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If your newborn is diagnosed with hypospadias

As a pediatric urologist, I am frequently asked to consult with parents whose newborn son has hypospadias.  

Hypospadias is usually diagnosed during the physical exam right after the baby is born.  When parents see the abnormal penile anatomy they naturally want to learn about the diagnosis and understand what, if anything, needs to be done. Answering these questions, discussing options, and performing reconstructive surgery to help restore normal penis appearance and function are some of the most rewarding things I do as a pediatric urologist. 

I would like parents who have a son born with hypospadias to be reassured that the anatomy can be reconstructed, the surgery is well tolerated, and a good outcome with a normal, or near normal, penis appearance and function can be achieved.

It is not urgent to treat newborns with hypospadias because they can usually pee (urinate) just fine through their existing urinary opening.

In fact, when hypospadias is the only condition noted in a newborn physical exam there is a low chance of additional developmental abnormalities. Additional tests and studies on the baby are usually not necessary.

It is important to note that if any unusual shape of the penis or urethral opening (where the pee comes out) is present then circumcision (if desired) should not be performed until after the child is examined by a pediatric urologist. This is because the pediatric urologist may need to use the foreskin tissue for the surgical repair. 

Here are answers to some commonly asked questions:  

Parent's guide to newborn testing, screening, and prevention measures

When picturing the first days of an infant’s life, what we look forward to the most is love. We express our love in so many ways: skin-to-skin, breastfeeding, swaddling and snuggling. 
 
Love also means keeping them safe. 
 
Advances in maternal-infant health are one of the greatest success stories of the 20th century, with a drop in the death rate of 99%. But some of those dangers only stay in the past through constant vigilance. Behind every screening test and preventive measure is a careful, research-driven rationale. Here are seven newborn tests, screenings, and prevention measures you should know about:
 
Vitamin K injection 
Vitamin K is vital for blood to clot properly. Newborns cannot make Vitamin K and it is poorly transferred in breast milk. Without this injection, babies are at risk for spontaneous bleeding from the umbilical cord, mucus membranes, even in the brain. Giving Vitamin K has greatly reduced this "hemorrhagic disease of the newborn," but rates are increasing as more parents refuse it. Oral Vitamin K has not been shown to prevent this potentially devastating disease. 
 
Hepatitis B vaccine
This is an anti-cancer vaccine. Before this vaccine existed, approximately 10,000 kids under age 10 contracted hepatitis B each year. Most had no known exposure to it. Kids are more likely than adults to get very sick and to have complications. Vaccination at birth has greatly reduced rates of pediatric liver cancer due to hepatitis B. 
 
Antibiotic eye ointment
This prevents bacterial eye infections. Some of these infections are associated with sexually transmitted bacteria, but not all of them are. Negative testing or a monogamous relationship does not ...

Getting healthy for pregnancy

It’s a new year and whether you are planning to start a family or expecting a return visit from the stork, it is a good idea to prepare for pregnancy. Although pregnancy is a natural process, we often have patients ask how they can best prepare their bodies for one of life’s greatest journeys.

Below are answers to a few common questions that I often receive from my patients:


What if I am taking birth control?

Depending on the type you use, you may want to stop birth control a few months in advance of planned conception. Birth control suppresses ovulation and impacts fertility. The good news is the affects of birth control do not last long. For example, we recommend that women finish a pack of birth control pills, have their next menstrual cycle and then go through one additional full cycle before attempting to conceive. During this time, it is important to use a barrier method of contraception (condoms) if you plan to engage in sexual intercourse.

An IUD (Intrauterine Device) can thin the lining of the uterus. I recommend that patients with an IUD ....

Swedish Welcomes Record 9,014 Babies in 2013

Ballard, Issaquah Hospitals set Records with More Than 1,000 Deliveries



News Release
 
FOR IMMEDIATE RELEASE: Jan. 13, 2014                                                  
 

Contact: Clay Holtzman, Swedish, 206-386-2748, clay.holtzman@swedish.org


SEATTLE – Swedish Health Services delivered 9,014 babies across four hospitals in 2013, a record for the hospital system and an increase of 3 percent over 2012. Last year also saw a record number of births at both Swedish/Ballard and Swedish/Issaquah, which each surpassed 1,000 deliveries for the first time. In total, three of Swedish’s four hospitals offering childbirth services saw growth in 2013.

“We take great pride in providing Western Washington families with the very best convenience and care for their pregnancies and newborns,” said Jane Uhlir, M.D., executive director of the Women & Infants program at Swedish. “We share in the joy these families experienced last year and look forward to a lifetime of health and wellbeing for these children.”

Swedish Babies in 2013

Odds are that if you live in or around Seattle, either you or your children were born at a Swedish hospital. And after last year, those odds are even greater after our nurses and doctors delivered a record 9,014 babies in 2013.

Last year included a record number of births at Swedish/Issaquah (1,149) and Swedish/Ballard (1,022).

We attribute last year’s growth to our excellent reputation in the community as well as our outstanding ability to provide our patients with a safe, convenient and comfortable birthing experience. Last year we expanded our range of offerings for families when we opened our new Lytle Center for Pregnancy & Newborns and our Level II nursery at Swedish/Issaquah.

Now for some fun facts:

  • August saw ...

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