Capital Women's Care, Division 49

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How long does an induction of labor take?

It depends on how many babies a patient has had in the past, how big the baby is, and especially if the cervix is "favorable". That refers to whether the cervix is dilated, soft, thinning ("effaced"), and what position it is in. If we have to do an induction with an "unfavorable" cervix for medical reasons, we use various methods to "ripen" the cervix over the course of 1, 2 or sometimes even 3 days. Once the cervix is ready, we start contraction medication (oxytocin) to stimulate the uterus to go into labor. Once 6 cm is reached, that is called "active" labor. Pushing begins at 10cm. The key to avoiding a cesarean section is patience with the process and knowing what to expect.

Elective inductions are done without a medical reason, but are much more likely to be successful with a favorable cervix in someone who has already had a vaginal delivery before. They are not done less than 39 weeks of gestation.

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When do I go home from the hospital after my child's birth?

Many of our patients are interested in an early discharge from the hospital if they are doing well and their baby is cleared by the Pediatrician to go home. Normally patients stay for two nights after a vaginal delivery and three nights after a Cesarean section. If there are medical conditions present that prevent this, you will naturally be informed during the course of your stay. However, if you are low risk and feeling like you have good support at home, you may be able to go home after only one or two nights after a vaginal or surgical delivery. If you think you'd be interested in an early discharge, please let the physicians/midwives and nurses know so that we can expedite the discharge process including education, lab tests, circumcison and other procedures, car seat challenge, etc.

RSV Vaccinatioin

Since September 28, 2023 it has been the recommendation of the CDC to vaccinate pregnant women who are between 32 and 36 weeks pregnant during the RSV season (Sept to Jan) in order to provide some passive immunity to newborns through their mothers' shared antibodies. This is similar to the protection afforded newborns by thier mothers' taking the Tdap, Covid and Flu vaccines in pregnancy. Babies can't get all their vaccines immediately after birth, and their immune systems often require multiple series of vaccinations to be given before they are fully immune. Mothers sharing their immunity in the early weeks of their babies lives helps to prevent many potentially life-threatening infections, particularly RSV, which is responsible for 90% of newborn hospitalizations. We encourage our patients to avail themselves of the Abrysvo vaccine at their local pharmacy if they fall into the appropriate age/seasonal range.

For those moms who lost a baby along the way or who tried to have a baby but couldn’t, we know Mothers Day is a tough time for you. Let us know if you need help with processing your feelings.

https://www.mdedge.com/internalmedicine/article/259843/pulmonology/us-flu-activity-already-mid-season-levels?ecd=WNL_eve_221130_mdedge

U.S. flu activity already at mid-season levels Nationally, 6% of all outpatient visits were because of flu or flu-like illness for the week of Nov. 13-19.