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Dr. Stephanie Mandelman MD
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If the baby has a heartbeat after 8 weeks from the last period, the risk of miscarriage is less than 5%. After 12, the risk is less than 1%.
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Gynaecology or gynecology is the medical practice dealing with the health of the female reproductive systems (vagina, uterus and ovaries) and the breasts. Literally, outside medicine, it means "the science of women". Its counterpart is andrology, which deals with medical issues specific to the male reproductive system.
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For more information on Westlake Village-Thousand Oaks OB/GYN or to make an appointment, please call 805.496.0880
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I treat each patient as an individual, not a number, and as a woman and mother myself I understand and respect the enormous trust that you put in your caregivers at this miraculous time in your life.
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We measure pregnancy from the first day of your last period. There are 40 weeks in the average pregnancy, with the assumption that you conceived 2 weeks after your period started (you are only actually pregnant for the last 38 of the 40 weeks). When counting in months, start from the conception date, not the period date. So, if you are 10 weeks pregnant you got pregnant 8 weeks, or 2 months ago. If you did not get pregnant at the average time (you ovulated earlier or later than the 14th day), your due date will be based on the measurements from your first ultrasound.

We also commonly talk about trimesters (or thirds) of the pregnancy. The first trimester includes up to 13 weeks, the second trimester is 13-26 weeks, and the third trimester is 26 weeks until delivery.
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I use multiple treatment modalities including Bioidentical hormone replacement therapy, transdermal patches, oral and vaginal hormone therapy.
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The first trimester includes up to 13 weeks, the second trimester is 13-26 weeks, and the third trimester is 26 weeks until delivery.
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Obstetrics (from the Latin obstare, "to stand by") is the health science that deals with pregnancy, childbirth, and postpartum period (including care of the newborn). The professional who practices obstetrics as a health science is the midwife. The professional who practices obstetrics as a medical speciality (Obstetrics and gynaecology) is the obstetrician-gynecologist.
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Menopause is the point in time when a woman's menstrual periods stop. Menopause happens because the ovaries stop producing the hormones estrogen and progesterone. Once you have gone through menopause, you can't get pregnant anymore. Some people call the years leading up to a woman's last period menopause, but that time actually is the menopausal transition, or perimenopause (PER-ee-MEN-oh-pawz).
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Staying active is great for you and the baby. If you have an uncomplicated pregnancy you can continue your current exercise regimen with a few modifications. When doing cardiovascular exercise (walking, running, biking, elliptical trainer) a good guideline is to keep your heart rate at a maximum of about 140 beats per minute. This will allow blood flow to go to the uterus as well as your large muscles. If you are working out with weights, modify exercises that require you to be flat on your back or flat on your stomach after 12 weeks. Cut out abdominal exercises, they won’t be effective.

If you are not a regular exerciser, walk for 20-30 minutes 3-5 times a week, and consider a prenatal yoga or pilates class (we can recommend one).

Occasionally complications such as bleeding, preterm labor or high blood pressure will prevent you from being able to exercise, but for most women regular exercise is a great way to prevent excessive weight gain, reduce stress, and keep the physical strength necessary to deliver and take care of a new baby.
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"I focus on establishing and maintaining long lasting relationships with my patients. My staff and I are committed to providing compassionate care structured to meet your individual needs, and believe that each woman should be an active participant in her health care."
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