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Fertility and the Economy

Fertility rates go up and down with economy: Delaware Valley OBGYN blog
A rise in fertility rate and birth rate preceeds economic booms and a decrease precedes recessions

Can a busy waiting room in your OBGYN  doctor's office or the fertility clinic mean the economy is going to boom?

Actually it may.

Some of us who practice in reproductive health care have noticed that the number of women getting pregnant or attempting pregnancy seems to wax and wane over time. It certainly makes sense that couples would be more likely to plan a family when times are good and avoid pregnancies when the economy goes south, but in the in end it was just an observation with any real information to support that hunch. That is until now.

The National Bureau of Economic Research (NBER) reported recently that fertility rates, in this case the birth rates more specifically, go up and down with the cycles in the economy.

What is even more interesting is that the birth rate changes proceeded the upswings and downswings in the economy.

  • A drop in birth rates can predict an upcoming recession.

  • A risk in birth rates can predict upcoming economic boom.


Somehow, the national mood, how confident people were in the future not only predicted how the economy would do but how many couples would be trying to have a baby.

A Very Special Birthday

Three generations, one birthday: Delaware Valley OBGYN blog

Three generations, one birthday

Clara Gregory, Theresa Dunn and Micah Dunn, 3 generations with the same birthday

Our very own Dr. Eugene Gamburg had the opportunity to participate is a very special childbirth.

As reported by the University Medical of Princeton at Plainsboro, and the Associated Press, Dr.  Gamburg delivered a patient of our group, Delaware Valley OBGYN and Infertility Group on her own birthday. Not only that, but the patient herself also shared the same birthday with her mother.

What an amazing alignment. While we are not able share all the details, the story of Micah's birth, you can learn more by clicking on the links above.

Meet our nutritionist

Alka Sheth, MS, RDN

Our registered dietician and nutritional counselor can help improve your health and wellness particularly for women with diabetes, gestational diabetes, PCOS, infertility and weight management issues.

Click here to visit our nutrition page to learn more about the nutritional/ dietary services we offer at our office.

Dr. Pierce brings minimally invasive procedure to Princeton

YOUR HEALTH: Princeton Doctor performs single-site robotic hysterectomy

By Stephanie Vaccaro


This article previously appeared in the Princeton Packet  

Single site robotic hysterectomy in Princeton NJ

Dr. Bruce Pierce, the medical director of the robotic surgery program at Princeton HealthCare System, was the first doctor in the northeast to do a single-site robotic hysterectomy with the da Vinci Xi system robot. The surgery involved removing the uterus and both tubes and ovaries.   This surgery is frequently done with a larger incision that is similar to that of a C-section.   ”And that requires a two- to three-day hospital stay followed by a six-week recovery period,” Dr. Pierce said. “Since I do it minimally invasively with the robot, I’m able to make one tiny incision in the belly button and because of that, my patient goes home the same day. And basically in two weeks they’re back to work. They’re back to their normal routine.”

The benefits of robotic surgery 

The value of robotic surgery is clear.   ”Basically, it’s using technology to make a major surgery into a minimally invasive procedure, with the focus on quicker recovery,” Dr. Pierce said, adding that it involves less scarring. “Ninety percent of these surgeries can be done as outpatient.”   Earlier this year, a large study was published in the “Journal of International Gynecology & Obstetrics,” with thousands of patients with a variety of hysterectomies. “They found in surgeons who were experienced with robotics, meaning they had more than 60 cases under their belt, they found the robotic hysterectomy has less complications, less need for re-operation, less need for readmission, and less bleeding and infection,” Dr. Pierce said. “The main thing was the surgeons needed to be experienced.”   What makes a patient a good candidate for robotic surgery? “It depends on the surgeon’s level of experience,” Dr. Pierce said.   He also said that it’s important to note that there is a learning curve with robotics.

The importance of using an experienced robotic surgeon

   "It’s not perfect right out of the gate," he said. “With a beginning surgeon, you basically have to pick the easiest candidate, meaning somebody who is not overweight, somebody who has not had a lot of previous surgery, somebody whose uterus is small, a non-complex surgery. But the more experienced you get with the new technology, you’re able to expand the patient base to a more complex patient. So, all of a sudden these patients who used to be not candidates for robotics are now candidates with experienced robotics surgeons.”   How will this technology develop? “The future though lies with more women becoming candidates and more complex cases being done in a minimally invasive manner,” Dr. Pierce said.   What about the naysayers? “The detractors of robotics say it’s too expensive,” Dr. Pierce said, but he pointed out considerations as fewer hospital stays, and returning to a work a month earlier.   Dr. Pierce has done hundreds of robotic surgeries for the past eight years. He has also taught other physicians how to do it for many years now. When considering robotic surgery, experience matters, he said, “I want to emphasize that an experienced surgeon is crucial to improved outcomes."