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AKbon
Medical Advice For Pregnant Women: Things You Need To Know Before Going To Hospital
~5.6 mins read
Everything won't go exactly as planned.
Something is going to happen to interfere with your picture-perfect plan. Trust me, it doesn't matter.
Yes, you have a birth plan. Yes, you have an ob/gyn you adore, a partner who is there to fully support you, family and friends who are holding down the fort and taking care of whatever needs to be managed at home. But just like a wedding, there is always something that doesn't go as planned during the birth of a baby.
Whether it's your doctor being suddenly unavailable because of an emergency, your partner being unexpectedly out of town for work or a hurricane threatening the coast while your baby is crowning—something is going to happen to interfere with your picture-perfect plan. Trust me, it doesn't matter. Really. Let it go, focus on what's important (taking care of yourself and delivering a healthy baby) and roll with it.
The nurses are your friends.
Depending on what time of day you go to the hospital, you will have at least one, possibly two, shifts of labor and delivery nurses overseeing your progress. Get to know them. Remember their names and let them get to know you. Yes, you may be in labor and not exactly feeling chatty, but these are the people who are going to be taking care of you.
You will get excellent care regardless of how you treat the nurses, but if you are polite, patient and perhaps bring a basket of muffins or snacks for them to share at the nursing station, you will be remembered—and they will go the extra mile to accommodate you.
Your birth plan isn't written in stone, so be flexible.
Just like the circumstances leading up to your baby's birth, there are things that won't go as planned even though you've written them down and handed out copies to everyone. Having a baby may be natural, but it's also unpredictable. In my case, my birth plan changed so many times before I had my first son, I actually gave up on it. I started out wanting an unmedicated delivery, then ended up being scheduled for an induction and finally required a C-section when the induction didn't work. There was very little about my original birth plan that went as planned and I stressed out about it more than I should have because I still achieved my end goal: Deliver a healthy baby boy and bring him home.
Don't overpack.
Look at your packed bag(s) by the door. Does it look like you're going on a two-week vacation? Unpack them and try again. Pack what you know you will absolutely need for the first eight to 12 hours in the hospital. Then enlist the services of a friend or family member who can bring you whatever else you might need, should the circumstances change while you're in the hospital.
Some women do overpacke horribly, bringing far more stuff than they could possibly use and requiring their husband to make three trips to the car just to bring everything home.
Some will ask when is the right time to head to the hospital as a pregnant woman, well it can be tricky to decide when to head for the hospital for labor, especially if you're not sure that you are in labor. As you get closer to the end of your pregnancy, you'll want to be able to tell the difference between false labor and true labor and identify the transition from early labor to active labor.
The stages of labor you’ll experience at home are early labor and the beginning of active labor. The early stage is the longest stage, and this is when you will begin to experience contractions. Once you start to notice signs that you are transitioning into active labor (your contractions are getting stronger and more frequent, for example), it’s time to head to the hospital.
After your water breaks, the time it will take for your labor to progress to delivery can vary, but the risk of infection increases if you do not give birth within 24 hours.
Once your water has broken, the amount of time you have to get to the hospital safely will depend on many factors, such as how long it will take you to get there, how quickly your labor is progressing, and the overall health of your pregnancy.
If it’s not your first pregnancy, things may move along faster than they did the first time. Your previous labor experience might offer some clues about what to expect, but don't let it be your only guide—you may not have as much time as you think.
In addition to knowing when to go to the hospital with contractions and when to stay home, it's also a good idea to discuss the signs of preterm labor or complications like preeclampsia with your doctor or midwife.
The signs of labor, the differences between false labor, true labor, and Braxton Hicks contractions, as well as the symptoms to watch for in the final weeks of your pregnancy. These guidelines, as well as your doctor or midwife's advice, can help you feel more confident about deciding when to go to the hospital when you're having contractions.
And always try to register in a near by hospital, so that when you feel is like you are in a early labor, it can be easy for you to rush in to the hospital.
If you really like this wonderful research and advice share it with some pregnant women out there and follow me up for more informations about health.
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Akbon
Medical Marijuana Troubles Ohio Doctors: Although Its Natural, (its) Not Like A Vitamin
~10.6 mins read
Almost daily, Dr. Gogi Kumar is questioned at Dayton Children’s Hospital about medical marijuana by concerned parents of children who suffer from seizures.
Kumar is not alone in the curiosity she receives from patients about Ohio’s confusing medical marijuana program that is expected to begin in September.
