Pregnancy Headaches
Pregnancy Headaches What are headaches? More than 3 billion people around the world have frequent headaches that affect their ability to do daily tasks. Tension headaches are the most common, but migraines cause more problems
What is the due date?
The date your baby is due—your estimated due date (EDD)—is calculated from the first day of your last menstrual period (LMP). The EDD is used as a guide for checking your pregnancy’s progress and tracking the growth of the fetus.
How is the due date determined?
An ultrasound exam often is used to confirm the due date. Your obstetrician–gynecologist (ob-gyn) will evaluate the dating from your ultrasound exam and compare it with your due date based on your LMP. Once a due date has been selected, it does not change no matter how many additional ultrasound exams you may have during your pregnancy.
What is postterm pregnancy?
The average length of pregnancy is 280 days, or 40 weeks, counted from the first day of your LMP. A pregnancy that lasts 41 weeks up to 42 weeks is called “late term.” A pregnancy that lasts longer than 42 weeks is called “postterm.”
What causes a postterm pregnancy?
The causes of postterm pregnancy are unknown, but there are several factors that may increase your chances of having a postterm pregnancy. These factors include the following:
- This is your first baby.
- You are carrying a male fetus.
- You have had a prior postterm pregnancy.
- You are obese.
What are the risks associated with postterm pregnancy?
The health risks for you and your fetus may increase if a pregnancy is late term or postterm, but problems occur in only a small number of postterm pregnancies. Most women who give birth after their due dates have uncomplicated labor and give birth to healthy babies. Risks associated with postterm pregnancy include the following:
- Stillbirth
- Macrosomia
- Postmaturity syndrome
- Meconium in the lungs of the fetus, which can cause serious breathing problems after birth
- Decreased amniotic fluid, which can cause the umbilical cord to pinch and restrict the flow of oxygen to the fetus
Other risks include an increased chance of an assisted vaginal delivery or cesarean delivery. There also is a higher chance of infection and postpartum hemorrhage when your pregnancy goes past your due date.
When should I have testing in a postterm pregnancy?
A pregnancy between 40 weeks and 41 weeks of gestation does not necessarily require testing, but at 41 weeks your ob-gyn or other health care professional may recommend testing. These tests may be done weekly or twice weekly. The same test may need to be repeated or a different test may need to be done. In some cases, delivery may be recommended.
What is electronic fetal monitoring?
Tests of fetal well-being use electronic fetal monitoring and sometimes ultrasound. During electronic fetal monitoring, two belts are placed around your abdomen to hold sensors. These sensors measure fetal heart rate and the frequency of uterine contractions. These tests are done in your ob-gyn or other health care professional’s office or hospital. Tests may include nonstress tests, biophysical profiles, and contraction stress tests.
What is a nonstress test?
The nonstress test (NST) measures the fetus’s heart rate for a specific period of time, usually 20 minutes. Results of the NST are noted as reactive (reassuring) or nonreactive (nonreassuring). A nonreactive result does not necessarily mean that the fetus is not healthy. Nonreactive nonstress test results often are followed by other tests to give more information.
What is a biophysical profile?
A biophysical profile (BPP) involves monitoring the fetal heart rate as well as an ultrasound exam. It checks the fetal heart rate, breathing, movement, and muscle tone. The amount of amniotic fluid also is assessed.
What is a contraction stress test?
A contraction stress test (CST) assesses how the fetus’s heart rate changes when the uterus contracts. To make your uterus contract mildly, you may be given oxytocin through an intravenous (IV) tube in your arm. Results are noted as reassuring or nonreassuring. Results also can be equivocal (the results are not clear) or unsatisfactory (there were not enough contractions to produce a meaningful result).
What is labor induction?
Labor induction may be recommended if your pregnancy reaches 41 weeks. Induction is started using medications or other methods. To induce labor, your cervix needs to have started softening in preparation for delivery. This is called cervical ripening. Medications or other methods may be used to start this process.
How is labor induced?
Methods for inducing labor may include the following:
- Stripping or sweeping the amniotic membranes—Your ob-gyn or other health care professional sweeps a gloved finger over the thin membranes that connect the amniotic sac to the wall of your uterus.
- Rupturing the amniotic sac—Your ob-gyn or other health care professional makes a small hole in the amniotic sac to release the fluid (“breaking the waters”).
- Oxytocin—A drug form of oxytocin can be given through an IV tube in your arm. This will cause the uterus to contract. The dosage may be slowly increased over time and is carefully monitored.
- Prostaglandin analogs—These are medications placed in your vagina to start cervical ripening.
- Cervical ripening balloon—Your ob-gyn or other health care professional may place a small balloon-like device in your cervix to mechanically dilate it and help start labor.
What are the risks of labor induction?
The risks of labor induction may include changes in fetal heart rate, infection, and contractions of the uterus that are too strong. You and your fetus will be monitored throughout the process. Another possibility is that labor induction may not work. The method used to induce labor may need to be repeated. In some cases, you may need to have an assisted vaginal delivery or a cesarean delivery.
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By Dr. Anne-Marie Amies Oelschlager New options for birth control don’t come along very often. But now we have something to celebrate: the first over-the-counter (OTC) daily birth control pill in the history of
After going to another clinic in Cheyenne that didn’t treat me as a priority, it was a breath of fresh air stepping into Cheyenne Women’s Clinic. The entire staff was amazing, but Dr. Dozier was exceptional. She was kind, patient & answered any questions I had with great detail. I will never not recommend her. I am so pleased with my experience here.
I feel so lucky to have had the doctors at the Women’s Clinic for all three of my deliveries and GYN care. They provide high quality, compassionate, evidenced based care and Cheyenne is lucky to have such a great group!
I absolutely have loved it here! We just finished having our second kiddo and have worked with the vast majority of doctors here and they are all excellent!
Had an absolute amazing experience with the Cheyenne Woman’s Clinic during my first pregnancy. They did their best to accommodate my labor desires and made me feel as comfortable as can be. My husband appreciated how they took care of me, and now we’re going back with our second pregnancy! Highly recommend.
All of my appointments I’ve attended through the Women’s Clinic have been amazing the nurses and doctors have been lots of help throughout my whole pregnancy with lots of advice and support, I love every person from there they definitely are a welcoming and loving place!
