Posts for: October, 2020
By Bay Area OB/GYN
October 20, 2020
Category: OB/GYN Care
Finding out you are pregnant is one of the most exciting moments in a woman's or couples’ lives; however, finding out you’re a high-risk pregnancy can be worrisome. It’s important to understand what factors can put a pregnant woman at risk for complications. Some of these factors require simple lifestyle changes while other factors cannot be altered, but the most important factor is that you have a trusted and knowledgeable OBGYN that can ensure that you get the regular prenatal care that you need to prevent serious complications.
What can lead to a high-risk pregnancy?
There is a wide range of factors that can determine whether a woman will be a high-risk pregnancy. Some of these factors include:
- Previous pregnancy complications (if you’ve been pregnant before and dealt with complications such as premature birth, then you are more likely to deal with complications with future pregnancies)
- Multiple births (if you are having twins, triplets, quadruplets or more, you are also more likely to go into preterm labor)
- Blood disorders (e.g. sickle cell disease)
- Lupus or other autoimmune disorders
- Advanced mature age (women who are age 35 or older)
- Diabetes (both type 1 and type 2)
- Thyroid disease
Other risk factors include lifestyle habits, such as:
- Drinking alcohol
- Illicit drug use
It’s important to make these changes to your lifestyle before getting pregnant to reduce the risk of birth defects and premature birth.
What does this mean for my care?
Women need to keep in mind that just because they are a high-risk pregnancy does not mean that they will face complications or issues. Having an OBGYN by your side is paramount to keeping both you and baby healthy and making sure that if problems do arise that they are caught and treated early.
A woman who is a high-risk pregnancy will want to visit their OBGYN more often for prenatal checkups so that their doctor can closely monitor them for any changes. Remember, keeping up with your prenatal care appointments is one surefire way to keep both you and your baby safe and healthy.
If you are a high-risk pregnancy or are concerned about being a high-risk pregnancy, it’s important to discuss this with your OBGYN right away.
By Bay Area OB/GYN
October 05, 2020
Category: OB/GYN Care
During a woman’s natural menstrual cycle, the body releases only one egg per cycle; If a woman is having trouble getting pregnant, she may decide to undergo in-vitro fertilization. During IVF, your doctor will provide you with injectable medication that will stimulate the follicles to release several eggs at once for retrieval, fertilization, and implantation into the uterus; however, in some rare instances, women who are undergoing IVF may develop a painful condition known as ovarian hyperstimulation syndrome (OHSS).
What is ovarian hyperstimulation syndrome?
Thanks to advanced and ever-changing medical technology and fertility practices it’s now fairly uncommon to have OHSS occur in women who undergo IVF. OHSS causes the ovaries to swell and leak, sometimes causing significant abdominal pain. This is in response to taking these injectable medications, which stimulate several follicles to develop eggs. This results in higher levels of estradiol, which can cause the ovaries to leak fluid into the stomach. Women with OHSS may experience:
- Abdominal swelling
In more severe OHSS cases, women may also experience:
- Abdominal pain
- Shortness of breath
It’s important to discuss the chances of developing OHSS during IVF with a qualified OBGYN who can provide you with answers you need to decide whether this type of fertility treatment is truly right for you.
How is OHSS treated?
If your OBGYN believes that your symptoms are indicative of OHSS, a simple ultrasound can allow our team to be able to examine the ovaries to look for leaks or fluid in the abdomen. Sometimes blood testing is also performed. If OHSS is mild than rest, limited activity, and staying hydrated are all that’s needed. If there is significant fluid in the abdomen, the doctor may need to drain the fluid (particularly if it’s causing serious pain). Only in serious cases does OHSS require hospitalization.
If you are interested in learning more about IVF, or if you are having trouble conceiving, you may want to first talk with your OBGYN about your options and whether or not you should pursue fertility treatments. Your OBGYN will be able to answer all of your questions regarding family planning and getting pregnant.