Monthly Archives: July 2019

Have you considered that Summer may be the best time for your teen’s fist gynecologic visit? The dog days of summer are upon us. Are you enjoying lazy days at the pool, planned family vacations or busy times with kids active in sports and other camps? Why does it seem these days fly by and before you know it, the store aisles are filled with back-to-school supplies and fall clothes?

While this is a fun-filled time for your family – this is also the perfect time to consider your teenage daughter’s first gynecologic visit with us. Our expert physicians and midwives not only have the experience necessary to care for your teen but also are sensitive to her teenage gynecologic health needs.

We’ve provided answers to frequently asked questions below. However, we’re more than happy to schedule a first-time consult with your teen to answer her questions and put her at ease. Schedule your daughter’s first GYN appointment with us HERE. We’ll get her started on a healthy and empowered pattern of female wellness.

First Gynecologic Visit for Teens FAQs

Here are helpful answers to frequently asked questions originally posted on the American College of Obstetrician’s Website.

When should I have my first gynecologic visit?

An obstetrician–gynecologist (OB-GYN) is board certified in obstetrics and gynecology and certified nurse midwives (CNM”s) are registered nurses with graduate education in midwifery. OB-GYN’s and CNM’s specialize in the care of women’s health needs. Girls should have their first gynecologic visit between the ages of 13 years and 15 years.

Is it normal to be nervous before the first visit?

It is normal to feel nervous about your first visit. It may help if you talk about it with your parents or someone else you trust. You may want to let your doctor / midwife know you are nervous. He or she can help put you at ease.

What should I expect at the first gynecologic visit?

The first visit may be just a talk between you and your doctor / midwife. You can find out what to expect at future visits and get information about how to stay healthy. You also may have certain exams.

Your doctor / midwife may ask a lot of questions about you and your family. Some of them may seem personal, such as questions about your menstrual period or sexual activities (including vaginal, oral, or anal sex). If you are concerned about confidentiality, you and your doctor should talk about it before you answer any questions. Much of the information you share can be kept confidential.

What exams are performed?

You may have certain exams at the first visit. If you choose, a nurse or family member may join you for any part of the exam. Most often, these exams are performed:

• General physical exam
• External genital exam

You usually do not need to have a pelvic exam at the first visit unless you are having problems, such as abnormal bleeding or pain. If you are sexually active, you may have tests for certain sexually transmitted infections (STIs). Most of the tests that teens need can be done by the doctor with a urine sample. You also may have certain vaccinations.

What happens during a general physical exam?

During the general exam, your height, weight, and blood pressure will be checked. You also will be examined for any health problems you may have.

What are the pelvic exam and Pap test?

Even though you probably will not have a pelvic exam, you should know what one is. Another test that you will have later (at age 21 years) is a Pap test. This test checks for abnormal changes in the cervix that could lead to cancer.

What are vaccinations?

Vaccinations or immunizations protect against certain diseases. The following vaccines are given to all young women aged 11–18 years on a routine basis:

• Tetanus–diphtheria–pertussis (Tdap) booster
• Human papillomavirus vaccine
• Meningococcal vaccine
• Influenza vaccine (yearly)
• In addition to routine vaccines, special vaccines may be given to young women who are at an increased risk for certain diseases. Listed are some of these vaccines:
• Hepatitis A virus vaccine
• Pneumococcal vaccine

What special concerns can be discussed with my Ob-Gyn / Midwife?

Many young women share the same health concerns. Most of these concerns are a normal part of growing up:

• Cramps and problems with menstrual periods
• Acne
• Weight
• Sex and sexuality
• Birth control
• STIs
• Alcohol, drugs and smoking
• Emotional ups and downs

What can I do to stay healthy?

• Making good lifestyle choices can help you to be strong and healthy for years to come
• Maintain a healthy weight by eating a well-balanced diet and exercising often
• Avoid smoking, drinking alcohol, and using illegal drugs
• Seek help if you have emotional ups and downs or feel depressed
• Use birth control if you are having sex and do not want to have a baby
• Protect yourself from STIs by using a latex condom. Know your partners and limit their number
• Keep up with routine exams, tests, and immunizations

Here are some helpful terms:

• Birth Control: Devices or medications used to prevent pregnancy

• Cervix: The lower, narrow end of the uterus at the top of the vagina

• Condom: A thin cover for the penis used during sex to prevent sexually transmitted infections (STIs) and pregnancy

• Menstrual Period: The monthly shedding of blood and tissue from the uterus

• Midwife (CNM): A nurse with special training and education in women’s health

• Obstetrician–Gynecologist (Ob-Gyn): A doctor with special training and education in women’s health

• Pap Test: A test in which cells are taken from the cervix (or vagina) to look for signs of cancer

• Pelvic Exam: A physical examination of a woman’s pelvic organs

• Sexually Transmitted Infections (STIs): Infections that are spread by sexual contact

• Speculum: An instrument used to hold open the walls of the vagina

• Vagina: A tube-like structure surrounded by muscles. The vagina leads from the uterus to the outside of the body

• Vulva: The external female genital area

We’re more than happy to answer your questions. Contact us today. Call 609-896-0777 or schedule a consult HERE.

