Doctor insights on:
Asymptomatic Bacteriuria Preterm Delivery
Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
It can.: Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal dna testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur. ...Read moreSee 1 more doctor answer
Could vaginal probiotics during the antepartum period and intrapartum antibiotics at l&d prevent chorioamnionitis and subsequent complications?
How common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more
What is the question: Are you HIV + and asking if your baby can be hiv+? Or are you concerned that delivering vaginally will subject you to risk of HIV infection? If the latter, don't worry. You do not get HIV in that fashion. Only sexually or by blood transfer (transfusion, needle sharing, transplants, etc.) rephrase your question. ...Read moreSee 1 more doctor answer
Pregnant with triplet.Have history of preterm labor 29 weeks (twins) due to rupture membrane.Is it important to do cervical cerclage? (cervix is fine)
Hmmmm. : Let's see. You had preterm labor at 29 weeks with twins and are pregnant with triplets? I'd go for cerclage given the risk of an incompetent cervix is present with 3 babies. I'm guessing you see a perinatologist? If that's what she/he is recommending, i'd sign up for it. Good luck. ...Read more
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more
Will vaginal spotting/bleeding stop placenta previa resolves? Does recurrent bleeding in 2nd tr indicate that placenta previa is unlikely to resolve?
2 questions here: Answer to number one, not always. Answer number 2, not always. You will need periodic ultrasound monitoring to follow this issue and, most importantly, if you have significant bleeding, pain, or preterm labor get to hospital right away. Don't plan any trips. You need to be very careful or this may threaten the lives of both you and your baby. Follow your OBs advice and make sure you follow up. ...Read moreSee 2 more doctor answers
Significant: You should be seen by your doctor. Both you and your consort should be treated and tested for cure. ...Read more
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