Dr. Jisoo Han

 

Dr. Han’s practice deals with a large spectrum of women’s health related issues  from preventive yearly checkups to obstetrics and gynecological management. She is fluent in both English and Korean languages. Read more about Dr. Han..

 
 
 
 

Obstetrics

Prenatal Care

The obstetrician’s role in begins at conception and usually ends in the weeks following birth. Obstetricians provide prenatal care to pregnant women with the goal of reducing the risk of prenatal complications, overseeing the health of both the mother and the fetus, and educating patients about nutrition, health and safety during pregnancy.

Prenatal care begins with the confirmation of pregnancy – usually using a urine test that screens for elevated levels of the pregnancy hormone, hCG. A physical exam and blood testing may follow, as well as a doctor-patient interview about past pregnancies and family history. Often, routine check-ups to monitor the growth and health of the fetus and the mother continue once every four weeks for the first two trimesters and once every two weeks for the final trimester.

Obstetricians provide “due dates” as estimations only. Some children are born prior to their due date, and others are born after their due date. Few are born on their original estimated dates of arrival. In some cases, complications or pre-term labor can lead to an early delivery.

Vaginal Delivery

A routine vaginal delivery is usually performed once a pregnancy becomes full term. This is usually between the 37th and 42nd weeks of pregnancy. In most cases, the cervix begins to dilate and efface in the days and weeks leading up to delivery. Labor may begin on its own, or an obstetrician may induce labor by rupturing the amniotic sac or administering labor-inducing drugs. Labor may last from a few minutes to many hours, during which time a laboring woman’s obstetrician can offer pain management options.

When labor begins, uterine contractions help the cervix rapidly dilate and also move the baby into the birth canal, usually in a head-down position. Once the cervix reaches approximately 10 centimeters in diameter, the obstetrician may instruct a laboring mother to push intermittently until the baby’s head crowns, followed by the remainder of the body. Following birth, a few additional contractions may follow to expel the placenta.

Caesarean Section

Caesarean section births, also known as c-sections, are used to surgically remove a baby from a mother’s uterus, bypassing the birth canal. There are a number of reasons why an obstetrician may order a c-section birth, either for concern of the mother or baby’s health, or complications of vaginal delivery. Some of the most common reasons for c-section births include breech presentation, a multiple birth, difficulty during labor and complications of the placenta.

A mother may or may not be awake during a caesarean birth, depending on the nature of pain management used during the procedure. Either a transverse or vertical incision will be made into the uterine wall, out of which the obstetrician will deliver the baby and placenta. The incision is then repaired, and a hospital day of approximately three days will follow.

Women who undergo caesarean section births may be at risk for complications of the procedure, such as infection of the surgical site and blood clots. Obstetrical care will continue in the weeks following a c-section to monitor recovery and manage any complications that may arise from the procedure.

Postpartum (Care or Hemorrhage)

The postpartum period includes the weeks immediately following delivery. Usually, women are monitored by an obstetrician and nurses consistently for the first two to three days, after which one or two follow-up appointments may occur. However, in a very small percentage of women, postpartum recovery can be complicated by hemorrhaging.

Although it is normal for women to experience some blood loss after the placenta detaches from the uterine wall, hemorrhaging can occur due to excessive bleeding. Treatment for most cases of postpartum hemorrhaging includes administration of IV fluids, iron supplementation and medications. Only a small number of women experience hemorrhaging that requires blood transfusion.

High Risk Pregnancy

When either a mother or baby’s health is at risk during gestation, the pregnancy is referred to as “high-risk.” Pregnant women and their unborn babies who are labeled high-risk may be required to make more frequent visits to the obstetrician for check-ups and exams. Additionally, obstetricians may make more restrictive recommendations for high-risk pregnancies regarding diet, nutrition, activity, medications, immunizations, tobacco-use and consumption of alcohol.

There are a number of conditions and circumstances that determine whether a pregnancy is considered high-risk. For example, certain complications of pregnancy such as placenta previa may make a pregnancy high-risk. Other complications include maternal age under 17 or over 35, as well as a multiple birth, history of multiple miscarriages, or certain medical conditions like preeclampsia or autoimmune diseases.

Gestational Diabetes

According to the U.S. Department of Health and Human Services, as many as 10 percent of pregnancies result in the development of gestational diabetes. The condition is prevalent among pregnancy women – especially those over age 25 – because of increased difficulty for the body to produce insulin when pregnancy hormones are present. Gestational diabetes screenings are standard during the second trimester of pregnancies in the U.S., although some women may be screened sooner if determined high-risk for developing the condition.

Diagnosis of gestational diabetes places mothers at an increased risk for other pregnancy complications and is more likely to lead to a caesarian section delivery. The disease also leads to higher birth weights and requires careful oversight of diet, nutrition and activity levels during pregnancy. In some cases, diabetes medicine and/or insulin may be necessary to regulate blood glucose levels.

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Tues-Thurs-Sat: 8 am - 6 pm
Mon: 8 am- 12 pm
Mon/Wed/Fri
: Hospital Hours
2 Lincoln Hwy., Ste. 311A
(Levinson Plaza on Rte 27)
Edison, NJ 08820

info@bestchoiceobgyn.com
732-603-2122

 

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