Women's Health Archives | Comanche County Memorial Hospital

Regular Post

31 Jul

Flying With Breast Milk

Lifestyle, Pediatrics, Women's Health baby friendly hospital, breastfeeding, ccmh, comanche, comanche county memorial hospital, health care, hospital, lawton, oklahoma, travel

August 1-7 is World Breastfeeding Week! A common concern many moms have is flying with breast milk either due to exclusively pumping or not having their child with them. Flying with breast milk for the first time can be nerve wracking. How much can you bring? What can you do to ensure your milk is allowed to pass security checkpoints? Before you travel this summer, take a look at this list of things to things to know about flying with breast milk to ensure you are able to fly without any added stress.

Know what you are allowed to carry

The Transportation Security Administration (TSA) states that you may pass the security checkpoint with formula, breast milk and juice for infants or toddlers ”in reasonable quantities.” You do not have to ensure that your milk fits into quart sized bags or meets the 3 oz rule that applies to other liquids. Remove these items from your carry-on bag so the agent may screen them separately from the rest of your belongings.

A breast pump is a medical device and therefore does not count as your carryon luggage. The cooler you bring to store your milk in however, does count if carried separately from your other carryon luggage. Many times little attention is given to how many bags a passenger is actually bringing onto the plane, but be prepared to explain why you have an extra carryon item when carrying a pump if needed.

You may also bring gel or liquid-filled teethers and canned and processed baby food in carry-on luggage. Additional screening may occur with these items.

How TSA screens breast milk

When going through security, always declare your breast milk. Kindly ask the TSA agent to change into clean gloves before he inspects your milk. TSA typically screens breast milk by x-ray. The Food and Drug Administration (FDA) reports that there are no known adverse effects from consuming items screened by x-ray. 1

If your milk is frozen solid, the TSA agents will not perform special tests. If thawed, the TSA officers may ask you to open the container and even transfer a small quantity of the liquid to a separate empty container for visual inspection. Kindly request that the TSA agent put on clean gloves before touching your cooler. If the agent conducts a test, he or she wipes the bottle with a piece of paper and puts the paper in a machine that tests for explosives.

How to store your milk

To store your milk, you need a water-tight cooler with plenty of ice packs. If you can do without bottles, breast milk storage bags will pack easier and lighter than bottles. After security, consider sealing your cooler with duct tape to keep it cool and prevent leaking.

If booking lodging, try to find a hotel that has rooms with a refrigerator/ freezer. If you do not have a freezer in your room, or it doesn’t cool enough to freeze your milk, ask to keep your breast milk cooler in the hotel freezer.

Pumping while traveling

Many airports offer a breastfeeding lounge or baby care area. If one is not available, search for a family restroom with an outlet.

For your convenience, it is possible to mail/ship breast milk. This can be helpful if you are gone for an extended period and need to send milk home for your baby. However, shipping breast milk is costly. There are services that ship breast milk exclusively or you can ship via services such as FedEx. In order to do this, you must purchase dry ice, a styrofoam cooler, and a box for shipping.

Dry ice is cold enough that it can make plastic breast milk storage bags or bottles brittle and break. To prevent this, seal your breast milk bottles in zip-lock bags and pad them with crumpled up newspaper inside your cooler.

The US Postal Service does not permit dry ice in the mail. You can however ship milk with regular ice packs overnight. This is much cheaper but of course has the added risk of milk thawing en route.

For international travel, contact the consulate of your destination country to determine their individual shipping regulations.

Comanche County Memorial Hospital is proud to be recognized as a Baby Friendly Hospital by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF).

Do you have questions about breastfeeding? For travel questions, always check the latest TSA guidelines. For general questions, our Infant Feeding Resource Center would love to meet with you and discuss any breastfeeding concerns you may have.

Resource

1 U.S. Food & Drug Administration. Frequently Asked Questions on Cabinet X-ray Systems. 9 March. 2018.

Disclaimer

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

Regular Post

19 Apr

Battling Infertility

CCMH

Lifestyle, Women's Health ccmh, child loss, comanche county memorial hospital, health care, hospital, infertility, infertility awareness, lawton, miscarriage, national infertility week, oklahoma, pregnancy loss, stillbirth

April 21-27 commemorates National Infertility Week. Infertility can be a difficult journey that leaves many individuals feeling hopeless and alone. Many describe it as seeming like everyone else around them is happily enjoying life while their lives are frozen in a place they never wanted to visit.

While discussing this topic, we had an opportunity to visit with couples in our area who have had their own struggles with infertility. We appreciate them taking the time to share their own thoughts with us on this subject.

Who experiences infertility?

