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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).

  • Does consuming your own placenta after childbirth deliver the benefits some celebrities claim?

    Are you aware of the latest trend in childbirth? Several Hollywood celebrities have claimed recently that consuming their own placenta after the birth of their child was wildly beneficial to their health. Just how was it beneficial to their health? The claimed benefits include: improved iron levels, hormone levels, lactation, sleep, energy, reduced postpartum bleeding, and a reduction in the “postpartum blues,” a self-limiting form of depression. This practice has been observed in other mammals and human cultures, giving those who advocate this trend a reason to believe in such benefits.

    What exactly is placentophagy?

    First, let’s discuss the role of the placenta. The placenta is an organ made from the cells of the embryo, which supplies the fetus with all of the necessary elements to grow and develop. It is essentially the fetus’s source of nutrition, respiration, protection, and most function for 280 days during pregnancy, as well as during labor and delivery.

  • 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.

  • 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.

  • 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.

  • High blood pressure occurs in 20 percent of pregnancies

    Written by Dr. Torre Halscott, Senior Resident, OB/GYN

  • 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

  • Does your child need the Hepatitis B vaccine?

    Written by David Sunnenberg, pediatric hospitalist at Arnold Palmer Hospital

  • Summer is coming!

    As a child, those three words thrilled me to no end. As a parent, if I’m being honest, they bring anxiety, stress and frustration. My son attends a local public school. The 2014 summer vacation stretches on from June to August for TEN WEEKS. It’s wonderful for the kids, but for me it means TEN weeks that my husband and I have to arrange to take time off of work, beg family to come babysit, and find suitable summer camp options for our son to attend. My husband and I both work full time, so neither of us are available to be home everyday. It’s not easy.