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Michael Salama
Michael Salama,
Category: OB GYN
Satisfied Customers: 681
Experience:  Medical director at San Miguel Medical Clinic
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I am 26 weeks pregnant and very scared to give birth because

Customer Question

Hi I am 26 weeks pregnant and very scared to give birth because I have severe anxiety and bad dizziness and vertigo. I am worried the room is going to spin while giving birth. What is the best method for me for giving birth and what is best as far as pain meds go.
Submitted: 5 months ago.
Category: OB GYN
Expert:  Michael Salama replied 5 months ago.

Hello this is Dr. Salama MD,

It is normal to feel anxious prior to giving birth.

I would recommend speaking to your doctor regarding seeking therapy prior to the delivery so you can be as calm as possible during the delivery

The best method for giving birth is in the hospital with nurses and doctors nearby.

I would recommend an epidural and possible a morphine pump at bedside for pain. The anesthesiologist at the hospital will discuss what's best for you.

Let me know if you have any other questions. If not, please don't forget to leave a positive rating as that's the only way I get credit for answering your question. Thank you.

Customer: replied 5 months ago.
would a planned c section be a good option for me? I would be ok with being put to sleep
Customer: replied 5 months ago.
I am also feeling really dizzy when i sit or stand. What can i do to help this out?
Expert:  Michael Salama replied 5 months ago.

It might be a good option depending on the status of your current pregnancy and how the baby progresses during labor. I would bring it up to your doctor at your next visit to get his/her opinion.

Customer: replied 5 months ago.
Yeah i am not really gaining weight I've been sick the whole pregnancy so far
Expert:  Michael Salama replied 5 months ago.

It is very important to drink at least 64-100oz of water daily.

Limit caffeine, juice or energy drink intake.

Customer: replied 5 months ago.
yeah I'm only able to get in maybe 32 to 40 oz is that why i am dizzy
Expert:  Michael Salama replied 5 months ago.

I would ask your doctor to prescribe something for the nausea to allow to increase your fluid intake

Customer: replied 5 months ago.
i am on a zofran pump
Expert:  Michael Salama replied 5 months ago.

I see. That is usually pretty effective. It might not hurt to try an alternative at this point.

Customer: replied 5 months ago.
I've tried promethazine, reglan, meclizine, nothing really works lol
Expert:  Michael Salama replied 5 months ago.

How about doxylamine?

Customer: replied 5 months ago.
yeah tried that too did not work either. tried benadryl too
Customer: replied 5 months ago.
the nausea isn't too bad its usually when i eat or move around
Expert:  Michael Salama replied 5 months ago.

I can confidently say that there's almost nothing left for you to try. I feel bad saying that but you really have tried them all!

Customer: replied 5 months ago.
yeah the zofran pump is the best for me really
Expert:  Michael Salama replied 5 months ago.

I would agree. Zofran tends to work best for most of my patients.

Expert:  Michael Salama replied 5 months ago.

Please don't forget to leave a rating, thanks!

Expert:  Michael Salama replied 5 months ago.

Is there anything else I can help you with?