Doctor insights on:
5th Pregnancy Risks
Many women have no problems with pregnancy other than the normal discomforts. Others, however, experience more serious complications that need immediate attention. You may hear your situation referred to as "high risk, " and that simply means that if you had certain medical conditions before you were pregnant or had a complication during your pregnancy, you and your baby will be monitored more closely. It is extremely important that you stay in close contact with your doctor and call immediately if you experience any warning signs. Early diagnosis of a problem is important for your health ...Read more
Variable: A thorough assessment of anyone's risks for pregnancy includes age, pre-pregnancy health & medications, and an assessment of the genetic input from both parents. A 43 yo has ~1/30 risk of a trisomy 21 Down syndrome birth, added to a general 4% risk with any pregnancy for an unexpected event (cleft, premi, illness). A consultation with a genetic counselor could define your specific risks. ...Read more
25%!: "natural" methods of contraception are fraught with failure - pregnancy risk can be as high as 25-30% annually - because spermatozoa are released in the vagina before the ejaculate. Seek forma contraceptive options if you want to avoid pregnancy at this time. Talk to your gynecologist. ...Read more
When should a woman have her first child by? For example is there a sharp increase in pregnancy risk over a certain age?
When she is ready: There is not an age when there is a "sharp" increase in pregnancy risks. Generally speaking, pregnancy risks tend to increase with age. That also applies to risks for genetic anomalies (like down syndrome), that risk at age 35 is 1 in 270 and it increases with each year. There is no specific age that is recommended as "best" to have your first child. ...Read more
Yes.: The mother needs both a free-t3 and TSH drawn early in pregnancy, followed up monthly measurements during the pregnacy. Most women have a significant increase in total T4 and t3, (liothyronine) due the hyperestrogenemia, which occurs with a secondary increase in thyroid binding globulin. Free thyroid levels will fall if a women is on thyroid, and may fall if reserve has been decreased by hashimoto's. ...Read more
Bleeding: Itp is low platelets without a clear reason for having them. For most women with itp, the platelets are low but still function well. If they get low enough though, there may not be enough to prevent significant bleeding related to surgery or delivery. Some women with low platelets will not be able to get an epidural. Sometimes antibodies in the mom will also cause bleeding problems in the baby. ...Read more
YES!: Women who get pregnant with iud in situ face high risk for adverse perinatal outcomes including miscarriage fetal loss preterm premature rupture of membranes preterm birth chorioamnionitis and resultant cerebral palsy. Your obstetrician will determine if the iud should be pulled in the first trimester or not on the basis of its location in relation to the gestational sac. ...Read more
Depends on severity: Risks are low if kidney fuction is reasonable & should be discussed with nephrologist & OB dr. Kidney infections/pyelonephritis are associated with pre-term labor so baby comes early & is small & may need nicu care but usually ok. High infant mortality associated with pregnancy for women on dialysis, < if dialysis started after onset of pregnancy. Risk after kidney transplant low if function good. ...Read more
Yes!: Most risks are maneable. It is difficult to get pregnant if you have active disease. Most women are quite with disease activity, before they get pregnant. However, there is a frequent flare in the last trimester, whicch usually subsides after parturition. You need to be screen for antiphospholipid antibodies if you become pregnant. Your rheumatologist and ob/gyn doctors can work in tandem. ...Read more
Not a problem: The areas where we typically see mesh include repair of hernias, slings for incontinence, and for repair of vaginal prolapse. The answer depends on where the mesh is located. If you had repair of the pelvic floor, then you should not have a vaginal birth. If you had an incontinence procedure, then you can have a vaginal birth, but it might hurt the repair. All others are likely okay. Ask doc! ...Read more
If >34 at delivery: There are risks for women who will be 35 at time of delivery; those odds rise with age: there are increased risks including difficulty conceiving, having a fetus with abnormal chromosomes, miscarrying (even if chromosomes are normal), developing diabetes or preeclampsia, bleeding, needing a cesarean birth, etc. But help is available, and midlife moms successfully have babies every day now. ...Read more
If someone was to finger another person, what steps should they take to not cause a pregnancy risk?
Can spasticity raise BP more during pregnancy? At docs its usually 90/120, home its 80/94. Will tensing raise BP during pregnancy? Risks 4 baby, me?
Blood pressure (BP): BP readings are written as 120/90 and 94/80. The top number shouldn't be less than the bottom number. Also, as explained in my other answer true muscle spasticity due to a disease state should never be the cause of sudden BP rise, pregnancy or not. Nervousness, can raise blood pressure and you may have something called "white coat hypertension" (high BP in doctor's office- normal later). ...Read more
Forgot pill, took it the next day with the pill for that day as well, had unproctected sex two days later (used pull out method), any pregnancy risk?
What happens if you use two men's sperm on the same day? Is their any ill effects of having different men's sperm together (i don't mean pregnancy risk)
If a woman performs fellatio, they kiss, and then he performs cunnilingus, is there a pregnancy risk? What timeframe/method may reduce pregnancy risk?
Condoms: Pregnancy requires sperm to be deposited in the vagina around the time of ovulation so that an egg can be fertilized. It would be very inefficient to pass sperm from your penis to her mouth then to your mouth to her vagina. I suppose it is theoretically possible but I doubt it has ever actually occurred. You could avoid this worry by using condoms and or using birth control. ...Read more
I accidently took an orange Week 3 pill instead of the white Week 2 pill I should have taken of Enpresse (28 day).How should I continue? Pregnancy risk?
Continue taking: One pill each day, starting with the white one that you missed, and take them in the order in the pack. When you come to the missing pill, take the next orange pill in the pack. Switching this one pill will probably not cause any problems, nor affect your pregnancy protection. Be careful because missing or switching more than one pill in a pack can result in problems. ...Read more
I've taken Primolut on day 1period, had un protected sex and my boyfriend came in me twice. And now, the bleeding stopped completely, any pregnancy risk?
Several: Multiple gestation (meaning twins, triplets) increases the risk of several complications during pregnancy including but not limited to: going into labor early, breaking your bag of water early, bedrest and hospitalization, c-section, diabetes in pregnancy, preeclampsia, death of a baby in utero and improper growth of one or more of the babies. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more