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Dr. Delese Eshell Lacour, MD

(Dr. Delese E. Lacour, M.D.)

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Specializes in: Pediatric Gynecology
University of Cincinnati College of Medicine (1998)
Professional interests include: vaginal birth after cesarean (VBAC), cesarean section (C-section), biophysical profile (BPP), and more.
3700 Fleet Street Suite 200
Baltimore, MD 21224

Dr. Delese Eshell Lacour, MD is a pediatric gynecologist in Baltimore, MD specializing in pediatric gynecology. She graduated from University of Cincinnati College of Medicine in 1998 and has 27 years of experience. Dr. Delese Eshell Lacour, MD is affiliated with MedStar Franklin Square Medical Center and MedStar Health.

View Doctor's Full Profile (410) 558-4900

Office Locations

Address:

3700 Fleet Street Suite 200
Baltimore, MD 21224

Unable to locate address.

Address:

9000 Franklin Square Drive
Baltimore, MD 21237

Some issues Dr. Delese Eshell Lacour, MD can help you with:

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:

  • A large baby or birth to multiple children
  • Pelvic fracture or limited birth canal
  • Baby in the "breech position," where a baby is positioned feet or bottom first in the uterus
  • Baby with a developmental disorder
  • Irregular fetal heartbeat
  • Mother with a history of previous C-sections

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:

  • Labor not progressing
  • Fetus switching position during labor
  • Distressed infant
  • Blockage of the cervical opening by the placenta
  • Prolapsed umbilical cord

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.

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:

  • Identify the cause of recurrent miscarriage
  • Remove polyps or fibroids, non-cancerous growths in the uterus
  • Remove adhesions, scar tissue within the uterus
  • Identify uterine septums, a wall of tissue dividing the uterus
  • Perform ablation, the removal of excess uterine lining

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.

Pessary

A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.

Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.

The following tips can help guide the process of finding the right fit:

  • Once in place, patients should not be able to feel the device at all. If there is even slight pressure, patients should let their healthcare provider know, and she will find a pessary of a different size or shape.
  • The pessary should not fall out with sneezing, coughing, jumping, or squatting. While getting fitted, patients should try jumping or squatting to see if the device will fall out. If it does, a different pessary will be inserted until they find one that stays in place.
  • Patients and their healthcare providers should make sure the device is improving symptoms by having a check-up 5 to 15 days after it is inserted. If there is no improvement, patients may have to be re-fitted with a different pessary, or patients may be asked to consider surgical options.

The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.

Average Medicare Procedure Volume From 2013 - 2020

Volume of procedures performed by Dr. Delese Eshell Lacour, MD for Medicare patients.

The highest averages for the top procedures that Dr. Delese Eshell Lacour, MD treated as a pediatric gynecologist in Baltimore, MD were lab tests, breast exam, gynecologic procedures and preventive care.

breast exam 22
cytology 20
doctor visit 30
gynecologic pathology 20
gynecologic procedures 22
lab tests 39
preventive care 20

Average Medicare Patient Data From 2013 - 2020

Information about Medicare patients treated by Dr. Delese Eshell Lacour, MD.

Gender
Male 0
Female 37
Ethnicity
Black / African American 4
Asian / Pacific Islander
Non-Hispanic White
Native American / Alaskan Native
Hispanic
Other
Age
75 to 84
85 and over
Less than 65 22
65 to 74

Average of Total of Conditions of Medicare patients treated by Dr. Delese Eshell Lacour, MD From 2013 - 2020

The highest averages of the most common conditions of Medicare patients that Dr. Delese Eshell Lacour, MD treated were hypertension, depression, high cholesterol and diabetes.

Hypertension 25
High Cholesterol 14
Stroke
Ischemic Heart Disease 7
Depression 15
Chronic Kidney Disease 4
Asthma 4
Osteoporosis
Heart Failure
Chronic Obstructive Pulmonary Disease
Diabetes 13
Atrial Fibrillation
Cancer
Dementia

Education & Training

Dr. Delese Eshell Lacour, MD graduated from University of Cincinnati College of Medicine in 1998. She completed residency at Franklin Square Hospital Center. She is certified by the American Board of Obstetrics and Gynecology, Obstetrics and Gynecology and has a state license in Maryland.

