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Melanie E. Watkins, MD, Lawrenceville, GA (2026)

09/18/2026

❤️

This week, I received a message from a young woman I delivered 19 years ago—when I was a resident and just beginning my journey in obstetrics.

She had recently seen my name on her birth certificate and went looking for me on Facebook.

❤️Nineteen years later, she found me just to say thank you. ❤️

Gah this message transported me right back to those early days—when I was learning, growing, and falling more and more in love with this incredible specialty.

We spend so much of our careers literally running at times from patient to patient ..baby to baby…the next delivery, the next surgery… and then something like this reminds you that the moments we are part of can last a lifetime.

To this sweet young woman: thank YOU for finding me and for making my week!❤️

This is why I love what I do.
This is why being an OB/GYN is so special.
And this is one little piece of my career that I will never forget.

08/30/2026

OB Education!! 🤰🧑🏻‍🍼👶🍼

Moving onto the letter E!

E is for epidural.

This is a photo of me in sweet post baby bliss holding Jamie Jo..
Worked all day saw like 30 patients contracting and then walked myself to L and D and said give me my epidural. 🤪 💉 I was 5cm. These photos represent me being surrounded by women and my husband who supported me and cheered me on to bring life into this world.

Listen I have the UTMOST respect for all of you ladies out there that decline but for me I wanted to enjoy my labor pain free! ❤️

This is my personal rant. Not sure how as a society we have gotten to a place where women are “less” or “weak” if they get an epidural.

Ladies!!! Stop!!

Support your friends, your sisters, your buds regardless of how they do labor.

Whether it comes out of your va**na, your belly, with an epidural, without an epidural…. We GROW an entire HUMAN BEING in our body!! Is that not enough?? You do you boo! Just do it! Regardless of how you get that baby in your arms you have earned it!! Women are amazing creatures that grow life and continue life… they don’t need to be judged on how they do it. ❤️

Facts on epidurals:
1. You can get it regardless of your dilation!! It does not wear off. Each one of us has a different pain tolerance and that is OK!!! If you can go without one do it but for some we can’t and it actually prevents progress..we tighten our pelvic floor and that baby does not descend..so if you find yourself “kegeling” and squeezing with a contraction it is time. That prevents descent and progress.

2. As above it DOES NOT wear off!! It is a continuous infusion linked to a pump..like an IV really..the meds don’t stop working. Occasionally with a long induction or labor the epidural can become dislodged or move and need to be replaced..but this is uncommon.

3. It does NOT impact breastfeeding.
Nope..nada. Joe breastfed for 13 months and Jamie for 18months..I had epidurals for both.

4. Occasionally it can lower your blood pressure and this can impact baby… but a good RN team has remedies for this and can fix it… I have seen an equal number Csections called for natural
Mommas who can’t relax due to pain as I have seen csections from epidurals and I have delivered over 3000 babies.

End point. You do you! Don’t tik tok, don’t face book, don’t talk to friends. You are amazing..you have experienced a period of your life that you have 2 hearts, 4 lungs, 4 kidneys, 2 brains etc in your body. You are a strong , empowered woman. You know if you can do it and if it’s OK if you can’t. The end point is a sweet baby in your arms..don’t lose track of that.

You are a rockstar regardless. Be proud of yourself and support your friends and your people.
🩵🩷

08/27/2026

We would also like to introduce Dr Herrara!!! She will be starting with us in September!!💜

She’s Back! 🍑

🍑 SHE LEFT GEORGIA… BUT WE GOT HER BACK! 🍑

Help us welcome the newest addition to our team, Dr. Madeline Herrera, DO, starting with us this September! 🎉💕

A Florida girl by birth 🌴, Georgia girl by choice! Dr. Herrera attended PCOM–Georgia, fell in love with the community, and always hoped she’d make her way back.

After completing her OB/GYN residency in Michigan, she’s officially coming HOME to Gwinnett! 🥰

Dr. Herrera loves that OB/GYN allows her to combine two things she’s passionate about: surgery and building lasting relationships with her patients. She has special interests in high-risk obstetrics, robotic and laparoscopic surgery, hysteroscopy, abnormal uterine bleeding, contraception, and preventive care.

