take turns being on call for the holidays: one of us has to be ready to run to the hospital if needed. Last year, my turn fell on Thanksgiving, but with no patient emergencies, I found myself, to my surprise, sitting down to the big dinner with my friends and family. As I looked across the table at my loved ones and listened to their loud and animated conversation, I noticed they all seemed to be in various states of inebriation. I was not joining in the festivities of the fermented grape. No, I was on call and had responsibilities. After a while, I began to wish that the hospital would actually call me. Nothing is more annoying than being the only sober one at the dinner table. Particularly when you paid for all the wine. I sat at the table and thought about my unhappiness. The way I saw it, I had three choices… One, I could make sure I wasn’t on call the following year so I could join in the frivolity worry-free. Two, I could cultivate new friends and family relations, ones less inclined to intoxicate themselves at holiday meals. Or three, I could view this moment of unhappiness as a spiritual lesson and walk more strongly the path of Love, steadfastly refusing to experience unworthy, lesser emotions. It was a no-brainer; I decided just not to be on call again. Holidays are stressful, but particularly so for women. Women are more aware of the subtleties of celebration. They put effort into esthetic touches that would never dawn on a man. The intention, I believe, is to manifest beauty. But occasionally the result is marital conflict instead. Every Thanksgiving, Ann makes six dozen homemade crackers called Cheddar Crisps. They come in three flavors: cracked blacked pepper, caraway seed, and something called nigella seed. I never heard of nigella seed either; she orders it special online. After watchfully monitoring the baking time and removing these handmade creations from the oven to cool, Ann carefully sequesters them in a tin box to be doled out at the proper moment. She serves them with a small bowl of homemade butternut squash soup – right after we say grace, and before we sit down for the main meal. Every guest is given three crackers, one of each flavor. You feel yourself handling each one as though it’s Great Grandma’s favorite antique tea cup. As far as crackers go, the Cheddar Crisps are delicious. Unfortunately, I am more a Ritz cracker kind of guy, accustomed to shoveling large quantities of whatever I am eating into my mouth until I am full. So for me, this cracker moment represents holiday stress. How do I express genuine appreciation for the work my wife has put into this pre-Thanksgiving snack, without conveying my true thoughts? Stop wasting so much time already – they’re just crackers! So I channel Effete Cracker Connoisseur and solemnly critique the subtleties of each flavor – how the steam from the soup opens up the palate so one can fully appreciate the differences. The next year I finally got my wish. I was not on call, and there were no homemade crackers to be found! I noticed a few things that surprised me. Free to imbibe a glass of wine now that I wasn’t working, I found I did not want any, but chose instead sparkling water. I also noticed that my holiday guests were not the sodden idiots inclined to boorish conversation that I remembered from the year before.  They were actually beautiful people I am blessed to have in my life. Perhaps the previous Thanksgiving I had been just a tad bit grumpy. But the thing that surprised me most was that I actually missed Ann’s homemade crackers. It’s not always easy for a man to appreciate the attention to detail an effortful woman brings into her family’s life. Sometimes what she does seems frivolous. And God knows, sometimes it’s expensive. But there is a reason for a woman’s efforts, and this I understand – as a father, as a husband of twenty-five years, and also as a physician who has listened to so many of his extra effortful patients over

happy pregnant woman
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Flu Vaccine for Pregnant Women: A Pregnancy “Do”

