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Frequently Asked Questions

Frequently Asked Questions

Below you will find some Frequently Asked Questions about IGO Medical Group and our services.

Click on any question to reveal the answer.

Do you have the 2016-2017 Flu vaccine available?

IGO now has the Seasonal Flu Vaccine available for our patients.

The CDC recommends vaccination for all people 6 months of age and older. Vaccination is especially important for people who are at a higher risk for severe influenza and for close contacts of children younger than 6 months.

Flu viruses are always changing. Each year’s flu vaccine is made to protect against 3 or 4 viruses that are likely to cause disease that year. Flu vaccine cannot prevent all cases of flu, but it is the best defense against the disease.

Flu Vaccine will be available in our office for any IGO patient. Other family members or contacts are asked to visit their primary care physician or a local clinic for immunization.

Please call 858-455-7520 to schedule an appointment for vaccination.

Since there is a Whooping Cough (Pertussis) outbreak, should I be vaccinated?

The California Department of Health is recommending that all contacts of young children be immunized due to the increased risk of Pertussis exposure.

The American College of Obstetrics and Gynecology recommends that pregnant patients, who are to be vaccinated, receive the immunization during their second or third trimester of pregnancy or after delivery before discharge from the hospital even if they are breastfeeding.

IGO has preservative-free vaccine available for our patients who have not yet been immunized. Family members who are not patients are encouraged to visit their primary care physician or a local clinic for immunization.

Please call 858-455-7520 to schedule an appointment for vaccination.

Will delayed umbilical cord clamping help my baby?

The following is the text from a Patient Handout prepared by the Society for Maternal-Fetal Medicine.

What is delayed umbilical cord clamping?

Delayed umbilical cord clamping simply means waiting longer after a baby is delivered to clamp the cord. Immediate clamping is performed 25 seconds to 5 minutes after delivery. Delayed clamping allows blood to continue to flow to the infant, thereby increasing the infant’s total blood volume.

What are the risks and benefits of delayed umbilical cord clamping in the preterm infant?

Babies born preterm (between 24 weeks and 37 weeks gestation) are more likely to have difficulty staying warm, to require immediate care by a pediatrician, to have low blood pressure, and to require a blood transfusion than are babies born full term. Delayed umbilical cord clamping may reduce a preterm baby’s need for blood transfusions and risk of bleeding in the brain and of a serious bowel complication called necrotizing enterocolitis. It may also help increase a preterm baby’s blood pressure. However, delayed umbilical cord clamping is also associated with jaundice (yellowing of the skin caused by too much bilirubin in the infant’s blood). The immediate benefits of delayed umbilical cord clamping to preterm infants have been documented but the long-term effects are largely unknown.

What are the risks and benefits in the term infant?

Compared to preterm infants, term infants (those born after 37 weeks of gestation) have lower risks of complications. In term infants, delayed umbilical cord clamping is associated with higher red blood cell levels 1-2 days after birth and lower risk of iron deficiency at 3-6 months of age. However, delayed umbilical cord clamping in term infants may increase the risk of jaundice, which may require phototherapy (light treatment). If untreated, severe jaundice can result in complications. Also, there is limited information about the long-term effects of delayed umbilical cord clamping in term infants.

Are there any risks to the mother?

The risks to the mother are not well studied. In theory, delayed umbilical cord clamping could increase the risk of blood loss to the mother because delivery of the placenta is delayed. This may be especially a concern after a cesarean delivery.

What about ‘milking’ or ‘stripping’ the umbilical cord?

These terms refer to the practice of squeezing blood down the cord to the baby. Typically, the delivering provider will ‘strip’ a segment of the umbilical cord towards the baby’s abdomen 3-4 times before clamping the cord. The aim of this procedure is to shorten the time from delivery to clamping the cord. It is not yet clear whether there are benefits to milking or stripping the umbilical cord and further study ins necessary.

What do professional societies recommend?

Both the American College of Obstetrics and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) support delayed umbilical cord clamping in preterm infants for 30-60 seconds after delivery. For term infants, ACOG states that there is currently insufficient evidence to routinely recommend delayed umbilical cord clamping.

When should delayed cord clamping be avoided?

Caution regarding delayed cord clamping is sometimes warranted. It has not been studied in pregnancies with multiple gestations, such as twins or triplets. Delayed clamping should not be performed in infants who require immediate evaluation and resuscitation (such as those with breathing problems or low heart rates). It is not recommended in cases of placental abnormalities such as placenta previa (placenta over the cervix), or suspected placental abruption (a tear in the placenta), because of the increased risk of bleeding for the mother and possible need for immediate care of the infant.