Intrauterine devices (IUDs) have grown in popularity and are now used as primary birth control by nearly 10 percent of U.S. women.
If you are thinking about trying out Mirena, one of two IUDs sold in the United States, you should first learn the facts about this device. It is convenient, but it comes with a risk of serious side effects like device migration, device expulsion, pelvic inflammatory disease and ectopic pregnancy.
- Why women choose Mirena.
Finding a birth control option that meets your needs can be difficult. Mirena offers convenience, as it prevents pregnancy without requiring users to take daily pills at specified times. Also, with birth control pills, skipping doses can result in an unplanned pregnancy.
Once a health care provider implants the T-shaped, polyethylene plastic device into the uterus, it slowly releases a progestin birth control hormone and can remain in place for up to five years.
The device provides long-term birth control and is more than 99 percent effective in preventing pregnancy.
2. Mirena can migrate within the body.
One of the most serious side effects associated with Mirena is migration. The device can move from its original position in the uterus and can perforate (or puncture) the wall of the uterus and damage the bladder, blood vessels, abdominal cavity and pelvis.
If Mirena migrates, a physician must locate the device and remove it during an operation, to protect organs and prevent pain and infection.
Women suffering from side effects like device migration have filed lawsuits against Bayer, the manufacturer of Mirena.
3. Mirena can come out on its own.
The most prevalent side effect experienced by Mirena users also occurs as a result the device moving out of place. Device expulsion occurs when Mirena comes out on its own, spontaneously leaving the body through the vagina.
When the device comes out, women may experience cramping and bleeding, as well as pain during sexual intercourse.
Without the device in place, women are once again able to get pregnant, so back-up birth control becomes necessary. Patients will need to see a physician to either have a new IUD implanted or consider other options.
4. The device can cause other serious side effects.
Women using Mirena also may suffer from pelvic inflammatory disease (PID), which can result in permanent damage and infertility. PID is a bacterial infection that can damage the uterus, fallopian tubes and ovaries. The condition may occur as early as three weeks after Mirena is implanted. According to the FDA, women who have a history of PID should refrain from using Mirena.
Although most Mirena users do not get pregnant, on the rare occasions when pregnancy does occur, women may experience septic abortions — which occur when a uterine infection results in septic shock and miscarriage. Women can also experience ectopic pregnancies, which is a pregnancy that grows outside of the womb. Half of the pregnancies experienced by Mirena users are ectopic, which cannot survive and often require surgery.
Alanna Ritchie is a content writer for Drugwatch.com, specializing in news about prescription drugs, medical devices and consumer safety.
Food and Drug Administration. (2000, February 2). Mirena Executive Summary. Retrieved from www.accessdata.fda.gov/drugsatfda_docs/nda/2000/21-225.pdf_Mirena_Medr.pdf
Bayer. (2013, February 8). Important safety information about Mirena. Retrieved from http://www.mirena-us.com/having-mirena-placed/make-an-appointment-with-mirena.jsp
Boortz, H.; Margolis, D.; Ragavendra, N. & Katell, D. (2012, March). Migration of intrauterine devices: radiologic findings and implications for patient care. Radiographics, 32 (2): 335-52. doi: 10.1148/rg.322115068
Bayer HealthCare Pharmaceuticals. (2009, October). Mirena. Retrieved from http://labeling.bayerhealthcare.com/html/products/pi/Mirena_PI.pdf
These were from my first Sisters Midwifery Cooking class back in fall of 2007. I had about a half-dozen clients back then and had attended about 70 births as a midwife or student midwife. I’ve attended more than 200 births since, most of them as the primary midwife after spending many hours in the company of each client, getting to know her needs and those of her family. It has been a rich experience & I’ve savored every moment!
I hope you enjoy these recipes. They are all vegetarian and have vegan adaptations. Happy Autumn!
1 tablespoon olive oil
2 cups dried green lentils
4 + cups of water
2 garlic cloves
½ medium white or yellow onion
1-2 fresh red tomatoes
2 large carrots
2 celery stalks
1 cup fresh spinach
1 teaspoon cumin powder (optional)
1 bay leaf (optional)
Braggs Amino Acids or tamari or sea salt
fresh plain goat or cow or soy yogurt
Saute chopped onions and minced garlic in olive oil until onions are transparent. Add crushed bay leaf, cumin, water, and lentils. Bring to a boil. Add chopped carrots and celery. Let simmer, stirring occasionally until done (about 1 hour). Salt to taste. Add chopped tomatoes, fresh spinach and a scoop of yogurt to top. Serve with seasonal salad and a whole wheat rustic loaf or corn bread (see recipe below).
