There has been a lot of talk lately about maternal mortality. A recent story published in ProPublica and NPR has been circulating social media, highlighting the problems with our labor and delivery system. The story is heartbreaking, describing a preventable postpartum death in a young, healthy mother. While the article makes many good points, I do believe it is misleading when it comes to ...

Read more...

On a recent vacation in St. Lucia, I came across this mama nursing her babies. “Public breastfeeding. How great!” I thought. But, after posting this picture on Facebook, these were some of the responses: “Yikes! They need to be weaned!” and “they are pretty big to be still nursing.” This, of course, got my head whirling about people’s attitudes toward breastfeeding. On the surface, ...

Read more...

Over the last few decades, public perception of physicians has been on the decline. Many issues are to blame, but a largely overlooked contributing factor is the media. Physicians are often portrayed negatively, with stories of narcotic abuse, greed and medical mistakes dominating the news. Rather than fight back, physician organizations have stood silently and allowed their reputations to be tarnished. On the other hand, nursing organizations have been busy ...

Read more...

Some days, I get so frustrated at work. Yes, we all have our frustrations. Maybe traffic is slow, and you get to work late. Maybe you spill your coffee on your work clothes as you walk into your office. Maybe someone calls in sick, and you are short help at work. But this is big! Like so big, it can impact the trajectory of someone’s life. They, in turn, are forced ...

Read more...

I woke up at 6 a.m. to my daughter’s annoyingly, loud alarm. Since I was on call, my first reflex was to look at my iPad to see if I had patients in labor. I am part of an 11 doctor call group, so when I am on call, I cover all the patients of those doctors that come into the hospital. I scrolled through the patient list and saw ...

Read more...

"This is the end, beautiful friend This is the end, my only friend, the end Of our elaborate plans, the end Of everything that stands, the end." - The Doors I am an obstetrician. My job, distilled to its essence is to be present and assist during the birthing of a new life. Labor has its inherent risks, but with credit to those who came before me, delivering a child has never been safer for ...

Read more...

It was the end of my third year in OB/GYN residency. I was 39 weeks pregnant with you and doing a hysterectomy, my gravid abdomen being utilized as an “extra hand” to displace the large clamp nicely to the side as I pressed my belly gently against the table. I was doing surgery all day and loved operating and feeling your occasional gentle movements when in the quiet operating room as ...

Read more...

A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Expecting a baby? Congratulations! Giving birth today is not the same as when your mother gave birth. You have new options and different choices to make. You will recover faster than even before, and your participation will be requested. Ready? Let’s talk about ...

Read more...

Barely ten years ago, 350,000 completely preventable AIDS deaths occurred in South Africa because of their president’s obstinacy. He recommended that women treat their HIV with beetroot and lemon juice. It’s hard to believe until you realize the same thing just happened here. HJ Resolution 43 was just signed into law by President Trump, giving states the ability to reject federal grants (called Title X grants) to family planning providers and ...

Read more...

The nurse grabs me: "You have to check my patient now! She is screaming and bearing down.” Without letting go of my hand, she leads me into the labor room. I don’t even consider saying no, I know not to question this nurse. She has been a labor and delivery nurse nearly as long as I have been alive; she knows much more than I about everything. The room is dark, but ...

Read more...

34 Pages

Most Popular