February 22nd, 2012
According to a new study published in the Canadian Medical Association Journal (CMAJ), vaccinating pregnant women against the influenza virus appears to have a significant positive effect on birth weight in babies.
The study, part of the Mother’sGift project on the safety and effectiveness of pneumococcal and influenza vaccines in pregnant women, examined 340 healthy pregnant mothers in the third trimester in Bangladesh. The participants were divided into two groups, with 170 women receiving the influenza vaccine and the remaining 170 receiving pneumococcal vaccine as a control.
Researchers then compared the weight of babies born in two periods, one in which there was circulation of an influenza virus and one with limited circulation.
According to the researchers, when influenza viruses were circulating, vaccination of pregnant women against flu was associated with healthier babies, with women vaccinated in the third trimester less likely to have babies who were small for gestational age than those who received a pneumococcal vaccine (25.9% to 44.8% ).
Also, babies born to mothers who received the flu vaccine had a higher average birth weight (3,178 versus 2,978 grams), as well as a lower rate of respiratory illness.
“We found that immunization against influenza during pregnancy had a substantial effect on mean birth weight and the proportion of infants who were small for gestational age,” writes Dr. Mark Steinhoff of Cincinnati Children’s Hospital Medical Center and co-author of the study. “Our data suggest that the prevention of infection with seasonal influenza in pregnant women by vaccination can influence fetal growth.”
The researchers urge additional studies to support their findings, suggesting that adding an influenza vaccine to routine vaccination programs during pregnancy could help children have a better start in life.
“If our data … are confirmed, the existence of effective antenatal immunization delivery systems suggests influenza vaccine may be a feasible addition to routine antenatal immunization programs.”
I guess you could call that a shot worth taking.
Of course, if you have questions, please do not hesitate to discuss this with your Women’s HealthFirst physician.
[image via Medical News Today]
Tags: Flu Shots, Pregnancy Tips From Women's HealthFirst, Vaccines
Posted in Pregnancy Tips From Women's HealthFirst, Updates from Women's HealthFirst, Women's Health, Women's HealthFirst Wants You To Know | Comments Off
February 13th, 2012
Contrary to coventional wisdom, Cesarean sections are no safer than vaginal delivery for infants who are born early or who are small for their age, according to a new study by the Society for Maternal-Fetal Medicine. In fact, C-sections might actually lead to a greater risk of respiratory problems and other complications in these infants, causing doctors to re-think how they look at the procedure.
“You shouldn’t assume there’s no downside to the baby with a C-section,” said Dr. Erika Werner, lead author of the study and assistant professor of gynecology and obstetrics at the Johns Hopkins School of Medicine.
The results of the study are particularly important, as Cesarean deliveries become more and more common, with C-section rates rising 33 percent from 2000 to 2007, with women under the age of 25 experiencing the greatest increase at 57 percent.
The most recent data – from 2009 – show that 45.6 percent of premature babies were delivered by Cesarean section, as compared to 35.1 percent of those born at 37-38 weeks.
Part of the explanation for the especially high rate among preemies likely lies in the assumption that vaginal births is too traumatic – and dangerous – for fragile infants who are underweight and preterm, said Dr. Diane Ashton, deputy director of the March of Dimes.
But according to the study, babies born vaginally were no more likely to have developed subdural hemorrhages, seizures, or sepsis than those delivered by C-section. Instead, the researchers found that babies born by C-section were 30 percent more likely to develop respiratory distress syndrome, which may have long term fallout for the babies.
“The breathing problems can turn into asthma later in life,” Dr. Nancy Snyderman, NBC’s chief medical editor explained. “In the last few weeks of pregnancy, that’s when the lungs and the brain are developing. So developmental problems, cerebral palsy, learning disability – all those things become compounded if a baby is taken out prematurely.”
While C-section deliveries may be necessary in certain situations, like if the baby is in distress or the heart rate is dropping, vaginal delivery is preferable in cases where there is no imminent danger to the baby or the mom.
Dr. James Ducey, director of maternal-fetal medicine at Staten Island University Hospital, agrees.
“You shouldn’t have a C-section unless there is a good reason,” he says. “Being small, in and of itself, is not a reason to do a C-section. It is more risky for mom and there is no benefit for baby, so why should we do it?”
“When you start to look at 37 maybe 38 weeks, there’s an increased belief now that the longer a baby stays in the womb, up to 40 weeks, the better the outcome is for the baby,” Dr. Snyderman adds.
