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Choosing a health plan can sometimes be the most confusing part of participating in your own medical care. This is true for everyone, but especially for teachers, who may have more limited options in our area. At Kansas City ObGyn, we understand that and we want to make your trip to the doctor as simple as possible. With open enrollment upon us, here are some more pointers to help you pick the right plan.

Teachers: Before You Choose BlueSelect, Consider This

open enrollment for teachersSince choosing the right health care for your specific needs can be complicated, we want to make sure that you are aware that Kansas City ObGyn is in-network if you choose BlueSelect and BlueSelect Plus plans. However, Overland Park Regional Hospital, where our team has privileges, would be out-of-network for these plans. 

For 2019, there are three BlueSelect Plus plans available: BlueSelect Plus PPO, BlueSelect Plus HDHP and BlueSelect Plus EPO, a new option. For all these plans, you will be left with the same issue: Kansas City ObGyn will be in-network but Overland Park Regional Hospital will be out-of-network. 

Teachers in Blue Valley, Shawnee Mission and Olathe have six health plans to choose from during open enrollment. Other options can allow you to choose the right health plan for you and still stay with your preferred provider at Kansas City ObGyn for your entire pregnancy and delivery at Overland Park Regional Hospital. 

Managing Your Painful Periods

Excessively painful periods with intense cramping is a condition called dysmenorrhea, which is one of four abnormal types of menstrual periods. Many women suffer from dysmenorrhea with every menstrual period and the pain can range from mild discomfort to disabling pain. Often women will find their pain to lessen after giving birth the first time but some women continue to experience significant pain even after having children.

Dysmenorrhea (AKA Painful Periods): Symptoms, Causes and Treatment

What Causes Menstrual Cramps?

Period cramps occur when the uterus contracts during your menstrual period. Your uterus is a muscle that may contract quite strongly during your period. If the uterine muscles contract too strongly due to an excess of prostaglandins, the muscles may cut off the supply of oxygen to that area, which in turn causes pain. 

by Dr. Crystal M. Newby, MD

Healthcare is important but often overlooked. Those who enjoy good health tend to only visit the doctor when something is wrong. It's a new year, and 2019 is the time for us to stay on top of our health and maintain it throughout the year by setting maintainable goals.

Adopting an active mindset toward your health will allow you to not only feel better, but also to become an advocate for other women. There are many aspects of women's health that routine visits to your doctor can address. From questions about your period and menopause, to the importance of fiber, bone density and exercise, your lifestyle and collaboration with your ob/gyn will make a big difference.

Here are a few health goals for 2019 for a happier, healthier you.

Women's Health Goals for the New Year

Are you aware of your heart disease risk? Most women have at least one risk factor and still believe heart attacks are only for men. Raise your awareness and debunk these five myths about women’s heart health.

Five Myths About Women's Heart Health

Myth: Heart Disease is More Common in Men. Women Need to Worry More About Breast Cancer.

Fact: More women die annually from heart disease than breast cancer. That breast cancer is a perceived higher risk is not based in fact. Heart disease is in fact the leading cause of death in women over the age of 65, just like it is for men. While one in 31 American women dies from breast cancer yearly, heart disease kills one out of 3 women. That’s roughly a death a minute!

by Dr. Crystal M. Newby, MD

How To Eat, Drink, And Be Merry For 2!

How To Eat, Drink And Be Merry For 2!

It's that most joyous time of year again, and this year it's particularly exciting, because you're expecting a little one! Just what is the trick to savoring the holidays while pregnant? The holiday season is stressful enough without the added fluctuating hormones and physical discomfort of pregnancy. You may not be able to enjoy a champagne toast at midnight on New Years Eve or have spiked eggnog on Christmas Day, but you should still celebrate your time with family and friends while awaiting the arrival of your little one. Here are some tips on how to eat, drink and be merry for the both of you throughout the holidays.

Mama Tip #1 - Make The Season About You

It will be awhile again before you can focus on yourself and your needs exclusively; relish in the time and indulge in some extra self-care, some extra treats, and even some pampering. Don’t feel bad about declining an invitation or saying no. Be self-indulgent right now, your body is growing a child after all! Parenthood is the most selfless act. Now is the time to start good self-care habits and make them stick. This is also a good time to consider your postpartum and post birth care plan.

The birth and rapid growth of the internet and social media has forever changed how people communicate with each other, especially those going through similar experiences such as pregnancy. It used to be that a pregnant woman would rely on her family, friends, acquaintances and, most importantly, her doctor for advice. Since the explosion of the internet, women now have access to all the information they ever wanted and then some. Social media and online forums have allowed for groups of people with similar interests or experiences, who otherwise may feel isolated, to establish a pseudo-community. These forums and chat rooms have especially become a social support system for mothers during pregnancy and beyond according to this study.

expectant mothers are turning to google

by Dr. Crystal M. Newby, MD

What you need to know about contraceptive options available to you

What Contraceptive Options are Available to Me?

With a vast array of different contraceptive options available to you, how do you know which is best for you? Does one method offer more benefits over another? How do you decide on what option or options would be best for you and what factors might influence your decision?