Infertility is often viewed as a female problem and a problem that mainly affects older women trying to conceive. However, infertility is not biased, and it can affect men and women of various ages. Approximately one-third of infertility issues are from a female partner. One- third of issues are from a male partner, and one-third of issues are caused by both partners or the cause is unknown. 1

Men need support in infertility too. Paul and his wife struggled to conceive and also experienced a miscarriage. He said, “It was very sad and disappointing. I felt like there was nothing I could do to make that time any easier for my wife.”

Infertility is an emotional rollercoaster

Some days someone may feel positive during their infertility battle, other days they won’t. Beware of this and know some days are just bad days. There isn’t anything you can do sometimes but offer a hug and lend an ear, but your friend will still appreciate the sentiment.

Samantha suffered a miscarriage and then waited for years to be able to conceive again. When asked for ways to cope with all the emotions, Samantha responded, “Infertility is painful. It’s such a close, personal heartache. A piece of your heart is missing that you didn’t know existed. Find someone that has experienced it, that you can open up to, cry with, and be angry with them. Cling to them. Find happiness in the daily tasks. If you want ice cream, buy a gallon of it. Find your faith and hold on tight. Never give up.”

Be careful when sharing good news

Knowing others conceive easily when it seems to be anything but simple to someone with infertility, can make a pregnancy announcement sting. It isn’t that your friend isn’t incredibly happy for you, but he or she just wishes their own good news would come.

Big surprises in large groups of people can make it difficult for those in an infertility battle to process their emotions. You may consider speaking with them privately so you can also express how much you hope this day comes for them too.

“Don’t hide it if you become pregnant,” shared Angela. Angel and her husband have battled infertility for years, gone through the adoption process and attempted in vitro fertilization (IVF). “Though it’s hard to hear, it’s even harder to hear about a friend being pregnant from someone other than your friend,” she said. “Be upfront. We will put on a happy face though we’re hurting inside. It’s ok. We will grieve the life we hoped we would have, wishing that was us, and then carry on to be excited for you.”

Beware of language that triggers emotions

Be sensitive to the fact that conversations focusing on children or a pregnancy may be difficult. Never complain about children or even jokingly say, “Be glad you don’t have kids!” Try to steer conversations with friends in different directions so your friend doesn’t feel so left out while everyone discusses parenting struggles or their child’s milestones.

Never start a sentence with “At least…” Statements like “At least you can get pregnant” after a loss or “At least it happened early,” or “At least you don’t have to gain weight from a pregnancy,” do nothing but invalidate how someone else feels.

Lastly, avoid statements such as, “It wasn’t (or “it isn’t”) meant to be.” Not only is this hurtful, but it may also make the individual feel they somehow deserve these difficult circumstances.

Don’t try to fix it

There are days those struggling with infertility wish to talk about it. Other days they may not feel up to it. When you know life feels especially difficult, always let a friend know you would love to just listen.

“Just being a friend is the best thing someone can do,” said Angela. “Don’t try to fix the situation that can’t be fixed. Trust me, anyone going through infertility has already tried everything to fix themselves and the situation they are in. We don’t want to be in it. Just listening and offering hugs and sincere thoughts of ‘that really must be tough’ is all we need.”

Don’t avoid them

If you don’t know what to say, just give a hug and let her know you are thinking of her. Your support may help more than you know.

Sarah responded about her own struggles with a miscarriage followed by over more than a year of waiting to conceive again. She said, “I remember coming back to work after my miscarriage and feeling shocked that so many of my coworkers seemed to avoid me. I had just suffered the most devastating loss of my life, and the majority of them wouldn’t even look me in the eye. A few people didn’t even say anything but gave me a big hug. It helped a lot.”

During this time as we remember those struggling with their journey to grow their families and anytime you know someone is facing this difficult battle, we want to encourage you to reach out to them. Infertility is a battle that is hardest when the couple facing it feels alone.

Infertility is typically diagnosed after a couple has tried unsuccessfully to conceive for twelve months or longer and / or has experienced more than one consecutive miscarriage or stillbirth. If you are struggling to conceive, one of our providers would love to meet with you. Please reach out and make an appointment with MMG Obstetrics and Gynecology.

*Names have been changed of some of the individuals interviewed for this article to respect their privacy.

Source

1 US Department of Health and Human Services: National Institute of Health. How common is male infertility, and what are its causes? 1 Dec. 2016.

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Regular Post

28 Feb

Coping with Endometriosis

CCMH

Women's Health ccmh, comanche county memorial hospital, endometriosis, gynecology, hospital, lawton, oklahoma, women's health

March is National Endometriosis Awareness Month! If a doctor has diagnosed you with endometriosis, you know how painful experiencing this condition can be. However, we have a few tips you can try to help minimize your discomfort and not let endometriosis get in the way of enjoying your life!

