Frequently Asked Questions (FAQs)

We know that when you leave our office you may have questions you want to ask your doctor or nurse practitioner. For this reason, we created FAQs that include some of the most common questions regarding pregnancy and gynecology. We believe ACOG (American College of Obstetrics & Gynecology) is an excellent resource to answer many of your questions and learn more about your health. Please visit any topics you are concerned about on the left hand side of the page. You can also call our office or ask your doctor or nurse practitioner at your next visit to discuss what you’ve learned.

One of the biggest concerns people face when visiting a doctor is how much an appointment will cost and if the insurance will in fact help cover all or at least some of the payment.

While we would like to offer comprehensive detailing of every insurance plan from every provider and how they work with us, the reality of health insurance is that each plan is nearly as unique as each patient.

Our relationship with you is as your healthcare provider. It’s your responsibility to understand and manage your health insurance. That being said, having all of your insurance information with you and knowing what your insurance covers will make for a much smoother appointment.

You can find our accepted insurances listed below. However, it should be noted that this is not a complete list.

If your insurance is not listed, contact your insurance to determine our participation in the network. Likewise, if you have recently changed your insurance or plan, please inform the receptionist or our billing office of the change to ensure the correct company is billed.

If you have any further billing questions, please contact our billing coordinators by calling 225-201-0505 and enter extension 204, 207 or 256.

Accepted insurances include the following but are not limited to:

  • Aetna
  • Blue Cross
  • Cigna
  • Gilsbar
  • Humana
  • Humana Gold
  • Meritain Health
  • Medicaid (OB only w/ no private insurance)
  • Medicare
  • Multiplan Network
  • People’s Health
  • PPO Plus Network
  • PHCS Network
  • Tricare (Standard)
  • United Healthcare
  • UMR

Breastfeeding is one of the most important things that you can do for your baby, and it can also be one of the most difficult, yet most rewarding, processes that you will ever go through. There are many benefits of breastfeeding for both you and your baby.

Benefits for your baby include:

  • Increased bonding time between mom and baby
  • The appropriate amount of nutrients and the addition of antibodies.
    • This helps aid in digestion and the antibodies help fight infection
  • Breast-fed babies have decreased rates of ear infections and diarrhea.
  • Breastfeeding decreases the risk of necrotizing enterocolitis (a disease that affects the gastrointestinal tract in preterm infants), lower respiratory infections, asthma, obesity, and type 2 diabetes.

Benefits for mom include:

  • Increased bonding time between mom and baby
  • Weight loss
  • A decrease risk of type 2 diabetes, breast cancer, ovarian cancer, and postpartum depression.
  • Breastfeeding can also save time (there are less bottles to sterilize and get ready) and money (formula and feeding supplies can cost well over $1,500 each year).

Did you know?

The Affordable Care Act requires most insurance plans to cover the cost of a breast pump as part of women’s preventive health services. You can talk to your insurance company about its coverage. If you are covered, let your doctor know so we can provide a prescription for you.

Read more at:

Why breastfeeding is important?

Woman’s Hospital Breastfeeding information

Tips for breastfeeding moms

Breastfeeding it’s only natural

Breastfeeding-Healthy Children

If you are breast-feeding and have questions, please contact the hospital lactation department.

Woman’s Hospital offers the following:

  • Classes and Support Groups:
    • We have all the tools and education you need to breastfeed successfully. At Woman’s, our staff is eager to help and support you through your breastfeeding journey.
    • We offer a variety of breastfeeding education classes, support groups, and convenient personal consultations with our lactation specialists.
  • “Warmline:”
    • Woman’s Breastfeeding Warmline provides free lactation phone consultation and troubleshooting advice from a registered nurse.
    • This service is available to the entire community by calling 225-924-8239. For an after-hours emergency, call 225-924-8286.

Breastfeeding is one of the most important things that you can do for your baby, and it can also be one of the most difficult, yet most rewarding, processes that you will ever go through. There are many things that can affect breast milk production and each woman’s supply can be affected by something different. Breast milk production amount can also vary in subsequent pregnancies, so even if it did not work for one pregnancy, be sure to give it a try on the next one.

