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Frequently Asked Questions

The contents of this Frequently Asked Questions page (FAQ), and the www.Drshamburger.com website, including text, graphics, images, and other material (i.e.“Content”) are for informational purposes only. It is not a substitute for professional medical consultation, diagnosis, and/or treatment. Always speak with a physician with any questions you may have regarding medical conditions. Do not hesitate to seek professional medical advice because of anything you read on this website!!

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Obstetrics

This is my first category!

I am a vegetarian, will that affect my pregnancy?

A typical vegetarian diet can be healthy and will not usually effect the pregnancy; however, be sure to eat plenty of protein, which can obtained in eggs, legumes, nuts, and soy products.

How much weight should I gain during pregnancy?

If your pre-pregnancy weight was normal for your height, then 25-30 lbs. is the recommended weight gain for your pregnancy.  If your pre-pregnancy weight was higher than recommended for your height, then 15-25 lbs. is the recommended weight gain.

Can I tour the Labor and Delivery unit?

Absolutely! Tours are available and can be arranged by calling 713-222-CARE (2273).

Can I have sex during pregnancy?

As long as the pregnancy is progressing normally, then sex is safe in pregnancy.  Please know that it is normal to have some brownish discharge or vaginal spotting after sex while pregnant because of the increased vascularity of the cervix.  Also, some cramping can occur after sex, which is also normal.

Can I exercise in pregnancy?

Yes!  Always consult with your physician; however, in most cases if you had an exercise program before pregnancy, you can usually continue with that program as long as the pregnancy is progressing normally.  Be sure to consult with your physician, especially before beginning a new exercise program.  Also, included in the OB gift bag is a pamphlet on exercise in pregnancy.

At which hospital will I deliver?

Our hospital is Memorial Hermann Southeast and is located on the corner of Beamer and Astoria.  The address is:  11800 Astoria Blvd. Houston 77089.  If a doctor or nurse ever tells you to go to the hospital, when it is safe to do so, please go to Memorial Hermann Southeast.

Are there birthing/breastfeeding classes available?

Yes!  Memorial Hermann Southeast offers a variety of classes for our moms-to-be.  Classes range from childbirth and breastfeeding to infant CPR.  Please call 713-222-CARE (2273) to schedule a class.

Are there any foods that I should avoid during pregnancy?

There are some but not many.  Generally, you should avoid uncooked meats, such as sushi, and unpasteurized cheeses, such as certain goat and sheep’s milk cheeses.  Also, you should decrease you fish intake because of the high mercury content.  Try to limit your consumption of fish to 1-2 6 oz servings per week.  Otherwise, eating a healthy, balanced diet should suffice.

Should I get an epidural during labor?

This is a personal decision that is different for each patient. Please remember that if this is your first baby, labor pain will be a new sensation. Sometimes, it is better to keep an open mind during the first pregnancy and not make a decision until labor begins. If you have questions regarding epidural or other pain management options, please speak with your doctor.

What is AirStrip technology?

We participates in the Air Strip OB™ program with her hospital and is able to monitor both baby and mom’s status with her cell phone. This allows her to know your dilation, contraction frequency, baby’s heart rate, and even your vital signs when she is not at the hospital!

Gynocology
Do I have to have a hysterectomy for heavy periods?

Absolutely not! There are many options today to manage your heavy periods, and you should speak to your doctor to see which options are available for you. If you do not have large fibroids, you may qualify for an endometrial ablation. This is a procedure that can be done in the office, as well. A hysteroscope is placed through your cervix and into your uterus to evaluate the inside of your uterus. Afterwards, a biopsy will be taken to sample the lining of your uterus. Then, the endometrial ablation will begin. There are several different methods for performing the ablation. At our office we use either the Novasure device or the Thermachoice device.

How do you know if you have a bladder infection?

Acute cystitis (also known as UTI and bladder infection) is a very common diagnosis, but the symptoms of other more concerning problems can mascarade as signs of a bladder infection. Many times if you have never had a bladder infection or have had recurrent infection symptoms, you healthcare provider will recommend further testing before treatment can begin.

The gold standard test for a bladder infection is a urine culture, for many reasons. A simple urine dipstick result can be influenced by many different factors, contamination from skin cells, medications (like Azo and pyridium), hydration status, etc. For this reason, a urine culture is the best test to perform to correctly identify a bladder infection. Not only can it identify the bacteria causing the infection, it can also suggest the correct antibiotic to use.  This is very helpful in patients with recurrent infections.

The best time to culture the urine is before any treatment begins. Performing a culture after antibiotics have been started will often give vague, non-diagnostic results due to the inability of the offending bacteria to form colonies on the growth media. This will also affect any sensitivity testing, which could then in turn lead to inappropriate antibiotic choice.

Sometimes, you may be asked to come in for repeat testing to assure that the infection has cleared. Some examples of these instances include pregnancy and recurrent infections.

If the urine culture doesn't show any bacteria present, your healthcare provider may recommend more testing to rule out other etiologies that could cause the same symptoms as an infection. For example, interstitial cystitis commonly causes similar symptoms that seem to recur despite antibiotics. If this is suspected, you may need a referral to a urologist. Other common causes of these symptoms include vaginal candidiasis, some sexually transmitted infections, atrophic vaginitis, etc.


For more information, please visit http://uptodate.com/contents/urinary-tract-infections-in-adolescents-and-adults-beyond-the-basics?source=outline_link&view=text&anchor=H3#H3

Insurance
What types of insurance do you accept?

IN NETWORK

Aetna Choice
Aetna Choice Plus
Aetna Signature Administrators PPO (Assurant)
Beechstreet
Blue Cross Blue Shield PPOs
Blue Cross Blue Shield POSs
Blue Cross Blue Shield EPOs
Cigna Open Access
Cigna Open Access Plus
First Health
Humana
Medicare
Memorial Herman Health plans
M-Health
PHCS/Multiplan
United Healthcare Choice
United Healthcare Navigate
United Healthcare Options
United Healthcare Passport Connect Choice
United Healthcare Select

OUT OF NETWORK

Aetna Managed Choice Open Access
Aetna Health exchange plans
Aetna HMO policies
Blue Cross Blue Shield HMOs
Cigna Local Plus
Cigna Health exchange plans
Cigna Healthflex, Health Savings, or Copay plans
Community Health Choice
Medicaid
Tricare
United Healthcare Compass plans
United Healthcare Charter plans
United Healthcare Core plans

If your insurance policy is not listed, please contact our office for the most updated information.