Coordination of Primary Care

 

By Jeanne Novas, MD 

A recent study shows poor coordination of primary care in the US, twice as high as in other countries. This is thought to be due to the growing use of “institutions” to provide care, as opposed to a personal physician who knows you and your history. Another reason we encourage annual check-ups for our patients, and diagnose and treat many general medical conditions, often earlier than the general doc. And if you ask us about your 16 year old daughter who is having trouble with their cycles, that's OK too.

We are here for you and your family, and we encourage continuity of care, including emergencies. Be wary of those practices being “bought out” by larger institutions or those who use other groups for coverage. They will not follow through in that time of need – and ordered services are often ordered through the hospital and thus more expensive.

Keep your annual visit with Novas Dohr and Coll, and keep your doctor for better continuity of care.

– Jeanne Novas MD

 

New Recommendation Regarding Fish Consumption For Pregnant Women and Young Children

By Jeanne Novas, MD 

The FDA and EPA just came out with a new recommendation regarding fish consumption for pregnant women and young children. Eating fish is the only PROVEN beneficial source of DHA, for those of us who try supplements as a second choice.

It is recommended that pregnant women AND young children eat 2-3 servings per week of the following fish: shrimp, pollock, salmon, canned light tuna, tilapia, catfish and cod.

Fish to be AVOIDED due to high mercury levels are: tilefish, shark, swordfish, orange roughy, big eye tuna, marlin and king mackerel.

Fish consumption has been shown to be beneficial in neural development, as long as fish high in mercury are avoided.

We urge our patients at Novas, Dohr, Coll OB/GYN Associates to follow these recommendations.


 

Great News!

Julie Dohr MDby Julie Dohr, MD

We have recently been awarded reaccreditation by the American Institute of Ultrasound in Medicine for OB/GYN. 

We are the only Obstetrics and Gynecology practice in Barrington who achieved this certificate. We have been accredited by AIUM since 2002.

We believe that ultrasound is an extremely useful tool in Obstetrics and Gynecology. It has advanced our ability to diagnose conditions that can improve your fertility, and can help guide our patients through successful pregnancies.

In gynecology we call it “An extension of our hand”, as we can use it to discover treatable conditions of your uterus and ovaries.

If you are having any pelvic pain or bleeding problems, or difficulty getting pregnant ask your doctor if an ultrasound would help.


 

Let Us Help You Track Your Endometriosis Pelvic Pain

Julie Dohr MDby Julie Dohr, MD

The burden of endometriosis affects a woman's livelihood. Studies show that women with pelvic pain from endometriosis may lose a quarter of their work week. If you are unable to go to work because of pelvic pain during your period and other times of your cycle, it may be due to endometriosis. The pain may be so severe that it is difficult to get out of bed, let alone go to work and be productive. In 2010, US endometriosis patients were hospitalized for 105,123 days for their disease.

1 out of 3 patients have a hard time expressing how much pain they are in.

If you experience: severe cramps at the time of your period, pelvic pain at other times of the cycle, or pain with intercourse, you could have endometriosis.

These symptoms can disrupt work and home lives and contribute to emotional suffering.

Please talk to one of your doctors about your pain and we can help pinpoint the cause.


 

 

Long-Acting Reversible Contraception

Vidhi Gadson MDVidhi Gadson, MD

Want the most effective method of birth control without the every day, every week, or every month hassle of remembering and worrying?

Then long-acting reversible contraception (LARC) methods may be the answer for you. These methods include the intrauterine device (IUD) and the birth control implant. 

Facts:

  • If pregnancy is desired or you want to stop using this method, it can be removed ANY time.
  • Fewer than 1 in 100 women using an IUD or an implant will become pregnant. This rate is in the same range as that for sterilization.
  • Long-term studies show overall LARC is more effective than birth control pills, the patch, or the ring.  
  • Once it is in place, you do not have to do anything else to prevent pregnancy.
  • No one can tell that you are using birth control.
  • It does not interfere with sex or daily activities.    

LARC has been backed by the American College of Obstetrics and Gynecology and your doctors at Novas, Dohr, Coll OB/Gyn Associates.

Ask us about LARC at your next annual visit, or sooner, if this sounds like the right method for you!


Did you know?

 

by Jeanne Novas, MDby Jeanne Novas, MD   


Drs. Novas, Dohr and Coll offer the most thorough genetic testing during your pregnancy, as recommended by the American College of Obstetrics and Gynecology. In office-ultrasound Nuchal Lucency testing at 12 weeks can detect cardiac defects, cystic hygroma, and identify pregnancies at higher risk to tailor care accordingly.

In most other practices, patients have to be referred out for this level of evaluation, and not all patients are given that option. We also counsel our patients on the cell free DNA testing, which can find fetal cells in Mom's bloodstream at 10-12 weeks and even confirm the sex of the baby! Certain carrier genes can also be tested. We work with the labs for these tests so you can receive them at a reasonable cost. Sequential testing at 12 and 16 weeks is also done for those who decline the cell free DNA testing. These are tests that allow us to perform early diagnosis and provide the best care to you through pregnancy.

We also do amniocentisis for certain high risk pregnancies or by patient choice. Very few OBGYN groups are offering this level of care, and patients are not aware of this. Many practices may say they offer patients testing, and then refer them outside of the practice at a greater cost and inconvenience to the patient. These are optional tests, and we have many patients who benefit greatly from this level of care.


 

OB Trends

Jeanne Novas MD Jeanne Novas, MD 

Have you noticed?

National data now show pregnancies and deliveries among women in their teens to early twenties are WAY down. This is thought to be due to social changes, IUDs, and better education on birth control.  We are delaying our pregnancies!

At the same time, 30-45 year old deliveries are WAY up – double the rate.  This results in a lot of high risk just due to age, increased obesity, and infertility as well – treated with in vitro fertilization.  This means a much higher cesarean section rate, complications, less successful use of midwives and natural childbirth, and more pitocin.

We at Novas, Dohr and Coll OBGYN can definitely confirm this trend in our practice.  The overall delivery rate is very slightly down – the main change is delayed childbirth and increasing complications with good outcomes, thanks to good OB care. 

Make sure you’re getting good OB care!


Introducing Volbella!

Dympna Coll MD Dympna Coll, MD 


If you've longed for lip augmentation but were afraid of an unnatural look, it is now time to consider Volbella. Juvéderm Volbella® XC is the new lip filler approved by the FDA. Volbella was developed specifically for the lips and mouth area. It is a smooth gel that uses the latest Vycross technology. It contains hyaluronic acid which attracts and retains moisture and increases lip fullness.

When injected Volbella gives a soft and natural feel that can last for up to one year. Inclusion of lidocaine helps to reduce the discomfort associated with lip augmentation. Call today and schedule a consultation for a new way to make your lips fuller and more attractive.


 

Preventing Tears in Childbirth

Julie Dohr MDby Julie Dohr, MD

Decrease your chances of tearing and having severe tears at the time of birth!  

What you can do:

  • Start doing perineal massage daily at 34 weeks. Ask your doctor to show you how
  • Warm compression on the perineum when you are pushing.  Ask your nurse to do this for you!
  • Mild perineal massage by your doctor when you are pushing
  • Ask your doctor not to perform a routine episiotomy

These techniques have been backed by the American Congress of Obstetricians and Gynecologists, and your doctors at Novas, Dohr and Coll OB/GYN Associates.

Ask us at your next OB appointment!