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Dr. Pnina M. Dean, MD is an obstetrician and gynecologist in Sewickley, PA specializing in obstetrics & gynecology, gynecology and general practice. Dr. Pnina M. Dean, MD is affiliated with Allegheny Health Network, American College of Obstetrics and Gynecology and the American Association of Gynecologic Laparoscopists and AHN Premier Women’s Health.
Cesarean Section (C-Section)
A Cesarean section (more often known as "C-Section") is a surgery performed during labor and delivery. A C-Section is a procedure that delivers a baby through an incision in the lower abdomen and uterus. In the United States, about a third of all births are performed by Cesarean section. Most often, a C-section is done by an obstetrician/gynecologist (OB-GYN), or in certain regions, a general surgeon or family physician.
C-section incisions can be up-and-down (vertical), from belly button to lower abdomen or side-to-side (horizontal), across the lower abdomen. Side-to-side incisions are more frequently used. After the exterior incisions are made, the doctor then cuts into the uterus and amniotic sac and delivers the infant and cuts the baby's umbilical cord. The mother receives medicine to expel the placenta and the doctor helps to safely remove it. Finally, the doctor uses sutures to seal the uterus and tissue incisions. The initial C-section skin incision is also closed with sutures or staples.
C-sections are typically performed with regional anesthesia, which inhibits pain in the lower half of the body, but allows mothers to be awake. However, some mothers may receive general anesthesia, where they are put to sleep during the surgical procedure.
C-sections may be planned or unplanned, depending on the circumstances of the birth.
Pre-existing conditions like heart disease, high blood pressure, herpes, and HIV may prompt a doctor to prescribe a C-section. Other situations for C-section include:
Other mothers may require a C-section due to complications arising during delivery. These unplanned, emergency C-sections allow for a healthy birth even when complex complications are present. Problems during labor which may necessitate a C-section include:
Mothers should expect about a six-week recovery period following a C-section, including an initial hospital stay of two to three days. While in the hospital, mothers may spend time with their baby and begin breastfeeding. After returning home, mothers should limit strenuous activities such as lifting, reaching, and exercise, and should make sure to get plenty of rest.
Gynecologic Surgery
Gynecologic surgery is surgery performed on a woman's pelvic region. It is usually performed by an OB/GYN and can involve the bladder, rectum, or reproductive organs. Surgery in this area may be performed for many reasons, but the most common procedures include:
More and more, gynecologic surgery is moving towards the use of minimally invasive surgery. Minimally invasive surgery uses several small incisions and tiny tools and scopes to perform the operation, rather than one large opening. While it is not appropriate in every case, minimally invasive surgery can lead to less scarring, less blood loss, faster recovery, and a lower chance for infection. Minimally invasive gynecologic surgery may be performed with a laparoscope, a thin tube with a camera on the end that allows the surgeon to see inside the body. It may also be performed robotically, using even smaller tools and cameras that a surgeon controls from a computer. Robotic surgery allows even better vision, precision, and control than laparoscopic surgery.
Over the course of a lifetime, many women need pelvic surgery to stay healthy. Qualified gynecologic surgeons will have the right tools at their disposal to provide care with a minimum of discomfort.
Hysteroscopy
A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.
Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.
She completed residency at AGH-WPH Medical Education Consortium Internships. She has a state license in Pennsylvania.
Residency: AGH-WPH Medical Education Consortium Internships
Licensed In: Pennsylvania
Dr. Pnina M. Dean, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Pnina M. Dean, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$151
FLOSEAL $140 |
BioSurgery - FLOSEAL $11 |
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$39
Kyleena $39 |
| $190 |
Dr. Pnina Dean specializes in general practice and gynecology. Dr. Dean attended medical school at New York Medical College. Areas of expertise for Dr. Dean include colposcopy, menopause, and gynecologic exams. In addition to English, she speaks Hebrew. She is affiliated with Allegheny Health Network. Yext reports that Dr. Dean is not accepting new patients.