1 cup unbleached, spelt or whole wheat flour ( ½ cup of each also works well, lighter than whole wheat alone)
1 cup corn meal
1 teaspoon salt
4 teaspoons baking powder
1 cup milk (soy also works well)
½ stick of butter (1/4 cup safflower oil also works well)
½ cup honey or maple syrup (rice syrup or ¼ cup of sugar also works well)
2 eggs (this recipe works alright without eggs, but will be crumbly)
Mix dry ingredients thoroughly
Mix butter, milk, honey
Add eggs to wet ingredients
Mix wet & dry ingredients
Pour into buttered (or oiled) medium-large iron skillet or glass baking dish
Bake at 425 degrees Fahrenheit for 20-25 minutes. Slice and serve hot.
Get creative with your salads by looking for the freshest produce and complimenting with nuts and homemade dressings.
Here are some ingredient ideas:
Chopped red cabbage
Thinly sliced apples
Dried fruit: raisins, cranberries, or dried apricots
Nuts: pecans, walnuts, cashews, or almonds
Seeds: sesame, sunflower, or pumpkin
½ cup tahini
juice of one lemon
1 clove minced garlic
½ cup water
salt to taste using sea salt, shoyu or tamari
Mix all ingredients thoroughly in blender. Serve immediately.
Despite the fact that pelvic organ prolapse (POP) is an extremely common problem, it is one that many women don’t know much about. A lot of women who are diagnosed with POP may have never heard of it until it happened to them, while others who suffer its symptoms aren’t diagnosed at all. The symptoms of POP can be embarrassing, so some just don’t speak about them to anyone, including their doctors. Others just accept them as the consequences of having children or aging, not realizing that there are treatments that can help.
Unfortunately, when women do seek help with POP symptoms, doctors may suggest surgery. While surgery may be necessary for some, it is not without risk, and there are other options. That is exactly why raising awareness about POP is important, so that women who experience it can make informed decisions about their care. Women should learn about POP symptoms and treatment options, then pass that information along to family and friends. Chances are pretty good that some of them really need to know.
Pelvic Organ Prolapse
POP is a pelvic floor disorder that occurs in about half of women who have had children. It is caused by weakening and stretching in the pelvic floor, which is the support structure that keeps pelvic organs in their proper places. POP happens when the pelvic floor becomes so compromised that organs drop down in the pelvis and put pressure on the vagina.
Symptoms can include pain or pressure in the area, a persistent feeling of fullness in the pelvis, vaginal bleeding or spotting, urine leakage and problems with bowel function. A noticeable bulge may develop in the vaginal area, and some women may see tissue protruding from the body. The biggest risk factors are pregnancy and childbirth. Other risk factors include obesity, heavy lifting, a chronic cough and constipation.
Non- Invasive Treatments
Kegel exercises can be very effective in reducing the symptoms of pelvic organ prolapse, since they strengthen and tone the pelvic floor. However, Kegels offer the best results when they are done with the instruction and guidance of a physical therapist, since biofeedback and other advanced tools can be used.
If you are overweight, losing those extra pounds can help reduce pressure on the pelvic floor. Preventing constipation is important, since it can worsen symptoms. Many women find that using a pessary makes them much more comfortable, which is a device that can be inserted into the vagina to support prolapsed organs.
While many find relief in non-invasive alternatives, women with severe symptoms may require a surgical solution. However, it is very important for women to be well-informed on the options available, since some are riskier than others.
POP procedures that include the use of transvaginal mesh implants have been at the center of controversy for several years due to high rates of serious complications, which has prompted Food and Drug Administration (FDA) safety alerts and increased scrutiny of these devices. Common problems include mesh erosion, protrusion through vaginal walls, mesh shrinkage and organ perforation. Because of these complications some patients have started filing transvaginal mesh lawsuits to help treat them. So if surgery has been recommended for you, be sure to ask your doctor about procedures that do not use transvaginal mesh.
Author Bio:Elizabeth Carrollton writes about defective medical devices and medication safety for Drugwatch.com.