What is endometriosis?

Endometriosis is a disorder that affects 200 million women worldwide. 1 When a woman has endometriosis, tissue that behave like the lining of the uterus grow outside the uterus. This tissue grows in various places including the fallopian tubes, pelvic lining, ovaries, and in or around the bowel and bladder.

What are the symptoms of endometriosis?

Painful cramps and periods
Periods that are long
Heavy menstrual flow
Nausea and/or vomiting
Pain during sex
Infertility
Bowel and urinary disorders
Chronic fatigue

Managing endometriosis

Your physician may recommend various medications and treatments for endometriosis. However, there are some things you can do yourself to help better manage your condition.

Diet

Add more fruits and vegetables to your diet and minimize your red meat intake. Some studies indicate that increased red meat consumption may greatly increase your chance of suffering from endometriosis while fruits and vegetables can help reduce your chances. Consuming omega-3 fatty acids found in fish such as mackerel, sardines, salmon and anchovies can also help.

Manage stress

Cortisol is a hormone involved in the stress response. Prolonged stress can lead to elevated cortisol levels, a hormone which may decrease progesterone levels. This hormonal imbalance may aggravate endometriosis.

Apply Heat

A warm bath or heating pad placed on the lower abdomen can help to relax cramping pelvic muscles and reduce pain. Many women may find using heat as effective as pain relievers.

Pelvic massage

Some women find relief when being treated by a massage therapist. Massage therapy can help reduce menstruation pain associated with endometriosis. Massaging the pelvic area, including parts of the abdomen, back and sides shortly before the menstrual period begins is the most beneficial time to seek massage treatment.

Rest

Especially during menstruation, sufferers of endometriosis should get more rest. Lying on the side with the knees pulled to the chest can help reduce pain and pressure in the back.

Exercise

Regular exercise helps to release endorphins, the “feel good” hormones that reduce pain. Exercise can also help to lower estrogen levels and improve symptoms.

Manage Nausea

When pain related to endometriosis is at its worst, women may experience nausea. Ginger is often used to help nausea. Many women drink ginger tea or eat ginger chews.

If you are experiencing symptoms of endometriosis or need help coping with your endometriosis diagnosis, make an appointment with one of our providers at MMG Gynecology and Obstetrics.

Sources

1 Endometriosis Foundation of America. What Is Endometriosis? Causes, Symptoms and Treatments.

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Regular Post

10 Jan

stethoscope with doctor and patient in background

Three Steps to Good Cervical Health

CCMH

Healthy Living, Lifestyle, Women's Health ccmh, cervical cancer, cervical health, health care, hospital, HPV, lawton, lifestyle, oklahoma

January is Cervical Health Awareness month. To promote good cervical health, there are three steps we encourage all women to take. These steps are simple and greatly reduce a woman’s chances of developing cervical cancer or cervical dysplasia (the development of abnormal cells in the cervix).

Get Regular Pap Smears

First, one step to good cervical health is getting regular Pap smears. The general guidelines are for for women between the ages of 21 and 29 to have a Pap smear every 3 years if they have had no abnormal cervical cells in the past. Women between the ages of 30 and 65 may have a Pap smear and HPV test every 5 years or a Pap test alone every 3 years. However, what is best in your situation will depend on the recommendations of your doctor.

Practice Safe Sex

In 99% of cervical cancer cases, the HPV virus is present. 1 This sexually transmitted infection (STI) is spread through sexual, skin-to-skin contact. Safe sex helps prevents STIs, and penile penetration is not needed to transmit this virus. Heterosexual and homosexual couples are both at risk. Condoms are not 100 percent effective at preventing the spread of HPV, but studies show that they do provide some protection. 2

Beware of Symptoms

Cervical cancer rarely presents early symptoms. However, you should always report any concerning symptoms you are experiencing to your doctor. Symptoms that may indicate a cervical problem include vaginal discharge, pain during sexual intercourse, abnormal vaginal bleeding and vaginal bleeding after sexual intercourse.

If you have other questions or concerns regarding cervical health, visit our women’s health page to find the contact information for MMG Gynecology and Obstetrics.

Sources

1 National Cervical Cancer Coalition. Cervical Cancer Overview.

2 Center for Disease Control and Prevention. Fact Sheet for Public Health Personnel. 5 March 2013.

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Regular Post

18 Dec

Newborns and Winter Illnesses

CCMH

Healthy Living, Lifestyle, NICU, Women's Health ccmh, flu, health care, hospital, lawton, newborn care, nicu, oklahoma, RSV

Newborns and winter illnesses- these two things together can make new parents concerned! Conditions like Respiratory syncytial virus (RSV) and the flu are major concerns for parents with new babies this time of year. RSV is a common, contagious, virus affecting the respiratory tract. For many, this is no more than a cold. For a newborn baby though, this condition can be very serious.

