faqs

We know that when you leave our office you may have questions you want to ask your doctor or nurse. Because of that, we created this FAQ that includes some of the most common questions regarding pregnancy and gynecology. We believe ACOG (American College of Obstetrics & Gynecology) is an excellent resource to answer many of your questions and learn more about your health. Please visit any topics you are concerned about on the left hand side of the page. You can also call our office or ask your doctor on your next visit to discuss what you’ve learned.

One of the biggest concerns people face when visiting a doctor is how much an appointment will cost and if the insurance will in fact help cover all or at least some of the payment.

While we would like to offer comprehensive detailing of every insurance plan from every provider and how they work with us, the reality of health insurance is that each plan is nearly as unique as each patient.

Our relationship with you is as your healthcare provider. It’s your responsibility to understand and manage your health insurance. That being said, having all of your insurance information with you and knowing what your insurance covers will make for a much smoother appointment.

You can find our accepted insurances listed below. However, it should be noted that this is not a complete list.

If your insurance is not listed, contact your insurance to determine our participation in the network. Likewise, if you have recently changed your insurance or plan, please inform the receptionist or our billing office of the change to ensure the correct company is billed.

If you have any further billing questions, please contact our billing coordinators by calling 225-201-0505 and enter extension 204, 207 or 256.

Accepted insurances include the following but are not limited to:

  • Aetna
  • Blue Cross
  • Cigna
  • Gilsbar
  • Humana
  • Humana Gold
  • Meritain Health
  • Medicaid (OB only w/ no private insurance)
  • Medicare
  • Multiplan Network
  • People’s Health
  • PPO Plus Network
  • PHCS Network
  • Tricare (Standard)
  • United Healthcare
  • UMR

Breastfeeding is one of the most important things that you can do for your baby, and it can also be one of the most difficult, yet most rewarding, processes that you will ever go through. There are many benefits of breastfeeding for both you and your baby.

Benefits for your baby include:

  • Increased bonding time between mom and baby
  • The appropriate amount of nutrients and the addition of antibodies.
    • This helps aid in digestion and the antibodies help fight infection
  • Breast-fed babies have decreased rates of ear infections and diarrhea.
  • Breastfeeding decreases the risk of necrotizing enterocolitis (a disease that affects the gastrointestinal tract in preterm infants), lower respiratory infections, asthma, obesity, and type 2 diabetes.

Benefits for mom include:

  • Increased bonding time between mom and baby
  • Weight loss
  • A decrease risk of type 2 diabetes, breast cancer, ovarian cancer, and postpartum depression.
  • Breastfeeding can also save time (there are less bottles to sterilize and get ready) and money (formula and feeding supplies can cost well over $1,500 each year).

Did you know?

The Affordable Care Act requires most insurance plans to cover the cost of a breast pump as part of women’s preventive health services. You can talk to your insurance company about its coverage. If you are covered, let your doctor know so we can provide a prescription for you.

Read more at:

Why breastfeeding is important?

Woman’s Hospital Breastfeeding information

Tips for breastfeeding moms

Breastfeeding it’s only natural

Breastfeeding-Healthy Children

If you are breast-feeding and have questions, please contact the hospital lactation department.

Woman’s Hospital offers the following:

  • Classes and Support Groups:
    • We have all the tools and education you need to breastfeed successfully. At Woman’s, our staff is eager to help and support you through your breastfeeding journey.
    • We offer a variety of breastfeeding education classes, support groups, and convenient personal consultations with our lactation specialists.
  • “Warmline:”
    • Woman’s Breastfeeding Warmline provides free lactation phone consultation and troubleshooting advice from a registered nurse.
    • This service is available to the entire community by calling 225-924-8239. For an after-hours emergency, call 225-924-8286.

Breastfeeding is one of the most important things that you can do for your baby, and it can also be one of the most difficult, yet most rewarding, processes that you will ever go through. There are many things that can affect breast milk production and each woman’s supply can be affected by something different. Breast milk production amount can also vary in subsequent pregnancies, so even if it did not work for one pregnancy, be sure to give it a try on the next one.

