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Doctor insights on: Acog Macrosomia

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Big baby, birth defects caused by diabetes? What defines macrosomia?

Big baby, birth defects caused by diabetes? What defines macrosomia?

Not just big.: Fetal macrosomia can be suspected by serial ultrasound in which the fetus exceeds the 90th percentile. This means that the baby is larger than 89% of the babies of same gestational age. Furthermore"macrocosmic" fetus are at a higher risk of shoulder dystocia (difficulty of delivering shoulders after the head is out) and hypoglycemia or dropping blood sugars shortly after delivery. ...Read more

Dr. Jeffrey Satinover
15 doctors shared insights

Large Baby (Definition)

A large baby or large for gestational age baby is a baby whose weight is greater than 95% of babies born at ...Read more


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What percent of mothers with gestational diabetes deliver their babies prematurely?

What percent of mothers with gestational diabetes deliver their babies prematurely?

Depends On Control: There is no single digit answer you can apply to an individual patient. One brazillian study in 2011 found that 14% of 400 women delivered prematurely, but the rate really depends on how well the mother controls her disease, other issues like preeclampsia, and the reason for delivery (poor control can cause other problems for the mom/baby that could require a cesarean section before 38 weeks). ...Read more

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What is first trimester screening and maternal fetal medicine?

What is first trimester screening and maternal fetal medicine?

Ob terms: 1st trimester screening are any tests done during a pregnancy during the first 12-14 weeks of pregnancy. This can include ultrasounds. blood tests and others. Maternal fetal medicine is a subspecialty of obstetrics. It's also often called "perinatology". These are obstetricians who go on to do additional training in the management of high risk pregnancies. ...Read more

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Ivf babies healthy?

Ivf babies healthy?

Yes.: The vast majority of babies conceived via ivf are born healthy. Low birthweight and premature birth are more prevalent, but these are the direct result of multiple live births (twins, triplets, etc.) that can occur with ivf. Heart defects, cleft lips and other congenital anomalies are more common in ivf (5% general population vs. ~6.5% for ivf - based on study in the uk). ...Read more

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1. Does gestational diabetic causes c section? And early delivery (before due date)

1. Does gestational diabetic causes c section? And early delivery (before due date)

No and Yes: Having gestational diabetes does not mean that you will have to have a cesarean section. Lots of gestional diabetics deliver vaginally. Important to control your blood sugar because uncontrolled diabetes can lead to large babies which do need a cesarean. All gestational diabetics on medication typically deliver by 39 weeks or undergo induction at 39 weeks. One week prior to one's due date. ...Read more

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Does the povider offer vbac (vaginal birth after previous cessarean section)?

Does the povider offer vbac (vaginal birth after previous cessarean section)?

No: Due to a combination of hospital policies and practicing at several hospitals in the community our practice does not feel that we can currently provide for vbac or tolac safely at this time. This may change in the future. ...Read more

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Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?

Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?

Perinatal medicine : Fetal intervention/fetal surgery is performed by an entire team. The team is made up of a pediatric surgeon, Perinatologist, and a neonatolist. The pediatric surgeon is the one who performs the surgery, the Perinatologist manages the patient with the complications that can result from the surgery, such as preterm labor. The neonatologist takes care of the complications that the baby may have. ...Read more

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Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Pregnancy 15 week,  ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more

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I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.

I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.

Possible: There is some possibility of an A/O or B/O reaction with jaundice and hemolytic disease but that part of this is usually minor and easy to manage. An OB with quick hands can limit the other issue. I would try to relax and figure out what your life will be like with 3 kids running around. ...Read more

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Safety of chorionic sampling vs. Amniocentesis for prenatal diagnosis of chromosomal abnormalities?

Safety of chorionic sampling vs. Amniocentesis for prenatal diagnosis of chromosomal abnormalities?

Risks: The risk of pregnancy loss has been looked at in four randomized studies of cvs vs. Amniocentesis. All four studies show that both procedures have about the same risk of pregnancy loss. About 1 in 1600. Another cvs study showed that losses in a group of women who had the procedure were equal to losses in a group of women who didn't have the procedure. A loss may not be related to the procedure. ...Read more

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Ultrasound result: single live intrautrerine pregnancy,presently cephalic,20weeks and 5days gestation,oligohydramnios fetal ascites..what can i do

Ultrasound result: single live intrautrerine pregnancy,presently cephalic,20weeks and 5days gestation,oligohydramnios fetal ascites..what can i do

See perinatologist: Its frightening to have an ultrasound that gives news that isn't perfect. Oligohydramnios means that there isn't enough fluid around the baby. You can help make more fluid by drinking lots and lots of water and getting enough rest. You need to see a perinatologist to find out why. This is a doctor who concentrates on complicated pregnancies to find out why. Best Wishes! ...Read more

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What are the delivery comlications with gestational diabetes?

What are the delivery comlications with  gestational diabetes?

C-section, dystocia.: Poorly controlled diabetes mellitus in pregnancy can cause large fetus (macrosomia) and increase the risk of labor dystocia requiring cesarean section, or even shoulder dystocia with severe complications. Large babies can also cause uterine atony and severe postpartum hemorrhage. ...Read more

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Will gestational hypertension without preeclampsia be a risk factor for delivering baby early?

Will gestational hypertension without preeclampsia be a risk factor for delivering baby early?

Monitoring: Your BP must be carefully monitored on each and every visit. Hypertension can certainly play a role in pre-eclmsia. ...Read more

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Does gestational diabetes occur during pregnancy?

Does gestational diabetes occur during pregnancy?

Yes.: Yes. Gestational diabetes is diagnosed during pregnancy (hence the word "gestational" in the name). The diabetes usually resolves after delivery. However, women who have had gestational diabetes are at greater risk of developing Insulin resistance, diabetes, and heart disease when they are no longer pregnant. ...Read more

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Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?

Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?

Yes: The subchorionic hemorrhage needs to be followed closely. Most resolve with rest and decreased activity. If they do not, and bleeding continues, they can progress to cause miscarriage or PPROM. ...Read more

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Can maternal diet during pregnancy influence offspring obesity risk?

Can maternal diet during pregnancy influence offspring obesity risk?

Yes! Via Epigenetics: Epigenetic changes are changes to the child's dna while still a fetus. Tehse changes are induced by the maternal diet. Increasingly epigenetic changes are being implicated in a host of common diseases occuring in offspring. These changes in the babies dna that do not involve changing the dna sequence but rather modify gene expression in children. ...Read more

Dr. Nasiruddin Mansury
35 doctors shared insights

Macrosomia (Definition)

Macrosomia is a body that is larger ...Read more