Author Archive

Thank You Dr. David Schwartz

I spent an incredible 2 weeks as I finished my clinical rotation as a student Nurse Practitioner for my OB-GYN rotation with Dr Schwartz and his amazing staff. The energy and the personal touch and attention he gives each and every one of his patients is amazing. You cannot help but be exposed to his contagious and infectious wit! His passion and his drive to serve all of those who cross his threshold is a testament to the Hippocratic Oath he undertook when he enter this profession. To Dr Schwartz and his professional staff a huge THANKS!!!! My time there will always be cherished as short lived as it was. Everyone there made my clinical experience so special, educational and enjoyable. It was a blessing to be a part of such a great team. I wish you all the best and great success in whatever your next endeavor may be.
Love,
Tammy Blevins RN, BSN., NP-Student- Indiana Wesleyan University

Posted in: Testimonials

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Heartbeat Bear

Weeks before you may decide to tell people the good news of your pregnancy and months before your baby bump makes its debut, you have probably heard the sound of your baby’s heartbeat. The anticipation and the joy of hearing the first “swoosh, swoosh” is one of the most memorable moments of pregnancy. As your pregnancy continues, baby’s heartbeat gets stronger and hearing him or her becomes the highlight of routine check-ups.
With this is mind, a Registered Diagnostic Medical Sonographer created My Baby’s Heartbeat Bear . Heartbeat Animals combine an adorable stuffed animal with a recording of your baby’s heartbeat. You choose the animal you love the most and take it with you to your check-up. The animals contain a heart shaped recording device that you can use to record your baby’s heartbeat during your appointment. Used as a memento or a soother for your newborn, Heartbeat Animals are truly a one-of-a-kind keepsake that will be cherished for years to come.
Heartbeat Animals

Create one for yourself or baby, give as the perfect gift to your favorite mom-to-be, make one for Grandma and Grandpa, or send to a loved one who cannot be near. Heartbeat Animals can be ordered on-line or conveniently purchased at the office of Dr. David B. Schwartz. . Dr. Schwartz, and Nikkie Holmes – the practice’s RDMS, understands what a special moment this is in your pregnancy and is happy to help you create a lasting memory. understands what a special moment this is in your pregnancy and is happy to help you create a lasting memory. The office offers traditional animals ($35) and deluxe bears ($45) in costumes such as firefighter and military.

PIFirefighter Heartbeat Bear

Posted in: New Mothers

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Birth Control Essure

Permanence Without Surgery

For generations of women, the only permanent birth control solutions were procedures that required surgery, hospitalizations, and often disruption or loss of the menstrual cycle. Today women have a better option, Essure.

About Essure:

Essure Permanent Birth Control Essure requires no surgery, cutting, burning, or general anesthesia. It is a non-hormonal, permanent birth control procedure that can be performed in your doctor’s office.
Since the Essure inserts contain no hormones your menstrual cycle should continue normally.
About the Procedure:
The procedure typically takes under ten minutes and requires no down time for recovery. An Essure trained doctor will insert the soft, flexible inserts into the fallopian tubes. The very tip of the device remains outside the tubes giving the doctor an immediate visual confirmation that the placement is correct.
After the Procedure:
For three months following the procedure your body and the inserts work together to form a natural barrier. When complete, this barrier prohibits sperm from reaching the egg creating the most effective form of permanent birth control available. It is very important to remember that you must use another form of birth control (other than an IUD) during this period.
At the end of three months your doctor will administer the Essure Confirmation Test. This test uses contrast dye and a special type of x-ray to confirm that the barrier has formed. Once you receive confirmation, you can begin relying solely on Essure for birth control.
Is it Right for You?
Essure is NOT reversible. Once the fallopian tubes are completely closed it has an effective rate of 99.74%. If you are certain that you do not want any more children, if you no longer want to fool the upkeep or hormones of other birth control methods, then Essure might be the right choice for you.
If you think Essure may be right for you, contact the office of Dr. David B. Schwartz for an appointment or more information.

