My Blog

Posts for category: Health

May 16, 2018
Category: Health

Pregnancy is a beautiful time. However, it can take a toll on your body and comes with certain risks, especially in multifetal pregnancies, multifetal pregnanciessuch as those with twins or triplets. However, with an experienced maternal-fetal medicine specialist and knowledge of your risk factors, you can have a healthy, happy multifetal pregnancy. Find out more about multifetal pregnancies and risks with Dr. Robert Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS.

What is a multifetal pregnancy?
A multifetal pregnancy is any pregnancy involving more than one fetus. The most common example of multifetal pregnancies is twins. Higher numbers of multiples, like triplets and quadruplets, though rarer, can happen. Twins are classified as monozygotic when they originate from the fertilization of a single egg and dizygotic when they originate from the fertilization of two separate eggs. Using assistive reproductive procedures like in-vitro fertilization, which stimulates the ovaries to release more follicles, results in a higher chance of multifetal pregnancy.

What are the risks of a multifetal pregnancy?
While many multifetal pregnancies result in healthy, happy babies, there are risks with multiple pregnancies and births. Risks during pregnancy include miscarriage (one or more babies), preeclampsia and high blood pressure, gestational diabetes, increased chance of preterm birth and cesarean delivery, and a higher chance of birth defects. However, careful monitoring of your pregnancy and the fetuses by a maternal-fetal medicine specialist helps lower risk of complications and works towards a happy, healthy pregnancy and delivery.

Managing the Risks of Multifetal Pregnancies in Jackson, MS
Vaginal multifetal deliveries usually take place in an operating room due to the higher risk of cesarean delivery becoming necessary. There are a few main points of interest in managing multifetal pregnancies. They include ensuring the mother gets proper nutrition during the pregnancy, increased rest, increased number of prenatal visits and testing, and monitoring by a maternal-fetal specialist like Dr. Naef.

Dr. Naef specializes in high-risk pregnancies and can guide you through your journey. If your OBGYN has determined that you are high risk they can refer you to Dr. Naef for proper treatment. For more information on the risks of multifetal pregnancies, please contact Dr. Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS. Call (601) 360-5651 to schedule your appointment today!

February 22, 2018
Category: Health

If you have had three or more miscarriages we know you want answers.recurrent miscarriages

We know that a miscarriage is something that isn’t easy to talk about, which might be what brought you to this post in the first place. We know you want answers and it may be difficult to turn to a doctor for help. Here at Mississippi Maternal-Fetal Medicine, our Jackson, MS, maternal-fetal medicine specialist, Dr. Robert Naef, III, helps women who are dealing with high-risk pregnancies. Here’s what you need to know about why recurrent miscarriages happen and what we could do for you.

Causes of Recurrent Miscarriages

There are so many factors and causes for miscarriages that it’s nearly impossible for our maternal-fetal medicine doctor in Jackson to pinpoint the root cause without coming in for diagnostic testing.

Sometimes the cause is chromosomal or genetic in nature or there are abnormalities with the egg, sperm or embryo. Women over the age of 35 are also considered at an increased risk for miscarriage due to age because with older maternal age also comes an increase in genetic abnormalities.

Sometimes structural abnormalities within the uterus can also affect your ability to get pregnant or increase your chances of a miscarriage. In other situations, your immune system could be the cause. If you have been diagnosed with diabetes or a thyroid disorder this can also affect your pregnancy. This is why it’s so important that you get annual checkups to make sure that any health problems you might have are diagnosed and treated right away. Getting health problems under control can also increase your chances of getting pregnant and reducing miscarriages.

Of course, stress and other environmental factors can also play a role in the health of your pregnancy and increase your chances of a miscarriage.

Treatment Options

The treatment plan we create for you will depend on the specific cause of your pregnancy. Of course, our goal is to treat the problem head on to ensure that your future pregnancy goes smoothly.

Some couples decide to undergo genetic testing. If there are any genetic abnormalities that are making it difficult to get pregnant or carry to full-term, in-vitro fertilization (IVF) is often recommended.

Blood tests will also be performed to check for certain conditions like blood clot disorders or polycystic ovary syndrome (PCOS), which can also affect the health of a pregnancy. Luckily, there are medications and other treatment options available to keep these conditions under control and to reduce your risk of miscarriage.

There are many ways to help reduce miscarriages in the future and we are here to help give you the answers you need. The team at Mississippi Maternal-Fetal Medicine in Jackson, MS, is ready to provide you with the gentle, compassionate care you need. Call us today.

December 05, 2017
Category: Health

Pregnancy is a beautiful time in a woman’s life and certainly a period to remember. Unfortunately, not every woman has a complication-high risk pregnancyfree or low-risk pregnancy. In cases of high-risk pregnancies, high-risk obstetric care is crucial to keep both mother and child safe and healthy throughout the pregnancy. Find out more about the importance of obstetric care during a high-risk pregnancy with Dr. Robert Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS.

What classifies a pregnancy as high-risk? 
If a mother or unborn child’s health or life is threatened by a pregnancy, it is considered high-risk. Though not all pregnancies begin at a higher risk, they can sometimes progress into high risk later on in the process due to many factors. Some of the most common risks for a high-risk pregnancy include:

  • underlying conditions such as being HIV-positive or diabetes
  • obesity
  • teen pregnancies or pregnancies to women 35 or older
  • twins or other multiple births

What makes a high-risk obstetrician important?
Seeing a high-risk obstetrician puts you at a lower risk of complication during your pregnancy. Dr. Naef specializes in high-risk pregnancies and ensuring that at-risk women receive the same care and enjoy the same experiences as those who are at a lower risk of complication. Seeing a high-risk obstetrician allows patients to receive specially crafted care for their specific risk factors. This ensures a healthy pregnancy and successful delivery.