Medical School: University of Cincinnati College of Medicine (1998)

Residency: Franklin Square Hospital Center (2002)

Board Certification: American Board of Obstetrics and Gynecology, Obstetrics and Gynecology

Licensed In: Maryland

Affiliations & Hospitals

Dr. Delese Eshell Lacour, MD is associated with these hospitals and organizations:

MedStar Franklin Square Medical Center
MedStar Health

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Delese Eshell Lacour, MD appears to accept the following insurance providers: CIGNA Choice Fund PPO, MAMSI, First Health PPO, Blue Choice, Golden Rule, Great-West Healthcare, TRICARE, Community Care Network (CCN), Coventry, TRICARE Reserve Select, Aetna Managed Choice POS, Beech Street PPO, Aetna HMO, Kaiser Select, Kaiser Permanente, CIGNA EPO, Aetna Medicare PPO, CIGNA Indemnity, AARP, Medicare Advantage, Coventry National Network PPO, United Healthcare, Medicaid, Cigna, Virginia Premier Health Plan, WellPoint, CIGNA Network Open Access, Private Healthcare Systems (PHCS), HealthyBlue PPO, MedStar Family Choice - Maryland Health Choice, CareFirst NASCO, CareFirst Maryland Indemnity or PPO, Traditional Medicare Fee for Service, United Optimum Choice Preferred (POS) & OCI Direct (HMO), Innovation Health: Open POS Plus, MedStar Family Choice DC Healthy Families, Carefirst EPO, Innovation Health: HMO & EPO Plus, Aetna Open Choice (PPO), United Community Plan - Maryland Health Choice Program, CareFirst Administrators, United Student Resources, United Select HMO - EPO/NPP, Aetna Signature Administrator PPO/TPA, Aetna HealthFund/Health Network Option OA, Aetna HMO-Open Access/Select OA, United MD IPA Preferred (POS), Aetna Choice POS & Choice POS II, United Options (PPO) (includes Empire PPO), Uniformed Services Family Health Plan (USFHP), Innovation Health: Network Only Plus, United MD IPA (HMO), United Choice Plus, CareFirst Blue Card Program (Out-of-area BCBS plans), Aetna Managed Choice Open Access (POS), Innovation Health: PPO, HumanaChoice Honor's plan PPO, MedStar Family Choice DC Healthcare Alliance, United Choice, United Optimum Choice, Federal Employee Program (Std/Basic PPO/Blue Focus), Innovation Health: POS, Aetna Elect Choice/ Open Access (POS), Maryland Point of Service Plan (MPOS), Aetna Select HMO/HealthFund/Health Network, Innovation Health: Open Network Only Plus, Aetna Elect Choice/ EPO (Aetna Health Fund), Aetna Quality Point of Service (POS), United Select Plus (POS), CareFirst BC/BS Advantage Core/Enhanced, United Erickson Advantage Plans, Priority Partners - Maryland Health Choice, Aetna Student Health Insurance, Carefirst Healthy Blue (HMO/POS), Health Services for Children with Special Needs (HSCSN), Aetna Open HMO/Open HMO Option/Open EPO Plus, D-SNP), I-SNP, CareFirst MedStar PPO, Aetna Traditional Choice (PPO), CareFirst (NCA) Indemnity, United Core Essential (HMO), Innovation Health: POS Plus, HumanaChoice PPO, United Nursing Home Plan (C-SNP, Innovation Health: Open POS II, Innovation Health: Indemnity, United GEHA (for all other states) Compass Rose, Veterans Affairs Community Care Network, United Navigate, Carefirst Blue Preferred PPO, Police and Fire Clinic, Employee Health Plan (EHP) and CareFirst MedStar Select PPO.

Insurance Accepted by Provider includes:

According to our sources, Dr. Delese Eshell Lacour, MD accepts the following insurance providers:

CIGNA Choice Fund PPO
MAMSI
First Health PPO
Blue Choice
Golden Rule
Great-West Healthcare
TRICARE
Community Care Network (CCN)
Coventry
TRICARE Reserve Select
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Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Delese Eshell Lacour, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
HOLOGIC INC $86 Myosure
$86
Types of Payments
Food and Beverage $86

Biography

Dr. Delese Lacour is a pediatric gynecology specialist. Her areas of expertise include the following: colposcopy, placental disorders, and adolescent gynecology. Dr. Lacour is affiliated with MedStar Franklin Square Medical Center. Blue California, Coventry, and Coventry Health Care Plans are among the insurance carriers that Dr. Lacour honors. She graduated from the University of Cincinnati College of Medicine. For her professional training, Dr. Lacour completed a residency program at Franklin Square Hospital Center.

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