What To Expect:
Tension-Free Support For Incontinence
The Choice to End Urine Leakage
TVT, is a product used in a minimally invasive procedure, that is
appropriate for some women with stress urinary incontinence. The
procedure can be performed under local anesthesia and takes only about
30 minutes to complete. The recovery period following the procedure is
short, and patients experience few complications and minimal scarring
after surgery and it's covered by most insurance plans.?
TVT is a doctor-applied ribbon-like strip that stops urine leakage the
way your body was designed to -- by supporting your urethra. You can
get back to your routine quickly and during the recovery time there
will be very little interference with your daily activities. It's also
clinically proven: 98% of women who participated in a study begun seven
years ago are still dry, or experience significantly less leakage. Of
those, 81.3% remained dry and an additional 16.3% remained
significantly improved. Worldwid
What can I expect during surgery?
procedure is short - it usually takes just 30 minutes. The GYNECARE TVT
procedure can be performed under local, regional or general anesthesia.
You will be comfortable and may be asleep during the procedure.
your anesthesia takes effect, your surgeon will insert the mesh tape
through a small incision. Then your surgeon will "weave" the tape
beneath the urethra and pull the tape up through 2 tiny incisions in
the skin's surface just above the pubic bone or near the inner creases
of the thighs.
Your surgeon may evaluate whether the tape is
providing adequate support by asking you to cough. So, even before you
leave the operating room, the surgeon can determine if the procedure is
likely to be successful.
At the end of the procedure, your
surgeon will "snip" the tape, just under the skin's surface, and close
the 2 tiny incisions. Unlike other procedures, no sutures or anchors
What does recovery involve?
may be able to go home as early as a few hours after your procedure and
return to a relatively normal schedule of activities quickly. You may
need ibuprofen (eg, Motrin®). Avoiding heavy lifting and intercourse
for 4 to 6 weeks is advised.
What To Expect:
About the NovaSure Procedure
NovaSure procedure is a quick, safe, simple, one-time endometrial
ablation treatment. This minimally invasive procedure controls heavy
bleeding by using energy to remove the lining of the uterus. The
average treatment time is about 90 seconds 1, and only needs to be
performed once to lighten or stop your periods. No pretreatment drugs
are required and NovaSure can be performed in the hospital or in your
Without the side effects of hormones or the
risks of hysterectomy, NovaSure has a quick recovery time so you can
get back to your life sooner. Most women experience no pain after the
procedure, and can return to work and regular activities the next day.
NovaSure reduces bleeding and much more
more than 500,000 patients treated to date2, NovaSure is proven safe
and successful. A clinical trial has shown that more than 9 out of 10
women return to normal or lower than normal bleeding levels following
treatments with NovaSure3. For some women, their p
What can I expect from the NovaSure procedure?
women are choosing NovaSure because it has been shown to be safe,
simple, and successful. Find a physician in your area who offers
NovaSure uses radio frequency (RF) energy to
permanently remove the lining (endometrium) of the uterus, which
reduces, or eliminates, future bleeding. Here's a look at what happens
during the procedure to help you know what to expect:
Your doctor will slightly dilate the cervix and insert a slender wand through the cervix into the uterus.
doctor then extends the triangular mesh array through the wand where it
expands to conform to the dimensions of the uterine cavity.
RF energy is then delivered into the uterus for approximately 90 seconds.
The triangular mesh array slowly retracts and the wand is gently removed from the uterus.
How will I feel afterwards?
with any endometrial ablation method, you may experience some
post-operative uterine cramping and discomfort shortly after the
procedure. This can generally be treated with a mild pain medication
such as ibuprofen. Some patients may experience nausea and vomiting as
a result of anesthesia. Watery and/or bloody discharge is also common
for several weeks after any endometrial ablation.
Are there any post-procedure complications?
For any endometrial ablation procedure, commonly reported post-operative events include the following:
pain. Post-treatment cramping can range from mild to severe. This
cramping will typically last a few hours and rarely continues beyond
the first day following the procedure
Nausea and vomiting have been reported in patients immediately following the procedure and can be managed with medication
Are there any adverse effects associated with NovaSure Endometrial Ablation?
As with al
What is a doula?
birth to a baby is so much more than a physical phenomenon; it engages
parents-to-be in a transformational experience, a key life event full
of emotion and meaning. A doula who accompanies a woman in labor
mothers the mother, taking care of her emotional needs throughout
childbirth. A doula also provides support and suggestions for partners
that can enhance their experiences of birth. A postpartum doula
continues that valuable emotional support and guidance, helping a
family make a smooth transition into new family dynamics.
Jessica Christine Guffey
Charlotte Sternkind-Del Toro
Giselle E. Whitwell
Title for your plan:
Our wishes for Childbirth
My wishes for Childbirth
Regarding Labor and Birth
Name of primary healthcare provider (if a doctor, please include 'Dr.'):
Name of Hospital/Center where you plan to deliver:
Your due date:
Coach (you might want to just write 'my husband,' or 'my coach):
Your other support staff
How would you like to refer to your baby? (My baby, the babies, my son, etc.)
I would prefer to avoid an enema and/or shaving of pubic hair. (Note - this is no longer standard procedure at many hospitals.)
I would like to be free to walk around during labor.
I wish to be able to move around and change position at will throughout labor.
I would like to be able to have fluids by mouth throughout the first stage of labor.
I will be bringing my own music to play during labor.
I would like the environment to be kept as quiet as possible.
I would like the lights in the room to be kept low during my labor.
I would prefer to keep the number of vaginal exams to a minimum.
I do not want an IV unless I become dehydrated.
I would like to wear contact lenses or glasses at all times when conscious.
I do not wish to have continuous fetal monitoring unless it is required by the condition of the baby.
I do not want an internal monitor unless the baby has shown some sign of distress.