Pregnancy

Pregnant woman with doctorDrs. Lowry and Barnett all enjoy providing obstetrical care.  We are part of a call group ensuring 24/7 coverage.  We enjoy a collegial relationship with our local obstetricians and pediatricians ensuring that you and your baby are cared for in the safety of a collaborative team.  While we are trained to respond when needed, our approach is both natural and non-invasive.  Our goal is always a healthy and happy mom and baby!

If you are planning to conceive or just discovered you are pregnant it is recommended that you start prenatal vitamins that include folic acid, and begin taking vitamin D 2000 IU daily.

Prenatal screening is an early test available in pregnancy looking for risks of Down syndrome, trisomy 18 and open neural tube defects (Spina Bifida).  If this is something you are interested in, please make an appointment  to discuss this as early as possible.  Ideally, we need to start booking these tests at 8 weeks gestational age.  For more information on IPS please speak to your doctor or visit http://www.prenatalscreeningontario.ca/Default.aspx?cid=98&lang=1

If you have questions regarding the safety of medications in pregnancy or breastfeeding, we would encourage you to speak to us.  The Hospital for Sick Children supports the Motherisk program http://www.motherisk.org/women/index.jsp which offers a help line for moms with questions.

Breastfeeding Resource:

http://www.simcoemuskokahealth.org/Topics/Breastfeeding.aspx

Circumcision:

Neonatal circumcision is the removal of the foreskin from a baby boy’s penis within the first 6 weeks of life.

It is a non-insured service. The parents will have to pay the Doctor performing the procedure  $100 and the Orillia Soldiers Memorial Hospital $ 350. How this is paid should be discussed the  Doctor prior to doing the procedure.

There are pros and cons to performing a circumcision. The Canadian Pediatric Society does not recommend for or against it. Benefits and complications should be discussed with your doctor.

Ultimately , the decision is personal preference based on cultural and  religious  reasons. Often whether the father was circumcised is a strong influence on the decision.

We always use local  anesthetic for “freezing”. We also always give the baby sugar water via a soother, as a pleasurable sensation, to release the baby’s own endorphins  = the body’s natural pain reliever. The freezing lasts about 3-4 hours and he may require doses of acetaminophen for the first 24 hours.

There are 2 methods of doing the procedure. One uses a clamp to remove the skin and the other  uses a ring of clear plastic called a plastibell that either falls off by itself or is removed in the office 72 hours later.

Parents are allowed  to watch the procedure if they wish.

You will be required to stay and feed the baby after the procedure and the Nurse will allow you to leave after 1-2 hours if all is good.

If there is bleeding the Nurse may have you see the Doctor again. If there is bleeding at home you should apply pressure with a gauze and call the Doctor who did the procedure, usually through switchboard = 705-325-2201  and O for the operator.

If you want more information about Circumcision we suggest you go to the Canadian Pediatric Society website at :

http://www.cps.ca/documents/position/circumcision