How Your Second Pregnancy Could Be Different

For many women, a second pregnancy can feel almost more overwhelming than the first one. Although there is the benefit of knowing what to expect, that knowledge can also contribute to the stress, as mothers worry about repeating some of the experiences they had with their first pregnancies. Fortunately, your second pregnancy can be a time to harness your knowledge to ensure that you have the most positive experience possible. With the help of your OB/GYN , here are some things you can do to have a different pregnancy the second time around.

You may gain less weight.

Many first-time moms are surprised by the amount of weight they gained during pregnancy. During your second pregnancy, you will have a better understanding that being pregnant doesn’t really mean eating for two and how to balance your diet to keep your baby and yourself healthy. You also know how difficult it can be to take weight off after you deliver, so you’ll be motivated to work with your OB/GYN to manage your weight gain.

You may have an easier delivery.

For many second-time moms, labor and delivery are shorter and easier, even if you had a difficult first birth. If your first experience is weighing on your mind, talk to your OB/GYN about things you can do to ensure that your labor and delivery go the way you want them to this time. That includes discussing your options for vaginal birth if you have a Cesarean during your first delivery, if that is a priority for you.

You know when to go to the hospital.

First-time moms often either go to the hospital too early and get sent home in frustration, or they wait too long and are sweating that they could give birth in the car on the way. During your second pregnancy, you know what contractions and labor feel like, so you’ll get to the hospital at the right time.

At Women’s Healthcare Associates, our OB/GYNs are committed to helping you have a healthy pregnancy, labor, and delivery, whether this is your first baby or you’re an experienced mom. Make an appointment with an OB/GYN in Houston today by calling (713) 654-8128.

Why Is My Doctor Recommending a Fetal Biophysical Profile?

During your pregnancy, you’ll have multiple exams and medical tests to check on your baby’s health and development. Some expecting mothers will have a fetal biophysical profile. It’s a combined fetal ultrasound and fetal heart rate monitoring test. It allows the obstetrician to evaluate your baby’s amniotic fluid level, muscle tone, breathing, movement, and heart rate. This test is noninvasive, and perfectly safe for you and your baby.

Indications for Fetal Biophysical Profiles

Usually, obstetricians recommend this test when there is an increased risk of pregnancy loss . It’s typically performed after 32 weeks. It could be performed earlier, as long as the baby is sufficiently developed to be viable outside the womb if delivery is necessary. The decision to have a fetal biophysical profile is one that you’ll have to make with your doctor’s guidance. In general, it’s recommended when any of the following risk factors are present:

  • History of pregnancy loss

  • History of pregnancy complications

  • Possible fetal growth problems

  • Decreased fetal movements

  • Multiple pregnancy with complications

  • Preterm rupture of the membranes

  • Too much or too little amniotic fluid

  • Rh sensitization

Results of Biophysical Profiles

Your obstetrician will explain the results of the test. Each area is given a score of zero or two points. For example, three instances of fetal movement within 30 minutes will receive two points. Anything less than this will be given zero points. The points from all of the evaluated areas are added together for a total score. A score of eight to 10 is ideal. A score of six warrants another fetal biophysical profile within 24 hours. You might also repeat the test once or twice weekly. If a subsequent biophysical has a score of six or lower, your obstetrician might recommend additional testing, or an early or immediate delivery.

You’ll find complete prenatal care services at Women’s Healthcare Associates , including biophysical profiles. Our highly trained obstetricians in Houston are committed to helping each of our patients have a healthy pregnancy. Call (713) 654-8128 to schedule a consult if you’re planning to become pregnant or think you might be.

What Should I Know About My Post-Menopausal Life?

Your gynecologist will determine that you’re officially in menopause once you’ve gone 12 consecutive months without having a period. At this point, you’ll no longer be able to get pregnant. Since you won’t get another period, you should alert your gynecologist promptly if you experience any vaginal bleeding. You should still schedule a well-woman exam every year, or as recommended by your doctor.

During your transition to menopause, you might have experienced a range of symptoms caused by the drop in estrogen. These symptoms often calm down for post-menopausal women, but it’s not unusual to experience issues like hot flashes for years after menopause. Additionally, vaginal dryness tends to be more common among post-menopausal women. Talk to your doctor about any symptoms you experience, and become familiar with your health risks as a post-menopausal woman. These may include heart disease, osteoporosis, and stroke.

Women’s Healthcare Associates is comprised of a team of compassionate specialists who want to help you live life well at every age . Call (713) 654-8128 to request an appointment to learn about hormone replacement therapy available in Houston.

Get the Facts About IUD Insertion

Intrauterine devices (IUDs) have skyrocketed in popularity in the U.S. during recent years. Thousands of women have chosen this method of birth control because it’s long-lasting, effective, and convenient. Before you decide whether an IUD is the right choice for you, talk to your gynecologist. He or she will need to review your health history to make sure an IUD is safe for you. You should also fully understand the potential risks and what to expect.

Preparation

Women respond differently to IUD insertion . For some, it’s only mildly uncomfortable. Others experience intense cramping. Since there’s no way to tell how you’ll respond to it until you have it, you should plan to take the full day off work—just in case. Go to the Ob/Gyn clinic prepared with a sanitary napkin, over-the-counter pain reliever, and bottle of juice (some women get a little dizzy). If you tend to have a low pain tolerance, tell your gynecologist beforehand. He or she might prescribe a slightly stronger pain reliever that you can take before your appointment. Wear comfortable clothes.

Insertion

The gynecologist may numb the cervix to prevent pain. Otherwise, the appointment will proceed similarly to a pap smear. The doctor will insert a speculum, and then use a special tool to insert the IUD into your uterus. It only takes a few minutes. You’ll likely feel some cramping and discomfort, but it should lessen once the procedure is complete. Drink your juice if you feel faint or dizzy. If you are prone to dizziness, consider having someone else take you home.

Recovery

Some women do go about their normal routines afterward, but there’s nothing wrong with taking it easy for the rest of the day. Grab your favorite book and use a heating pad. It’s normal to have a little bleeding, but call your doctor if you’re concerned.

Contraceptive counseling in Houston is available from the team at Women’s Healthcare Associates. Our doctors routinely perform IUD insertion and removal, and are always happy to answer any questions our patients have about their birth control options. Talk to our friendly office staff today by calling (713) 654-8128.