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Push Presents for the New Mom

A push present is a gift given to a new mother following childbirth. Bringing a new life into the world is an amazing and miraculous gift itself, but a push present is an extra gesture of appreciation for the woman who endured the pain of pregnancy and childbirth, whether it be a vaginal delivery or a C-section. How and When to Give Typically, a push present is given by the mom’s significant other or her family but can be given by anyone close to the new mom. One of the most popular gifts is jewelry, but it can be anything they would love. Whether the gift is customized or something the new mama has had in her shopping cart, it is a totally personal preference. After all, you know her best! The timing for delivering the gift is a factor to consider. Many people prefer to give it at the hospital, but again it’s up to you and your situation. If given to the mama while she’s recovering in the hospital, make sure to choose a private and quiet moment when she’s not being examined or having her vitals taken. Giving birth is an exhausting and possibly overwhelming experience, so wait until she has a quiet moment to fully appreciate the push present. Of course, the gift doesn’t have to be given in the hospital after the baby has arrived. Some wait until they’re back home and settled, while some choose to give it before the baby has been born. Ultimately, it is a personal decision! Push Present Ideas A gift to show your appreciation has no minimum or maximum price. Don’t feel pressured to buy something expensive or feel overwhelmed that it needs to be the most unique present ever. All that matters is that you thought about the new mom, and you’re showing her how appreciative you are for bringing new life into the world. Below are some popular push present options: Jewelry Photo journal Newborn or family photo shoot Purse Silk pillowcase or robe Amazon Kindle Spa gift card Coffee or espresso machine Her favorite wine No matter what you decide to gift as your push present, the new mama will appreciate the kind and thoughtful gesture. Having a push present is something she will cherish and remember forever!

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OB Patient Stories

Miscarriage: A Father’s Grief

A father’s grief after a miscarriage is often overlooked. Miscarriage and subsequent pregnancies often center on the emotions of the mother only: the grieving and anxiety of losing a baby, and the nerve-racking experience of becoming pregnant again with a “Rainbow Baby”. A rainbow baby is a baby born after a miscarriage, thus becoming the “rainbow after the storm.” Sharing Grief With the Husband and Learning To Live With Grief and Joy Fathers often feel they have to be “strong for the mother,” so they may put their grief on the back burner, all while silently suffering alone. But solitary grieving can take a toll on a marriage, especially during stressful times, like losing a baby. “Rainbow Mom” Mariah Foster and her husband lost their unborn daughter, Raelynn, late in Mariah’s pregnancy, from a cord accident. She shares their experience and the words of advice from their doctor, who told her to pay attention to how the experience affected not only her, but also her husband and their relationship as a married couple. “After I lost my daughter, Dr. Litrel asked to see us so he could see how we were doing. His advice was not to try to cover up our grief with antidepressants. He told us to go ahead and scream, yell, even be mad at God – but especially to learn how each other grieves.” Mom Mariah shares how she coped with the devastation of miscarriage Miscarriage is Hard on Men Too Mariah said Dr. Litrel told them that the father’s grief is often overlooked, and that he had seen couples divorce after losing a baby because neither understood how the other grieves. “He told me to pay attention to my husband during this time of being sad. He said it’s hard for the man, too – and they grieve in a different way from the woman. “That conversation opened our eyes. And honestly, the grieving process built on our communication and compromise skills.” Mariah shares that Dr. Litrel also advised them to ‘talk about our daughter and use her name’, telling us to take time to enjoy each other, so we could accept the loss better and go on with the marriage. He didn’t want us to lose what we had. He also didn’t want us to try to have another, but just to ‘let it happen’, so he did not prescribe birth control for me. Smiling at the baby beside her in the stroller, Mariah says, “Eleven months later we ended up having our wonderful Rainbow Baby, Cayson Charles. Cayson means ‘Healer’ in Gaelic,” she explains. Getting Pregnant Again is Scary Mariah comments that becoming pregnant after a miscarriage is not the purely joyful experience everyone assumes it will be. “You know, everyone’s excited when you’re pregnant with a rainbow baby, but it’s a lot harder. I was nervous. When I hit nine months and said, “I need to be induced!” I finally ended up having a C-section — and the most beautiful rainbow baby. “During the pregnancy, Dr. Litrel had us on a strict schedule of seeing doctors and also the specialist. By 29-30 weeks, we were going to the doctor every week. “Pregnancy with a Rainbow Baby is nerve-racking. You want to feel him every second of the day. When he’s not moving, you’re panicking.” “The scariest time was at one point, when I slipped and fell at work. I thought at that point I was going to lose him. Dr. Litrel and really, all the medical staff, did everything for us. “They gave me a Doppler (a hand-held monitor) so I could check on Cayson, and seeing him on the screen helped me so much with my anxiety. “Pregnancy with a rainbow baby is nerve-racking. You want to feel him every second of the day. When he’s not moving, you’re panicking. You lay on your left side, you drink ice water, you try all the tricks the doctors tell you. There were times I went to Northside Hospital and just said, ‘Hey, I just need you to do an ultrasound. I can’t find my baby on the Doppler.’ They were great and really supportive during the entire pregnancy.” The Grieving Process “Losing Raelynn was hard for my husband, and sometimes it still is. He’ll take a picture of Cayson, which is his way of grieving. He’ll say, ‘I want to be with him so much, because sometimes he fills that void.’ When Cayson was crawling at six months, my husband was excited to see him, and he’d say, ‘Wow, Raelynn, look what your little brother is doing!’ Mariah wipes away a tear. “It’s hard to explain how it feels because the grieving never stops. “We actually planted a tree for my daughter, and we watch it grow, and talk about it all the time. We got a bird feeder and all the birds come so we can feed them. It’s really sweet. Getting Support “The grievance counselors at Northside are really great and so supportive. On Facebook, there’s a group called Rainbows of Atlanta. When you’re having a hard time — when that anniversary comes up and it’s the week you lost your baby — you can get on that group and post at 4 a.m., and you know someone is going to comment. Someone will be there. It’s so rewarding to see women back each other up. They give advice, and they’re just there.” Mariah smiles and gives her rainbow baby Cayson (aka the Healer), a kiss. Her eyes glisten, but there is happiness there, too. After Miscarriage – Stories of Hope Reading stories of hope from others who have experienced what you’re going through can help you feel not so alone. Here, we share stories from patients who suffered from miscarriage and how they got through it. Sheila suffered many miscarriages so we sat down with her to get her story and learn what she had to overcome to eventually have three Rainbow Babies. Jamie shares her story of

