Call for an appointment: (281) 992-5914

Menu

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!!

In the event of a medical emergency, call the practice or 911, immediately! Relying on information provided by www.friendswoodwomen.com is performed solely at your own risk. The site and its contents are provided on an “as is” basis.

Obstetrics
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 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! If you had an exercise program before pregnancy, you can continue with that program as long as the pregnancy is progressing normally.  If you are considering beginning a new exercise program, please consult with your physician first.  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, please go to Memorial Hermann Southeast.

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!

What medications can I take during pregnancy?

In your OB gift bag you will find a list of medications that are accepted as safe. We do try to avoid medications during the first trimester, but Tylenol has been proven safe throughout all trimesters. No non-steroidal anti-inflammatory medications like ibuprofen or aspirin, unless instructed by the physician.

Who will deliver me?

Friendswood Women physicians wish they could deliver all their own patients, however this isn’t possible. The female physicians sometimes cover for one another during the week and on weekends, they do have some help covering patient care with two male physicians who also practice at Memorial Hermann Southeast.

What are hospitalists?

There is a group of OB/GYNs who work only at the hospital and are there 24/7 to help with patients. They may initially evaluate you if you come to the hospital in the middle of the night, but your doctor or on-call doctor will deliver you. They may be the first doctor to respond in an emergency since they are on the Labor and Delivery floor

When do I need to register at the hospital?

It is a great idea to register at the hospital before you are in labor. This can be done any time during your pregnancy and should be completed by 36 weeks.  Registration can be performed at the hospital or pre-register online at:  http://www.memorialhermann.org/locations/southeast by clicking women’s services→ Birth of your baby.  There is also other great information on this webpage.

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.

Can I tour the Labor and Delivery unit?

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

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 may eat cooked fish 1-2 6 oz servings per week, but avoid fish higher in mercury like tuna, shark or swordfish.  Otherwise, eating a healthy, balanced diet should suffice.

What happens if I have a problem after business hours?

We have an answering service that can connect you with the doctor on call after hours. Just call our office number, (281) 992-5914, and the answering service will help you. Sometimes the physician may be in the middle of a delivery so if you have not heard back from them in ~ 30 minutes, call back.

What should I call the doctor about?

Of course, if you have a symptom that is concerning, you should call the office. Generally, patients who are at term should call the office for:  painful contractions that are every 5 minutes lasting 45-60 seconds for 2 hours, if your water breaks, bleeding like a period, or if the baby isn’t moving.  For pre-term patients (before 37 weeks), you should call the office for: painful contractions that are ≥ 6 in one hour, if your water breaks, bleeding like a period, or if the baby isn’t moving.

What is the glucose test?

It is an hour long test that evaluates how your body manages sugar, which is the first step to evaluate for diabetes in pregnancy. If your sugar is high, you will need to return for a 3 hour test to determine if you have diabetes or not.

The flu shot is safe when you are pregnant and recommended in any trimester (if you don’t have a contraindication to getting it) to prevent you from getting the flu. The flu nasal spray is NOT to be used in pregnancy. Also, pertussis vaccine (in the form of tDap) is recommended to protect your baby against whooping cough and given anytime between 27 and 36 weeks.

What pediatrician should I pick?

We have a list of pediatricians in the area. You can also go online to your insurance website and see what doctors are in-network. Contact the pediatrician’s office to see if the doctors are accepting new patients and when you deliver, the pediatrician will be notified.

What is cord blood banking?

Cord blood banking is where blood from the umbilical cord (which has stem cells) is collected at the time of delivery and it is sent to a company that the patient has paid for the stem cells to be stored, in case of need for future use. Stem cells have been used to help improve certain conditions or diseases, but there is still a lot of research being done to assess their benefit. This is not mandatory.

Do I need a birth plan?

No, it is not necessary that you have a birth plan unless you have specific requests for the delivery process. If this is the case, we urge you to bring in a printed copy, if you have one, so that we can discuss your requests with you. If you do not have a printed copy but have specific requests, these must be addressed with your provider beforehand so that we can ensure your birth experience goes as safely and smoothly as possible. Please understand, some desires may not be able to be met due to hospital policy.

What if I am feeling depressed?

Tell your doctor immediately! There are many changes with pregnancy, particularly hormones. Postpartum depression can occur in 10% of women and patients with a history of depression are more at risk for developing depression postpartum or during pregnancy. We will discuss options to help you and resources to use.

Can I still travel?

If you have a normally progressing pregnancy, you can travel up until 8 ½ months or 35 weeks. If you are high risk or having complications, the physician will clarify how much, if any, travel you can safely do. Check with the doctor for specific instructions.

What are my options for birth control?

The providers will discuss options for birth control postpartum, pertinent to your medical history and whether or not you are breastfeeding.

Gynecology
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.