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Michael D. Smith, M.D.'s Articles

Why Deliver with Kamm McKenzie? The data is in your favor.

Hopefully there are all kinds of reasons why you would want to join our practice.  Here is a big one.  Our cesarean section rate continues to be one of the lowest in the nation.  The Leapfrog Group tracks quality outcome measures in hospitals across the county.  They just released their most recent review of Maternity Care.  In it they report the cesarean section rate for first time moms at term with a single head down baby (NSVT). 

Top Baby Names 2018 and Dr. Smith's Rules for Naming your Baby

It’s that time of year again!  NHL and NBA playoffs? Yes, but no.  Powerwash the deck now that pollen season is over?  Maybe, but nope.  Drumroll please…… it’s time to announce the top 10 baby names for 2018!  Every May the Social Security Administration releases last years top baby names.  It’s really kind of a cool web page with lots of information.  You can see the national “winners” or search by state.  You can even look up the popularity of a name by birth year dating back to 1880.

Vaginal Seeding: Fact or Fiction?

Every once in a while at the office we are asked by our pregnant patients if “vaginal seeding” is offered or not to our patients who have a C-section.  If this term is new to you, the American College of OBGYN (ACOG) Committee Opinion on vaginal seeding defines it as “the practice of inoculating cotton gauze or a cotton swab with vaginal fluids to transfer the vaginal flora to the mouth, nose, or skin of a newborn infant. The intended purpose of vaginal seeding is to transfer maternal vaginal bacteria to the newborn.”

5 Helpful Tips for Recovering After C-Section Surgery

Whenever possible, we support a vaginal birth as long as it is a viable, healthy option for both mother and baby. However, in some cases, a C-section may be necessary. Sometimes recovery may feature unexpected elements, so we wanted to offer these 5 tips for recovering after your procedure.

Koop Kam Update: To Hatch, or Not To Hatch...

August 28, 2018 “To hatch, or not to hatch, that is the question.”   Two happenings in the Kamm McKenzie Koop today.  Some good news, and some not so good news.  First the bad news.  I’m not sure just how to break it to Miss Frizzle, but her eggs are sterile.  I brought a pen light into work today and “candled” the eggs, which is to say transilluminated them and see if there was a chicken embryo in there.  Nada, and it is day 15 out of 21 days of gestation.  If the light shines through and the whole egg glows, ain’t nothing going on in there.  If there is a dark spot, that spot is a developing chick.   Here is a chart:     Here is one of Miss Frizzle’s eggs:   Now for the good news (maybe).  We have 4 Silkie chickens.  You can’t tell if they are a boy or a girl until they either “lay an egg or crow”, according to the gentleman from whom they were purchased ...

Things That Start With the Letter "C"

Some of you are aware that, yes, we do have chickens at our Computer Drive office. That starts with the letter “C”, but this blog post isn’t about them. Cesarean section starts with the letter “C”; let’s talk about that for a bit. I was compiling some data to share with an insurance company who has recently developed a product that doesn’t include WakeMed or Duke as an option for people who end up with that insurance plan. That limits your choice.

Labor Day Chicks?

I noticed some different activity from our Miss Frizzle today. She spent the majority of her day sitting in one of the nesting boxes. We have had tiny eggs for about three weeks now, and I am not real sure who has been laying them.

Placenta: To Eat or Not to Eat, That is the Question

The placenta is your body's only disposable organ. It contains a network of tissue and blood vessels that allows for the exchange of nutrients and gases between the mother and the fetus. It removes waste products and carbon dioxide from the fetus. It is the blood barrier between the maternal and fetal circulation. Some antibodies can pass from mother to fetus helping protect from some diseases. It functions as an endocrine organ making some hormones. These functions we can all accept. The question being addressed in this post is, "Is it worth eating?"

The Pink Pill: Part 2

As “the pink pill” (brand name Addyi, generic  name flibanserin)  was approved in August, I thought it would timely to post a few initial observations.  

Sharks, Your Period, and You (Queue the Music)

With all the shark attacks on the coast of North Carolina this summer (seven since June 11), we thought it would be timely to address the question of whether or not it is safe to swim in the ocean while menstruating?

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Koop Kam 2

Computer Drive Office
3805 Computer Drive
Raleigh, NC 27609

Durant Medical Center
10880 Durant Road, Suite 224
Raleigh, NC 27614

Office Hours
Monday-Wednesday 8:00 to 5:00
Thursday 8:30 to 5:00
Friday 8:00 to 4:00

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Fax: 919-783-1819

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