Synderman is quick to caution against the mistaken belief that Cesarean sections are an easier, less painful alternative to vaginal birth.
”They say ‘I don’t want the pain, please let me just do a C-section. You have to remember the ultimate outcome should be a healthy baby.”
Now that’s something everyone can agree on.
[image via istockphoto]
Tags: C-Sections, Preemies, Pregnancy Tips From Women's HealthFirst
Posted in Pregnancy Tips From Women's HealthFirst, Updates from Women's HealthFirst, Women's HealthFirst Wants You To Know | Comments Off
February 8th, 2012
The physicians and staff at Women’s HealthFirst would like to congratulate Elizabeth Mlynarczyk, MD for passing her oral boards and becoming a board certified Obstetrician-Gynecologist. Being Board Certified instills patient confidence and connotes state-of-the-art professional knowledge. Dr. Mlynarczyk has practiced with Women’s HealthFirst for the past 2 1/2 years and has helped make it one of the most established and highly regarded Practices in the Northwest Suburban area. Our know-how and expertise is why we feel that “Our Experience Makes Your Experience Better.”
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February 8th, 2012
Drs. Eisenberg and Szela have recertified with the American Board of Obstetrics and Gynecology (ABOG) for the year 2011. Being Board Certified instills patient confidence and connotes state-of-the-art professional knowledge. Dr. Eisenberg’s and Dr. Szela’s tenures with Women’s HealthFirst have made it one of the most established and highly regarded Practices in the Northwest Suburban area. Their know-how and expertise are why we feel that “Our Experience Makes Your Experience Better.”
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February 8th, 2012
A new study of reporductive-age women by the National Institutes of Health reveals some surprising information when it comes to women and caffeine consumption.
Turns out that daily dose of caffeine may affect more than just your energy levels, depending on your race, that is.
While caffeine alters estrogen levels, it appears to have different effects in Asian and white women. In white women, for instance, coffee appears to lower estrogen, while in Asian women it has the reverse effect, raising levels of the hormone.
The study, which was published in The American Journal of Clinical Nutrition, analyzed data on more than 250 women ages 18 to 44 who consumed about 90 milligrams of caffeine a day, equivalent to roughly one cup of coffee. According to the researchers, about 90 percent of women nationwide between the ages of 18 and 34 drink the caffeine equivalent of one to two cups of coffee every day.
After controlling for variables, like age and diet, the researchers found that among Asian women, those who had 200 milligrams or more of caffeine a day— the equivalent to approximately two cups of coffee — had higher estrogen levels compared to those who consumed less. A similar pattern was seen among black women, though it was not statistically significant. In white women, however, 200 milligrams or more of caffeine appeared to have a slight lowering effect on estrogen.
It is unclear why caffeine would impact races differently, but it is likely that genetics has some influence on caffeine metabolism. Also interesting is that the source of caffeine seemed to make a difference. When the researchers looked exclusively at caffeine from beverages other than coffee — like green tea and soda — it was linked to higher estrogen in all women, regardless of race, perhaps triggered by various levels of antioxidants and other compounds in the drinks, as well as additives like milk and sugar.
Despite these findings, experts say women of child-bearing age who enjoy a daily cup of coffee or tea have little reason for concern. The effects of caffeine on estrogen are so minimal that in healthy women, it has no impact on ovulation or overall health, at least in the short term.
“This is important physiologically because it helps us understand how caffeine is metabolized by different genetic groups,” said Dr. Enrique Schisterman, an author of the study and senior investigator at the National Institutes of Health. “But for women of reproductive age, drinking coffee will not alter their hormonal function in a clinically significant way.”
For now, looks like that early morning pick me up is safe. Now that’s something to buzz about!
[image via Getty]
Tags: Caffeine, Estrogen Levels, Race, Women's Health
Posted in Updates from Women's HealthFirst, Women's Health, Women's HealthFirst Wants You To Know | Comments Off
January 20th, 2012
Carrying a child to term is a wonderful experience, but it can also be a nerve-wracking one. How do you know whether that sudden ache is normal or something that warrants a late night call to your Women’s HealthFirst doctor?
While some symptoms may be more or less urgent depending on how far along you are in your pregnancy, in addition to your personal health background, here is a rundown of symptoms that should sound your warning bells. Remember that even if you don’t see your symptom on the list, it is always better to err on the side of caution and contact your Women’s HealthFirst practioner rather than agonizing for hours and waiting until the symptoms persist or get worse before taking action.
