The Delivery of Twins

By on June 27, 2017

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Many women with twin pregnancies will undergo cesarean delivery.  In the US, approximately 75% of all twin births are born via cesarean delivery.  However, with the use of breech extraction of the second twin, more twins can be delivered vaginally, and safely. In the setting of a breech (bottom first) or transverse presenting first twin,

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Questions to Ask Your OB-GYN: Induction of Labor

By on June 22, 2017

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What is an induction of labor? Labor induction refers to methods and medicines used by your doctor to trigger labor.  Typically, it involves a midnight admission to the hospital, a medical agent to soften the cervix overnight (foley balloon or misoprostol), time, pitocin to stimulate contractions, more time, breaking the water (rupture of membranes), and

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Dr. Aren Gottlieb: Featured in Women’s Day

By on June 21, 2017

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We are excited to share the following article from WomansDay.com featuring Dr. Aren Gottlieb, a member of MFM’s physician team. Dr. Gottleib is a board-certified Obstetrician / Gynecologist who regularly treats a wide variety of issues that can impact a woman’s reproductive health. The article debunks the 11 most common myths surrounding pregnancy and childbirth.

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Pain Relief on Labor and Delivery: Epidural

By on June 20, 2017

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The five most commonly used methods of pain relief used during labor and delivery are spinal anesthesia, epidurals, local anesthesia, IV sedation, and general anesthesia. Today we will discuss epidural anesthesia. What is Epidural Anesthesia? Epidural anesthesia is the most popular type of pain relief used during labor. In fact, 60-90% of women who give

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Vasa Previa

By on May 12, 2017

Maternal Fetal Medicine New York Ultrasound

Vasa previa is a rare, but extremely dangerous (to the fetus), condition of pregnancy where a placental blood vessel crosses over the maternal cervix.  If not diagnosed, the risk of fetal death is approximately 50%. The blood vessels in the umbilical cord and inner surface of the placenta are all an extension of the fetal

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Twin Pregnancy in Women 45 Years or Older

By on April 26, 2017

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With advances in assisted reproductive technology including In-vitro fertilization (IVF) and egg donation, women are now able to conceive well into their 40’s and 50’s.  However, uncertainty exists regarding the safety of these pregnancies for women and their newborns.  Additionally, twin pregnancy is a common result of IVF, and all twin pregnancies are higher-risk pregnancies.

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Von Willebrand Disease

By on April 6, 2017

Von Willebrand Disease

Von Willebrand Disease (VWD) is a relatively common bleeding disease. With VWD, the Von Willebrand Factor (VWF) is deficient or defective. VWF is a blood glycoprotein involved in hemostasis. There are several subtypes of VWD, based on the exact pathophysiology of the condition (decreased levels of VWF vs. the several ways VWF can be defective).

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Multiple Sclerosis and Pregnancy

By on March 16, 2017

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Multiple sclerosis (MS) is an immune-mediated demyelinating disease of the nervous system of unknown etiology, characterized by relapses and remissions of neurologic deficits. In basic terms, MS is a disease where the immune system attacks the protective covering of nerves, leading to symptoms such as vision loss, fatigue, pain, and impaired coordination. Effect of Pregnancy

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Epilepsy and Pregnancy

By on March 9, 2017

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Pregnant women with epilepsy usually do well throughout the pregnancy. However, there are some concerns for both the mother and the baby that need to be monitored. Frequency of Seizures during Pregnancy For the majority of epileptic women, the frequency of seizures does not increase during pregnancy. Approximately 25 percent of women will show an

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The Causes of Recurrent Pregnancy Loss

By on February 23, 2017

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Recurrent pregnancy loss (RPL) is defined when a woman has two or more consecutive failed pregnancies without a normal pregnancy (for some, it’s defined as three or more). Although more than 50 percent of women will experience sporadic pregnancy loss, only 5 percent of women have RPL. What Causes Recurrent Pregnancy Loss? There are many

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