Alexis O'Leary

06/29/2020

Did you know that insurance will pay for a breast pump? Big Sky Managed Care makes pumping easy by delivering your pump and replacement pumping supplies right to your doorstep. As a pumping working momma myself I understand the difficulties we face. Big Sky Managed Care takes one thing off my plate and we all can use this level of convenience!

04/20/2020

First day back in the office after 2 weeks of hospital shift and 2 weeks of telemedicine...almost couldnt remember how to get ready! 🤣

04/01/2020

Labor is an active process. You would be surprised how many different positions we have you try. The idea is to help the baby move down into the birth canal in a favorable position. Sometimes, babies come down facing sunnyside up (we call it occiput posterior, or OP). This can be a particularly difficult position for babies to deliver in. OP positioning is associated with longer labors, perineal tearing, assisted vaginal delivery and cesarean section. Labor and delivery nurses, midwives and physicians utilize certain positions that can help rotate babies out of an OP position. Here are a few of my favorites, though each provider has their own preferred position they swear by...mine is knee chest by far!(sort of like childs pose)


References:

Guittier, M., Othenin-Girard, V., Irion, O. et al. Maternal positioning to correct occipito-posterior fetal position in labour: a randomised controlled trial. BMC Pregnancy Childbirth 14, 83

Le Ray C, Lepleux F, De La Calle A, et al. Lateral asymmetric decubitus position for the rotation of occipito-posterior positions: multicenter randomized controlled trial EVADELA. Am J Obstet Gynecol. 2016;215(4):511.e1–511.e5117. doi:10.1016/j.ajog.2016.05.033

03/31/2020

Don't miss out on birthing classes because of social distancing. is offering online classes. Take the scary and unknown out of your pregnancy, labor, delivery and postpartum. Sign up today!

03/23/2020

Pre-op selfie 😀 Love ya girl!

03/22/2020

Social distancing O'Leary style.
Please stay home. Keep yourself and others safe.

02/04/2020

First day of work back from maternity leave was a success! Missed my baby girl but also missed seeing my patients. Come on in for your appointments, I am open for business!

01/14/2020

I am often asked when young women need to see a gynecologist and get their first gynecologic exam. And the answer is...it depends. Everyone needs to see a physician on a yearly basis. My first piece of advice for a young woman is to see a physician that she is comfortable discussing her physical, emotional and s*xual health with. This may be a family practice physician or a gynecologist.

Women should be encoraged to have discussions with a physician about their s*xual health preferably before their first s*xual encounter. This allows adequate counseling about safe s*x practices, contraceptive discussions, and HPV vaccination.

Also, new recommendations from the American College of Obstetricians and Gynecologists (ACOG) state that yearly pelvic exams are not always necessary. If you dont need a pap smear and have no other worrisome symptoms, often your physician can forego the pelvic exam!

As always, I am a physician but may not be yours. Always consult your own physician regarding your individual health.

12/23/2019

One of the biggest misconceptions in obstetrics is that you shouldn't exercise when pregnant. This is absolutely not true! Benefits of exercise in pregnancy include maintaining appropriate weight gain, decrease risk of gestational diabetes and high blood pressure. I am a firm believer that labor is a form of prolonged exercise. If your body is used to exercise then you likely will have an easier delivery and faster recovery postpartum.

Tips for exercising while pregnant:
1. Choose an activity that you enjoy and were already doing prior to the pregnancy
2. Scale your exercise. If you are a runner cut back the milage. If you lift weights choose lower weight.
3. Tailor the intensity so that you can have a conversation while exercising. If you are out of breath, back off to a level where you can.

I am a recreational crossfitter. I continued to work out throughout my most recent pregnancy. Not with the same weights or intensity but I continued to move. And that is the key. Just MOVE! Whatever activity makes you feel good. There isn't a right or wrong type of exercise as long as you modify along the way. I took off some time after having my daughter and just went back at 5 weeks postpartum. I have lost muscle and stamina but not as much as I would have if I had stopped completely for 9 months. Thank you to for keeping me fit through my pregnancy!

As always, I am a physician but I may not be YOUR physician. Please discuss your individual situation with your doctor at the beginning of your pregnancy.

11/17/2019

Here is one very good reason to not v**e.

'This is an evil I haven't faced before,' the hospital's surgical director said of va**ng

07/16/2019

Helena ObGyn and St Peters Health have taken a huge step forward for minimally invasive surgery. Now available in Helena Montana is the newest surgical team member - the da Vinci xi surgical robot. Schedule an appointment today to discuss this new system and see if your planned surgery can be done minimally invasive with the da Vinci xi robot.