Outside the hospital and office, she’s a wife and mom who loves traveling, discovering new restaurants, gardening and painting. 🎨🌿✈️🍝

And for our Spanish-speaking patients—¡Bienvenida, Dra. Herrera! 🇪🇸❤️

We are beyond excited to have her joining our team and can’t wait for you to meet her!

Welcome to the family, Dr. Herrera! 💕

08/23/2026

Hello 👋 my perimeno and meno friends!! 😊
Reconnecting on my Menopause Education series!

🌙 I is for Insomnia 🥱

“Why can’t I sleep anymore?!” 😴
Do you sometimes watch your kiddos sleep and just pray that you could sleep the way they do? 🩷

One of the most frustrating symptoms of perimenopause and menopause is suddenly becoming a terrible sleeper.

You may:

* Fall asleep easily but wake up at 2–4 AM
* Wake up hot or sweaty
* Have a racing mind or heart rate at bedtime
* Wake up repeatedly throughout the night
* Feel exhausted even after being in bed for 8 hours

And no, it’s not all in your head!

As estrogen and progesterone fluctuate and decline, they can affect body temperature, mood, stress response, and sleep regulation. Hot flashes and night sweats can make it even harder to stay asleep.

The good news? You don’t just have to accept terrible sleep as “part of getting older.” ❤️

There are lifestyle changes, behavioral strategies, and—when appropriate—menopause treatments that can help.

Better sleep = better mood, better energy, better memory, and better quality of life.

🥱What can you do?😴

⭐️1. Decrease or stop drinking!
-This has helped my sleep considerably!
-Alcohol has a biphasic effect: an initial sedative phase followed by a rebound arousal phase as it is metabolized..increasing those night time awakenings
-Alcohol also is a vasodilator and worsens night sweats

❤️Instead of a glass of w**e try adaptogen drinks (Trip, De Soi, Calm photos below)

⭐️2. Try bioidentical progesterone!!
-prometrium is a wonder hormone for many women..it not only can increase deep restful sleep helping you feel less tired it also helps curb anxiety which can calm your brain 🧠 and help sleep

⭐️3. Natural supplements can help!

❤️Melatonin — The best-studied option for menopausal sleep.
Commonly studied doses: 1–5 mg, taken about 1–2 hours before bed.
Generally well tolerated; can cause grogginess.

🤍Valerian — A plant extract that may improve sleep quality.
One study used 530 mg twice daily.
Results across studies are mixed; may cause daytime drowsiness.

🩵Magnesium — Often recommended for sleep and helpful for bone health

🩷Soy isoflavones / other botanicals — May modestly help menopause symptoms and sleep in some people, but results are inconsistent and product quality varies.

⭐️4. Fix the night sweats!

❤️estrogen fixes these!
🤍there are also no hormonal options like Veozah and Lynkuet

⭐️5. Prescription sleep aids
-sleep aids like trazodone, ambien, lunesta, vistaril all are options to discuss if the above still don’t help!

08/21/2026

✨ Meet Dr. Richards! ✨

We are SO excited to welcome Dr. Richards to our practice and to the Gwinnett community! 💕 She starts with us in September!!!

Originally from Michigan, Dr. Richards was introduced to the Gwinnett area by her sister, also a physician in the Atlanta area. After getting to know the community, she quickly realized this was where she wanted to put down roots and raise her family, including her two young children. 🏡💗

Dr. Richards chose Obstetrics & Gynecology because she believes women deserve care that is both highly skilled and deeply compassionate. She is passionate about patient education and believes the best care happens when physicians and patients work together. Her goal is for every woman to feel comfortable asking questions, confident in her decisions, and truly heard throughout every stage of her healthcare journey.

🎓 Her Education & Training
• Bachelor’s in Nutrition & Food Sciences — Wayne State University
• Medical Degree — The Ohio State University College of Medicine
• OB/GYN Residency — MedStar Georgetown University Hospital

🏆 Honors & Awards
• Alpha Omega Alpha (AOA)
• Gold Humanism Honor Society
• Landacre Research Honor Society
• MedStar OB/GYN Resident Research Award

Dr. Richards has a special interest in minimally invasive surgery, including laparoscopic surgery and hysteroscopy, as well as pregnancy and childbirth, lactation and postpartum care, and menopause management.