- Your baby is moving or kicking less than usual (once he begins moving regularly, typically around 16-22 weeks). Ask your doctor whether you should monitor your baby’s activity by doing daily “kick counts.” One common approach is to choose a time of day when your baby tends to be active. (Try to do the counts at roughly the same time each day.) Sit quietly or lie on your side so you won’t get distracted. Time how long it takes for you to feel ten distinct movements – kicks, punches, and whole body movements all count. If you don’t feel ten movements in two hours, stop counting and call your doctor.
- Severe or persistent abdominal pain or tenderness.
- Vaginal bleeding or spotting.
- An increase in vaginal discharge or a change in the type of discharge – if it becomes watery, mucousy, or bloody. Note: After 37 weeks, an increase in mucus discharge is normal and may indicate that you’ll be going into labor soon.
- Pelvic pressure (a feeling that your baby is pushing down), pain in your lower back (if it’s a new problem for you), menstrual-like cramping or abdominal pain, or more than six contractions in an hour before 37 weeks.
- Painful or burning urination, or little or no urination.
- Severe or persistent vomiting, or any vomiting accompanied by pain or fever.
- Chills or fever of 100 degrees Fahrenheit or higher.
- Visual disturbances such as double vision, blurring, dimming, flashing lights, or spots in your field of vision.
- Any persistent or severe headache accompanied by blurred vision, slurred speech, or numbness.
- Any swelling in your face or puffiness around your eyes, anything more than a little swelling in your hands, severe and sudden swelling of your feet or ankles, or a rapid weight gain (more than 4 pounds in a week).
- A persistent or severe leg cramp or calf pain that doesn’t ease up, or one leg significantly more swollen than the other.
- Trauma to the abdomen.
- Fainting, frequent dizziness, a rapid heartbeat, or heart palpitations.
- Difficulty breathing, coughing up blood, or chest pain.
- Severe constipation accompanied by abdominal pain or more than 24 hours of severe diarrhea.
- Persistent intense itching of your torso, arms, legs, palms, or soles, or a feeling of itchiness all over your body.
- Any other health problem that you’d ordinarily call your practitioner about, even if it’s not related to your pregnancy (like a cold that gets worse rather than better).
When it comes to your health and the health of your baby, remember the old adage “better safe than sorry.” Because your body is changing so quickly, it may be hard to know whether what you’re experiencing is normal or is a sign of something more serious, so err on the side of caution, trust your instincts, and call your Women’s HealthFirst doctor if you experience any of the aforementioned symptoms.
If there’s a problem, you’ll get help right away. If nothing’s wrong, you’ll be reassured. After all, isn’t that what doctors are for?
[image via BabyCenter.com]
Tags: Discomforts, Pregnancy Tips From Women's HealthFirst, Symptoms, Warning Signs
Posted in Pregnancy Tips From Women's HealthFirst, Updates from Women's HealthFirst, Women's HealthFirst Wants You To Know | Comments Off
January 12th, 2012
If it seems as though there are more and more twins being born, it’s not because you’re seeing double, it’s because there are.
The number of twins born in the U.S. has skyrocketed over the last three decades, a result of test-tube babies and women waiting to have children until their 30s when the chances of twins increase, a new Centers of Disease Control and Prevention study finds.
According to the report, in 2009, 1 in every 30 babies born in the U.S. was a twin, a marked increase over the 1 in 53 rate in 1980.
“When people say it seems like you see more twins nowadays, they’re right,” said epidemiologist and CDC report co-author Joyce Martin.
“You have a double whammy going on. There are more older moms and more widespread use of fertility-enhancing therapies,” Martin said.
According to the report, from 1980 through 2004, the twin birth rate rose by more than an average of 2 percent a year before leveling off to less than 1 percent annunally. In 2009, twin rates again increased in all 50 states, with the jumps highest in New England, New Jersey, and Hawaii. In Connecticut, twins now account for nearly 5 percent of births.
By 2009, 3.3 percent of all births were twins, up from 2 percent in 1980.
While black moms have historically birthed twins most often, white moms have almost caught up. Over the last three decades, rates doubled for whites, rose by half for blacks and by roughly a third for Hispanics.
The greatest increase in twin rates was for women 40 and older, who are more likely to use fertility treatments and have two embryos implanted during in vitro fertilization, as opposed to younger women who are more likely to just get one.
About 7 percent of all births for women 40 and older were twins, whereas 5 percent of women in their late 30s and 2 percent of women age 24 or younger gave birth to twins.