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What is Cervical Cerclage?

Cervical cerclage is only done in a small percentage of pregnancies. It is the placement of stitches in the cervix to hold the area closed to prevent preterm labor or pregnancy loss for women who have a weak or incompetent cervix. Cervical cerclage can be done as early as 12 weeks as a preventative measure for women who have had miscarriages due to a weak cervix. It can also be done as an emergency measure after the cervix has dilated. Typically, this procedure is not done after the 24-week mark. When is Cervical Cerclage Recommended? This procedure is recommended for women to prevent pregnancy loss or premature birth. Stitches are used to close the cervix around the second-trimester and typically removed no later than week 37. Your doctor may suggest cervical cerclage if you qualify as a high-risk pregnancy. During pregnancy, your cervix gradually softens, decreases in length, and begins to dilate in preparation for your baby. However, in rare cases, your cervix may open too soon putting you at risk for premature labor. Your healthcare provider will assess your risk level based on the following circumstances. If you’ve had one or more 2nd-trimester pregnancy losses related to dilation. If you have had cervical cerclage during previous pregnancies. If you have been diagnosed with painless cervical dilation during your second-trimester. Generally, cervical cerclage is done through the vagina (transvaginal cervical cerclage). But, in some cases, it can be done through the abdomen (transabdominal cervical cerclage). Ask your doctor what is better for you and your baby. Is Cervical Cerclage Right for You? Your doctor may discourage cervical cerclage for any number of reasons. You may want to reconsider this procedure if you have vaginal bleeding, preterm labor, an intra-uterine infection, a rupture in the amniotic sac, or are carrying multiple babies. Risks Associated with Cervical Cerclage There are many side effects associated with cervical cerclage. Having the procedure doesn’t always prevent premature birth. Women who experience premature dilation of the cervix during the second-trimester may have one or a number of these problems whether they opt for cervical cerclage or not. Here are a few side effects that are occasionally associated with a cervical cerclage procedure. Consult your doctor about your risk factor based on previous pregnancies and what you can do to minimize side effects. Infection Vaginal bleeding Tear in the cervix Leakage of amniotic sac (prior to week 37) Miscarriage Preterm labor or birth If you experience bleeding or leakage after your cerclage procedure, seek medical attention immediately. In such cases, your OB/GYN may recommend the removal of stitches early. We Can Help Cervical cerclage is not for everyone. Talk to your healthcare provider to learn more about the options available to you. Ultimately, it’s up to you to make the right decision about what’s right for you and your baby. Whether you’d like a second opinion about your cervical cerclage recommendation or have other pregnancy-related questions, don’t hesitate to call us at 770.720.7733 or simply make an appointment online. Here at Cherokee Women’s Health, we offer a full range of services to help you along the way.