Her mission is simple: to provide the highest standard of women’s healthcare through clinical excellence, evidence-based medicine, and compassionate partnership — empowering women with the knowledge and confidence they need through every chapter of life. 💗

We are thrilled to have her joining our team and cannot wait for you all to get to know her! Please join us in giving Dr. Richards a BIG welcome to the family! 🥰🌸

08/20/2026

This is one of the MANY reasons I LOVE the hospital where I deliver babies! 🩷🩵👶🏼

Look at this incredible team! 👏🏼 We’re running shoulder dystocia drills so that when an emergency happens, we’re not just hoping we’re ready—we’ve practiced, prepared, and trained together to keep our mamas and babies safe. 🩷🩵

These moments matter! 🚨🩺 Because OB emergencies can happen quickly, and having a team that routinely practices and stays up-to-date can make ALL the difference.

Ladies, when choosing where to deliver, ask about their emergency drills and OB safety training! You deserve a hospital that takes preparation as seriously as you do. 💕

🩷🩵

06/22/2026

❤️Menopause Education!❤️

Ⓜ️ is for Memory loss!

🌟Did you know that 60-79% of perimenopausal and menopausal women experience memory loss?
🌟The memory loss associated with menopause predominantly affects verbal episodic memory (learning and recalling word lists, stories, and verbal information), with additional impairments in processing speed, working memory, attention, and executive function.

❓Why does it occur❓
🐘 Common causes of memory changes during menopause🐘
✅Declining estrogen — Estrogen supports the brain areas responsible for learning and memory. Lower levels can make it harder to recall words or hold information in mind.
✅ Sleep disruption — Hot flashes and night sweats can fragment your sleep, which interferes with how your brain stores new memories.
✅ Mood and stress — Anxiety and low mood are common during this transition and can make it harder to focus and remember.
✅Blood vessel changes — Estrogen helps protect blood vessels in the brain. After menopause, conditions like high blood pressure can have a greater impact on brain health.

❤️What can you do?❤️
🙌🏻Estrogen!!! Estradiol has been shown to help with memory loss in perimenopausal and menopausal women!
🤗Prometrium…or bioidentical progesterone dramatically improves sleep quality which can help the brain and improve memory

🌸Looking for something natural?🌸

🙌🏻Supplements with the most supporting evidence🙌🏻
• Omega-3 fatty acids (DHA and EPA) — Found in fish oil. DHA in particular supports brain cell health and may improve memory and attention. Studies in women show a possible cognitive benefit, especially when started before significant decline. A typical dose studied is 1,000–2,000 mg/day of combined EPA and DHA.
• B vitamins (folate, B6, B12) — These vitamins help lower homocysteine, a substance linked to brain aging. Studies suggest B vitamins may support memory and overall cognitive function, particularly when combined with omega-3s. A standard B-complex supplement is generally sufficient.
• Resveratrol — Found in red grapes and berries. A clinical trial in 125 postmenopausal women found that 150 mg/day of resveratrol improved overall cognitive performance by 33% and increased blood flow to the brain.
• Soy isoflavones — Plant-based compounds that weakly mimic estrogen. Some studies show modest improvements in memory and thinking, particularly in women who are within 10 years of menopause

❤️❤️❤️Educate and Empower yourself ladies!!!❤️❤️❤️

06/08/2026

Ok ladies!!

Grab your w**e..or your adaptogen drink or your C*D drink. 😉😘

Perimeno/meno education!!!

L is for libido!!!! 🌹

And all I can say is just do it! The more you don’t the more you won’t!!!!

S*x and intimacy is one of the only things that reminds us of the WHY and the HOW we made
our families….it reconnects you with your person…makes them and you feel loved and attractive.❤️

We have plenty of data that shows our brains go
quiet/dormant the less we have it. You need to literally reactivate it!!!