High-Risk Obstetrics in Jackson, MS 
If you are at risk for a high-risk pregnancy, you will benefit from seeing a doctor specialized in caring for you and your situation. If you think you could be at a higher risk of complication and are thinking of becoming pregnant or are already pregnant and at-risk, you should consult with Dr. Naef to determine your best course of care moving forward.

For more information on high-risk obstetrics or why they are important, please contact Dr. Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS. Call (601) 360-5651 to schedule your appointment with Dr. Naef today!

October 04, 2017
Category: Health
Tags: Pregnancy Issues  

Sometimes pregnancy issues arise — even in healthy women. If a problem is found, make sure to follow your doctor's advice about pregnancy issuestreatment. Doing so will boost your chances of having a safe delivery and a healthy, strong baby. Mississippi Maternal-Fetal Medicine, which is located in Jackson, MS, provides a full range of obstetric services for women with maternal and/or fetal complications. Dr. Robert Naef is one of the finest doctors in Jackson, MS. Keep reading to learn about some common pregnancy complications.

1. Ectopic Pregnancy

An ectopic pregnancy occurs when a fertilized egg implants somewhere other than inside the uterus, usually in the fallopian tubes. Ectopic pregnancy can lead to a medical emergency if it ruptures. The symptoms of ectopic pregnancy may include shoulder pain, abdominal pain, vaginal bleeding, and feeling dizzy or faint. Get medical care right away if you have these signs. Many women who have had ectopic pregnancies go on to have healthy pregnancies later.

2. Gestational Diabetes

Gestational diabetes is diabetes developed during pregnancy. Most women can control their blood sugar levels by following a healthy meal plan from their doctor. Some women also need insulin to keep their blood sugar levels under control. Doing so is important because poorly controlled diabetes increases the risk of early delivery, preeclampsia, cesarean birth, and having a baby born with jaundice, breathing problems, and low blood sugar.

3. Preeclampsia

Preeclampsia is a condition that pregnant women develop. It is characterized by high blood pressure. Preeclamptic women have a high level of protein in their urine and often have swelling in the hands, legs, and feet. Preeclampsia affects the blood flow to the placenta, often leading to prematurely born or smaller babies. Possible treatment for preeclampsia may include corticosteroid medications, medications to lower blood pressure, and anticonvulsant medications. Severe preeclampsia may require that you be hospitalized.

4. Placental Abruption

Placental abruption is a complication of pregnancy in which the placenta peels away from the uterus before delivery. The signs of placental abruption include vaginal bleeding, back pain, abdominal pain, and rapid uterine contractions. Seek emergency care if you experience any of these symptoms. For the mother, placental abruption can lead to blood clotting problems, shock due to blood loss, and failure of the kidneys or other organs. For the baby, placental abruption can lead to premature birth, and deprivation of oxygen and nutrients.

If you are experiencing complications during your pregnancy, call Mississippi Maternal-Fetal Medicine at 601-360-5651 now to schedule an appointment in Jackson, MS. Be assured that we will provide you with the best care possible as you prepare for one of your life's most important events- the birth of your baby.

June 14, 2017
Category: Health
Tags: Birth Defects  

Find out the diagnostic tests that can be performed to check for birth defects.birth defects

While we know that being pregnant should be an exciting time in your life, we also know that there is a lot to think about. This is particularly the case for women with high-risk pregnancies. That’s why our Jackson, MS, maternal-fetal medicine specialist Dr. Robert Naef III is here to provide the compassionate, thorough care you need throughout your pregnancy. Of course, we highly recommend getting birth defect testing to check for potential problems.

While our maternal-fetal medicine doctor in Jackson, MS, specializes in high-risk pregnancies, all pregnant women should receive prenatal screenings to check the health of their growing baby. There are a few different screenings that you will undergo throughout the course of your pregnancy, and if your OBGYN determines you are high risk, they can refer you to Dr. Naef for additional testing and treatment.

The First Trimester

Within the first 11 to 13 weeks of your pregnancy, we will want to check for specific birth defects that involve the chromosomes or the heart. Through an ultrasound and a blood test, we will be able to detect high or low protein levels that may indicate that there is a chromosomal disorder such as Downs syndrome. We will also be able to check for heart defects in your baby through our high-quality ultrasound technology. There are other tests that can be performed to check for genetic issues.

Second Trimester

During your second trimester, you will want to come in for a checkup with the 15-20-week mark. Again, we will perform another ultrasound, typically at 18-20 weeks, to check the growth and development of your baby and to pinpoint more visible birth defects. A serum test will also be performed. This is just a regular blood test, which will check for issues such as a neural tube defect or other common birth defects.

What if test results come back abnormal?

If you receive an abnormal test result, then we will most likely recommend further testing to determine if your baby does have a birth defect or if the test detected another issue. Of course, with a high-risk pregnancy these tests below may also be recommended:

Amniocentesis: to test for genetic disorders such as Tay-Sachs disease

Chorionic Villus Sampling (CVS): gathering a very small sample of the placenta to check for genetic disorders

If you are pregnant and are considered high risk, then call or ask your OBGYN to call for a referral to Mississippi Maternal-Fetal Medicine in Jackson, MS. We are happy to work with your schedule to get you in to see Dr. Naef as soon as possible.