To answer common questions new parents may have, we reached out to two of our health professionals here at CCMH. Meagan Garibay, RN, BSN, CIC, our Infection Preventionist, and Amy Smith BSN, RNC-LRN of our Neonatal Intensive Care Unit (NICU) gave us some enlightening information to help new parents rest assured they are doing all they can to protect their newborns from winter illnesses.

Is there anything new moms should be doing to help prevent newborns from winter illnesses pre-delivery?

Meagan: Vaccination helps moms pass on some protection to their babies. We encourage moms to get certain vaccines while pregnant such as the influenza vaccine and the Tdap vaccine. This confers some immunity to the fetus to protect them in their first few months of life (such as from pertussis), and/or it protects mom from catching something that could be potentially devastating for a fetus or a neonate (such as the flu). The best thing mom can do for her baby is to keep herself well and healthy.

Are there any safety tips you have for friends and family who come visit newborns that can help keep newborns from winter illnesses?

Meagan: Washing your hands is probably the most critical thing you can do before you ever touch the newborn, or any of the newborn’s belongings or surroundings. Of course, if you are sick or think you may be getting sick, you should never visit someone with a new baby. Both new mom’s and new baby’s immune systems just aren’t strong enough to fight off whatever you may have. And the one thing I cannot stress enough: DO NOT KISS THE BABY! Not the cheek, not the forehead, not the hands. If it’s not your baby, lips off!

Are there any factors that put a newborn at risk for winter illnesses?

Amy: Most of the RSV issues we see at our hospital are the kids who have gone home from the NICU or the older kids, and those are the ones that get treated on the pediatric unit. However, I can sure talk about prevention and risk factors for our population though. It’s not so much birth weight, but prematurity and especially prematurity with oxygen requirements in the NICU can put a newborn at risk. Infants between certain premature gestational ages can qualify for medication to help prevent RSV.

As far as what we see parents do with their children that puts newborns at risk, these things are taking them shopping in crowded places, letting strangers touch them without hand washing first, and kissing them such as Meagan mentioned. We have parents and grandparents that have babies in our NICU that want to come in and kiss them in their faces, and although we educate them not to do that, we really have a hard time getting them to understand just how dangerous that is. Any viral cold sore can be transmitted to the baby and cause that baby to get sick! These babies immune systems are immature and they can’t fight off infections, colds, or illnesses.

Is RSV much more common in winter months?

Meagan: We do see more RSV in the winter months than any other season. Like flu, it is always “there” and in the community. People catch the flu and RSV and all other respiratory viruses in the summer months, too. However, it is not nearly as prevalent, and it doesn’t spread as fast. During the winter months, people are inside more, and are inside with crowds of people more. Therefore, this helps RSV spread.

Are there any tips to specifically help prevent flu? RSV?

Meagan: Wash your hands frequently (hand sanitizer counts), and avoid crowded places and sick people!

There is a vaccine for the flu, and everyone over the age of 6 months should get it every year. Efficacy of the vaccine varies from year to year. Nevertheless, even if you get the flu after getting the vaccine, your illness will not be as severe. It will not last as long as someone who hasn’t had the vaccine either. It is especially important that “vulnerable populations” (the very young, the very old, and otherwise immunocompromised persons) get the vaccine. This can be the difference between life and death. Many people think the flu isn’t “that serious”, but over 80,000 people died last year from the flu (which is the highest number in 4 decades).

Unfortunately there is no vaccine for RSV yet. There is one in development however, but that could take several years to be completed. Some high risk infants (such as premature infants) can be recommended to receive a medication that can help protect against serious complications from RSV such as Amy mentioned.

Should parents limit visitors, keep newborns out of public, etc. for a specific time?

Meagan: There is no hard and fast rule here – it’s entirely the new parents’ discretion. It’s always a good idea to avoid crowded places during the winter, just because of the increased likelihood that you’re going to come into contact with a lot of sick people that should’ve stayed home. As always, make sure visitors wash their hands when they come into the house to see the baby, and make sure they know not to come if they’re sick. You may get push back from some but remember – you are the parent of that baby, and what you say goes.

What has this season been like at CCMH so far?

Meagan: This season has been a typical fall/winter so far. Currently, we are seeing more RSV than flu. Flu usually doesn’t peak until January/February, and RSV usually starts declining around that time, but both will hang on and continue circulating well into March and even April.

We would like to thank Amy and Meagan for taking time out of their busy schedules to give us this important information. If you are a new or expecting mother and have other questions about caring for your baby, visit the Women’s Health section of our site at https://www.ccmhhealth.com/womens-health/.

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