April 5, 2017 // 

Daytime TV ads used to call it “irregularity.” Nonmedical folks sometimes refer to it as the strains or being backed up. Most often I hear, “I can’t boo boo!” Constipation: a fact of life during pregnancy for sure. I tell groups that when I was pregnant I thought I would never poop again. This came… » Read more.

All over South Carolina

March 21, 2017 // 

During January, February, and March, I have been many, many hours on the roads of South Carolina visiting some of the now 19 sites doing CenteringPregnancy here. As I have said many times, we may not have the highest number of Centering practices, but we have the most per capita of any state in the country. (SO… » Read more.

Are your palms itching?

March 20, 2017 // 

I was talking with a group this morning that was complaining about itchy skin. We went through the usual discussion that we do whenever discomforts come up: 1. Who else here has that discomfort? 2. What do you think causes it? 3. What can you do about it? 4. When do you worry about it… » Read more.


Getting the show on the road

February 6, 2017 // 

There is probably no conversation we have more frequently in Centering than “how can I get my labor started?!” Women at the end of their pregnancies are SO uncomfortable and the entire family is ready to move on to the anticipated arrival of their new little bundle of baby. It doesn’t matter that they will… » Read more.

Troubled times

January 24, 2017 // 

It’s been a tough couple of months for us here at my work home. We’ve struggled, both in Centering and in our general OB-GYN practice. When people ask me why, I have a hard time explaining it exactly. The reason for that is there are SO many reasons. For example:   TURNOVER. Over the past… » Read more.


Death’s door

November 7, 2016 // 

Want to see something that makes me really mad? “More women are dying in childbirth in the US than in any other developed country. And the problem is getting worse.” That’s the top line from this article about rising rate of pregnancy-related deaths in the US. While in other developed countries, the rate is decreasing,… » Read more.

“Difficult” groups

November 7, 2016 // 

We have had a spate of “difficult groups” lately. In Centering, a difficult group is usually one of these: Patients are extremely quiet, won’t participate no matter how many of your group-facilitator-tricks you use One or two loudmouths monopolize the conversation People talk over each other or have side conversations with their friend/neighbor Lately, we’ve… » Read more.

A late dispatch from City Match just to catch up a bit…

September 26, 2016 // 

The title of the post I blame on my current obsession with all things Lin-Manuel Miranda. I got to go to the City Match Urban Maternal Child Health Epidemiology and Leadership Conference last month in Philadelphia. It was incredible. First of all, just hanging out with hundreds of other motivated, intelligent, compassionate people involved in… » Read more.


Grief hits our Centering family

September 26, 2016 // 

Those of us in OB-GYN at Greenville Health System are getting a big dose of grief this month. The kind where you never appreciated someone enough until they were gone. The kind that leaves you in awe of a person’s greatness that you knew so little of until it was too late. The kind where you… » Read more.

cheech and chong


August 17, 2016 // 

In one of our groups lately, the topic of marijuana during pregnancy came up. Most of the people in the group agreed that they didn’t think marijuana is a dangerous drug and wanted to know if it is safe in pregnancy. The attitude among the group was widely accepting of marijuana use as normal and… » Read more.