Posted in: Women's Health

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Pumping on the Go

Portable Breast Pumps

Last month, we wrote about one of the most efficient and overlooked breast pump choices: the hospital grade pump. For all of the positives about this pump, the main negative is portability. These pumps are heavy, upward of 12 pounds. This may not seem like much until you need to leave the house for more than a few hours. If you have packed a baby for a trip to anywhere then you know that the added weight of the pump would not be welcome. As one Cincinnati mom said,

It usually felt as if I were packing the entire house to go out. Car seat/carrier, diaper bag, pacifier, toys, spit towels, diapers, wipes, a change of clothes – because you know they will throw up since you dressed them in their nice clothes. I can’t imagine taking a heavy pump from place to place, too.

This is where the small electric and battery-operated breast pumps can be a lifesaver. Lightweight and small in size, they can be carried in a diaper bag, purse, or briefcase. Most have the option to use batteries or an AC adaptor. Going cordless lightens your load and allows for pumping anywhere. They are inexpensive. Ranging from $35 (single pump) to $120 (double pump), small electric pumps are half the cost of the mid-weight pumps.
Perfect for travel or a few hours away from home. The downside to these pumps is that they are not as fast and efficient as the heavier, more expensive models. They are not ideal for the workplace due to the time it can take to fill a bottle. However, they can be used at home for everyday pumping but may need to be replaced every few months, depending upon usage.

What breast pump worked best for you? Please share your experiences, to help new mother’s figure out which may work best for them.

Posted in: New Mothers

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Certified Nurse Practitioner -Susan Wilcox

Meet Your Healthcare Team

Susan Wilcox Certified Nurse Practitioner
The medical practice of Dr. David Schwartz strives to provide gynecologic care in a sensitive and compassionate manner. To that end, Dr. Schwartz understands that not every woman is comfortable being seen by a male physician. To ensure that all women are able to receive personalized care that meets their needs, Susan is available.

What is a CNP?
CNP stands for Certified Nurse Practitioner. A CNP holds a master’s degree in nursing and is a licensed Registered Nurse (RN). In the state of Ohio, each CNP is certified by the state and is granted a Certificate of Authority by the Ohio Board of Nursing.
Working closely with a licensed physician, a CNP is qualified to provide a wide variety of health services. They are able to diagnose illnesses and prescribe medications.

What OB/GYN services does a Certified Nurse Practitioner provide?
• Annual gynecologic Pap tests and other physical exams
• Contraceptive care
• Care before and after menopause
• Screening and referral for health problems
• Health and wellness counseling
• Sexually transmitted disease (STD) screening, treatment, and follow-up
• Pregnancy testing and referral to physicians for prenatal care
• Evaluation and treatment of common infections

Susan can provide you with these services and address any concerns you may have. Any surgical procedures or serious health problems will be referred to Dr. Schwartz.
Susan graduated from the University of Cincinnati with her Master of Nursing and performed her clinical rotation in OB-GYN at the office of Dr. David B. Schwartz, M.D. She is pleased to be a part of Dr. Schwartz’s practice and is devoted to the care of women.

Posted in: Women's Health

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Gynecologic Cancers – Jaymie Jamison Foundation

Jaymie Jamison lost her life to cervical cancer. She left behind a loving family and an amazing group of friends. Through their hard work and in her honor the Jaymie Jamison Foundation for Hope was created. Their goal is to spread awareness about cervical and other gynecological cancers. Several weeks ago the foundation reached out via Twitter asking for help with an upcoming event. The 4th annual Panties Across the Bridge was taking place and the foundation wanted to connect with a physician. Dr. Schwartz and his office were happy to be a part of this extraordinary event.
Dr Schwartz Cervical Cancer Awareness
We are all inundated with media bites, ribbons, bracelets, etc. for breast cancer awareness but rarely will the media touch on the very personal and private area of a woman’s body – you know, down there! – our reproductive organs. Gynecologic cancers are typically classified by the five major types which describe the location of the cancer: cervical, ovarian, uterine, vaginal, and vulvar. A sixth but very rare form of is fallopian tube cancer. How many of you have heard of vulvar cancer? Did you know there were six types of cancers involving your reproductive organs? The signs and symptoms for each gynecologic cancer differ and cervical cancer is the only one that has a screening test – the PAP smear. Of course, each woman’s body is different and may show different symptoms so it is important to always call your physician/gynecologist with any concerns.
The Center for Disease Control (CDC) has launched a national campaign to help raise awareness – click here to learn about Gynecologic Cancer and their Symptoms.
You can find Dr. David Schwartz, M.D. on Twitter @cincinnatiobgyn