Doctors told this newspaper they are bombarded with questions about medical marijuana and are concerned because they don’t have all the answers. There is an information gap on questions such as how effective marijuana is for specific disorders, how the compounds affect children and how it interacts with other medications, doctors said.
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Kumar, the hospital’s neurology medical director, said parents have seen examples of children who are helped by cannabis-based treatment and want that same relief for their kids.
“I’m not resistant to (recommending) medical marijuana, but I need data,†Kumar said. “Although it’s natural, marijuana is not like a vitamin. I have to be careful as to what I’m giving the patient.â€
Ohio’s medical marijuana program is set to start Sept. 8, but patients who are hoping to take medical marijuana may still face another obstacle: physicians wrestling with issues of data gaps and ethical questions when it comes to recommending a substance that was approved for treating 21 disorders by a legislative vote, not the FDA.
There’s a lack of large, double-blind studies in the U.S. on the effects of medical marijuana on specific conditions. And with the studies that are out there, said Dr. Glen Solomon, it’s hard to control whether the exact strain and dosage studied is what his patient ends up taking.
With other medications, said Solomon, who practices internal medicine with Wright State Physicians, research has shown the substance to be safe and effective.
“And that let’s you sleep well at night when you’re a doctor,†he said. “Medical marijuana never went through that process. This is a substance that basically the state legislature decided is now a medicine.â€
Task force
Solomon is part of a task force at Wright State University’s Boonshoft School of Medicine that wants to serve as a resource for students, residents and local doctors to learn the information that’s available about marijuana.
The task force is still early in formation; Solomon said the goal is also to create an online database of what research is available about marijuana and to provide educational programs for doctors and residents.
Tessie Pollock, spokeswoman for the State Medical Board of Ohio, said the state marijuana program “is fortunate that we had a lot of other states to look at when establishing these rules†and was able to garner best practices, what worked and what didn’t work and how those states developed education for their physicians.
The medical board hasn’t started certifying doctors yet to recommend marijuana but will do so this spring.
Physicians will also need to complete two hours of continuing medical education to get certified to recommend marijuana and those renewals.
The refusal of the U.S. DEA to move marijuana from a Schedule 1 drug — considered to have to no acceptable medical use — to a Schedule 2 drug is in part responsible for the state legislature legalizing medical marijuana, said State Rep. Steve Huffman, who is also an emergency physician.
If the DEA changed how it classified marijuana, then there could have been research and federal approval for certain disorders like with other medicines, but without that change, it’s been approved instead by state votes.
Patient demand
One of the results of research not keeping up with patient demand has been patients going out on their own to treat their symptoms with marijuana. And that can leave physicians in the dark on what is the real reason that their patients’ symptoms are improving.
Since the state approved starting a medical marijuana program, Dr. Cleanne Cass, who is a Dayton area hospice and palliative care physician, said her patients have been less likely to try to hide that they’ve been using marijuana to help with their symptoms.
“Since the state referendum, patients are more open to telling me that they are using marijuana,†she said.
Cass said she plans to attend “as many conferences as I can†to learn about medical marijuana, which is going to be a hot topic in hospice care.
Kumar said while she doesn’t encourage her patients’ parents to do things like order cannabis oil on the internet, they still do and she tells them to be honest with her what they are doing at home so she can sort out what is working and what’s not.
“I always encourage them to please tell me,†she said.
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There are also recent clinical trials that provide evidence that a cannabis based medication, Epidolex, is effective in some patients with intractable epilepsy, but this medication is not yet approved by the FDA.
“We already have a drug that’s on the way to being approved by the FDA so why not wait for it because then you know exactly what you’re doing,†Kumar said.
Data shortage
With a shortage of robust studies on how marijuana could be used medically, it raises a bigger question of whether states should be allowed to approve these type of issues with a vote, said Marc Sweeney, dean of Cedarville University School of Pharmacy.
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“The challenge is when you put any type of pharmacologic therapy on a ballet, unlike the FDA process, the general public is making a decision whether a quote unquote drug should be used,†Sweeney said.
A review published in 2015 in The Journal of the American Medical Association looked at all randomized controlled trials of cannabis or cannabinoids to treat medical conditions and found 79 trials involving more than 6,400 participants. Most did not achieve statistical significance. Some did though, like a study that associated marijuana with improvements in resolution of nausea and vomiting due to chemotherapy, with 47 percent of those using it finding relief versus 20 percent of the control group.
Hufffman said he would advocate for federally reclassifying marijuana to allow more U.S. research, because if federal restrictions weren’t in the way there could be more scientific information to guide these debates.
“But we’re ham-stringed by not moving it to Schedule 2 so we could have that data,†he said.
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