Ways to increase supply are:

  • To increase the frequency of feedings
    • in the beginning you should be putting baby to breast every 2 to 3 hours, even throughout the night, even if baby is sleeping
  • Make sure to continue prenatal vitamins, increase fluid intake (try to avoid caffeinated products), and insure adequate caloric intake.
  • Stress and fatigue can take a toll on breast milk production, so make sure to try and nap when baby is napping.
  • Some over the counter help includes Fenugreek three capsules three times per day and Mother’s Milk Tea three to five times per day. A prescription drug called Reglan can be taken at doses of 10mg three times per day. Discuss with your doctor and see if this medicine could be right for you.
  • Avoid antihistamines because these can cause your milk supply to decrease.

If you are having other breastfeeding issues please visit the following for more information:

Breastfeeding Problem Solving

Common Breastfeeding Challenges

Hysterosalpingography (HSG) is an X-ray procedure that is used to view the inside of the uterus and fallopian tubes. It often is used to see if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is of a normal size and shape. All of these problems can lead to infertility and pregnancy problems.
HSG also is used a few months after some tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked. HSG is not done if a woman has any of the following conditions:

  • Pregnancy
  • Pelvic infection
  • Heavy uterine bleeding at the time of the procedure

For additional information, please click here Hysterosalpingography

Colposcopy is a way of looking at the cervix through a special magnifying device called a colposcope. It shines a light into the vagina and onto the cervix. A colposcope can greatly enlarge the normal view. This exam allows the health care provider to find problems that cannot be seen by the eye alone.

Colposcopy is done when results of cervical cancer screening tests show abnormal changes in the cells of the cervix. Colposcopy provides more information about the abnormal cells. Colposcopy also may be used to further assess other problems:

  • Genital warts on the cervix
  • Cervicitis (an inflamed cervix)
  • Benign (not cancer) growths, such as polyps
  • Pain
  • Bleeding

Sometimes colposcopy may need to be done more than once. It also can be used to check the result of a treatment.

For additional information, please click here Colposcopy

NovaSure endometrial ablation is a quick non hormonal procedure that is used to treat heavy bleeding. Novasure is designed to remove just the uterine lining (the endometrium) which is the part of your body that causes heavy bleeding. This procedure can be done in an outpatient setting and you can go home the same day.

For additional information please visit the Novasure website

If you have an abnormal cervical cancer screening result, your health care professional may suggest that you have a loop electrosurgical excision procedure (LEEP) as part of the evaluation or for treatment. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop that acts like a scalpel (surgical knife). An electric current is passed through the loop, which cuts away a thin layer of the cervix.

For additional information, please click here Loop Electrosurgical Excision Procedure (LEEP)

Hysteroscopy is used to diagnose or treat problems of the uterus. A hysteroscope is a thin, lighted telescope-like device. It is inserted through your vagina into your uterus. The hysteroscope transmits the image of your uterus onto a screen. Other instruments are used along with the hysteroscope for treatment.

For additional information, please click here Hysteroscopy

D&C is a surgical procedure in which the cervix is opened (dilated) and a thin instrument is inserted into the uterus. This instrument is used to remove tissue from the inside of the uterus (curettage).

D&C is used to diagnose and treat many conditions that affect the uterus, such as abnormal bleeding. A D&C also may be done after a miscarriage. A sample of tissue from inside the uterus can be viewed under a microscope to tell whether any cells are abnormal. A D&C may be done with other procedures, such as hysteroscopy, in which a slender device is used to view the inside of the uterus.

For additional information, please click here Dilation and Curettage (D&C)

Sonohysterography is a special kind of ultrasound exam. Fluid is put into the uterus through the cervix using a thin plastic tube. Sound waves are then used to create images of the lining of the uterus. The fluid helps show more detail than when ultrasound is used alone. This test can be done in your OB-GYN’s office, a hospital, or a clinic. It usually takes less than 30 minutes.