We are one of the Princeton area’s leaders in establishing a model of care using both the skills of both the midwife and those of physicians in a collaborative manner to produce the best outcomes for our patients and their families. Our midwives are highly educated and trained medical professionals who have studied and graduated from some of the most respected formal education programs in the country. They are able to be designated as Nurse Midwives only because they have successfully completed a rigorous national certification examination.

A Midwife Offers an Elevated Model of Care

Our midwives are specialists in women’s health. Alongside our physician experts and support team, they provide primary and reproductive care to women of all ages. Midwives have particular expertise in normal pregnancy, labor, and delivery. Scientific studies have shown that care under a midwife significantly decreases the risk of medical interventions, including cesarean delivery. Our midwives do an extraordinary job caring for the patients in our practice.

Midwives and Childbirth

At Delaware Valley OB/GYN, we recognize that childbirth is a natural phenomenon and that most pregnancies are healthy ones. There are some pregnancies that do need extra medical attention and care. Our midwives work collaboratively with our physicians to recognize when a patient needs that extra attention. When our physician must assume a lead role due to the degree of increased pregnancy risk status, our midwives continue to participate in physical care, counseling, guidance, teaching, and support of our patients. It is always our intention, for our midwives and physicians to apply their expertise and to work jointly when caring for women with special medical needs.

Midwives and Gynecology

Additionally, our Nurse Midwives are a great option as providers for gynecologic care. Here are five reasons to consider a Nurse Midwife for gynecologic care:

1. Midwives Have a More Holistic Approach to Healthcare
   In general, nurse-midwives tend to have more time to answer all your questions. They can help you learn about the physical and emotional changes you experience as you prepare for your expanding family or with your general care.For those who are expecting, births overseen by CNMs usually have less intervention – such as continuous electronic fetal monitoring, epidurals, and episiotomies – often with better outcomes for women and their babies. Studies have clearly shown that women using CNMs have much lower rates of cesareans.

2. Midwives Can Help with Family Planning 
   A CNM can be a great resource before you have children by assisting with family planning. CNMs also provide contraceptive counseling and services, including prescriptions for oral contraceptive pills, IUD insertions and removals, insertion and removal of hormone-releasing birth control implants.
3. Certified-Midwives Are Qualified to Care for Women Long-term
   This is just like an annual exam with a gynecologist. The midwife does a complete physical exam including a vaginal exam, takes a PAP smear, breast exam and will discuss relevant health topics with you such as family care and nutrition. Many women opt for a midwife because they feel their midwife is someone who is willing to invest personal time and attention in their needs. Certified midwives can also assist women as they enter menopause and face hormonal issues.
4. Certified Nurse-Midwives Are RNs, Have A Master’s and/or Doctoral Degree in Nursing, and National Certification and Licensure in the State in Which They Work
   This preparation qualifies them to perform examinations, order lab tests, prescribe medications, etc. So, pregnant or not, they are a great resource for overall family care. If a pregnancy occurs, you can rest assured they are trained to assist you in having the most healthy and happy pregnancy and birth that is possible. And, CNMs have relationships with physicians in case there is a high-risk situation.
5. They Offer Access to Additional Holistic Resources 
   Another great reason to become connected with a nurse-midwife is the opportunity to tap into their network. They are often entrenched in their communities, and can offer great recommendations on other natural, holistic providers. They regularly work with massage therapists, acupuncturists, doulas and yoga therapists. Don’t hesitate to ask for referrals whether you are expecting or not.

Midwife Appointments at DelVal OB/GYN

Giving birth is one of life’s most wonderful and amazing events. The entire team at Delaware Valley OB/GYN considers it a privilege to be entrusted with assisting women in having a healthy pregnancy, birth, and newborn. You can schedule an appointment with a midwife just like scheduling an appointment with a physician at our Practice HERE. And, our midwives participate in OB call for deliveries 24/7.

This is an added dimension of choice provided to you for convenience and satisfaction.