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Joel M. Bernstien, M.D.'s Articles

New Update on Sleeping Position in Pregnancy

Pregnant? We have good news! Obstetrics & Gynecology, the go-to journal for our little niche in medicine, recently published new findings on sleep position in pregnancy. For years and years we have been telling patients to sleep on their sides, left side more than right if you can tolerate it, because older studies suggested an increased stillbirth rate for those that did not. Well, now a new study was just published, and I think you will like the results.

The Importance of Exercise in the Post Menopausal Years

Exercise is always an important part of overall health. Exercising in the postmenopausal years is no exception. Especially as it pertains to bone health. Obviously, there are other health benefits of staying active during these years. Decrease in hot flashes, improved mental health, improved cardiovascular health, and weight control.

Early Pregnancy

I have seen and heard numerous advertisements for other local groups promoting their "now, not 8 weeks from now” approach to early pregnancy.  We agree with being seen early, and have been doing it that way for several years already! Over 9 years ago, when I first started at Kamm McKenzie OBGYN, we would see patients between 8-12 weeks from their last menstrual periods...

Labor Precautions: When to Call

You are finally at term and the seconds, minutes and days seem to slow to a crawl. Your mother-in-law is texting you non-stop wanting to know when the grand-kiddo is coming.  It’s hard to work or do your day-to-day activities because the baby is pushing on your pelvic floor so much you have this sense that you are waddling more than walking. You have contractions now and again and the increased discharge makes you wonder if your water broke. And more so for first time moms, there is an overwhelming anxiety about the labor process, being a new parent, and knowing when to come to the hospital… am I right?!?

Supporting Breastfeeding Moms

World Breastfeeding Month is celebrated every August. This month provides an opportunity to engage the community in supporting breastfeeding families. The 2019 theme is “Support Changes Everything.” Studies clearly indicate moms who feel supported will breastfeed longer and report a more positive experience with nursing overall. How can you support a breastfeeding mom?

Third Trimester Emergency? When to Call

Congratulations, you are in the final third of your pregnancy.  Hopefully you passed your diabetes screen. If you did not, you are “enjoying” your new low carb diet or possibly new medications.  If this is your first kiddo you probably have a baby shower in the works. (I was amazed with how NICE everyone was with our first baby.  We got so many wonderful and useful things. I remember getting a little choked up seeing all the stuff we received.)

For most of you, visits will continue in two week intervals until the 36th week, then you will be seen weekly until delivery.  I previously wrote blogs about first trimester emergencies and second trimester emergencies. This blog is going to focus on third trimester emergencies and WILL NOT include regular labor precautions.  I have decided to write a separate blog about that so stay tuned!

Second Trimester Emergency? When to Call

You made it! The second trimester is usually the best.  For most women, the nausea eventually subsides, your energy level returns (a little at least), and you are not yet so big as to inhibit most of your normal day to day activities. In addition, that first trimester miscarriage anxiety is decreasing a little because you know your risk of pregnancy loss is now 1% or less. For most of you, visits with Kamm Mckenzie are usually only monthly. Excitement builds as you look forward to your anatomy sonogram.  At some point you will start to feel the baby move. Then, most of you get to close out your 2nd trimester and begin your third with the wonderful, sweet, mouth puckering, orange or lemon lime flavored gestational diabetes beverage...yummy! If you read my last blog, I dove into what warrants an emergency call during the first trimester, and what can wait until the office is open again. I am going to try to address some of the more common second trimester emergencies and comment on things that ...

First Trimester Emergency? When to Call

Early pregnancy is a particularly anxiety provoking time in one’s life.  For one, your life changes with the positive pregnancy test. You start imagining life with this child. You mentally decorate the nursery and fill the closet with the cutest baby clothes.  You budget schools and weddings etc. All this just based on a urine pregnancy test! We all do it (and we all take at least 3 pregnancy tests… admit it!!). Early pregnancy is also nerve-racking because for many families this was not an easy point to get to (at least 15% of women have some fertility difficulty), or you have had a miscarriage (or several) in the past.  And lastly, there is the lack of control that we all have over what goes on in early pregnancy. These pregnancies advance or they don’t for a variety of reasons outside of any person’s control… and in today’s society, we all want immediate gratifying control of everything. Read Dr. Bernstein's advice on when to call the emergency room and when to wait.

What's Up With the Cup?

A patient asked me last week if it is ok if she uses a Diva Cup (a brand of menstrual cup).  I confidently said, “Sure, as long as it is working for you.” After the appointment I decided I better educate myself more, as while still not used with popular frequency, we are getting more and more questions in the office about menstrual cup use.  So who better to tell you all about them than someone who has never used one and never will have a need to?!?!  But like many topics in our blog series, I will do my best to research and describe some basics, pros, and cons of menstrual cups.

Infertility Myth Busters: We Explore Common Misconceptions About Getting Pregnant

Perhaps you have a friend who swore to you that she got pregnant by having sex in the missionary position and then holding her legs up in the air for 20 minutes. She probably meant well, but that’s not proven advice. Continue reading as we explore common misconceptions about getting pregnant, such as "you need to have an orgasm during sex," and debunk them.

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Computer Drive Office
3805 Computer Drive
Raleigh, NC 27609

Durant Medical Center
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Raleigh, NC 27614

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