Sonohysterography can find the underlying cause of many problems, including abnormal uterine bleeding, infertility, and repeated miscarriage. It is able to detect the following:

  • Abnormal growths inside the uterus, such as fibroids or polyps, and information about their size and depth
  • Scar tissue inside the uterus
  • Abnormal uterine shape
  • Problems with the lining of the uterus
  • Whether the fallopian tubes are open or blocked

For additional information, please click here Sonohysterography

Ultrasound is energy in the form of sound waves. During an ultrasound exam, a transducer sends sound waves through the body. The sound waves come into contact with tissues, body fluids, and bones. The waves then bounce back, like echoes. The transducer receives these echoes, which are turned into images. The images can be viewed as pictures on a video screen.

For additional information, please click here Ultrasound Exams

I am interested in having a natural birth, water birth, or finding a midwife. How can I get more information?

As your physician, we provide full support for your childbirth plan. Our group of physicians are willing to work with you individually to provide you with labor options to meet your needs. If you are interested in having a water birth or finding support from a midwife during your labor please visit http://birthcenterbr.com/ . We have partnered with a group of wonderful providers to help provide you with another option for your labor.

Where will I be delivering my baby at?

For any hospitalizations during this pregnancy or when you are delivering your baby, it will be at Woman’s hospital. Please visit their website for more information. You can also take a video tour of the hospital!

Who will deliver my baby?

Our group is composed of seven female physicians.  There is no way of determining when you might go into labor and who will be on call at that time, but our physicians feel comfortable that any member of their team will show you the same compassion and quality of care that they would personally give.

You have just undergone surgery and now it is your turn to play an important role in the long-term success of your surgical treatment. Surgery and the recovery period can be a difficult time. It is normal to have many questions and concerns. The following guidelines are presented with the goal of helping you recover from surgery and giving you long-lasting satisfaction from your operation.

Notify your doctor or the on call nurse (after business hours) if you experience any of the following symptoms:

  • Temperature over 100.4 degrees for more than 4 hours
  • Prolonged nausea and vomiting
  • Severe pain not relieved by pain medication
  • Excessive vaginal bleeding soaking a pad within 1 hour or less
  • Vaginal discharge with a foul odor
  • Burning, frequency, urgency of urination, or a foul odor to urine
  • Shortness of breath, persistent and/or productive cough
  • Unable to void within 6-8 hours
  • If your incision sites have signs of infection (i.e. hot to touch, redness surrounding the incision, or a yellow or foul smelling drainage)
  • The incision is larger or open

We hope that it is clear to you that successful, long-lasting surgery is a joint effort by both the doctor and the patient. After the surgery is complete, the work of the patient begins. We look forward to helping you have a good recovery. Please feel free to call our office if you have any further questions. We always have a nurse and doctor available to you 24/7

 

  • This includes:

    • Hysteroscopy
    • Dilation and Curettage
    • Tubal sterilization
    • Laparoscopy
    • Uterine ablation
    • Essure procedure
    • Minor vaginal procedures
  • This includes:
    • Exploratory Laparotomy
    • Hysterectomy
    • Myomyectomy
    • Uterine prolapse surgery

Please refer to the major surgery postoperative instructions above as well as the following:

A urinary catheter is a thin tube placed in the bladder to drain urine. Urine drains through the tube into a bag that collects the urine. You may be sent home with a catheter if you are not able to urinate on your own or during and after some types of surgery.

  • If you go home with a catheter, you will be asked to come back to the clinic approximately one week after surgery to take the catheter out and have a voiding trial.
  • A minority of women continue having difficulty emptying their bladder.
  • The options then are to replace the catheter and have you come back in one week, or teach you or a family member how to do intermittent self-catheterization.
  • When you have the catheter in place, the tube can be attached to a leg bag so that you can move around with ease.
  • Make sure you empty the bag every time it fills up and before you go to bed at night

You should call the office or the on call nurse if you have any of the following:

