Why can't Obstetrics be by its self since Gynecology is already by its self - Page 2

[eminer]

Hey all, not questioning the need for doctors. Just pointing out that midwives also do well woman care.

So lay off.

[applejuice]

Originally Posted by wannabe

Applejuice, actually DES causes structural abnormalities like a T-shaped uterus. The first clue is generally multiple miscarriages. it has no association with endo.

I have no uterine issues whatsoever. But it is good advice for women in their late 30s (the DES daughter cohort is around that age) with miscarriage issues, or any woman with miscarriage issues to have an HSG and hysteroscopy to check their uterus.

I know, but I have many suspicions that many of the newer reproductive tract problems that have come to the attention of medical experts are associated with DES, and that doctors have simply stopped researching it and connecting anything new with DES. It was prescribed from 1938 to 1971 as an anti-miscarriage "vitamin" and used in our meat products until 1979.

The person who alerted me to this was Dr. Robert Mendelsohn, who was himself working at the University of Chicago when the double blind study was going on in the late 1940s and early 1950s.

JMHO

[*guest]

My GYN has a solo practice, and she specializes in gyn surgery and infertility. She is always fully booked, so I don't think it's possible to make the blanket statement that no GYN could survive on only non-OB work. I see her for my well visits and the management of my endo. And to someone else's point above, no, I'm not a DES daughter either. There are theories that endo is linked to environmental toxins, but that's another story...

I love my GYN (she's the first doctor who ever asked me if I planned to breastfeed as she was doing a routine breast exam, and then she went on to tell me how great her experience nursing twins was), but I see a midwife for pregnancy care and homebirth. I'd never seek out on OB on purpose for normal pregnancy and delivery. I do like the separation of care and that I don't have to "fire" her for my pregnancy since she doesn't even do delivery. I wish more people did not automatically think "OB" for pregnancy. I'll return to her for care after the pregnancy if my pelvic pain comes out of the remission it's in now. I see nothing inconvenient about having different providers for different specialties. Add it to the list, just like eye doctors, chiropractors, dentists, whatever.

[mwherbs]

on the subject there are sub-specialities like
perinatologist -- this person doesn't do gyn care- maternal/fetal medicine

midwives do to an extent infertility care, rx , minor surgeries and can do most screening and dx tests- referral up the line to a specialist

in a sense midwives are the more focused in OB care -- with some adjunctive skills for gyn-- if you can do a pap, breast exam and screen for stds in pregnancy you can do the same for non-pregnant women

[luvmy3boys]

To answer the OP, I think some GYNs only have GYN patients because they can keep regular hours and do not necessarily have to be on call or come in all hours of the day/night.
Gynaecology is the study of women, so it makes since to go hand and hand with Obstetrics. However, I do know doctors who are OBGYNs, who only have pregnant patients.

[PerennialMom]

I know my midwife (a CPM) does regular paps exams. I just see my DO, but am considering switching to her for everything. I've never seen an OB/GYN for anything and I hope I never have to (but if I do, I'll be thankful the profession is there as an option)!