Colpo
When a pap smear is abnormal a Colposcopy is done to take a closer look at the cervix with a microscope. Pap smears are screening tests designed to be abnormal more times than is true. Colposcopy is more diagnostic and tells whether there truly is a problem. Vinegar/Acetic acid is used to wipe away the mucus and high light any abnormalities. A biopsy is taken to confirm you are ok. Colposcopy is longer than a normal pap smear, but is usually well tolerated

LEEP
LEEP is performed to shave the face of the cervix off with abnormal cells. The hope is the newer cells will grow normally and without HPV. LEEP is usually better tolerated than the colposcopy because your cervix is made numb with lidocaine. A protective blue pad will be placed on your thigh. The machine has a loud vacuum. Before you know it, the procedure is over in about 5 to 10 minutes.

Induction at 3pm
If your cervix is not favorable (not dilated/firm) you come in for cervidil - a medicine that will "ripen" your cervix and make labor easier. It is thinner than a tampon and inserted into the vagina. Therapeutic rest is given because it is difficult to sleep in the hospital setting, and you need rest for pushing the next day. (Sorry Dad, no sharing) The cervidil is removed around 5 am, you take a shower and have a light breakfast, and pitocin is begun at 6am. Between 8-10 am the bag of water is broken. A epidural may be obtained anytime. The baby should come between noon and 5, but anything before midnight is good. Sometimes, your uterus doesn't understand pitocin. The maximum dosage may be given and your contractions are barely noticable. If this is the case, another night of cervidil will be needed. The next day, the uterus will have gained more pitocin receptors from the day before and respond much more actively.
After the baby is born, the mouth is suction and cord is clamped. The baby is placed on your tummy if all is going well, or on the crib if the nurses need to attend to their breathing. Dad can cut the cord. The baby will receive a vitamin k injection to help with blood clotting, antibiotic eye ointment to prevent blindness, and then vital signs are taken. Foot printing will be done now, bring your shirts/books, or can be done anytime during your hospital stay.

Induction at 6am
Your induction was scheduled at 6 am since your cervix is favorable (dilated and soft) and/or you have previously had a baby. When you arrive, pitocin will begin your contractions. Around 8-10 am, the bag of water will be broken. Epidural can be obtained at any time. The baby will usually be born between noon and 5, but anything before midnight is expected.

After the baby is born, the mouth is suction and cord is clamped. The baby is placed on your tummy if all is going well, or on the crib if the nurses need to attend to their breathing. Dad can cut the cord. The baby will receive a vitamin k injection to help with blood clotting, antibiotic eye ointment to prevent blindness, and then vital signs are taken. Foot printing will be done now, bring your shirts/books, or can be done anytime during your hospital stay.


Endometrial Ablation
We also now offer in-office endometrial ablation.  This procedure is for heavy, painful and long lasting periods.  It can reduce or stop bleeding altogether.  It is much easier to recover from than hysterectomy and normal activities can be resumed in a day or so.  Learn more at www.Novasure.com and  www.Bostonscientific.com, Search endometrial hydroablation.