Posted in: Women's Health

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When should my Daughter visit the Gynecologist?

She’s growing up!


Making an appointment with the gynecologist for your daughter can be difficult. She’s your baby, your little girl, and the gynecologist seems like a very grown up doctor. PAP smears are not recommended until the age of 21,but you might be surprised to learn that the American College of Obstetricians and Gynecologists (ACOG) recommend an initial visit between the ages of 13 and 15.

The initial reproductive health visit provides an excellent opportunity for the obstetrician–gynecologist to start a patient–physician relationship, build trust, and counsel patients and parents regarding healthy behavior while dispelling myths and fears. The scope of the initial reproductive health visit will depend on the individual’s need, medical history, physical and emotional development, and the level of care she is receiving from other health care providers.

Unless your daughter is experiencing problems or is sexually active, this visit will only include a general health exam and discussion of development. It serves to establish a relationship with the doctor and allows her to become comfortable sharing personal information.

If your daughter will need a pelvic exam at her first visit, she may be feeling nervous or embarrassed. Explaining why the visit is important to her health and answering any questions that she may have will help to ease her anxiety.

Seeing the gynecologist should be treated as an important part of your daughter’s overall health. She will receive the most accurate information in a confidential setting. No matter why you schedule the appointment, be confident that you are making the best choice for your daughter.

Posted in: Girls' Health

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Urinary Incontinence – Let’s Talk About It

Don’t Mind Me, I’m Working on My Pelvic Floor

Of all the women’s health issues, urinary incontinence might be the one that is least talked about outside of pregnancy. Pregnancy books, websites, and literature prepare us for the possibility of urine leakage. The incontinence gets chalked up to a temporary annoyance that will end when our baby is delivered. So, we do (or don’t and say we do) our Kegels and wait to quit peeing with every sneeze.
What those books don’t mention is that urinary incontinence is greatly under-diagnosed and under-reported in non-pregnant women. Embarrassment prevents women from mentioning it to their doctor. Yet a study from the University of Washington of 3,000 women found:

Urinary incontinence affects 28 percent of women ages 30 to 39, 41 percent of those 40 to 49 and almost half of all women 50 and older, according to a University of Washington survey of more than 3,000 women. And about 80 percent of these women can get complete or significant relief.

That is a lot of women suffering through the same problem silently. This is where Kegel exercises come in; you can do them any time, anywhere, silently and help end your suffering. Kegel exercises will not work for every type of incontinence but they have been found to be helpful for:
Stress Incontinence: urine leakage from coughing, sneezing, laughing, and other movements that put pressure on the bladder.
Urge Incontinence: losing urine for no reason or having the sudden urge to go.
Overactive Bladder: frequent, urgent, waking in the night.

Kegel exercises strengthen the pelvic floor muscles, which support the uterus, bladder, small intestine, and rectum. The key is to properly identify your pelvic floor muscles (the ones used to stop your urine midstream) and to do them regularly. Here is a brief description provided by the Mayo Clinic:

Perfect your technique. Once you’ve identified your pelvic floor muscles, empty your bladder and lie on your back. Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.
Maintain your focus. For best results, focus on tightening only your pelvic floor muscles. Be careful not to flex the muscles in your abdomen, thighs or buttocks. Avoid holding your breath. Instead, breathe freely during the exercises.
It may be tricky, at first, but once you get the technique you can do Kegel exercises and make them part of your regular routine.


