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Group B Strep in Pregnancy

childbirth pregnancy Jun 16, 2021

Wondering what GBS in pregnancy is? How do we screen for Group B Strep? How do we treat GBS during labour?  What effects GBS has on your newborn?  

Well today's podcast is for you! 

Did you know that 15-40% of pregnant people have Group B Strep in their perineal region at time of delivery? 

Historically this bacteria has caused significant illness in babies including: 

  • Septicemia (blood infections)
  • Meningitis (nerve and brain infections)
  • Pneumonia (lung infections)

1-3% of term babies who contract GBS die, and 20-30% of preterm babies who contract Group B Strep die.  This is too high!! So we recommend a few things. 

1) Screen all pregnant people around 35-36 weeks of gestation (or earlier if they present in threatened preterm labour). 

2) Treat all people who screen + for GBS with intravenous antibiotics during labour. 

3) If people present and have not been screened, then treat based on risk factors. 

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VBAC - How Do I Decide???

childbirth vbac May 22, 2021

VBAC

Curious about your birthing options after having had a previous cesarean section?

We have you covered! For most women, you can either elect to have another cesarean section or you can opt for a Trial of Labor After Cesarean Section (aka TOLAC) in hopes of having a Vaginal Birth After Cesarean Section (aka VBAC). 

Below you will find a quick summary of our podcast where Drs. Sarah and Alicia discuss the benefits and risks of TOLACs and VBACs.  But, please subscribe and listen to the podcast below to hear all the juicy details! 

So, you may be wondering, who would make a good candidate for a TOLAC? In general, you would be a good candidate for a TOLAC if you had a previous cesarean section for the following reasons: 

  1. Baby’s position (i.e. breech position or if your baby was looking up, as opposed to down to the ground) 
  2. Poor placental position (i.e. if the placenta was lying over the cervix) 
  3. Distressing fetal heart rate (too fast or too...
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Diastasis recti in pregnancy - what it is, why it happens, and what we can do about it!

 

Diastasis Recti:

 

Diastasis Recti is a separation of the rectus abdominus muscles, that run up and down in our abdomen, known as the “six-pack” muscles.  It occurs during pregnancy due to stretching from a growing uterus and baby and a weakening of the connective tissue that holds them together.

 

Did you know that all women at term have a Diastasis recti??? Does that mean it is going to continue postpartum?…no…

 

Kim Vopni, The Vagina Coach, joins me on our podcast to discuss the importance of training for birth, just like any major life event, such as a marathon, and how this can improve our outcome when it comes to Diastasis.

 

We discuss the risk factors, how to diagnosis diastasis,  and what we can do postpartum to help improve it!

 

We also discuss her amazing course, Prepare to Push, and how she educates pregnant women about their anatomy, and gives exercises to help strengthen their core, pelvic floor...

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Gestational Diabetes in Pregnancy

 

Gestational Diabetes

 

Gestational Diabetes is defined as Diabetes occurring during pregnancy, that was not present prior to becoming pregnant. In our most recent podcast, we discuss gestational diabetes tips and gestational diabetes diet.  We also review what are the risk factors for gestational diabetes and how your baby can be affected by gestational diabetes.  Here is a quick review of what we cover, but be sure to listen to our podcast to get more information on all of these areas around gestational diabetes in pregnancy. 

If you want to create a birth plan get our free download here! 

The major hormone involved in diabetes is Insulin. 

 

During pregnancy, our tissues become less sensitive to insulin, which means our body needs to secrete more and more of it to have the same effect.

 

We don’t understand entirely why this happens in Pregnancy, but it is related to hormones produced by the placenta, and also partly by other...

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