For pregnant women, the symptoms of severe aches and pains, high fever, and inability to keep food down due to the flu virus is not an ideal combination with the already exhaustive symptoms of pregnancy. This is why it’s so important for pregnant women to get vaccinated for influenza. The flu vaccine is safe during pregnancy and protects both mother and the baby from the flu and its possible consequences. Pregnant women are at a higher risk of complications from the flu because pregnancy affects their respiratory and immune systems. Pregnant women have a higher chance of being hospitalized with the flu and infections relating to influenza, which can increase their risk of preterm labor and delivery. Health complications from influenza, such as pneumonia, are very serious and can even be deadly. The Good News According to pregnancy experts March of Dimes, it’s not too late to get a flu shot. The flu season typically runs from late October through early March, and many insurance plans cover the vaccinations. Conducting a quick online search for locations in your neighborhood that offer the vaccine should allow you some options, as many pharmacies and grocery stores offer the vaccine  as well. The CDC and FDA are monitoring the safety of seasonal influenza and other vaccines licensed for use in the United States in cooperation with state and local health departments, physicians and other partners. Monitoring the safety of the seasonal flu vaccine in pregnant women is part of this effort. Extra Protection From the Flu Of course, it never hurts to be more cautious during pregnancy when it comes to guarding yourself from the flu and other viruses. Limit contact with others who are sick and wash your hands with soap and water before and after touching others. Make sure not to share dishes, glasses or utensils with anyone to limit exposure to germs. If you do get sick, cough or sneeze into a tissue or an arm, and avoid touching your eyes, nose and mouth. Practicing healthy habits like getting plenty of sleep, exercise and a healthy diet can also aid in keeping you healthy throughout the flu season. If you have questions or concerns about the flu vaccine during pregnancy, don’t hesitate to ask your physician or advanced practice provider questions during your next appointment.  

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Best Gifts for Expectant Moms

When it comes to holiday gift-giving, are you a pro, or could you use a little help? If you have a pregnant woman on your holiday gift list, you might find yourself wondering, “What can I surprise her with that she will truly enjoy? Look no further because we’ve compiled a list of of a few gift ideas that will warm any mom-to-be’s heart. A Comfy Scarf During the colder months, a warm scarf can help shield mama and baby when the growing tummy doesn’t allow for much coverage in a coat. Opt for a longer version that she can layer and wrap around as needed. Spa Services Most pregnant women will melt at the idea of getting a massage. During pregnancy, muscles and bones are stretching and moving, and a massage is a great way to ease some of that all-too-common pain and pressure that carrying a little one puts on the body. Another indulgent option? A facial. Skin problems during pregnancy are also common, and while there are many skincare lines available for pregnant women, nothing beats getting professionally pampered. (And if you’re on a budget, a coupon for an at-home massage can’t be beat. Truly.) A Handmade Gift Basket Nothing says personalized like a gift basket with her favorite chocolate or other sweet treats, some cozy socks, a picture frame to put a photo of her new bundle in, or some at-home indulgences like lotions or creams. A Locket A locket with her latest ultrasound photo is sure to make her sentimental. Once the new baby arrives, she can switch the photo out, and even switch the photos as your baby grows. The Gift of Sleep Tossing and turning due to to insomnia and the inability to get comfortable as your body grows is a pain most pregnant women know. Give her the gift of sleep with a full-size body pillow that will conform to the shape of her body. There are many types available that help prevent sciatica and lower back pain, create a cradle for the growing tummy, and solve other pregnancy sleep problems. She’ll say “Thanks and goodnight,” guaranteed. House Cleaning For most women, the idea of a clean house that they didn’t have to clean themselves is heavenly. No woman in her third trimester (or one with a newborn) is going to excited about cleaning the toilet. Give her the gift a clean house with a gift certificate to a local cleaning service. A Gift for Him (But Really for Her) A humorous book on how to properly treat your pregnant wife. One of our favorite tips from inside: Don’t say, ‘Man, I wish I could just get comfortable.’. Our staff at Cherokee Women’s Health is to provide happy, healthy pregnancies for all our pregnant patients this year. While this list of gift ideas isn’t exhaustive, it might help you brainstorm other ideas for the mom-to-be in your life.