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Opioid Use During Pregnancy

Imagine you’re pregnant and you wake up with a horrible backache, or have lingering pain from a previous injury. You think, “I may still have some hydrocodone that my doctor prescribed for me, that might do the trick.” But stop. Before you take any medicine, it’s imperative that you learn the dangers of opioid use during pregnancy or if you’re considering starting a family. Why? Opioid Use Disorder is on the rise in pregnant women, and many have no idea of the potential dangers. Opioid use during pregnancy has increased dramatically over the past ten years. In fact, according to a recent United Nations report, Americans use more than 99% of the world’s hydrocodone. These startling facts are the reason more and more OB/GYNs are alerting patients to the serious complications associated with opioid misuse and opioid disorder. While many people are familiar with hydrocodone, there are lot of different drugs that fall under the category of opioid. Many of them are prescription medications used for pain relief, often prescribed after surgery, dental work, or an injury. In addition to hydrocodone, other opioids include oxycodone, hydromorphone, codeine, methadone, propoxyphene, and buprenorphine. You may be surprised to learn that heroin is also an opioid. The Dangers of Opioid Use During Pregnancy Opioid Use Disorder is another name for opioid addiction. Symptoms of opioid addiction include using more than the amount of the drug that is prescribed for you; having work, school, or family problems caused by your opioid use; and feeling a strong urge or desire to use the drug. Taking opioids during pregnancy can cause serious complications for the baby, including a drug withdrawal known as neonatal abstinence syndrome after the delivery. NAS occurs when your newborn baby, who is no longer receiving the drug from your bloodstream, may have withdrawal symptoms for days to weeks after being born. Symptoms of the syndrome include: shaking/tremors, crying, fever, poor feeding, diarrhea, vomiting, and sleep problems. Other complications for babies related to opioid use during pregnancy may include: Spina bifida Hydrocephaly (excessive fluid in the baby’s brain) Glaucoma Gastroschisis (a hole in the abdominal wall from which the baby’s intestines stick out) Congenital heart defects Placental abruption, growth problems, preterm birth, and stillbirth Opioids: If You’re Pregnant It’s very common for women to experience pain during pregnancy, such as pelvic pain, low back pain, or migraines. At your first pregnancy well-check visit, your doctor will provide you with a list of approved medications that are safe to take during pregnancy. If you’re experiencing pain during pregnancy, it’s very important to have an honest and thorough discussion with your doctor, especially before deciding on a pain management option. This is because there are many unknowns surrounding safe opioid doses for pregnant women. Because of these unknowns, even if you use an opioid per the exact instructions from your healthcare provider, it still may cause NAS in your baby. Additionally, if you’re pregnant and are on opioids, it is not recommended to stop taking them without talking to your healthcare provider first. Attempting to quit “cold turkey” or without any warning can cause severe problems for your baby, including preterm labor or death. The most important step is to talk to your doctor about your opioid use, and together, come up with a plan to keep you and your baby as healthy as possible. Treatment for Opioid addiction during pregnancy involves medication-assisted therapy, or opioid-assisted therapy. Long-acting opioids are given to reduce the “cravings”, but they do not cause the pleasant feelings that other opioids cause. Examples of these medications are methadone and buprenorphine. Treatment for opioid addiction also includes drug counseling, which helps people avoid and cope with situations that might lead them to relapse. Opioids: Trying to Conceive If you’re trying to conceive or are considering getting pregnant and are currently using an opioid medication, use effective birth control until you’re no longer taking the medicine. Let your doctor know all of the medications you take to make sure you are as healthy as possible before getting pregnant. At Cherokee Women’s, it’s important to each of our physicians to have open, honest communication with our patients. If you’re concerned about opioid use during pregnancy, contact our office to schedule an appointment to discuss your concerns with one of our physicians.

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