Ways to increase supply are:

  • To increase the frequency of feedings
    • in the beginning you should be putting baby to breast every 2 to 3 hours, even throughout the night, even if baby is sleeping
  • Make sure to continue prenatal vitamins, increase fluid intake (try to avoid caffeinated products), and insure adequate caloric intake.
  • Stress and fatigue can take a toll on breast milk production, so make sure to try and nap when baby is napping.
  • Some over the counter help includes Fenugreek three capsules three times per day and Mother’s Milk Tea three to five times per day. A prescription drug called Reglan can be taken at doses of 10mg three times per day. Discuss with your doctor and see if this medicine could be right for you.
  • Avoid antihistamines because these can cause your milk supply to decrease.

If you are having other breastfeeding issues please visit the following for more information:

Breastfeeding Problem Solving

Common Breastfeeding Challenges

Yes. There are many methods of birth control, presenting with their own unique benefits and risks. Types include birth control pills, a birth control patch, the NuvaRing, Nexplanon, Depo Provera injection, Mirena IUD and Paragard IUD. Discuss with your healthcare provider about which method may be best for you. To read more about different contraception option please click here

Begin your new pills on the first Sunday after the first day of your menses (the first Sunday after the first sign of bleeding). Always use backup protection for one month.

The pill may make your cycle longer, shorter, or occasionally you may not have a cycle at all.

If you begin to bleed when you are not supposed to be bleeding, continue your pills. Stopping the pills may make the bleeding worse. Look back at the package to make sure you have taken all of your pills through today.  If you have not missed any pills, call your doctor, but please do not panic. This can be a normal side effect.

Double up if only one or two pills have been forgotten. If more than two pills have been missed, you should wait until you have another period, and then restart the pills. Remember you should use backup protection for the first month of taking your pills.

There are no studies documenting weight gain on the pill. Equal numbers of people gain and lose weight on the pill. You may experience fluid retention, but this should not account for greater than five pounds. The newer pills have fewer side effects.

The pill can aggravate some migraine headaches, especially if you have a history of migraines. There are a few potential remedies so be sure to ask your doctor. Mood swings can be a side effect of the birth control pills, however sometimes the pills may help alleviate mood swings by keeping your hormones at a steady level. Each type of birth control pill will have its own effects, so you may need to try a few to see which one works best for you.

Decreased libido can be a normal side effect of the pill.

No. The pills of today are much lower in the amount of hormones, therefore reducing side effects.

Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes. It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is of a normal size and shape. All of these problems can lead to infertility and pregnancy problems.
HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked. HSG is not done if a woman has any of the following conditions:

  • Pregnancy
  • Pelvic infection
  • Heavy uterine bleeding at the time of the procedure

For additional information, please click here Hysterosalpingography

Colposcopy is a way of looking at the cervix through a special magnifying device called a colposcope. It shines a light into the vagina and onto the cervix. A colposcope can greatly enlarge the normal view. This exam allows the health care provider to find problems that cannot be seen by the eye alone.

Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Colposcopy provides more information about the abnormal cells. Colposcopy also may be used to further assess other problems:

  • Genital warts on the cervix
  • Cervicitis (an inflamed cervix)
  • Benign (not cancer) growths, such as polyps
  • Pain
  • Bleeding

Sometimes colposcopy may need to be done more than once. It also can be used to check the result of a treatment.

For additional information, please click here Colposcopy

NovaSure endometrial ablation is a quick non hormonal procedure that is used to treat heavy bleeding. Novasure is designed to remove just the uterine lining (the endometrium) which is the part of your body that causes heavy bleeding. This procedure can be done in an outpatient setting and you can go home the same day.

For additional information please visit the Novasure website

If you have an abnormal cervical cancer screening result, your health care professional may suggest that you have a loop electrosurgical excision procedure (LEEP) as part of the evaluation or for treatment. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop that acts like a scalpel (surgical knife). An electric current is passed through the loop, which cuts away a thin layer of the cervix.