One of the main arts of midwifery is the art of listening. I’ve written about this topic before, but I come back to it everyday in my practice. I listen to moms when they’re in labor. I listen to their physical discomforts, their worries, their joys. I listen to their partners express gratitude, concern or confusion. Listening allows me to be fully present with my clients and to learn from them.
So much of the time, thoughts bounce around in our heads, and some of them aren’t helpful. When we listen to our clients, we allow them an opportunity to purge their thoughts, to have them mirrored, and to refute or affirm them. This is a sacred act. Really listening to someone is so important, as it is important for each of us to be heard.
Active listening involves eye contact, body mirroring, affirming nods or comments. It involves repeating what someone has said so that you can give them a chance to clarify, confirm or change their message.
The content of the words is important, and the body language is even more so. Watching how a client holds herself: her posture, her limbs and her gaze can give you insights into her feelings and deepen your understanding of her words and actions.
See if you notice the next time someone is really listening to you. Notice how it feels to be attended to. Practice it yourself. It takes work, and we can’t always practice perfectly. Awareness is the first step towards listening. Be aware of your listening habits. Try not to be too tough on yourself. Try to engage in active listening. See how it feels. See how it makes others feel who you attend to. I’m working on this now, still. Someday I hope to be a good listener to all.
What can beekeeping teach me about being a midwife? I’ve thought about this over the years, as I began these two paths around the same time in my life-my mid-thirties. In my previous profession as an educator, I worked with people of all ages. I taught preschool and college, from exercise fitness to psychology, ‘creative movement’ for children to ‘effective learning’ for adults. My private full-time preschool was aptly named Imagination School, for that is how I approach learning, creatively. Over ten years of teaching at a community college, I learned quite a bit about what excites the neurons of young adults, and it’s much the same, creative engagement. Csíkszentmihályi called it ‘Flow’, or the total engagement and sense of timelessness that one experiences when tasks are just challenging enough and you’re in a motivational state.
I saw the same in my own two daughters and their peers when I taught them in homeschool settings. We indulged in this special state of intrinsic learning for many years-my youngest was home through fifth grade, and my oldest from second through eighth. I cannot begin to express the joy in watching your kids develop at their own pace in a manner that supports their very natures, allowing their interests to guide the subject matter, depth and direction of study. Alas, in-depth homeschooling is not in alignment with a full-time midwifery career, so my kids went to school, where they continue to thrive. It is my hope for them that they continue to be engrossed by active engagement in a highly motivated state doing something that they love.
Fortunate as I am, my work allows me this pleasure, as does beekeeping. In these two arenas, I must stay grounded as I approach my work with respect and an awe of creation. I feel one with the universe, with God, and with my bees or my client. The entire rest of the world is silent-abstract and distant as I approach my birthing mom or my queen bee and her colony. In silent reverence, or with a gentle voice, I connect, offering reassurance and love; offering my skills only when needed and hands-off support for the natural processes to unfold. I am lucid, observant and engaged. This is a beautiful place to hold space-connected to the oneness of all in the natural cycles of life.
I just had a great weekend workshop last week her in Austin from InterPlay. Along with other health care professionals, I practiced and learned techniques to bring playful energy to my clinical practice and my personal life. I’m so excited about the discovery, as I’ve always valued sacred play in children, and now I’m delighted to know that play is sacred for adults, too.
The workshop was led by one of the founders of InterPlay, Cynthia Winton-Henry, a therapist and dancer. She provided guidance and a safe play space. We partook in silly activities, like babbling, and storytelling, movement and games. We learned some of the most basic applications of InterPlay principles to our health care practices. As what they term “recovering serious people”, it’s important for us to remember to bring levity and fun into our interactions with our clients.
Don’t expect rubber noses or face paint, but I think you will see the changes that this practice is having on me as a midwife. It’s certainly affecting my interactions with family and friends. It is my hope to create safe play space in my client activities to enrich my client’s experiences of motherhood and community in their childbearing years and beyond.
So after you read this blog post, I ask you to do something fun, something non-productive-just because. Go draw a picture or turn on some ’80s music and dance; build a sand castle or make playdough. Do something just for the sake of fun, and see what happens. I’ll keep you updated as to the changes I see that come from this practice. For more information about InterPlay, go to their home page: http://www.interplay.org/index.cfm/go/home:home/