|How Ob/Gyn is Done at Dr. March's Practice|
Obstetrics and Gynecology
are controversies surrounding many health issues women face today. Dr.
March listens to you and works through these issues with each patient
as an individual, to help her arrive at the plan with which she is
Dr. March is experienced rendering comprehensive women's health care, from the late teen years to menopause and later.
March performs routine obstetrical care and also care for some
high-risk pregnancies (such as diabetes, hypertension, asthma, and
preterm labor to name a few). He performs most ultrasounds right in his
He also provides care for most gyn problems, such as
care for abnormal pap smears and cervical dysplasia (pre-cancer),
contraception, pelvic pain, uterine fibroids, abnormal uterine
bleeding, urinary incontinence, and pelvic support problems (uterine
and vaginal prolapse); in addition to annual gyn check-ups to name a
Thirdly, he provides evaluation and treatment for many infertility problems.
|Surgery - General Info|
Surgery - General Info
What To Expect:
your surgery is a short out-patient procedure, a more involved same-day
surgery, or will require a hospital stay, you are likely experiencing
anxiety and have questions regarding what to expect.
You will discuss these issues at the pre-op visit.
many cases, you will have a "pre-op" visit, where you will sit down
with the doctor and discuss issues about the surgery, risks, and the
expected outcomes. You may expect a physical exam of those body systems
that have not been evaluated recently. (For example, it is important to
diagnose a breast lump prior to proceeding with a surgical procedure in
the next few days.) Bring a list of your current medications to this
It is very important that you take nothing by mouth (no food or water) for at least 8 hours before your procedure.
not take Aspirin or anti-inflammatories like Ibuprofen (Motrin, Advil)
and Naproxyn (Alleve)for 2 weeks before surgery. These inhibit blood
clotting and will make you bleed more during surgery. Tylenol is OK to
take for pain during this time. The doctor will tell you which of your
medicines, if any, you will need to take the day of surgery. Tell the
doctor what medications you take, including the dose and frequency.
PATIENTS STAYING AT THE HOSPITAL, pain and nausea medication through
the IV will usually be ordered. You will restart most of your
medications. The first day is for rest and recovery, although the nurse
will have you deep breath with a spirometer and change positions in
order to expand your lungs and prevent complications. It will be
important to get up and walk by the night of surgery or the following
day. The olden-day complications of pneumonia, blood clots, and bowel
obstruction are usually prevented by early activity. The staff will
assist with activity. Your insurance company usually pays for a certain
number of days for uncomplicated surgery; additional stay will be as
needed based on any complicating factors. At your discharge from the
hospital, the doctor will give recommendations specific for you
FOR OUTPATIENT SURGERY, you will usually be
able to go home 1 to 2 hours after surgery. Someone else should drive
you home, and you should not drive for 24-48 hours after surgery.
Ultrasound - Ob and Gyn
What To Expect:
Ultrasound examinations can be done during pregnancy and to investigate gynecologic problems.
machines use high-pitched sound waves transmitted through tissue to
produce an echo image of the contents of the pelvic organs. By moving
the transducer appropriately, different areas of anatomy in the pelvis
can be visualized. The only discomfort (if any) is from mild pressure
from the transducer.
If it is very early in pregnancy or if
detailed visualization of the ovaries or uterus is needed, a
"trans-vaginal ultrasound" is done. A slender transducer, with a clean
covering sheath, is placed in the vagina to visualize the contents of
the pelvis. KY jelly lubricant is used to make adequate contact between
the transducer covering sheath and the body. If an abdominal scan is to
be performed, the ultrasound conducting gel will be placed on the lower
a prenatal ultrasound examination, we can see whether or not there are
twins, which way the fetus is positioned in the uterus, the location of
the placenta, motion of the fetal heart and limbs, and the amount of
amniotic fluid. Early in pregnancy, measurement of various fetal parts
can be used to estimate fetal age and dates. Later in pregnancy, fetal
growth can be determined. Despite advances in ultrasound equipment,
there are many things that cannot be seen on ultrasound examinations.