In addition to the impact of fertility treatments, women in their late 30s are more likely to produce multiple eggs in a cycle, further increasing their chances of twins.
The question then becomes, are more twins good news?
“It’s really important to note that outcome for twins is much less positive than for singleton pregnancies,” Martin said. “Twins tend to be born earlier and smaller…Their mothers are more likely to require hospitalization. And the twins themselves are more likely than singletons to require hospitalization.”
But, Martin added, “although they are at greater risk overall, most twin births do very well.”
Hopefully, the same holds true for their mothers, who not only have one, but two newborn babies to care for.
Despite the challenges, one such mother had some helpful advice for other moms of twins: “Don’t think about it as double trouble. It’s still a double blessing.”
[image via Pregnancy.com]
Tags: Centers of Disease Control & Prevention, Fertility, Pregnancy Tips From Women's HealthFirst, Twins
Posted in Pregnancy Tips From Women's HealthFirst, Updates from Women's HealthFirst, Women's Health, Women's HealthFirst Wants You To Know | Comments Off
January 8th, 2012
Dr. Szela is an amazing doctor. From my abnormal tests 8 years ago, to my very complicated high risk pregnancy a year and a half ago, he has taken very good care of me. He’s the only OBGYN I trust to take care of me, and the only one I would ever recommend. He has also performed 3 laparoscopic surgeries on me with great skill and a wonderful bedside manner.
I went to see Dr. De la Cruz for a problem (not pregnancy related). She was very “to the point” without being rude. She was able to take a medical history, and assess the problem quickly while suggesting additional tests to confirm that there was nothing else serious occurring. She was very efficient, but also took the time to explain what was going on.
Szela delivered my middle son. He is very professional and easy to talk to about problems. He listens to you and addresses your concerns. Along with the delivery of my middle son, Szela performed a laparoscopic assisted total hysterectomy. He informed me of my risk and what could happen once I got into the OR. I do and have recommended him for all your obstetrical and gynecologic needs.
Overall, I was satisfied with my visit; everyone in the office was nice.
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Tags: Patient Testimonials
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January 4th, 2012
Just because you’re pregnant doesn’t mean you need to forfeit your active lifestyle. In fact, regular, moderate physical activity during pregnancy can increase energy, stamina, and help prepare your body for labor. Research shows that healthy women who exercise during pregnancy have less risk of preterm delivery, are less likely to need pain relief, and are able to recover from childbirth faster. The benefits extend to the baby as well. Babies of active moms tend to have a healthier birth weight, lower heart rates, and less complications than babies whose mothers are sedentary.
The right exercises can help ease common pregnancy complaints like back pain, body aches, and sleep troubles, in addition to boosting energy and stamina. The key is to choose the right exercises to keep you fit, comfortable, and help maintain a healthy weight for you and your baby. Your physicians at Women’s HealthFirst will be happy to discuss this with you and answer any questions you have.
Swimming
Swimming is one of the best exercises for pregnant women because it is gentle on your joints, muscles, and can provide relief to swollen appendages like ankles and feet. Plus, you’ll feel light in the water even with your belly the size of a beach ball.
Yoga
Yoga is a great way to strengthen core muscles, ease back pain, and help you breathe and relax, which research shows may make labor shorter and more comfortable. Avoid “hot yoga”, Bikram, and lying on your back after the first trimester. Instead, opt for a prenatal class, which is gentler on the body and focuses on relaxation, a good prep for labor.
Stationary Bike
Cycling is a great way to stay in shape and take a (much needed) load off your legs. Spinning is a good, low-impact way to boost your heart rate and stay toned without stressing your joints. Plus, as your belly swells, you can adjust the handle-bars to stay comfortable despite your ever-changing body.
Weight Training
Light strength training can help you stay toned before and after giving birth. If you were lifitng weights before you became pregnant, feel free to continue as long as you take it slow and easy and don’t over-exert yourself. Always make sure to avoid heavy weights or routines that require you to lie flat on your back. If you weren’t strength training before, it’s probably best to find another exercise for now.
Brisk Walking
Whether it’s on a trail, treadmill, or just around the block, walking is one of the easiest, safest ways to tone your muscles, stay active, and improve your mood. Walking is also something that can be done right up to delivery. Try walking a semi-swift mile three days a week for starters, and gradually increase your time and speed a little each week as you get stronger.
