Lauren Schreffler, APRN

Pap and Pelvic: the 2 Ps and When You Need Them


Women's Health

Many women assume the Pap test and pelvic exam go together, but that’s not always the case. Both are important tools your provider uses to diagnose conditions and detect cancer, but they are not one and the same. The Pelvic Exam What: This physical exam checks for medical problems with your pelvis, vagina, and pelvic floor. It’s helpful for detecting problems with bladder function, sexual function, or other issues with your pelvic anatomy. How: You’ll be asked to change into a gown and lie on the exam table. Your outer anatomy (vulva) will be examined for redness, swelling, sores, or other abnormalities. Your provider will insert a speculum (duck-bill-shaped instrument) into your vagina to separate the vaginal walls to visualize … Continue reading

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Women's Heath

Expectant Mothers Have More Choices with Good Life Birth Place and CHI Health St. Elizabeth Maternity Center


Women's Health

When Good Life Birth Place opened in July of 2017, it became the first and only free-standing birthing center in Lincoln, Nebraska. That doesn’t mean this unique facility specifically for midwife care stands alone. Good Life Birth Place maintains a close connection with CHI Health St. Elizabeth. In fact, 50 percent of pregnant women who receive prenatal care from certified nurse midwives at the Good Life Birth Place will give birth here. The other half will deliver a few blocks away at the Maternity Center at CHI Health St. Elizabeth. “This can be due to personal preferences or medical issues that develop during the pregnancy,” said Karen McGivney-Liechti, CNM. As a certified nurse midwife, she delivered hundreds of babies at … Continue reading

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Lauren Anderson, MD

Baby Blues? 8 Things You Should Know about Pregnancy and Depression


Parenting, Women's Health

How common is depression in pregnancy? Although pregnancy is supposed to be a happy time for expectant mothers, many pregnant women suffer from depression during pregnancy. It is thought that about 7-10% of all pregnant women will experience depression during pregnancy. After pregnancy, it is even more common with about 20% of women suffering from postpartum depression and up to 70% of new moms suffering from baby blues. What is the difference between postpartum blues and depression? Along with the excitement and joy a new baby brings to a family also comes sleepless nights, decreased energy, changes in appetite and feelings of defeat or discouragement. Some of these changes could in fact be “normal” for a postpartum mother. However, they could also … Continue reading

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Women's Heath

7 Cringe-Worthy Conversations You Should Have with Your OB/GYN


Women's Health

Working up the courage to ask an uncomfortable question at your annual exam? Take my professional advice: Just blurt it out. OB/GYNs deal with delicate subjects every day. In fact, it’s what we train for in medical school. An issue you initially find embarrassing might end up improving or even saving your life. So if you’re experiencing angst due to scenarios like these, speak up: 1. Dreading the Pap smear because it’s painful or makes you uncomfortable? We understand that manual exams and Pap smears can feel intrusive and can even be triggering for some women. Let us know, so we can adjust our approach to minimize your discomfort. This advice applies at any point during the exam. 2. Covering … Continue reading

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John J. Cote, M.D.

Miserable Once a Month? 9 Health Factors That Affect Your Period


Women's Health

When pads and tampons are no match for your monthly period, it’s time to see your OB/GYN. Heavy menstrual bleeding, or what can seem to women like a raging period, can be incredibly uncomfortable, inconvenient and even painful. Clinically known as menorrhagia, this is a period that is abnormally heavy or lasts for more than seven days. If you’ve experienced it, you’re not alone. One in 10 women has excessive bleeding at one time or another. The good news is that we usually slow things down. The first step is determining the cause. During an evaluation, we will check for the following possible causes: 1. Have you changed your birth control or are you pregnant? Fluctuating hormones are a common … Continue reading

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