Dr. Lori Gore-Green | Women's Health Professional

Dr. Lori Gore-Green's Portfolio of Experience as a Women's Health Professional

What to Know About Epidurals

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Epidurals are a commonly used medical intervention for pain management, particularly during childbirth and certain surgical procedures. Understanding the basics of epidurals can help individuals make informed decisions about their healthcare. Here’s what you need to know about epidurals:

Administration:

An anesthesiologist or nurse anesthetist typically administers epidurals. A needle inserts a small, flexible catheter into the epidural space. The catheter allows continuous medication administration, ensuring a more sustained pain relief effect.

Common Uses:

Epidurals are commonly used during childbirth to manage labor pain. They can also be employed in other medical situations, such as certain surgeries, chronic pain management, and relief from severe back pain.

Childbirth Epidurals:

In the context of childbirth, epidurals are often chosen by women seeking relief from the intense pain of labor. The procedure is generally performed when the cervix is dilated to a certain extent. While epidurals are highly effective in providing pain relief, they may slightly prolong the labor process in some cases.

Risks and Side Effects:

As with any medical procedure, epidurals might have unintended consequences and hazards. A dip in blood pressure, headache, itching, and, in extreme circumstances, nerve damage are a few of these symptoms. Anyone must think about getting an epidural to address these possible dangers with their doctor.

Timing and Decision-Making:

The decision to opt for an epidural is a personal one and may depend on various factors, including the individual’s pain tolerance, medical history, and birth plan preferences. 

Alternatives:

Although epidurals are a standard option for treating pain, there are other options as well. These might include breathing exercises, hydrotherapy, natural pain relief methods, and intravenous painkillers. Making well-informed decisions that align with personal preferences can be facilitated by talking about these possibilities with medical professionals before childbirth.

Post-Epidural Care:

After receiving an epidural, individuals may experience temporary numbness or weakness in the lower body. Following healthcare providers’ guidance on movement and positioning is essential during this time. Additionally, monitoring for potential complications, such as infection at the injection site, is crucial.

Effect on Mobility:

While epidurals are effective in providing pain relief, they may temporarily affect mobility. Some individuals may experience difficulty walking or standing, particularly immediately after the epidural administration. However, these effects are temporary and subside as the medication wears off.

Understanding the basics of epidurals is essential for individuals facing the prospect of labor pain or other medical procedures. Open communication with healthcare providers, consideration of alternatives, and informed decision-making contribute to a positive epidural experience and effective pain management. Always consult a qualified healthcare professional for personalized advice and guidance based on individual circumstances.

Dangerous Breast Cancer Myths

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Breast cancer is a dangerous disease that will affect roughly 13 percent of women at some point in their life. This makes it the second-most common form of cancer in women. Just like other types of cancer, the disease forms when the cells in the breast start to grow abnormally. Despite the prevalence of the disease, there is still a lot of misinformation out there regarding breast cancer. These are the most dangerous breast cancer myths.

There’s Always a Lump

While a lump in the breast is the most common symptom of breast cancer, they are not present in every case. This is why it is important to get regular screenings. You may think nothing is wrong, but a mammogram can find breast cancer in the early stages. Make sure to look out for the other common symptoms including breast swelling, inverted nipples, and flaky skin around the nipple.

Problem is Almost Solved

There are still a lot of people that think breast cancer is nothing to worry about because it is easily cured. While advancements in science have drastically reduced the death rate associated with breast cancer, it is still the second-deadliest form of cancer in women. A little more than 40,000 women are still dying every year from this horrible disease. A full cure is coming soon, but we are not there yet.

Screenings Are Only Defense

Regular screenings and self-checks at home are great ways to detect breast cancer in the early stages, but they are not your only defense against the disease. You can drastically reduce your chances of developing this disease by living a healthy lifestyle. Obese women are nearly twice as likely to develop breast cancer after menopause as those living at a healthy weight. The regular consumption of alcohol also drastically boosts your chances of getting breast cancer.

No Family History, No Problem

You should not take things lightly just because there is no history of breast cancer in your family. Roughly 85 percent of breast cancer patients have no family link to the disease. Those that do have a family history of breast cancer need to be extra cautious because your risk of developing the disease is nearly double of those without a family link.

What to Know About Forceps Births

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Forceps deliveries are carried out to deliver a baby whose head has become stuck in a bent position or help out when all other methods have failed (e.g., ventouse).

The instruments used for forceps deliveries are called “forceps.” They were originally designed in ancient Greece and consisted of two wooden spoons with handles.

Forceps deliveries are carried out under a general anesthetic, so the mother is asleep and will not feel any pain or pressure on her body.

The forceps are placed over the baby’s head through the vagina. The blades of the forceps are then carefully positioned around either side of the chin, cheeks, top of skull, and forehead. 

Gentle, steady pressure is then applied until they lock into place. The midwife or doctor monitors this by listening to sounds inside the birth canal with a “stethoscope.” It may be necessary to apply more than one pair of forceps to ensure an effective fit, and this can take several attempts if the first attempt is unsuccessful. This type of delivery should only take about 5 minutes.

