PREGNANCY — Fertilization to Labor and Delivery

Changes during pregnancy, such as constipation, hemorrhoids, heartburn, pelvic pain, and back pain are discussed as well as what to expect when you go to the hospital for a vaginal delivery.

This document about Pregnancy and Labor and Delivery of a baby  was written by Darren Salinger, M.D., OB/GYN with answers to questions frequently asked by patents during his more than 20 years of practice. 

What to expect during Pregnancy 

The changes that take place during the short span of human pregnancy are profound.  

Many of these changes occur soon after fertilization and continue throughout the entire pregnancy.  Most of these incredible adaptations are in response to the growing fetus and the hormonal changes the fetus produces in its mother. 

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Chronic pelvic pain has two different definitions

Chronic pelvic pain (CPP) occurs in women and men. The American College of Obstetricians and Gynecologists (ACOG) definition applies to women. The European Association of Urologists (EAU) revised their guidelines beginning in 2009 to include women and men in their definition of chronic pelvic pain. Chronic pelvic pain is a bladder pain syndrome that occurs in women and men. Urological pain syndromes in men include chronic prostatitis/chronic pelvic pain syndrome (CPPS).

Historically, chronic pelvic pain (CPP), was defined by the American College of Obstetricians and Gynecologists (ACOG) and applied to women.

In 2009, the European Association of Urology (EAU) published Guidelines on chronic pelvic pain (CPP).  Their stated objective was “to revise guidelines for the diagnosis, therapy, and follow-up of CPP patients.”

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