While gross fetal or pelvic abnormalities often can be ruled out, there
are many significant but subtle malformations that cannot be seen. An
apparently normal ultrasound does not guarantee a completely normal
outcome. Gestational age, maternal size and low amniotic fluid can
limit how much detail can be seen. Ultrasound often does, however,
provide very useful information to aid in your care.
With gynecologic scans, the size, position, and consistency of the uterus and ovaries, and tumors and masses, can be judged.
|INFLUENZA VIRUS IN PREGNANCY FACT SHEET|
INFLUENZA VIRUS AND PREGNANCY 8/26/2009
- Influenza viral infections cause infections that can be more
severe in certain categories of people, the list of which includes pregnant
- Seasonal Influenza Virus: We recommend immunization against
seasonal influenza virus in our pregnant patients. We typically (but not always)
purchase and receive influenza vaccines during the month of October. This
vaccine is not mandatory and some patients may have lower risk circumstances or
may decline vaccination for any reason. But we follow the Centers for Disease
Control (CDC) recommendations, which recommend vaccinating all pregnant
- If you have access to the vaccine against seasonal influenza vaccine
outside of our office, this is acceptable. Please provide documentation of this
vaccine so we can enter it into our office record.
- Only use the injectable
influenza vaccine in pregnancy. Never obtain the inhaled influenza
- "Novel influenza virus H1N1": This is currently under study. A
vaccine has not been developed as of this writing. If and when it is developed,
it is likely, but not certain, to be offered to pregnant women. The CDC has said
it will likely be given in two doses 21 days apart. Based on limited supply, and
the fact that private purchase will not be allowed, it is quite likely the best
source for receiving this will be the Wake County Health Department. If we can
obtain vaccine for H1N1 virus, and it is cleared for use in obstetrics, we will
make it available to our pregnant patients. Prevention and treatment precautions
are similar to those for seasonal flu virus. Stay
Use frequent hand washing. Cover mouth/nose
when coughing and sneezing. Keep a small bottle of hand sanitizer with you for
frequent use after contacts with other people. Consider using a surgical mask.
Avoid close contact with those who are sick; stay home if you are sick. Avoid
large, hand shaking, hugs, etc in public and in crowded areas as much as
possible. Be careful in close contact areas like working in a nursery or
teaching a class.
With influenza-like illness, it is
recommended to either provide your infant expressed breast milk that is fed to
baby by another person who is well, or nurse baby wearing a mask after thorough
hand washing. Ask your pediatrician for other recommendations regarding the
CALL US IF:
1. You are in close contact with
someone who has (a) laboratory-confirmed or (b) is being treated for suspected
H1N1 influenza virus.
2. You have flu-like symptoms:
a. Temperature more
than 100.4 degrees F or 38 degrees C.
b. AND, respiratory symptoms (cough,
sore throat, etc).
c. Severe, new onset muscle aches, headaches, and other
body aches are common.
3. We encourage those who suspect influenza infection
to obtain testing for seasonal or H1N1 influenza viruses using a facility that
is familiar with pulmonary infections and primary care practice. These practices
and facilities include primary care physicians (PCP or GP), county Health
Department, and Urgent
CARE LINE: 800-662-7030
qualified and well-trained staff is committed to our philosophy of
comforting, assisting and serving our patients. From scheduling, to
reception, to clinical nursing, to insurance and claims, they focus
their efforts on courtesy, respect, helpfulness, competence and
integrity. In addition, they are devoted to expanding their quality of
service through continuing medical education coursework. These are only
several areas of our practice committed to excellence where, we trust,
you will find a pleasant change of pace.
Bridget is our office
supervisor and billing specialist. She has undergone coursework devoted
to medical administration and is committed to our patients and
practice. Need administrative help or billing help? She is the person
Becky is a certified medical assistant. She has
experience in Ob/Gyn in both private practice and academic medicine at
a university medical center prior to joining us.
Jennifer is our
receptionist and the pleasant person who is the entry point into our
practice. If you need to schedule an appointment or find the right
person with whom to speak, she is the right person to contact.