Low-Impact Aerobics
Aerobics is a great way to keep your heart strong, your muscles toned, and yourself feeling good. For a boost of energy and endorphins, try a low-impact, lower-intensity aerobics class taught by a certified professional to suit your needs and keep you feeling fit and strong throughout your pregnancy.
Kegels
Kegel exercises strengthen the muscles that help hold up your uterus, bladder, and bowels, easing the impact of labor and delivery. Plus, the great thing about Kegels is that you can discreetly do them anytime, anywhere. Just squeeze your pelvic muscles as if you’re trying to stop urinating or passing gas. Hold for five seconds and relax. Repeat 10 times, five times a day.
Limit High-Intensity Sports
If you regularly run, play tennis or participate in other high-intensity activities, you don’t need to stop completely, but you may want to scale back on your routine. As your due date gets closer, make sure to run on flat, smooth surfaces to reduce impact and avoid falls. Since pregnancy increases your risk of joint injuries, steer clear of exercise that requires jerking, bouncing, sudden changes in body position or other high impact movements.
Remember to avoid overheating, as well as saunas and hot tubs, which may increase your baby’s risk of birth defects, especially during the first trimester. Always drink plenty of fluids before, during, and after workouts.
And remember to listen to your body. If you feel hot, short of breath, or tired, take a break, let yourself cool down and take it easier next time.
Exercising during pregnancy can help you maintain a healthy weight, boost energy and self-esteem, reduce the risk of birth complications, and keep you feeling good mentally and physically. Plus, getting into good exercise habits now will make it much easier to lose that baby weight later. Low-impact activities like walking is not only convenient and a great way to get started, but is something you and your baby can do together, making it the perfect post-birth activity.
[image via WebMD]
Tags: Exercise, Fitness, Physical Activity, Pregnancy Tips From Women's HealthFirst
Posted in Health & Fitness Tips From Women's HealthFirst, Pregnancy Tips From Women's HealthFirst, Updates from Women's HealthFirst, Women's HealthFirst Wants You To Know | Comments Off
January 1st, 2012
Anita Iyer has been my doctor for 4 years now & I absolutely love her. She delivered both of my daughters. She is very understanding, kindhearted, and makes you feel as comfortable as can be.
I have been seeing Dr. Eisenberg for many years. He is an excellent, caring doctor. I always know when going in that there will be a wait because he ALWAYS puts the patent ahead of his schedule. He will listen to you and that is getting to be more unusual in these times. The staff is very helpful and seem to have a smile on their faces more often than not.
I came back to to Women’s Health First when I moved back to the Chicago area because of Michael Eisenberg. He is a concerned, kind, and knowledgeable physician who has grown into a wonderfully trusted “friend“. Dr. Eisenberg was this way 31 years ago when I first came to the practice. He was optimistic and cheerful as a young physician and he has grown more so over the years. Michael Eisenberg has so perfected his craft over the years that the role of Doctor suits him to a T. He continues to warmly embrace his patients and runs a very nice practice.
Dr. Szela is an amazing doctor. From my abnormal tests 8 years ago, to my very complicated high risk pregnancy a year and a half ago, he has taken very good care of me. He’s the only OBGYN I trust to take care of me, and the only one I would ever recommend. He has also performed 3 laparoscopic surgeries for me with great skill and a wonderful bedside manner.
Dr De la Cruz is very helpful in terms of any questions that one might have, she gives us choices regarding treatments. I would not switch doctors!! The entire team is great!! They all know what they are doing.
Szela delivered my middle son. He is very professional and easy to talk to about problems. He listens to you and addresses you concerns. Along with the delivery of my middle son, Szela performed a laparoscopic assisted total hysterectomy. He informed me of my risk and what could happen once I got into the OR. I do and have recommended him for all your gynecological or Obstetric needs.
Absolutely loved Dr. Iyer! She delivered my first child. I had such a great experience and she was very informative and helpful. At my checkup she arranged it so i could get done to get out of the office and feed my 3 day old. Gives you lots of time and very personable.
I have only been seeing Dr. Eisenberg for about 2 yrs after going thru many other doctors. He listened to my complaints and had helped figure a good plan to help with my current condition. Dr. Eisenberg is a good doctor. Dr. Eisenberg addresses my concerns in a knowledgeable, competent, and concerned manner. He has provided me with excellent health care over the years.
Tags: Patient Testimonials
Posted in Updates from Women's HealthFirst, Women's HealthFirst: News About Our Doctors, Women's HealthFirst: Patient Testimonials | Comments Off
