Dr. Eden Fromberg offers a full spectrum of preconception & fertility care, prenatal care, and postpartum care. Care beyond the first trimester of pregnancy is available, yet at some point parents will make the transition to the doctor or midwife who will be delivering the baby.
Preconception & Fertility Care
Preconception and fertility care covers multiple areas is directed towards establishing and ensuring fertility and a healthy pregnancy, and can begin days, months, or even a year or more before pregnancy is planned. For example, many newer studies are confirming the important role of appropriate nutrition and a healthy diet in supporting successful and healthy conception, preventing miscarriages, and ensuring optimal fetal growth and development.
Building a healthy foundation in nutrition begins before the baby is conceived, and can help avoid many pregnancy complications. This involves both a healthy, individualized diet as well as screening for nutritional deficiencies, particularly in areas known to affect reproduction and fetal development. Certain vitamin deficiencies lower fertility and are associated with lifelong risks for the growing baby, including diabetes, impaired language development, heart abnormalities, and more. Environmental toxins are another important area that current studies are revealing have a significant effect on fetal development and well-being. Brain, neurological and sexual development are particularly vulnerable. Eliminating toxins – including mercury, lead, endocrine disruptors and other chemicals – and removing them from body tissues as far in advance of conception as possible achieves optimal effects. It is important to stop smoking as far in advance as possible, and discontinue the consumption of alcohol and caffeine prior to conception, to avoid miscarriages and pregnancy complications. Screening for genetic diseases based on family history or susceptibility is also available. Evaluation of fertility intersects with preconception care and testing as needed. Learn cycle charting, identifying your peak fertile window, and learn strategies to optimize conception in the first month(s) of trying. Testing any problem areas is also available, including hormonal, nutritional, structural, immunological, blood clotting, and more.
Preconception and fertility care allows for a seamless transition to healthy prenatal care, avoids miscarriages and complications, and eliminates many worries and the need to play “catch up.” Even if preconception care is not possible due to surprises, getting started with prenatal care as soon as a pregnancy is identified has been associated with healthier pregnancies and fewer potential complications.
Prenatal care is vital in ensuring the healthy growth and development of your baby. Regular prenatal visits can be reassuring and informative, as they monitor your baby's growth and development, while also answering your questions, getting you ready for the changes and transitions ahead, and identifying any potential problems before they become serious. Women who receive prenatal care have healthier babies and are less likely to deliver prematurely or have pregnancy-related problems. Confirming that all is well paves the way for a healthy, joyous, and less stressful pregnancy and birth.
Prenatal care is recommended to begin as soon as possible and usually includes monthly doctor's visits. Visits become more frequent as the pregnancy progresses, and include a complete physical exam, blood and urine samples and answers to your questions. Bring a list if you can. All of the routine and specialized prenatal tests, ultrasound, and genetic screening are offered, with appropriate counseling on the pros and cons of antenatal testing and discussion of the full spectrum of available childbirth options, allowing parents to get their questions answered and make truly informed decisions.
The first trimester of pregnancy can be a time of greater vulnerability and uncertainty. Dedicated prenatal care helps alleviate worries and focuses on establishing healthy pregnancies. Care beyond the first trimester is available, yet at some point parents will make the transition to the doctor or midwife who will be delivering the baby. Counseling about childbirth options, including doctors and midwives in hospital, home and birth center settings, is provided and referrals and coordination of care offered. GYN conditions that coexist during pregnancy, such as abnormal pap smears, HPV, thyroid disease, and blood clotting disorders may be cared for in consultation between your OB providers.
Dr. Fromberg offers truly holistic prenatal care and reproductive support. She is a prenatal nutrition expert experienced with adapting all types of diets for optimal pregnancy and birth. This includes diets ranging from vegetarian & vegan to omnivorous & Weston Price diets. Dr. Fromberg is Clinical Assistant Professor of Obstetrics & Gynecology at SUNY Downstate Medical Center, and was integral to establishing the original Birth Center at Long Island College Hospital. She has worked collaboratively with midwives and birth centers internationally, supporting culturally sensitive, gentle childbirth practices worldwide. She wrote the forward to “Eating Wisely: Recipes for Pregnant and Breastfeeding Women,” by renowned midwife Robin Lim, 2011 CNN Hero of the Year, with whom Dr. Fromberg has worked intimately since 1997. Dr. Fromberg appeared in the film The Business of Being Born (Ricki Lake & Abby Epstein, 2007), and she appeared in the Pregnancy Health Guru video series on fetal development. She cofounded Lila Yoga, Dharma & Wellness on the Bowery in 2003, providing prenatal yoga and childbirth preparation programs to the community. She is a sought-after speaker and is consulted and quoted in various media.
After childbirth, both mother and baby benefit from special care and attention. This care may come right after delivery and through treatments and doctor’s visits in the following weeks. A woman’s body goes through physical and emotional changes after childbirth and your doctor can provide support for these changes.
The effects of pregnancy and childbirth can include:
- Vaginal soreness and discharge
- Trouble urinating
- Sore and leaking breasts
- Hair loss
- Skin changes
- Mood changes (postpartum depression)
A full physical exam is usually performed six weeks after the birth, at which time you can ask your doctor questions and share any concerns you may have. Contraception, return of periods, unusual sensations as the body makes the transition, nutritional concerns, breastfeeding concerns, and any problems with healing from vaginal tears or cesarean section scars that may result in pelvic or sexual pain can be addressed. Dr. Fromberg offers specialized scar revision by surgical and nonsurgical techniques when healing after childbirth is not optimal.
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