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How to Find the Right OB: 5 Questions You Should Ask Before You Get Pregnant

By Erica Kain | November 12, 2008
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(Getty Images)

Any trained doctor can deliver a healthy baby, congratulate the family, and move on to the next patient. But it takes someone with character and commitment to personally connect with your case and give you what you need if things get rough.

I know. I’ve survived two miscarriages, two anxiety- and sickness-riddled pregnancies, and one misdiagnosed miscarriage. I fired my first obstetrician when I was 16 weeks pregnant with my first child. She lost messages, kept me waiting, had stupid advice for my hyperemesis gravidarum (”Take Tums!”), and never remembered my name. Read More


Puking for Nine Months Straight: When Morning Sickness Gets Out of Control

By Erica Kain | November 5, 2008
woman-holding-hair-toilet

Getty Images

Last night was typical of my struggles with hyperemesis gravidarum, aka the morning sickness from hell. At 3 a.m., I dutifully trod into the kitchen to make the baby’s bottle, but by the time we were settled into the rocking chair and she was happily drinking, I had to hurl.

I eyed the garbage can in the corner—could I toss my cookies in there with minimal interruption to my daughter’s meal? Should I take her with me to the bathroom and try to hold her in a gentle, comforting manner while puking up my guts? Or should I just ditch her in the crib with a pacifier and make a break for it? I chose option C. Read More


My Fetus Is Growing, but So Is My Worry

By Erica Kain | November 2, 2008

Getty Images

Based on today’s ultrasound, we could have a winner here. What a journey this has been—from my initial elation at discovering I was pregnant to a misdiagnosed miscarriage to today’s doctor’s visit. There on the ultrasound screen was a seemingly healthy 9 1/2-week-old fetus frantically waving its little webbed nubby hands at me.

People keep telling me how heroic I am, as though I’ve somehow trumped a potential miscarriage with a healthy baby through the sheer force of hope. But I can tell you that there was no hope involved. It was the opposite of hope. I entered every day of pregnancy with fresh pessimism and dark predictions. Read More


Still Pregnant: My Miscarriage Was Misdiagnosed

By Erica Kain | October 22, 2008

“What exactly is that?” I asked, propping up on my elbows on the examining table, scrutinizing the ultrasound monitor.

“That is a seven-week-old embryo with a heartbeat,” my doctor said.

“No, wait, is it human?” I asked, gasping for air, staring at the flickering heartbeat pulsing through the little body.

I couldn’t believe it. Two weeks before, I’d been diagnosed with a miscarriage—specifically, a chemical pregnancy. I’d raced to the doctor’s office after experiencing heavy cramping and bleeding, and an ultrasound seemed to confirm my gut feeling that my pregnancy was ending. There wasn’t an embryo where there should have been one. And yet, here I was, two weeks later, finding out that I was still pregnant. Read More


I Was Pregnant for a Week: Facing My Third Miscarriage

By Erica Kain | October 1, 2008

The problem with losing a pregnancy after you have given birth to healthy children is that you know precisely what you’ve lost. I should know. I just recently experienced another miscarriage, bringing our casualty stats to three.

I knew I was pregnant for a week this time, having taken a pregnancy test and glimpsed the coveted two lines—there was hCG in my urine! I was knocked up!

But I knew my odds weren’t great, having suffered two miscarriages in the past. Now at the age of 37, even women with no history of pregnancy loss have higher incidences of miscarriage. (The risk is 20%–35%, according to the American Pregnancy Association). Read More


You Have to Prepare for Breast-Feeding Success

By Kate Rope | September 2, 2008

Learn how to breast-feed before you give birth: That’s the advice I gave to a friend of mine who is about to have her first child. With a 10-month-old on my hip, I’m no expert on all things parental, but I did feel confident offering her the “learn now” nugget of wisdom.

It may seem counterintuitive (like putting a condom on before you go out on a date), but I credit that approach with my seamless transition into nursing, which for many women is the first real struggle of motherhood.  Read More


Smiling Babies Make Moms Happy

By Kate Rope | July 7, 2008

baby-smile-mom-happyPop quiz: That headline is a) printed on a T-shirt I picked up in a Tokyo novelty shop last week, b) a really freakin’ obvious statement, or c) the results of a study published in the July issue of the journal Pediatrics.

If you went with b) and c), you’re a genius! Yes, it’s true; scientists have confirmed what we new moms already know—when we see our smiling babies, it makes us happy.

I called up the lead author of the study to ask, “When I read the press release about your study, the first thing I thought was, ‘Duh!’ So why is this news?” Read More


My Wild Ride in the Cardiac MRI

By Kate Rope | June 24, 2008

mri-machine-frontI imagine that being shot out of a cannon at the circus is probably not too much different than undergoing a cardiac MRI. Only instead of sporting an Evel Knievel jumpsuit with cape and flying through the air to execute a stunt landing, you are shivering in a cotton hospital gown, stuck in a tight tube going nowhere.

At least that’s how I felt when I underwent one to please my cardiologist. I had been going for monthly echocardiograms to check on my pericardium and to monitor what she thought might be a slightly enlarged ventricle, but she believed an MRI (which uses a magnetic field and radio waves to take detailed pictures of internal organs) would finally tell us if there was anything to worry about. Read More


Good News: Lupus Expert Declares Me Unimpressive

By Kate Rope | June 17, 2008

thumbs-up-good-newsGood news, dear readers, my new rheumatologist listened to my long and detailed history, asked me a battery of questions (”Do you have any joint pain?” “What about rashes?” “Do your eyes ever feel dry?”) and declared herself “unimpressed.” As an expert on lupus and pregnancy, she quickly pointed out that I did not meet the criteria for that autoimmune disease or any others. “Even if I wanted to enroll you in a clinical trial, I couldn’t,” she announced cheerfully.

Yes, my one and only symptom—sporadic inflammation around my heart—was sometimes a symptom of lupus and other autoimmune diseases, but that alone was not enough to say I had any of them. My blood tests for the biggies continued to turn up nothing. But the fact that my heart pain had returned after pregnancy did mean my body was doing something to cause it. Steroids had been keeping it at bay, but, what with their laundry list of icky side effects, I had to switch to something new. Read More


Tracking Down a Medical Expert: The Process and the Cost

By Kate Rope | June 10, 2008

It was time to track down an expert on autoimmune disease and pregnancy. My mystery chest pain (which first reared its ugly head during my pregnancy) had returned when my daughter was 3 months old, and my rheumatologist wanted me to consider going on a drug I couldn’t use while breast-feeding. That was a deal killer for me. I actually liked breast-feeding and was good at it. I was nowhere near ready to abandon it.

So without consulting my doctor, I went looking for another. I live in one of the medical capitals of the world, New York City, and I am a health journalist who works at a health website. So, I had a leg up on finding an expert on autoimmune disease and pregnancy. I asked my colleagues if they had interviewed any over the years, and one of our veteran health reporters immediately emailed back with two names. At the same time, a friend who is a prominent immunologist recommended one of the same two doctors and gave me her email. Bingo. I had an entrée to the upper echelons of rheumatology.

Read More




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