After the delivery, the midwife or doctor will check that your baby is healthy before you are allowed to wake up and meet your new little one. Forceps deliveries may leave you feeling a bit sore and bruised, and it can take a few days to recover fully from having a general anesthetic.

About 1 in 8 labors need to use forceps, so it is not too unusual. Of those, about 4 in every 100 women will need an assisted forceps birth like this. Delivery by ventouse (suction) is becoming more popular as it usually means no after-effects such as bruising or tearing; however, if this isn’t working, forceps are be needed instead of an emergency Caesarean section (C-section).

Some mothers find the use of forceps frightening from the word go, as it sounds as though they are being forced to have a cesarean section. It may be helpful to think about it as an alternative to a ventouse delivery with no bruising afterward. A good way of looking at it is as a ‘helping hand’ that can make all the difference between tearing and not tearing.

In conclusion, forceps can be a successful instrument, although not always effective. It is much easier for the mother to recover from than an assisted ventouse delivery, but it may pose a risk to both mother and baby if not used properly or if the wrong forceps are used.

A Potential Breakthrough in the Treatment of Endometriosis

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The discomfort in women with endometriosis is painful. It causes inflammation and tissue growth on the outside of the uterus. It’s not just painful. It can also lead to complications with getting pregnant.

Endometriosis is typically treated with hormones and invasive surgery. However, it is a treatment of the symptoms. For patients who suffer continued growth from endometriosis, having multiple hysterectomies or laparoscopy surgeries can be stressful and costly. New studies show that there may be a way to achieve the same results without invasive methods.

What is Endometriosis

Endometriosis is a common condition in women ages 18-35. It is a tissue disorder in the uterus that causes tissue similar to the inner lining of the uterus to grow on the outside. It can become painful and cause irregular menstrual cycles.

Neuropeptide S Receptor 1 (NPSR1)

A genetic study by scientists from Baylor College of Medicine, the University of Oxford, the University of Wisconsin-Madison, and Bayer AG has uncovered the specific gene associated with the disorder. They found neuropeptide S receptor 1 (NPSR1). The researchers inhibited NPRS1 in their mouse models with the use of SHA 68R, a small molecular inhibitor. It reduced the abnormal growth of endometrial tissue outside of the uterus which led to reducing inflammation, pain, and endometriosis.

SHA 68R

The team of researchers sequenced the DNA of 32 families in which more than three women have endometriosis. Cross-referencing the data led the researchers to discover that women with more severe cases of the disease had variants of the NPSR1 gene. SHA 68R is a small molecular structure known to inhibit NSPR1’s expressions

The animal studies done to inhibit NPSR1 from activating were completed by injecting a small solution with SHA 68R. It has promising results as a gene inhibitor. Researchers have stated an excitement to continue their study in genome sequencing. Jeffrey Rogers, Ph.D. and associate professor at the Human Genome Sequencing Center at Baylor, states “This is one of the first examples of DNA sequencing in nonhuman primates to validate results in human studies.”

With future studies, SHA 68R and other NPSR1 inhibitors may make their way to the medical field as nonhormonal and noninvasive treatment options for endometriosis.

3 Myths about Polycystic Ovary Syndrome

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When you are diagnosed with a medical condition that will affect your life, one of the very first things you will do is research it. However, not everything you read online or hear from friends and family are true. Polycystic Ovary Syndrome (PCOS) has a few myths surrounding it. PCOS causes and hormonal imbalance and metabolism problems in women of reproductive age. Women diagnosed with PCOS can experince irregular menstrual cycle, acne, thinning hair, and weight gain. Today, we will be looking at the most popular myths associated with Polycystic ovary syndrome.

Myth #1: You are the reason PCOS happened.

The exact cause of PCOS is unknown, but one thing is for sure, you are not to blame. It is believed that genetics is some of the cause of why a woman may have PCOS. PCOS produces more androgens, make hormones, which can make it difficult for women to have regular periods or ovulate all together. Women with PCOS also produce an excess of estrogen, female hormones that can cause a build-up of the lining of the uterus which may cause uterine cancer. Other scientists believe that insulin can play a role in the body’s androgen production. It is also noted that women that have mothers and sisters who have PCOS are most likely to have PCOS too.

Myth #2: If you lose weight, you can lose PCOS.

As of right now, there is no cure for PCOS. Women who are overweight and obese can balance their hormone levels by losing weight, but it isn’t a cure. Many treatment options for PCOS focuses on managing symptoms rather than making the issue disappear altogether. Treatments for PCOS usually encourage lifestyle changes such as eating healthy and exercising regularly.

A great treatment option is taking birth control pills. The bills will help to regulate your menstrual cycle as well as reduce your androgen levels. There are also fertility medications that you can take that will help to stimulate ovulation when you want to get pregnant.

Myth #3: PCOS is a rare condition.

You will be surprised to know that about five to 10 percent of U.S. women have PCOS. Meaning that this condition affects about 5 million women, making it one of the most common hormonal endocrine disorders among women of reproductive age.

Unforealty, not a lot of women know that they have this condition. According to the PCOS Foundation, less than half of all women with PCOS are diagnosed correctly. There are millions of women out there who may be unaware that they have this condition.