  • Blood or fluid coming from your vagina
  • Sudden or extreme swelling of your face or fingers
  • Headaches that are severe or won’t go away
  • Nausea or vomiting that won’t go away
  • Dizziness
  • Dim or blurry vision
  • Pain or cramps in your lower abdomen
  • Chills or fever
  • A change in your baby’s movements
  • Less urine or burning when you urinate
  • Any illness or infection
  • Anything that bothers you
  • For Headaches: Tylenol or extra-strength Tylenol
  • For Colds/Allergies:
    • For congestion: Mucinex, Sudafed or Chlortrimetron
    • For sore throat: Chloraseptic spray, drink tea with honey
    • For cough: Robitussin
    • For sinus/allergy:
      • Tylenol Cold and Sinus, Benadryl, Claritin, Zyrtec, Flonase or Nasonex
      • Eat fruits and vegetables rich in Vitamin C (broccoli, strawberries, oranges)
      • Use a humidifier
  • For Nausea:
    • Ginger Tea, Emetrol, or Vitamin B6 (10mg-25mg) with Unisom Sleep tabs (Doxylamine) every 8 hours
    • Eat small frequent meals, wet to dry diet (do not drink when you eat or eat when you drink)
  • For Heartburn:
    • TUMS, Rolaids, Zantac, Tagamet, Prevacid, Pepcid, Mylanta, or Maalox
    • Eat a light supper and sleep with head elevated (try using an extra pillow)
  • For Constipation:
    • Metamucil, Milk of Magnesia or Colace
    • Increase water intake and dietary fiber intake (fruits, green leafy vegetables, prunes, prune juice)
  • For Diarrhea:
    • Imodium AD, Kaopectate, or Pepto-Bismol
    • Liquid to bland diet for 24 hours gradually resuming regular diet
  • For Leg Cramps:
    • Os-Cal one at bedtime
    • Maternity support hose
    • Bananas, prenatal vitamins, water, stretching
  • For Back Pain:
    • Tylenol
    • Warm soaks in a bathtub
    • Maternity belt
    • Sit in chairs with good back support or use a small pillow behind the small of your back
  • For Hemorrhoids: Preparation H, Anusol-HC, Colace, Sitz baths
  • What foods should I avoid during pregnancy?

    • Raw or undercooked poultry, meats, eggs, or fish
    • Unpasteurized fish, deli meats, eggs, or cheese (ex. feta, Brie, Camembert, queso fresco, queso blanco)
    • Fish with high levels of mercury, such as shark, swordfish, king mackerel, and tilefish
    • Refrigerated meat unless heated to steaming
  • How much weight should I gain during pregnancy?

    The amount of weight gain that is recommended depends on your health and your body mass index (this is calculated using your height and weight) before you were pregnant. If you were a normal weight before pregnancy, you should gain between 25 pounds and 35 pounds during pregnancy. If you were underweight before pregnancy, you should gain more weight than a woman who was a normal weight before pregnancy. If you were overweight or obese before pregnancy, you should gain less weight.

  • I don’t feel my baby moving as much. Is that okay?

    Most women begin to feel the baby moving between 18-22 weeks. The amount of movement will not decrease over time, but the movements will be smaller as the baby grows and has less room. At any point, if you haven’t felt the baby move, eat a snack and drink some juice. Then rest on your left or right side and count the movements of the baby for two hours. Any type of movement counts, not just kicks. If you don’t feel 10 movements in those two hours, contact your doctor.

  • I am interested in creating a birth plan. How can I find out more information on this?

    Congratulations on your pregnancy! Here at AWH, we are very excited to have the opportunity to be a part of such a wonderful experience. We understand that each pregnancy is different for each individual and we also understand that as mothers you are able to choose how you want to experience your labor and delivery.

    Whether you choose to have an epidural or a natural birth please feel free to discuss your labor preferences with your doctor. We are willing to help you create a birth plan that works specifically for you, provide information on lamaze classes, and refer you to a midwife or doula if you’re interested. Please visit our natural birth section for more details.

During your pre-op appointment, your doctor will go over the details of your surgery, answer any questions you may have, and you will sign the consents. Once that is completed, you will meet with the pre-op nurse to discuss what to expect at the hospital, have any labs drawn, and etc. Your appointment will be approximately an hour, unless the doctor is called out for an emergency.

You will need to arrive two hours before the surgery time of the hospital and one hour before the office procedures.

Yes. Nothing to eat or drink 8 hours prior to surgery at the hospital and nothing to eat or drink 6 hours prior to surgery for in-office procedures.