For additional information, please click here Loop Electrosurgical Excision Procedure (LEEP)

Hysteroscopy is used to diagnose or treat problems of the uterus. A hysteroscope is a thin, lighted telescope-like device. It is inserted through your vagina into your uterus. The hysteroscope transmits the image of your uterus onto a screen. Other instruments are used along with the hysteroscope for treatment.

For additional information, please click here Hysteroscopy

D&C is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus. This instrument is used to remove tissue from the inside of the uterus (curettage).

D&C is used to diagnose and treat many conditions that affect the uterus, such as abnormal bleeding. A D&C also may be done after a miscarriage. A sample of tissue from inside the uterus can be viewed under a microscope to tell whether any cells are abnormal. A D&C may be done with other procedures, such as hysteroscopy, in which a slender device is used to view the inside of the uterus.

For additional information, please click here Dilation and Curettage (D&C)

Sonohysterography is a special kind of ultrasound exam. Fluid is put into the uterus through the cervix using a thin plastic tube. Sound waves are then used to create images of the lining of the uterus. The fluid helps show more detail than when ultrasound is used alone. This test can be done in your OB-GYN’s office, a hospital, or a clinic. It usually takes less than 30 minutes.

Sonohysterography can find the underlying cause of many problems, including abnormal uterine bleeding, infertility, and repeated miscarriage. It is able to detect the following:

  • Abnormal growths inside the uterus, such as fibroids or polyps, and information about their size and depth
  • Scar tissue inside the uterus
  • Abnormal uterine shape
  • Problems with the lining of the uterus
  • Whether the fallopian tubes are open or blocked

For additional information, please click here Sonohysterography

Ultrasound is energy in the form of sound waves. During an ultrasound exam, a transducer sends sound waves through the body. The sound waves come into contact with tissues, body fluids, and bones. The waves then bounce back, like echoes. The transducer receives these echoes, which are turned into images. The images can be viewed as pictures on a video screen.

For additional information, please click here Ultrasound Exams

I am interested in having a natural birth, water birth, or finding a midwife. How can I get more information?

As your physician, we provide full support for your childbirth plan. Our group of physicians are willing to work with you individually to provide you with labor options to meet your needs. If you are interested in having a water birth or finding support from a midwife during your labor please visit http://birthcenterbr.com/ . We have partnered with a group of wonderful providers to help provide you with another option for your labor.

Where will I be delivering my baby at?

For any hospitalizations during this pregnancy or when you are delivering your baby, it will be at Woman’s hospital. Please visit their website for more information. You can also take a video tour of the hospital!

Who will deliver my baby?

Our group is composed of seven female physicians.  There is no way of determining when you might go into labor and who will be on call at that time, but our physicians feel comfortable that any member of their team will show you the same compassion and quality of care that they would personally give.

  • After a vaginal delivery, soaking your episiotomy repair in warm water three to four times a day helps promote the healing process. Although this may be difficult at times, please make an effort to soak.
  • After a cesarean delivery, you may clean your incision with soap and water in the shower. Afterwards, pat the area dry and try to keep it as dry as possible.
    • Some red/yellow drainage is normal.
    • If the area becomes red or you begin to run a temperature (>100.5) please let us know.
  • You may experience some constipation after delivery. Try increasing your daily fluid intake. As you become more active this problem will improve.
    • A mild laxative such as Milk of Magnesia or Metamucil is okay in order to avoid straining.
    • It is better to avoid enemas.
    • It is advisable to take a stool softener until there is no more discomfort from the stitches.
    • If problems with constipation or hemorrhoids are severe, please let us know.
  • If you are bottle-feeding, you will probably resume menstruation in four to ten weeks.
  • If you are breastfeeding, you may not menstruate for several months or until after weaning your baby.
  • Remember, although you may feel great, it will take several weeks for your body to heal. Involution of the uterus (womb) involves the process by which the uterus sheds its thickened lining. This causes a considerable amount of discharge called lochia.
  • For the first few days, the discharge contains blood and other cellular debris and is red in color. In ten days or so it is light brown or yellow in color.
  • After several weeks, the discharge will disappear completely. The length of time the discharge persists is variable. Bleeding longer than this is not necessarily abnormal, particularly for breastfeeding mothers.
  • You may experience some “cramps” (after birth pains) for the first few days after delivery. Often they are more severe when nursing. These are a normal part of involution

Postpartum Sterilization

Please refer to contraception FAQ for additional information

Postpartum birth control

Please refer to contraception FAQ for additional information

You have just undergone surgery and now it is your turn to play an important role in the long-term success of your surgical treatment. Surgery and the recovery period can be a difficult time. It is normal to have many questions and concerns. The following guidelines are presented with the goal of helping you recover from surgery and giving you long-lasting satisfaction from your operation.

