Vitamin Overload In Twin Pregnancies

As I mentioned in my last post, weight gain and nutrition are commonly encountered concerns in patients with twins.

Similar to the weight gain debate, there is no clear-cut answer, nor is there an absolute consensus as to the “ideal amount” micro and macronutrients a woman needs when carrying a twin gestation. Fortunately, there are studies in the works (including some here at Texas Children’s Hospital) attempting to better quantify the caloric and nutritional requirements in this population. Full Entry »

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Pregnant With Twins: How Much Weight Should You Gain?

One of the questions I’m commonly asked by patients with twin pregnancies is “how much weight should I gain?”

Well, to be honest, there is no clear-cut answer, nor is there an absolute consensus as to the “ideal amount” a woman carrying twins should gain. The Institute of Medicine (IOM) put forth recommendations in 2009 outlining the optimal cumulative weight gain by term in twin pregnancies. In fact, these recommendations were examined in several research projects and the results demonstrated fewer preterm births and higher birth weight in women who had a normal pre-pregnancy BMI and gained the recommended amount. Full Entry »

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Using Simulation To Prepare For Opening Of The Pavilion For Women

At Texas Children’s Hospital, in addition to the care and safety of our patients, we also view the safety of everyone visiting and working in our hospital to be a top priority. That’s why before opening outpatient services at the Pavilion for Women, we conducted realistic, emergency response simulation sessions to give our team valuable hands-on response experience in our new facility.

Simulation is a methodology that can not only be used for educating and training, but also for testing new patient care environments, equipment and processes. In situ simulation is a simulation that is physically integrated into a real clinical environment and provides a method for identifying possible safety hazards in high-risk areas and help our staff prepare for various types of emergency situations that may arise in a hospital setting. It enables the team to identify the resources, systems and design adaptations of the new facility that impact a timely response Full Entry »

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The First Gynecology Visit: A Message To Teen Girls (And Their Parents)

Many moms aren’t aware that the first gynecology visit for their teen daughter is actually recommended for sometime between the ages of 13 and 15 years old. You probably had your first visit sometime around going to college. Hopefully, your experience was a good one.
woman-at-obgyn

The most important part of your daughter’s first gynecology visit is the chance for her to start developing a relationship with a doctor. It’s not about getting a Pap smear. Actually, no girls should be getting Pap smears (unless they are pregnant) until age 21. Many people — even some doctors — are not aware of this fact, so please spread the word. Pap smears are a screening test for cervical cancer, which is virtually non-existent in teenage girls. Young women who have been exposed to HPV through sexual activity frequently have abnormal Pap smears that, if just left alone, clear up on their own. An early abnormal Pap smear can trigger Full Entry »

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Service With A Heart: The Tiniest Of Lives

thomas-cunningham-in-operating-room

November 2006 will be a month that I will never forget.

For many years as an operating room nurse, I comforted the crying eyes of a child as I held them and walked away from their mothers and fathers, but this patient was very different from any of my pediatric surgical patients. My patient wasn’t a newborn, a toddler or a child. My patients were two unborn children carried within their mother’s womb. Two lives that have never felt the touch of their mother’s hands, the love of their father, or have ever seen the light of day. Two of the tiniest lives that were fighting for their very existence within their mother’s womb with a lethal condition called twin-twin transfusion syndrome.

Our team wheeled the expectant mother into the operating room. The operating room was full of people waiting to catch a glimpse of our unborn patients. I had set up my sterile operating room table and had all the necessary supplies and equipment that would be able to help these two unborn patients. Before surgery began, I reached out to the mother’s hand and said the only thing I could think to say, “We are going to take care of your babies.” With a nervous look on her face she smiled at me and said nothing. Full Entry »

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