OBGYNDoc
Minneapolis, MN
Female, 36
I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.
I'm not sure where you live, but I would start by talking to your infectious disease specialists for any good referrals. You should also check the website of any major local university hospital systems, as they may have gynecologists who specialize in patients with HIV. Another good source is the American College of OBGYN website physician finder: http://www.acog.org/About_ACOG/Find_an_Ob-Gyn
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Most of the time, when a baby is coming out so rapidly that you don't have time to make it to the hospital (or are on an elevator), the delivery will happen on its own without any need for assistance. Maternal instinct takes over, and the mother will begin pushing when the right time comes. Once the head is crowning, just try to support the head and body as it delivers. Look around you for something relatively clean to dry off the baby and to keep the baby warm. Newborn babies are not able to maintain their body temperatures initially and can develop hypothermia very quickly. The best way to keep them warm is to put them directly skin-to-skin on the mother's chest and cover both up with something dry. If you have a shoelace, you could tie off the umbilical cord. Hopefully by then, help will have arrived!
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I recommend you discuss any medication concerns with your physican.
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A baby's gender cannot be identified by HCG and AFP results. The only tests that can identify a baby's gender at this time are ultrasound, amniocentesis, CVS, or a test for fetal free DNA. Unfortunately, I am not able to interpret a baby's gender based on the information you have given me.
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The only way to be certain would be to perform paternity testing after the baby is born.
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So, as I said, in order to graduate from medical school, you have to complete 4 years of college followed by 4 years of medical school. At that point, you choose your specialty. ObGYN happens to require 4 years of training. Once you have completed residency, if you wanted to change specialties, you would have to repeat a residency in whatever field you have chosen. General surgery requires 5 years, cardiology can require up to 6-7 years, neurosurgery 7 years, etc. It is generally an unattractive prospect to have to go back and retrain for anywhere from 3-7 years when you are already in your mid-30's, so most people aren't willing to do this. But, again, if you are unhappy with your job, you have to find the job that brings you fulfillment.
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The cost of an IUD removal will vary between different offices, but costs approximately $200. It should only take a few minutes and is much less painful than an IUD insertion. Very rarely, the IUD strings are not visible, and the procedure may be more uncomfortable or invasive.
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