The Birth Squad

9-“What’s for you, is for you”- Letitia’s Infertility Journey and Advanced Maternal Age Pregnancy


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Meet Letitia, a badass birth warrior who discusses her infertility journey and a "geriatric pregnancy"
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**Episode Notes**
Links
https://www.marchofdimes.org/find-support/topics/pregnancy/pregnancy-after-age-35
Terms
AMA (advanced maternal age) - a birthing individual age 35 or older 
Amniocentesis - a diagnostic procedure to obtain amniotic fluid with fetal cells. Offered to anyone over 35 or with an abnormal genetic screening 
NST (non-stress test) - fetal heart rate monitoring for 20 minutes to assess fetal well being 
PCOS (polycystic ovarian syndrome) - a constellation of symptoms with irregular periods or absence of a period being the main finding. Also, notable for excess hair growth and acne. Can be associated with infertility or increased risk for abnormal uterine cells.
Tests for infertility 
AMH (anti-mullerian hormone) - test to assess ovaries receptivity to infertility treatments (i.e. how hard or easy will it be to get you pregnant)
Pelvic Ultrasound - abdominal and vaginal ultrasound to look at your uterus and ovaries. 
Saline Sonogram - ultrasound procedure that instills water into your uterus to determine if there is abnormal tissue inside 
Hydrosalpingogram - x-ray procedure where they inject dye in your uterus to determine if your fallopian tubes are open.
Follicle count - an ultrasound exam by a GYN or fertility specialist to assess the number of follicles your ovaries have. Also, a way for them to determine how easy or hard it will be to get you pregnant.
Semen analysis - assessment of sperm count, morphology, and motility. Is it normal or not?
Ovulation induction medications:  medications that encourage ovulation 
Clomid - ovulation induction medication with the highest risk for multiples
Letrozole - ovulation induction medication better for PCOS patients and lower the risk of multiples
Neonatologist - high-risk OB who specializes in complicated pregnancies or pregnancy disorders.
Doula - a birthing coach who offers prenatal visits, labor support, and postpartum assistance. Cannot deliver babies 
Induction - medications used to start labor
Birth center - a place where you can deliver if you are low risk. Usually run by midwives 
Midwife - a licensed nurse who can deliver low-risk infants
...more
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The Birth SquadBy Dr. Ijeoma Bello and Dr. Kimeshia Thomas