Thomas A. Durnell, MD
Womancare Associates

(304) 424-2088



A vaginal delivery is the birth of your child through the vagina. Every delivery is different so we recommend you participate in the prenatal classes that are available to help educate you of the 

expectations of delivery. Our team of professionals is highly skilled in the latest techniques of labor and deliver, and we strive to make every aspect of your experience as comfortable as possible. We have anesthesia services available to help alleviate pain associated with labor and delivery upon your request.

Following the delivery of your child, it is not unusual to experience bleeding similar to a heavy period for 4-6 weeks. If you believe your bleeding is heavier than normal, rest. If that does not help, contact your doctor. Mild to moderate cramping is to be expected after childbirth. This can be treated with over-the-counter Ibuprofen.

Follow the post-partum instructions provided by your doctor. Continue taking your prenatal vitamins if you are breastfeeding and/or are anemic. Additional iron supplements may also be prescribed as well.

If you are experiencing difficulty breastfeeding, you may contact the lactation specialist at the hospital or local La Leche League. These resources are beneficial to learning to breastfeed properly and ensure you are taking care of yourself and your baby.

Strenuous activity should be avoided for a minimum of six weeks following the birth of your child. If you develop a fever over 101, experience severe pain and/or bleeding, or notice a foul smelling discharge from your vagina, please contact our office.


A cesarean birth, also referred to as a C-section, is the birth of your child through an incision in the abdomen. C-sections are normally performed when a vaginal delivery is not possible or is unsafe for the mother and/or baby. Generally, cesarean deliveries are performed with spinal or epidural anesthesia. In some cases, general anesthesia may be used. If general anesthesia is required, the mother will be unable to be awake for the delivery. A catheter is also placed in the bladder prior to the procedure and will stay in place until the following day.

To help prevent post-operative complications, you will be encouraged to get out of bed and walk some the day following your C-section. Generally, patients are required to stay in the hospital for 48 hours following the delivery.

Mild to moderate soreness is to be expected following the surgery, and may last up to four weeks. Bleeding lasting 4-6 weeks is also normal, just like a vaginal delivery. Driving should be avoided for at least two weeks following delivery, and you should refrain from lifting anything heavy for at least six weeks. A post-operative appointment should be scheduled within one week after delivery to have the staples removed from the incision.


A hysterectomy is a surgical procedure that involves the removal of your uterus, and in some cases one or both ovaries and the fallopian tubes are also removed. Ranked as the most common surgical procedures among women, a hysterectomy is usually performed for those who have gynecological cancer, endometriosis, fibroids, uterine prolapse, constant vaginal bleeding or chronic pelvic pain. Hysterectomies remove the ability to become pregnant so if you think you still might want to conceive in the future, you should discuss any alternative treatments available with your doctor. In some cases, a hysterectomy is the only possible treatment solution.

A hysterectomy is performed as an inpatient procedure under general anesthesia. The surgical procedure lasts from one to two hours, not including the prep time. Your stay in the hospital generally ranges from one to four days. Hysterectomies also require a recovery period that lasts several weeks. You should arrange for help at home if needed.


Millions of women experience heavy menstrual bleeding, usually starting in their mid-30s and early 40s. This is not uncommon, as it happens frequently as women approach menopause. These heavy periods are not only inconvenient, but they also can cause fatigue, nausea, abdominal cramps, headaches, depression, mood swings or anxiety.

Our office offers the latest one-time procedure available to alleviate heavy periods – NovaSure®! NovaSure is a 5-minute endometrial ablation procedure where our doctor will remove some or all of your endometrium, a type of tissue that is commonly found on the inside lining of the uterus, that is causing the heavy bleeding. To do this, a slim wand is inserted through your cervix, and a triangular device is opened and expanded to fit accurately inside your uterus. For approximately 90 seconds, our doctor will administer a radio frequency through the device which destroys the endometrium. The triangular device is then folded back inside the thin wand and removed from your body.

To see if NovaSure is right for you, please call our office to schedule a consultation.

For more information on this procedure, please visit the NovaSure website.

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