Cesarean Section on Maternal Request

It has become more and more common for newly pregnant patients to request a cesarean section delivery on their first visit to me for prenatal care. Because it is happening more often, I thought it would be good to review the available data on the topic. Cesarean section on maternal request is defined as a […]

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To circumcise or not to circumcise

Circumcision means removing the foreskin—a layer of skin that covers the tip of the penis. Circumcision usually is done soon after birth and before the baby leaves the hospital. It can be done as a religious ritual or as a matter of family tradition. In some babies, young boys and men it can become medically […]

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Really, I can’t have a turkey sandwich?

In reviewing certain topics for this website, I realize that over the years, I may have been a bit laissez-faire when it comes to the risk of Listeriosis. In over to 20 years of practice, I have seen only one pregnant patient with Listeriosis, and she was immunocompromised because of  medication she took for her […]

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Placental Abruption: a possible reason for late trimester bleeding

  Heavy vaginal bleeding in the second or third trimesters of pregnancy usually involves a problem with the placenta. The two most common causes at this time are placental abruption and placenta previa. Preterm labor also can cause such bleeding. Late bleeding may pose a threat to the health of the woman or the fetus. […]

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When the placenta covers the cervix-Placenta Previa

  When the placenta lies low in the uterus, it may cover the cervix. That means it partly or completely blocks the opening. This is called placenta previa. It may cause vaginal bleeding. This type of bleeding often occurs without pain. Placenta previa occurs in 1 in 200 women. It is more common in those […]

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What is station?

  In obstetrics, station refers to descent of the fetal presenting part (hopefully the head) in the pelvis. An imaginary line is drawn between the two bones in the pelvis (known as ischial spines).  This is the “zero” line, and when the baby reaches this line it is considered to be in “zero station.”  When […]

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SDI: frequently asked questions

I’m pregnant and wonder if I can file a claim for State Disability Insurance (SDI) benefits? If so, for how long? Yes. The usual disability period for a NORMAL pregnancy is up to four weeks before the expected delivery date and up to 6 weeks after the actual delivery for vaginal deliveries and 8 weeks […]

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Who, when, and why to call in labor

General Guidelines 5-1-1 Contractions: Call when you are having contractions 5 minutes apart, lasting 1 minute, for 1 hour. Ruptured membranes, clear fluid, no labor pains and your vaginal culture for Group B strep at 36 weeks was positive. If your membranes rupture after 5:30 PM and your Group B strep culture was negative, you […]

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What is state disability and how do I apply?

Most California employees are eligible for State Disability Insurance (SDI) for maternity leave.   It will pay you no more than 4 weeks prior to your due date for a NORMAL pregnancy and 6 weeks after date of delivery. However, if you deliver your baby by Cesarean Section, you are eligible to take 8 weeks […]

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Schedule A Free Skin Consultation

Your FREE CONSULTATION includes a comprehensive skin assessment and personalized education. Our non-surgical treatment options can help you address the following common conditions: ACNE – A condition marked by the eruption of red pimples, especially in face, back and chest. AGE SPOTS – Brown patches of discoloration, most commonly found on the face, hands and […]

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