A Mismatch Made in Heaven book by Dr. Litrel
Dr. Litrel's Blog

Health and Relationships

There’s an increasing amount of research from medical institutions being devoted to demonstrating the connection between relationships and health. Oftentimes, a breakdown in physical health is a manifestation of an emotional or spiritual problem. Given that, it’s no surprise that women who have strong social connections are shown to be happier, have fewer health problems and live longer. Activities such as spending time with family and friends and participating in community and workplace activities are not only pleasurable but they also influence our health. In contrast, having few social ties is associated with depression, cognitive decline, and premature death. It also turns out that caring for others triggers the release of stress-reducing hormones which can help relieve harmful levels of stress. Stress in the body can harm the heart’s arteries, gut function, insulin regulation, and the immune system so the more you care for others, the healthier you may be. And it’s quality and quantity that matter. In one study of midlife women, those who were in highly satisfying marriages had a lower risk for cardiovascular disease than those in less satisfying marriages. Other studies have linked negative interactions with family and friends with poorer health. It’s easy to lose track of our deeper purpose of sharing and caring but it’s never too late to foster your most meaningful relationships. Choose to do things that bring joy to you and those you care about. OB/GYN surgeon and author Dr. Mike Litrel of Cherokee Women’s Health, is a strong believer in the importance of the health/relationship connection. He’s authored the book The Eyes Don’t See regarding the faith/health connection and most recently, co-authored Family – A Mismatch Made in Heaven, with his wife Ann Litrel. In it they discuss the importance of love, laughter and compromise in keeping a relationship strong. Family – A Mismatch Made in Heaven This book by practice physician and award-winning columnist Dr. Mike Litrel and his wife, artist Ann Litrel will strike a chord with anyone who has ever found true love – and then wondered if maybe they took a wrong turn somewhere. The stories are filled with honesty and laugh-out-loud humor, in scenarios anyone who has ever been married will recognize. As the authors trade stories from twenty-five years of marriage, readers get a glimpse into a life that is filled with love, laughter, parenting struggles, and a humbling appreciation of a Greater Power. Signed copies of Family – A Mismatch Made in Heaven are available for sale in the office, or go here for more information.

woman holding newborn baby
Infertility Education, OB

Adoption – Telling Friends and Family

According to the Adoption Institute, there are more than 1.5 million adopted children in the United States, and according to an Adoption Institute survey, about 60% of Americans have a personal connection to adoption in some way. As a family OB/GYN practice, we place equal importance on the role of adoption in building a family as we do on obstetrics and prenatal care. Sharing the Decision to Adopt Close friends and family members may know some of the details as to why you and your partner chose to adopt. If infertility plays a role in your decision to adopt, be sure to let them know upfront about your feelings. If you’re uncomfortable discussing the details about your infertility, set those boundaries early on. There’s no reason to feel pressured to share information you’re not ready to share. Many people will be excited to hear about your  news, and you should be prepared to answer lots of questions. “What country are you adopting from? How long with the process take?” These questions might lead to other questions that you aren’t prepared for. Explain to them that you are making a decision that you feel is best for your family. While it’s not an easy decision, you would really appreciate their support. Encourage Positive Adoption Language As much as possible, encourage positive adoption language with family and friends and use the same words around them so they can get used to adding them to their own vocabulary. For example, dropping words like “adoptive” and referring to the parents simply as parents can help clear up any misconceptions, and will allow the family members and other siblings to build the family just as they would if they were the biological parents. Resources If you would like to learn more about the adoption process in the state of Georgia, you can visit the Division of Family and Children Service’s website here. There are also plenty of great books and blog posts related to adoption, with a wide variety of topics, both for children and adults.

baby and stork fotolia_17391558
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Creative Ways to Announce a Pregnancy or Adoption

