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  • Dr. Judith Simms-Cendan disproves common myths about the use of birth control pills

    As an adolescent gynecologist, I prescribe birth control pills (BCPs) for a variety of reasons often unrelated to sexual activity, such as treatment of irregular, heavy or painful menses. I try to be very diligent about counseling about possible side effects such as headaches and nausea, or breakthrough bleeding, especially if they are not taken correctly. Also, some patients have real medical reasons why they should not take BCPs, usually because they have a reason why they cannot take estrogen. I routinely discuss the risks and benefits of taking any medication with my patients, but there is probably no medication that is surrounded by as many pre-conceived ideas as the birth control pill. In this blog, I’m going to address two of the most common fears of taking BCPs, and the good evidence that we have after 50 years of their use. Right up front, you should know that I receive no money, lunches, pens or any other form of incentive from any pharmaceutical company, and I am not invested in any pharmaceutical company, so there is no conflict of interest here.

    Myth 1: I have a high risk of a blood clot if I take birth control pills.

    For years we have known that taking BCPs increases the risk of blood clots, but that increase is relatively very small. To have a better understanding, it is important to understand our risks from other activities; for example 1 in 5,000 of us will die from a car accident each year. In the United States the risk of dying in pregnancy is 1 in 8,700 pregnant women each year. Meanwhile the risk of death from BCPs in a non-smoker under the age of 35 is 1 in 1,667,000 (ibuprofen, acetaminophen are much riskier).

  • Emergency contraception: what every parent of a teenager should know

    In the United States, recent news about teenage sexuality is promising. Fewer teens are having sex, down 3% since 2001. Approximately 44% of girls have sex before they graduate high school according to the 2011 data from the Florida Youth Risk Behavior Survey of high school students. Teen pregnancy rates are also falling; there has been a 48% decline in teen pregnancy rates since 1988, probably due to a combination of fewer teens having sex, better long-acting contraception options such as DepoProvera, and condom use by teens. In spite of this great news, the United States still has one of the highest rates of teen pregnancy among developed countries. Nearly 80% of teen pregnancies are unplanned, a result of contraception failure or nonuse, according to the American Academy of Pediatrics (AAP).

  • Bed rest: When is it necessary?

    There are many recommendations for pregnant women that have little scientific evidence to support them. For example, eating dry saltine crackers followed by a sip of water to prevent and treat morning sickness. Or playing classical music to soothe the unborn baby. Or not lifting one’s hands over their head to prevent umbilical cord entanglement. These are unproven recommendations, but have little risk and are inexpensive, so many pregnant women will embrace them during their 40 weeks of pregnancy.

  • An interview with the most influential person that shaped my experience at Winnie Palmer Hospital: My labor nurse

    Winnie Palmer Hospital is a special place to me because it is where both of my children were born. In December of 2009, my husband and I welcomed a beautiful baby girl. Although it took me nearly four years to convince myself to go through it all again, we welcomed a sweet little boy this past August.

  • Is CrossFit safe when you’re pregnant?

    Over the past several years, ultra-intense exercise programs have become increasingly popular. From P90X to INSANITY to High Intensity Interval Training (HIIT), it seems there’s no shortage of fitness gurus promoting the benefits of fast, high-intensity workouts designed to push your body to the limit.  Arguably, one program stands out among the rest as the most popular and most intense of the bunch: CrossFit. Once an underground fitness movement mostly practiced by elite military units and die-hard fitness fanatics, CrossFit is now a mainstream phenomenon that’s attracted hundreds of thousands of followers, from Hollywood A-listers to everyday working professionals. Increasingly, CrossFit has also become a trendy way for expecting women to stay in shape during their pregnancies. Unsurprisingly, it’s led many people to wonder if CrossFit and programs like it are safe for moms-to-be.

  • Is it safe to get the flu shot when you're pregnant?

    Answered by Dr. Jessica Vaught, Director of Women's Services, Advanced Gynecologic Surgery and Pelvic Medicine, Winnie Palmer Hospital

  • Why codeine isn’t a good medicine for your child

    We never really plan a trip to the emergency room. We don’t anticipate our children falling off their bicycles and breaking their arms or our babies waking up screaming in pain in the middle of the night. But, it happens sometimes. And when it happens to you (like it does to every parent at some point or another), here’s something important you should know.

    Medicines containing codeine aren’t the best option for your child.

    Codeine is an opioid medication that has been used in children and adults to relieve mild to moderate pain and also to help relieve coughing. You may have seen it in the form of Tylenol with codeine, Tylenol #3, Robitussin AC, Guiatuss AC and many other combinations. For a more complete list of brand-name products, check here.

  • Learning to slow down and enjoy quality time with my son

    About two weeks ago, my 8-year-old son was feeling yucky. The excessive amounts of pollen floating in the air caused his nose to get stuffy, his throat and head to hurt, and his eyes to water. We gave him a day off from school to rest. On that day, he lay down on my bed to chill out. He wasn’t really tired enough to fall asleep, but at the same time, didn’t really feel up to doing much of anything. I lay down next to him.  We talked a little, I stroked his hair, handed him tissues.  It was the first time in a long, long time that we were still together, not doing anything. Despite the fact that he wasn’t feeling well, it was really nice. It reminded me of when he was really little, and I realized that I missed doing that with him.

  • Is your child lactose intolerant?

    Lactose intolerance is a common problem that affects millions of people worldwide. It tends to affect certain ethnic groups more than others, and occurs more frequently in black, Hispanic, Asian, American Indian and Ashkenazi Jewish people.

    What is lactose intolerance?

    Lactose intolerance is when your body can’t digest lactose, a sugar found in milk and milk products. In order to properly digest lactose, the enzyme lactase must be present within the small intestine. Those who don’t have enough of the enzyme lactase have trouble digesting lactose, which leads to a variety of symptoms such as abdominal pain, bloating, nausea, cramping or diarrhea.

    Know the difference between lactose intolerance and milk allergy

    Lactose intolerance is not an allergy. Some children do have an allergy to the protein found in cow’s milk, but this is entirely different than lactose intolerance. Allergies involve an overactive immune system, and a milk allergy can result in damage to the digestive tract over time. Lactose intolerance is a deficiency in lactase and doesn’t involve the immune system. While lactose intolerance can be very uncomfortable, it doesn’t usually cause damage to the digestive tract.

    Symptoms to look for in your child

    The symptoms of lactose intolerance can occur suddenly, but more often develop over time. If a child experiences abdominal pain, gas, nausea, bloating or diarrhea after consuming milk or dairy products, lactose intolerance could be to blame.

  • What you need to know about e-cigarettes

    R.J. Reynolds Corporation (makers of Camel cigarettes) knew as early as the 1970’s that almost 90 percent of smokers start to smoke before the age of 18. In fact, Reynolds’ marketing vice president wrote that “ represent tomorrow’s cigarette business. As 14-24 age group matures, they will account for a key share of the total cigarette volume for at least the next 25 years.” He wanted to make “direct advertising appeal to the younger smokers” and Joe Camel came to life as a carefully crafted cartoon rocker. Camel sales to young people skyrocketed.