Gynecological Female Reproductive Tract
Cancers of the uterus, ovary, cervix, vagina and vulva most often require surgical intervention. Here at Exeter Hospital, our affiliated gynecologists work closely with the Gynecologic Oncology department at the Lahey Clinic as well as with medical oncologists and radiation oncologists at the Center for Cancer Care to effectively manage patients with gynecologic cancers. Pre-cancerous gynecological conditions can often be effectively managed with surgical interventions as well.
Meet our affiliated surgeons specializing in Gynecology:
Kathleen Ober, MD
Deborah Browne, MD
Maribeth DiNicola, MD
William Gaw, MD
S. Scott Sudduth, MD
Catherine Turer, MD
For information on reproduction after cancer care, please contact the Center for Reproductive Care of Exeter Hospital.
Women's Wellness Clinic
Exeter Hospital offers free cancer-screenings for low income, uninsured women in the Seacoast area. Services offered include a clinical breast exam, pelvic exam with Pap smear, and mammogram.
The Women's Wellness Clinic is held one to two times per month on Wednesday evenings, on the fourth floor of Exeter Hospital’s Outpatient Care Center in the mammography suite. In addition to the physical exam and screening, educational information is available on a variety of subjects, including smoking cessation, nutritional information, WIC program, shelter and food bank information, and more. Referrals to social workers in our oncology department are also available for those needing assistance.
To participate in the program, you need a primary care physician to review the results of the screening and to provide any follow up care deemed necessary.
To schedule an appointment, please call SeaCare Health Services at (603) 580-6704, or Exeter Hospital at 1-800-4-EXETER, ext. 6704. SeaCare will help you determine if you meet the geographic and income guidelines for the Clinic.
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Can you tell the gender of my baby by the baby's heart rate?
No. Some say that the baby's heart rate is an indication of the gender, but we have found that it is not an accurate indicator.
How long will I be in labor and when will my baby arrive?
Unfortunately, there is no way of answering this question. Every woman's labor is different, and there are many different variables that affect the length, effectiveness and time of your labor and delivery.
Will the epidural slow down my labor?
Sometimes, labor can go slower after an epidural. Because you are inactive, in bed, and not able to walk, it may slow down your labor. However, with some individuals an epidural may actually allow for relaxation. This relaxation may result in the baby moving more quickly through the birth canal. It is important to remember that while the epidural will take most of the pain away, you will still feel pressure from the baby moving through the birth canal.
When can I get my epidural?
An epidural is anesthesia that is placed in your back. It numbs your body from the waist down, and relieves most of the pain of labor. Different providers have different thoughts about when the epidural can be done. Some providers require a patient progress to four centimeters before they get the epidural. Others will allow for it sooner in labor. We suggest that you discuss this subject with your provider.
How do I know when it is time to push?
When you are fully dilated and the baby is in position, your body will tell you that it is time to push. The urge to push is natural and you may find your body doing it with no direction from you what-so-ever. At this point, as long as your are fully dilated, your nurse will help you through this final stage of labor.
How do I push effectively?
Use your abdominal muscles, positioning chin to chest, and take a deep breath and push, while pulling your legs up to your chest. This is the most effective way to help your baby advance through the birth canal.
Will the pain get worse as my labor progresses?
Yes. The pain of labor is something that can be controlled with relaxation techniques, medication, or by means of an epidural. You may also choose to practice Hypnobirthing, which is taught in a class prior to delivery. Any of these options are available in the Family Center to make your labor as comfortable as possible.
When will my milk come in?
The average length of time it takes for breast milk to come in is 3-5 days. This varies from one individual to another. If you have any questions, please feel free to call one of our Lactation Consultants at (603) 580-4324.
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