A minor procedure will take 1/2 hour to 1 hour and a major surgery will take 1 1/2 hours to 2 hours. Both types of procedures will have 1 hour or recovery time after the procedure is completed.

It will depend on what type of surgery you will have and how you do with the surgery.

We do not do a payment plan, but we do accept Care Credit, which is a finance company that finances medical charges interest free for up to 18 months, so it is similar to a payment plan if you qualify.

You must be off of blood thinners and aspirin 5 days prior to surgery. All other medications will be reviewed by your doctor and they will inform whether you need to take them or not.

As long as you are not taking pain medications you can drive.

No, we do all of the preoperative appointments at the main office

Before surgery you must have an empty stomach. The possibility of complications increases if any food or drink is in your stomach because it can cause vomiting before, during and after the anesthetic.

When to stop eating and drinking:

If your surgery is scheduled between 7:00 AM and noon:

DO: eat a light meal the night before

DO NOT: Eat or drink anything after midnight

Surgery scheduled between noon and 4:00 PM:

DO: Eat a light meal the night before

DO: Drink clear liquids until 6:00 AM the day of surgery

DO NOT: Eat or drink anything after 6:00 AM

Surgery scheduled between 4:00 PM and 9:00 PM

DO: Eat a light meal the night before

DO: Drink clear liquids until 10:00 AM the day of surgery

DO NOT: Eat or drink anything after 10:00 AM

If you will be staying overnight:

  • Comfortable, loose-fitting clothes/pajamas and cotton underpants with loose waistbands
  • toothbrush/toothpaste and other personal hygiene items
  • If needed, pack contact lenses case and supplies and/or glasses, your inhaler and CPAP mask
  • Unless instructed by your doctor, leave all other medications at home
  • Robe
  • Nightgown (the hospital will provide non-slip socks)

Special Equipment:

  • Bring medical assistive devices, such as walkers, canes, braces, etc
  • Clearly mark these items with your name
  • We DO NOT allow personal or home medical equipment it the hospital (nebulizers, CPAP units, etc) due to patient safety and infection control standards. We will provide this medical equipment with a doctor’s order.

If you have a question during regular clinic hours, please leave a message. Your call will be returned by the physician’s phone nurse as soon as possible.

If you have a question after clinic hours, listen to the recording on the main phone line. It will direct you to the on-call phone nurse.

For information regarding recent lab work, if you have access to the patient portal please check this first. Otherwise,  you can call and leave a message with the physician’s phone nurse who will promptly return your call with the results or current status. In the event that any of your lab results are found to be abnormal, we will contact you immediately.

Please call the pharmacy first to make sure you do not have any refills already pending or waiting for pick up. When you are ready to fill or refill a prescription, keep the following in mind:

  • Prescription refills will be filled during office hours.
  • Leave a message with the phone nurse containing your name, date of birth, telephone number, prescription name, and pharmacy.
  • If you have switched pharmacies or would like to have your prescription sent to a different pharmacy, please provide us with the updated information as soon as possible. We are not responsible if your prescription gets sent to the wrong pharmacy.
  • Depending on the type of prescription request and the date of your last visit, you may need to schedule an appointment with us. Our nurse will advise you if this is necessary.
  • Please allow up to 48 hours for us to process your refill requests.
  • You should call your pharmacy before making the trip to verify they have received and processed your order.

Essure is a permanent birth control procedure that works with your body to prevent pregnancy. During the Essure procedure, a soft, flexible insert is placed into each of your fallopian tubes. This is a minimally invasive non-hormonal procedure that can be done in an outpatient setting. Over the next three months, a barrier forms around the inserts. During this time you must continue using another form of birth control to prevent pregnancy. This barrier, which is made of scar tissue, helps keep sperm from reaching the eggs so pregnancy cannot occur. The Essure procedure is 99.3% effective at preventing pregnancy in patients who were told to rely on Essure for birth control.

For additional information please visit the Essure website

NovaSure endometrial ablation is a quick non-hormonal procedure that is used to treat heavy bleeding. Novasure is designed to remove just the uterine lining (the endometrium) which is the part of your body that causes heavy bleeding. This procedure can be done in an outpatient setting and you can go home the same day.

For additional information please visit the