good morning welcome back uh to our sunday q a sit down sit down sunday still working on the name yes
um but we are so excited to be back answering your questions that you have left us over the
last week or two um if this is your first time meeting us i'm sarah i'm a board-certified ob gyn
and a first-time mom and i'm kurt i'm a board-certified pediatrician and first-time
dad and we're working through ivf also as we're working towards baby number two
yes and so on this channel we give lots of kind of evidence-based pregnancy parenting postpartum
information and education as we are kind of living through those experiences ourselves
from the medical perspective as well as from our in real life experience yep and i think this week
we're going to talk about how to what to do with a young infant in terms of helping them
meet their developmental milestones yep how soon you can get pregnant after you take out your iud
and then we got a question about how we met and we'll share a little bit of that today too
all right we are the doctors bjorkman and we are back with questions from you and the first one
is from heather krauss and she said hi love your videos is there a recommended
amount of time you should wait after getting your iud out before conceiving
great question the short answer there is no your your the iud does not affect fertility at all
and so you can kind of start trying to conceive right away after you take it out we have a one
of our first videos with five things to think about before trying to conceive that you can
totally check out but just a couple things about the iud love the iud as an ob gyn it is an awesome
form of birth control it's 99 effective it's as good or better than getting your tubes tied
and it's like a set it and forget it kind of method so you put it in and then you don't have to
worry about it for three to 12 years depending on the type of iud you have some have hormones some
do not the copper iud does not and those hormones stay local in your uterus and kind of work to
thicken the cervical mucus and be hostile to sperm as well as keep your uterine lining really thin
and that's how they work to prevent pregnancy so the thing when you have an iud in is many women
have light periods some irregular spotting or even sometimes no period all you may have
regular periods but um because of that it's hard to track your cycles and so when you take that
iud out knowing your fertile window is just not something that you're real in tune with because
you haven't been having any often having a regular cycle during that time so you can get pregnant
right away even before you get a period depending on had you ovulated around the time you took your
iud out and things like that so sometimes waiting for the first period helps you understand your
fertile window or when you're ovulating or if you are using ovulation predictor kits we also have a
video on trying to get pregnant fast that you can check out tips on using opks and things like that
but the short story iuds don't affect fertility you can get pregnant right away after they come
out most couples take three to six months to get of trying before they get pregnant if you're not
pregnant in a year or you're not having regular periods after you take that iud out go see your ob
gyn or fertility specialist right away yeah and i think some big news just recently one of the
iuds got approved for up to eight years the marina iud is approved for up to eight years of
preventing pregnancy of course iuds do not prevent from sexually transmitted infections but they will
prevent pregnancy for eight years which is pretty sweet awesome yeah what's up next uh next question
so this one comes from caitlin mccorquedale i hope i got that right um she says we have
four-month-old twins busy who are starting to get bored very easily what are some things that
can do with them during the day to keep us all sane um absolutely understand that a bit like
we had one and i think caring for a four month old and what to do with them during the day is
not necessarily intuitive it doesn't like how do you entertain this thing that can't move yet you
can't really sit up isn't communicating with you a whole lot like you have this beautiful wonderful
little potato or in your case twin potatoes that are starting to smile and interact and coo and
those things but still like how do you entertain them right um i think the big things are just to
explore with them trying to get them engaged in the world around them as best as possible
things that you can do are working on engaging their senses some of the best things are speech
and language talk to them constantly everything you're doing share with them i know for us it
was really nice now we only had one at a time but having like baby wearing was really helpful for us
in terms of bringing them around our house yep touching fabrics working light switches turning
faucets on and off all of these sorts of things reading books is one of the best things you can do
for your children at any age but even at this age it's great to sit them down engage them with books
as their hearing language but i mean it is not an intuitive thing not like how to engage
a four month old or a little baby and like i literally wrote out this says playlist for cease
and it lists 16 different things to do inside for things to do outside like a little bit of
eating practice because it just like i was like what do i do with you so i totally understand
this literally says sit and play gym and bat at ball lay in the play gym and read a book tummy
time in the play gym and look at mirror sit on mat play with wooden box and handkerchiefs
tummy time on matt stand in front of bookshelf and look at books put toys on shelves like turn on
and off the lights in every room look at the christmas lights and talk about the colors um
turn on and off the faucets in the kitchen and both bathrooms um so like you're not alone okay
and it's nothing fancy either like you don't need special devices special toys no there are a couple
things that we found were pretty helpful for us um i think we mentioned before we had a subscription
to love every yes um which wasn't cheap but was really nice in terms of every two months we got
a box of age developmentally appropriate things and some guides even to say hey here's some other
thoughts and ideas of things you can do with your child at different stages although my my outside
says take matt and toys out to yard read a book play with rattle pull on grass show her a leaf um
walk to get the mail even if it's not there go for a walk in the stroller
give her rings or something to hang on to walk to every tree in the yard and touch the bark
anyway you get the gist i needed something like this to help me i thought this was helpful for um
our babysitters who maybe didn't know exactly how to engage with a little bitty baby um and
so just like doing things like that is really great there was this app we used for a while
um it was called baby sparks yes um that was nice it was subscription yeah relatively reasonably
priced yeah but again once a month developmentally appropriate um tasks to do with your infant child
to try to help them both like work on things that are age appropriate for them but also just
to give you ideas as a parent um and little things like this can be invaluable for you especially if
you're there you've got two kiddos that are just like need something to do with their brains but it
is amazing as you engage them to watch them grow and learn um and is a challenge yeah and the other
thing i think is just to like let them be and explore that world around them and kind of just
take in looking up at the leaves in a tree or feeling the wind on their face
or looking at themselves in a mirror you don't have to be constantly entertaining them or doing
things with them you can just let them be and kind of absorb that on their own and explore on
their own and you know sometimes they need to be entertained but absolutely um it's okay to
just let them kind of soak it in sometimes too and get that tummy time or time on their back
um yeah there were lots of early mornings where i remember just walking around outside just holding
cecilia and letting her like feel and be because she wasn't really happy just sitting and so needed
to be distracted in some ways maybe a stroller is going to be your saving grace but yes either way
those are some ideas hope they help um all right what do we have left okay one last question from
zen vibes they say how did you guys meet you're an awesome couple i love that you're both doctors
thanks um we've actually enjoyed being in medicine together quite a bit married to medicine not
something i planned on i wanted to marry a normal person with a normal life yeah um so we actually
we met in med school and it's funny i remember the day before we met pretty much talking to my
dad and saying well no matter what i'm not gonna date anyone in med school and then we met and sure
enough we were dating and a year later shortly thereafter got married during our second year
of med school um we should probably do an episode about our journey of how we met and going through
medicine and all of our training together but it's been great to have someone who has been there and
studied with and done all the tests and you know brought me ice cream when i was on
nights at the hockey you know it's been applying to residency and fellowship
and now jobs after that too has been a journey but it's been together and it's
been good so that's going to be it for us this week thank you again for all of your questions
we've really enjoyed kind of going through them and thinking about things that maybe we
weren't thinking about talking about otherwise make sure you're subscribed catch our normal
scheduled episodes on wednesday and we'll see you guys next sunday have a great week
we're doctors but not your doctors anything we've said in this video
is for education or entertainment purposes only it is not medical
advice any specific medical questions you have should be directed to your provider