Notify your doctor or the on call nurse (after business hours) if you experience any of the following symptoms:

  • Temperature over 100.4 degrees for more than 4 hours
  • Prolonged nausea and vomiting
  • Severe pain not relieved by pain medication
  • Excessive vaginal bleeding soaking a pad within 1 hour or less
  • Vaginal discharge with a foul odor
  • Burning, frequency, urgency of urination, or a foul odor to urine
  • Shortness of breath, persistent and/or productive cough
  • Unable to void within 6-8 hours
  • If your incision sites have signs of infection (i.e. hot to touch, redness surrounding the incision, or a yellow or foul smelling drainage)
  • The incision is larger or open

We hope that it is clear to you that successful, long-lasting surgery is a joint effort by both the doctor and the patient. After the surgery is complete, the work of the patient begins. We look forward to helping you have a good recovery. Please feel free to call our office if you have any further questions. We always have a nurse and doctor available to you 24/7

 

  • This includes:

    • Hysteroscopy
    • Dilation and Curettage
    • Tubal sterilization
    • Laparoscopy
    • Uterine ablation
    • Essure procedure
    • Minor vaginal procedures
  • You may bathe either in the bathtub or shower, whichever you prefer 24 hours after your surgery. You may wash your hair.
  • It is important that you do NOT insert ANYTHING (NO SEX, TAMPONS, OR DOUCHING) in the vagina for 2 weeks
  • It is normal to have a discharge, which may persist for several days. If the discharge increases in amount, becomes bright red, contains clots, or smells bad, please call the office
  • If you had a uterine ablation, a thin, bloody discharge is normal after an ablation. If this persists longer than 2-3 weeks or bleeding becomes heavy, please contact the office.
  • If you had a dilation and curettage, it is normal to have some bleeding or spotting for 1-2 weeks.
  • If you had a laparoscopy, an instrument was placed inside the uterus which allows your surgeon to manipulate the uterus so he or she can see behind it.  This instrumentation and manipulation often increases the flow of the first menstrual period after surgery and may also make the cramping more severe.  This does not predict how you will do in the future.
  • You should have been given a prescription for pain medications from your doctor during your pre-op visit or prior to discharge from the hospital
  • Mild nausea is normal from anesthesia. Call the office if vomiting persists after 24 hours
  • You may experience minor pain or soreness for a few days. If the pain persists or becomes severe, please contact the office.
  • You may return to your normal diet
  • Be sure to eat foods that are a good source of protein such as meat, eggs, fish, nuts, and milk, as well as foods that are high in fiber, such as whole grains, fruits, and green vegetables.
  • Drink plenty of fluids.
  • If you need to take a stool softener or mild laxative, you may do so, but call the office if constipation persists
  • May allow soap and water to run over incision after 24 hours
  • Keep incision clean and dry, free of creams, powders, or ointments
  • Wear loose fitting clothing
  • Although your surgery is considered minor, you still need to rest for proper healing
  • You should NOT drive for 24 hours after surgery or if you are taking prescription pain medicine.
  • You should NOT sign any important papers or make important decisions for 24 hours
  • You may resume regular activity the next day, but be sure to rest frequently and avoid strenuous activity for 2 days
  • This includes:
    • Exploratory Laparotomy
    • Hysterectomy
    • Myomyectomy
    • Uterine prolapse surgery
  • You may bathe either in the bathtub or shower, whichever you prefer 24 hours after your surgery. You may wash your hair. You may get your incisions wet. Pat them dry and wear loose fitting clothes.
  • It is important that you do NOT insert ANYTHING (NO SEX, TAMPONS, OR DOUCHING) in the vagina for 6 weeks.
  • It is normal to have a discharge, which may persist for several days. If the discharge increases in amount, becomes bright red, contains clots, or smells bad, please call the office.
  • If you had a hysterectomy, it is normal to have some bleeding or spotting on and off for up to 6 weeks. Some women experience a gush of blood followed by spotting for several hours. This is usually due to a clot or hematoma forcing its’ way through the suture line at the top of the vagina. If bleeding becomes heavy where you are saturating more than 1 pad every hour or less, please call the office.
