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Managing pain during labor

Erin M. Hurley Waters
One of the most common concerns women have during their pregnancy is how to manage pain during labor and delivery.  Labor pain may be more or less intense than you expected, or may hurt in a different way. It is hard to predict how any labor will go or how anyone will respond to pain.

Labor pain is due to contractions of the muscles of the uterus and by pressure on the cervix. This can feel like strong cramping in the abdomen, groin, and back. Some women experience pain in their sides or thighs as well. Women can also feel pressure on the bladder and bowels by the baby's head and the stretching of the birth canal and vagina. Some find the hardest part is not the contraction itself, but the fact that the contractions keep coming.  

One of the best ways to alleviate fears for women is to learn about the available strategies for coping with pain. There are both medical and non-medical tools that may be a good match for you.

While you are deciding, think about what appeals to you most. Ask your health care provider these questions:

What you should know about ovarian cysts

Karen Jones, MD

Karen Jones, MD
Obstetrician/Gynecologist, Swedish Healthcare for Women

Finding out there is a cyst on the ovary is often a concerning experience for a woman.  Women aren't sure what it means for them or what will need to be done.
 
A woman has two ovaries, which produce eggs, which allow a woman to get pregnant, and produce female hormones.  These hormones cause the lining of the uterus to grow, which then shed (as the period).  Ovaries are actively making hormones and ripening eggs from when the period first starts until when she goes through menopause.  As an egg is ripening in the ovary, several small cysts will form.  These grow to about 2.5 cm, or one inch, and then when the woman ovulates or releases the egg the cyst drains and is gone.  So when a woman has an ultrasound that shows a cyst less than 3 cm it is usually a "follicular" cyst - that is a cyst with a developing egg.  This type of cyst is completely normal and will come and go.
 
Cysts that are  ...

New options for genetic testing in pregancy

Ashley Fuller, MD

Congratulations!  You just found out you are pregnant and so many things start going through your mind.  When you’re not dry heaving or completely exhausted you start planning for your exciting future but in the back of your mind you wonder… how do I know everything is okay with my baby?

We are entering an exciting time in the field of obstetrics that involves less invasive and more accurate options for genetic testing in pregnancy.  ACOG, the American College of Obstetrics and Gynecology, recommends that all women, regardless of maternal age, be offered prenatal testing for chromosomal abnormalities. 

For quite sometime our options for this testing have been somewhat stagnant.  We have offered noninvasive risk profiling that involves a mixture of blood tests and ultrasounds at various times in the first and second trimesters to help evaluate the baby’s risk for Down syndrome or other lethal chromosomal abnormalities.  Depending on how these tests are processed, the sensitivity ranges from 80-95% with about a 5% false positive rate.  They are fairly accurate at identifying babies at higher risk, but can have false positive results (meaning an abnormal result followed by more invasive testing that shows normal results but of course this causes a lot of worry for the patient). 

Obviously we want to be able to offer testing that has a high rate of detection and a low rate of false positives.  More invasive testing is often offered also.  This testing involves removing a sample of placental cells called chorionic villus sampling, or removing a sample of fetal cells from the amniotic fluid called amniocentesis.  These cells are then analyzed for chromosomal abnormalities.  Although these invasive tests are the most accurate, they do carry a small risk of miscarriage or fetal loss. 

Fortunately, new testing has come out on the market called cell free fetal DNA testing.  This is ....

Due July 2013: The Lytle Center for Pregnancy & Newborns

Jane Uhlir, MD

Jane Uhlir, MD
Executive Director, Women & Infants, and Clinical Process Improvement

No matter how many times you’ve been through it, expecting, having, and raising a baby are truly some of life’s biggest challenges. Making that adventure a little less stressful is what The Lytle Center for Pregnancy & Newborns will be all about when it opens in July 2013 at Swedish/First Hill.

It will be the “go-to” place for moms and dads (and brothers and sisters and grandmas and grandpas) expecting a new baby. In this warm, welcoming space, new families will take classes, gather support from each other, get help with lactation, purchase necessities, and take advantage of a new mom and well-baby exam a few days after birth to make sure everything’s going just right.

Here are just a few of the services that will be available at The Lytle Center:

Swedish Ballard OB/GYN Helps Discuss The Pros and Cons of At-Home and Hospital Births on KUOW Radio

Swedish News

Dr-Joy-Zia.jpgSEATTLE, Feb. 12, 2003 - Joy Zia, M.D., who is a physician with Swedish OB/GYN Ballard, took part in a discussion today on KUOW Radio (94.9 FM; NPR) about the pros and cons of at-home and hospital births.

Swedish to Host OB Speed Dating Session at Ballard Campus Oct. 23

Swedish News

OB-Speed-Dating-photo.jpgSEATTLE, Oct. 15, 2012 - If you’re pregnant or thinking about having a baby, finding the right provider is a pretty good place to start this incredible journey. When you come to OB Speed Dating, you’ll get the chance to meet several Obstetricians and Certified Nurse Midwives (CNMs) who deliver at Swedish Ballard's Family Childbirth Center and get to know them in a fun, low-key environment.

NBC's TODAY show Airs Story on the Grandparents Class Offered at Swedish

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