A lot of new moms and dads choose to let their friends and family members know they’re expecting at an event where they know lots of people will be in attendance. Spilling the pregnancy beans can be a lot of fun for both the parents-to-be and the family, and there are a multitude of creative ways to share the news. If you’ve got a new family member (or more!) to announce, here are a couple of fun ways Cherokee Women’s Health found to share the news with your family. Creative Ways to Announce a Pregnancy If you’re the crafty type, print out a photo of your first sonogram and carefully Mod Podge the photo to a puzzle. Once it’s dry, use an x-acto knife to carefully cut around the edges to create a personalized puzzle for your family members to put together! Of course, if you’re less-than-crafty, there are plenty of websites that offer personalized photo puzzles. Get your furry family members involved! Plan a quick photo shoot with your pups or cats and have them sitting next to a sign that says something like “big brother/sister in training”, or with a copy of the iconic What to Expect When You’re Expecting book. Another option – “Baby (your initial here) Guard Dog, reporting for duty (insert due date month and year here).” If you’re not able to spend the holiday with family, announcing a pregnancy or adoption via Google hangouts or Skype is popular. Bonus points if you can video your family’s reaction to save for years to come! Ways to Announce an Adoption If you’re adding a new member of your family via adoption, there are a ton of great ways to announce the news, using many of the same ideas as pregnant couples. Use other props like suitcases or globes in a photoshoot to share an international adoption. Chalkboard signs with sayings like, “Growing in our heart, waiting for you” were popular finds on Pinterest and on online blogs. Design a custom announcement similar to a birth announcement. Modern, classic, vintage or whimsical, there’s something available for everyone.

baby photo
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Introducing Pets to a New Baby

Nothing is quite as exciting as the first time parents bring a new baby home. All the planning and purchases have finally come to fruition and you can celebrate a new addition to your family. If you have furry members of your family, they may not understand what all the fuss is about, and it’s important to include them and let them know that they have a new person to love. Following is some advice on introducing your pet to a new baby. Preparing Your Pet You can prepare your pet for the new baby’s arrival in a number of ways: If you have friends with new babies or young children, ask them to come over for a visit so you can see how your animals will react around them. Consider how your daily routine will affect your pets, begin to change your routine accordingly. Things includes things like walks, feeding times, and outings to the park. If you have a cat, make sure their nails are trimmed regularly. Additionally, many cats love snuggling up in a crib or bassinet, so make sure to keep the nursery room door closed. As you begin to assemble your nursery, let your animals get familiar with smells associated with a new baby — diaper cream, baby powder, and lotion — so they’re already familiar with these scents before bringing your little one home. Create a space for your pets that’s off-limits for baby. They need their own space too, especially once your little ones are mobile. After Baby is Born Many experts agree that bringing home an article of clothing or blanket that smells like your newborn is a great way to introduce the scent of your new baby. Having mom walk in first to greet your animal(s) is recommended, as your pets will be excited to see you after your visit in the hospital. Talk to them calmly and have treats nearby if you can. Have Dad or another family member bring baby inside and keep your dog on a leash in case you need to pull him away . Once your dog seems calm and isn’t showing any signs of aggressive behavior,  you can slowly allow him to see and sniff — but not lick — the new baby. In the following weeks, watch out for any signs of jealousy or aggression. If you can, take some time with your pet just the two of you so that he knows that you’re not replacing him. If your pet begins to show any unwanted behavior, address it with a firm “no” and be sure to reward all positive behavior. Pets can be a wonderful addition to any family and when introduced to a new baby properly, and can have an amazing connection with them. This article is a great resource for introducing baby to pets.

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Midwife Education, OB

What are the Differences Between a Certified Nurse Midwife and an Obstetrician?

A certified nurse midwife is a separate but complementary profession to an obstetrician. Physicians are experts in pathology (the study and diagnosis of disease) and should have primary responsibility for the care of pregnant women who have recognized complications or diseases. Midwives are experts in normal pregnancy and in meeting the needs of pregnant women that aren’t related to pathology. In many countries, midwives have the primary responsibility for women with uncomplicated pregnancies. Midwives Focus on the Natural Process With a focus on the normalcy of pregnancy and its potential for health, midwives view birth as a natural process that should be treated as such until there is evidence of a problem. Midwives are experts in supporting and enhancing the normal physiology of labor and delivery as well as breast-feeding. With our team of midwives, we are pleased to be able to give women more flexibility in regards to their labor and delivery options, ultimately offering them the best in prenatal care for each patient. Here is one of a handful of testimonials we have received about our midwives over the years: “Throughout my pregnancy I pretty much met all the doctors and the midwives. I love all of them and will never go to any other OB/GYN practice! All of you guys are AWESOME!” Pregnant or Soon to Be? We Can Help If you have more questions about the differences between an obstetrician and a certified nurse-midwife, don’t hesitate to call us at 770.720.7733 or schedule an appointment online with one of our midwives or one of our board-certified OB/GYNs.