  • If you had a myomectomy, it is normal to have some spotting or bleeding similar to a period following the surgery. Your first menstrual cycle or period may be heavy as well.
  • You will be given steroids during surgery to prevent nausea. This medication can cause hot flashes the first couple of weeks. These are NOT hormonal hot flashes.
  • You should have been given a prescription for pain medications from your doctor during your pre-op visit or prior to discharge from the hospital
  • Mild nausea is normal from anesthesia. Call the office if vomiting persists after 24 hours
  • If you have an OnQ pain pump, you are to remove it 3 days after surgery or when it’s empty
  • You may experience pain or soreness for a few days. Please take your pain medications as instructed. If the pain persists or becomes severe, please contact the office.
  • You may return to your normal diet
  • Be sure to eat foods that are a good source of protein such as meat, eggs, fish, nuts, and milk, as well as foods that are high in fiber, such as whole grains, fruits, and green vegetables. You need increased calories and adequate nutrition to help the healing process.
  • Drink 8-10 glasses of fluids daily.
  • Begin stool softener (Colace or generic docusate sodium) as soon as you come home. Take a 100mg capsule three times daily.
  • Chew Gum. Recent research has demonstrated that gum chewing makes bowel contents travel through faster.
  • A high fiber diet will also help speed the return of normal bowel function. Adding an over the counter fiber laxative (Benefiber, Metamucil, Citrucel, etc.) twice daily should be sufficient.
  • If you go 3-4 days and still haven’t moved your bowels, take a mild laxative like Milk of Magnesia or Senokot. Repeat every 12 hours till you get results
  • If you are still having problems, please call the office
  • Incisions are closed with either a suture material, dissolvable staples, or an adhesive glue.
    • Please refer to the skin adhesive guidelines listed below.
    • Incisions closed with sutures eventually all dissolve in approximately 2 weeks so you may see some threads there. They do not need to be removed; they will dissolve and fall out on their own.
    • Incisions closed with dissolvable staples will eventually all dissolve in 6-8 weeks. They do not need to be removed.
    • If you have the paper “Steri-strips,” these should be removed 10 days after surgery. May allow soap and water to run over incision after 24 hours and pat dry afterwards
  • Keep incision clean and dry, free of creams, powders, or ointments
  • Wear loose fitting clothing
  • If your incision sites have signs of infection (i.e. hot to touch, redness surrounding the incision, or a yellow or foul smelling drainage) please call the office
  • You may need more rest than normal while you are recovering from the surgery. Plan to lie down and rest at intervals during the day.
  • You should NOT drive for 24 hours after surgery or if you are taking prescription pain medicine.
  • You should NOT sign any important papers or make important decisions for 24 hours
  • We recommend that you limit your activities for a full 6 to 12 weeks after surgery. What exactly does this mean? Anything that increases the pressure inside of your abdominal cavity will place stress and strain on the stitches and repair work in your pelvis and vagina. If enough stress is placed, the stitches and repair can break or be torn down.
  • We recommend that you avoid any activity which will increase your intra-abdominal pressure.
    This includes the following:

    1. Exercise

    At about 1 week, you can begin taking walks. Avoid all exercise other than walking. Begin your everyday activities as soon as you feel up to it. Move around the house, shower, and use the stairs at home during the first week. If it hurts when you do something, stop doing that activity

    2. Lifting

    Do not do any straining or lift anything heavier than approximately 10 pounds for at least the first 3 weeks. This is about the weight of a gallon of milk.

    3. Housework

    Most forms of housework are discouraged during your recovery period. Housework chores are capable of increasing intra-abdominal pressure significantly, so please try to let someone else perform these duties.

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