Here is the link for the 3,000 women study quote: http://www.lhj.com/health/conditions/urinary-incontinence/?page=1

Here is the Mayo Clinic link:  http://www.mayoclinic.org/healthy-living/womens-health/in-depth/kegel-exercises/art-20045283?pg=1

Posted in: Women's Health

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When the Joy Doesn’t Come Easy

It can be easy to succumb to sadness over a pregnancy that strays from the path you had envisioned. Pregnancy is a very dynamic condition that does not follow the books, except for in women distanced enough from their pregnancy to have had their bad memories erased. An unexpected medical condition, a partner that is not as helpful as we want, a delivery plan that is not going to be possible, or even that the pregnancy itself was unplanned. Once your baby arrives, these are the things that are often forgotten, brushed aside with the demands of a newborn but when you are pregnant the unexpected can be overwhelming.

Laura Crossett talks about this in her wonderful New York Times blog post, The Pregnancy I Endured, and the One I missed:

For all the discomforts of pregnancy (and I had many), there is something magical about it. I see my friends going through it now, and I do not envy them many things: not the hyperemesis that one has, or the pain, or the difficulty sleeping, or the body image crisis that comes from gaining weight when you’ve worked hard to lose it. I don’t envy them those things. But I do envy them this: the chance at anticipation, and at joy.

The nausea, the testing, the family members that dislike your name choice, all these things, big and small, take away from the joy of pregnancy. The excitement of the first heartbeats and ultrasounds, the feel of a kick, even in your ribcage, the appreciation that your body is powerful, that pregnancy is a joyous celebration of being female. Mourn the loss of your magical, perfect pregnancy but embrace the one you are having. One day you will be glad that you did.

Posted in: Pregnancy

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Breast Pump Rentals

A hospital grade breast pump can be a new mother’s best friend. With the ability for double collection and a sucking action that most closely mimics that of a newborn, the hospital grade pump is the most efficient one available. For a newly nursing mother, these pumps are a great way to help your milk come in and establish a supply for feedings and freezing. For a nursing mother of multiples, it is a breast feeding lifesaver. Despite the time savings and efficiency, hospital grade pumps are often not even considered by many pregnant women.

Hospital grade pumps are the powerhouses of breast pumps. Because of their “industrial” nature, they are typically rented from the hospital or a medical supply store. Most hospitals will provide a pump free during your admission and the machine can be rented upon discharge. Averaging $50 per month, the pump is very cost effective for the early stages of nursing and for any woman not planning to breastfeed longer than 6 months.

It is not dirty or unsanitary. Your milk will not be contaminated by using a rented pump. Hospital grade pumps are designed, with FDA approval, to last for years and have multiple users. Each new mother is given (or purchases) their own collection kit (breast shields, tubing, bottles). During use, the milk only comes in contact with the pieces of the collection kit.

The biggest downside to a hospital grade pump is the lack of portability. The machine is heavier and larger than those you may find at a baby store. It does not run on batteries and must be plugged in to use. The inability to easily move around can leave you feeling tethered to one spot for pumping. The size also means that it is impractical for taking to work or for travel.

One Cincinnati mom says; “When my older daughter was born I didn’t know there was such a pump. I didn’t ask and it wasn’t offered. I went through multiple mid-price pumps over the course of six months. When my second daughter was born, the nurses brought me a hospital grade pump. It was as if the breastfeeding heavens opened up. The difference in time and quantity put away was tremendous. Sure, I looked like a cow with both breasts hooked up but when you’re sleep deprived every second gained for rest is important.”

The following are several links to learn more about your hospital’s pumping resources:

Cincinnati Children’s Center for Breastfeeding Medicine

The Christ Hospital Breastfeeding Resources

TriHealth Breastfeeding Resources

Posted in: New Mothers

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