breast cancer screenings
Cancer Screening, Well Woman

How to Shop Pink for Breast Cancer Awareness

Each October, the world begins to  “think pink” when it comes to breast cancer awareness. With statistics such as “1 in 8 women will be diagnosed with breast cancer*”, it’s no surprise. But the good news? About 2.6 million female breast cancer survivors currently live in the United States*. And that number continues to grow thanks to research provided by the numerous foundations that make it possible. The “pink” campaign began in 1990 by the then-titled Susan G. Komen Breast Cancer Foundation but is now called Susan G. Komen for the Cure. Now it’s so much easier to purchase the items you regularly buy (or even splurge on a new one) and benefit breast cancer awareness and research at the same time. There are a lot of options for every type of personality and budget.   When purchasing items to benefit breast cancer research, because of a phenomenon known as “pinkwashing,” be advised when you’re out and about and looking for items that truly do support breast cancer research. According to the Better Business Bureau, in order to make sure donations go to the right place, it’s best to research pink product claims before making a purchase. Ask questions, research the business, confirm the charity’s corporate sponsors, and lastly, consider a direct donation in lieu of purchasing an item. Choose your own favorite breast cancer outreach and research charity and donate to them directly, it’s tax-deductible that way.

Mammogram Calendar
Well Woman

Are You Getting Regular Mammograms?

Each year, much of the world goes pink to help spread awareness for breast cancer. In an effort to do our part, Cherokee Women’s Health wanted to devote our first blog in the month of October to reminding women how important it is to get regular mammograms. According to the National Cancer Institute,  women age 40 and older should have mammograms every 1-2 years, and women who are at higher than average risk of breast cancer (due to family history or women who carry the known mutation in either the BRCA1 or BRCA2 gene) should talk with their health care provider about whether to have mammograms before age 40 and how often to have them. What to Expect If you haven’t been to a doctor for a regular mammogram appointment yet, don’t worry – it’s a fairly painless process. Mammography is a fast procedure (about 20 minutes), and discomfort, if any,  is minimal for most women.Mammograms require very small doses of radiation, however the risk of harm from this radiation exposure is extremely low. The benefits of mammography nearly always outweigh the potential harm from radiation exposure, but if you’re concerned about exposure to radiation (especially if you’re pregnant), it’s important to talk to your doctor about these concerns. Tips for a Successful Mammogram Here are a couple extra tips to help make sure your visit goes smoothly: Bring your past mammogram films/results with you. If you’ve been to the same facility before, make sure your past results are available to whoever is reading the study. Discuss your family history of breast and other cancers — maternal and paternal — with your doctor. Ask if your center has CAD — computer-aided detection — a tool that assists the radiologist in finding any areas of concern that need further attention. If you’ve been referred for a mammogram because of a suspicious lump or a finding on another test, get a detailed note from your doctor including the reason the mammogram has been ordered. Work with your doctor to compare your mammogram results with any other tests you may have had done, such as ultrasound or MRI. On the day of the exam, avoid wearing a dress, since you’ll need to remove your top for the test. Don’t wear deodorant or antiperspirant, since these can show up on the film and interfere with the test results. Schedule your mammogram to avoid the time when your breasts are swollen or tender, such as right before your period. In between your routine mammograms, it’s important to maintain self-checks each month. Women can do this in the shower, in front of a mirror or lying down, whatever they find most comfortable. If you have questions about routine self-exams or about mammograms, don’t hesitate to contact one of our offices conveniently located in Canton or Woodstock.

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