✅Erotica—- Watch spicey shows….think Bridgerton…soft p**n …what may you…read spicey novels…do something to wake that part of your brain up!!!

✅Date night/ scheduled s*x…again the less we have the less we want so make it happen..links below for fun games and books.

✅make sure you are healthy!! Prediabetes, thyroid disease, stress, insomnia , hypertension…all sorts of medical issues can lower libido!

✅Hormones!!! Ladies check them!! Get on hormones ASAP! Perimenopause and menopause can wreak havoc on libido!!

✅Testosterone cream!!! Do it!!! Cream and not injections or pellets are safe!!! Can increase libido and can help with arousal!!

✅Viagra cream! It’s a thing..can apply to cl****is before s*x and can help increase blood supply and arousal!

✅Toys!!!! S*x life can get HUM DRUM after years!!! Of course it can!!! This is expected! Be playful..spice things up! So easy to experiment with toys on amazon these days!! Nothing helps a frustrated couple more then giggles when trying new toys in the bedroom!

✅Finally! Dryness!!! Don’t be miserable..so many options to try ask your gynecologist or ask me!!!! ❤️❤️

❤️🌹💄

05/30/2026

🤰🤱🏼🧑🏻‍🍼OB Education 🧑🏻‍🍼🤱🏼🤰

D is for Delayed Cord Clamping!

🩺 DELAYED CORD CLAMPING: What Every Expecting Parent Should Know 🤰

👶After your baby is born, the umbilical cord continues to deliver blood from the placenta to your baby. "Delayed cord clamping" simply means waiting at least 30–60 seconds before cutting the cord — instead of cutting it right away. ✂️

✅ WHY IS IT RECOMMENDED?
Major medical organizations — including the American College of Obstetricians and Gynecologists (ACOG), the World Health Organization (WHO), and the American Academy of Pediatrics (AAP) — all recommend delayed cord clamping for healthy newborns.

❤️Here's why:
Your baby receives an extra 80–100 mL of blood from the placenta in the first few minutes after birth
This extra blood boosts your baby's iron stores, which supports healthy brain development during the first year of life
It raises your baby's hemoglobin (healthy red blood cell) levels at birth
For premature babies, the benefits are even greater — including better circulation, fewer blood transfusions, and lower risk of serious complications

🤰 IS IT SAFE FOR MOM?
Yes. Research shows that delayed cord clamping does NOT increase the risk of postpartum hemorrhage (heavy bleeding after delivery) or affect the mother's blood counts.

👶 ARE THERE ANY RISKS FOR BABY?
There is a small increase in the chance that your baby may develop mild jaundice (yellowing of the skin) that could need light therapy (phototherapy). Your medical team will monitor for this — it is very treatable.

🏥 DOES IT WORK WITH A C-SECTION?
Yes! Delayed cord clamping can be done during a cesarean delivery too. Your baby can be placed on your abdomen or held by the surgical team near the level of the placenta while waiting to clamp the cord.

🩸 WHAT ABOUT CORD BLOOD BANKING?
Delayed cord clamping does reduce the amount of blood available for cord blood banking. However, unless your family has a specific medical need for directed cord blood donation, the benefits of the extra blood going to your baby are generally considered greater than the potential future use of banked cord blood. Talk to your provider if you're considering cord blood banking.

⚠️ WHEN MIGHT IT NOT BE POSSIBLE?
In some situations, the cord may need to be clamped right away, such as:
If your baby needs immediate medical attention or resuscitation
If there is a problem with the placenta (such as placental abruption)
If the mother is experiencing a medical emergency

Your delivery team will always prioritize the safety of both you and your baby.
💬 WHAT SHOULD YOU DO?
Talk to your OB or midwife about including delayed cord clamping in your birth plan. It's a simple step that can give your baby a healthy head start!

05/16/2026

It’s game day mommas! Let me see your trunks!
I’ve got baseball and softball today!
Wishing all my fellow sports moms a fun filled day at the fields !
Let’s goooo! 🥎⚾️
Babies behave!👶

Melanie E. Watkins, MD

09/18/2026

08/30/2026

08/27/2026

08/23/2026

08/21/2026

08/20/2026

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