To help you decide the best contraceptive method for you, here is information on the various options available to you.


Condoms are inexpensive, easily accessible and when used properly, offer 98% effectiveness at preventing pregnancy. Unfortunately, people make mistakes sometimes so this figure in the real world is closer to 85%. Because of this, condoms are best used in combination with another contraceptive method.

Although not foolproof, condoms are one of the only options available to you to that can also protect you against STDs, such as HPV or chlamydia, so if you have more than one sexual partner or STDs are a risk for other reasons, condoms are often recommended even when using another method of birth control.

Birth Control Pills

Birth Control Pills are an excellent choice for contraceptive as they're convenient, offer few side effects, and have a host of positive benefits besides just being a means of contraception.

Hormonal birth control pills are good for those who want the peace of mind knowing that as long as they take the pill as directed, they are protected from pregnancy. If ever you decide you want to get pregnant, you can stop taking the pill right away and normal fertility will be resume nearly immediately.

As a hormonal method of contraception, these do not protect you against STDs.

What is Endometriosis?

Endometriosis is caused by abnormal growth of tissue outside the uterus. Endometrial tissue is supposed to be contained to the lining of the uterus and when it grows outside the uterus, it can cause a host of issues. Though endometriosis is most commonly found in the lower abdomen, it can on rare occasion present elsewhere in the body. 

The direct cause of endometriosis is unknown, though multiple factors have been linked to it. One of the most widely believed theories is that menstruation plays a role in causing endometriosis. The process is referred to as retrograde menstruation and occurs when blood, along with uterine lining, flows into the abdominal cavity. Many women have some degree of retrograde menstruation, but only a small percentage will get endometriosis. There may be an immune system connection here. Additionally, endometriosis has a genetic link and if women in your family suffer from endometriosis, you have a greater chance of developing the condition yourself. 

Endometriosis affects women of all age groups, with higher rates in women between 20-40 years old. Obesity may be linked to a greater risk of developing endometriosis, and women who have not given birth are also at higher risk.

signs that you may have endometriosis

What you need to know about your menstrual cycle and health

How to Manage Your Period Problems

Your period can tell you a lot about your body and your health. Having regular, normal periods let you know your body is in working order. Period problems such as painful cramps or irregular periods can be a sign of a health problem. Period problems can lead to other health problems such as anemia, diabetes and heart disease.

How Your Period Affects Your Emotions and Energy

Throughout your cycle, your hormones can have an effect on your emotions, energy and overall mood. In the first part of your cycle (the first two weeks after your period starts in a typical 28-day cycle), you may have some or all of the following symptoms:

  • Your energy levels are higher than normal.
  • Your cognitive memory is sharper than normal.
  • Your pain tolerance is higher during this time, making it easier to perform or cram in an intense gym session.

In the second half of your cycle (ovulation period), you may feel some or all of the following symptoms:

  • You feel sluggish and lazy.
  • You feel forgetful or have a hard time retaining information.

If you suffer from depression or irritable bowel syndrome, the symptoms may get worse before your period.

If you have diabetes, your glucose levels may be harder to control. They may be higher or lower during this time. This is common in women who suffer from premenstrual syndrome (PMS). The levels of the brain chemical serotonin drop during this time. Along with your glucose levels, you could be craving sugary or starchy foods during this time.

Being pregnant is not easy! Growing a healthy baby while staying healthy yourself requires you to be responsible about your nutrition, weight and fitness.

Prenatal Nutrition, Weight and Fitness

Eating A Balanced Diet

Many pregnant women make nutritional choices that can lead to health complications. A common misconception is that pregnancy is a time for indulgence and "eating for two". Being overweight increases the risk for cardiovascular conditions such as hypertension and heart disease. Stick to eating a balanced diet with the right amount of fat, protein, vitamins and minerals so that your baby will develop well and you will stay healthy.

choosing medical insurance

When faced with open enrollment or finding a new health insurance plan, it’s important to make sure you can continue to see the providers you’ve developed trust with. With that in mind, it’s important to make sure your current doctors and local hospitals accept the plan you’re thinking of choosing. Reading the fine print in your health insurance policy is not exactly light weekend reading, but when you are trying to conceive or have just found out you are expecting a child, it may be more important than you think.

Medical coverage can vary widely depending on your policy so as you are considering your new insurance coverage, consider these key factors.

Know Your Network Provider

It seems counterintuitive that a doctor and a hospital aren’t always on the same insurance network, but it’s sometimes the reality of healthcare in the United States.

Not only do you need to be sure that your physician is covered in your network of providers, but also you need to confirm that the hospital your doctor has privileges at is also in your network.

This is especially crucial for OB patients who would like their provider present at the birth of their child. It’s also relevant for all surgery. No one wants to find out in their third trimester that they can’t give birth with their doctor because the hospital is out-of-network.

When you choose an in-network ob/gyn and hospital, it’s much more likely that all medical professionals who may treat you, including nurses and the anesthesiologist, are in your network.

The difference between in-network and out-of-network care can mean thousands of dollars of out-of-pocket expenses.