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Doctor insights on: Breach Presentation

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What sort of disorder is a footling breech presentation at delivery?

What sort of disorder is a footling breech presentation at delivery?

Malposition: If the baby's foot is in position to be the first thing to come out of the vagina - it is in a footling breech presentation. The safest way to deliver in that case is a cesarean delivery. ...Read more

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Describe the features of a breech delivery and its complications.?

Breech delivery: Basically means delivering first the baby butt then the head. It is very risky because head can get trapped inside the uterus and also hypoxic episodes are more prone in this case of delivery. Head is the largest part of the baby so maternal pelvis may not accomodate the head. Today in civilised world no one delivers breech unless the baby butt is out and you can't do a cesarean. ...Read more

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Describe the features of bronchopulmonary dysplasia (b.P.D.).?

Describe the features of bronchopulmonary dysplasia (b.P.D.).?

Oxygen dependency: Bpd is a disease of the lungs of premature babies. Specific definitions vary, however is is generally defined as oxygen need at about one month of age. It typically results from long term mechanical ventilation in premies. The lungs continue to grow for he first few years of life and many outgrow the condition. ...Read more

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Type of c- section for vasa previa?

Type of c- section for vasa previa?

Usually low transver: It should be ok to perform a low -transverse cesarean section with a vasa previa. Regards Dr M ...Read more

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Describe the features of bacterial meningitis.?

Describe the features of bacterial meningitis.?

Fever & headache: Bacterial meningitis is a dangerous, often life-threatening disease.It is an infection of the covering of the brain. Most have fever, malaise, headache, and pain when bending chin down to chest. Some patients have purple, blotchy rashes. If you susepct meninigits, go quickly to your closest emergency room. Fortunaely, some types are preventable with vaccines. ...Read more

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Is a breech presentation considered a labor complication?

Play on words: You could consider it a challenge or a complication depending on the setting. If baby was head down all of pregnancy & came in for delivery as breech, i'd consider it a complicating factor to what may have been a simpler delivery.Since the head is the largest body part to deliver, bottom out kids can get stuck so c section is often necessary but a surprise.Breech deliveries are more of a challange. ...Read more

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What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?

Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more

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Describe the features of disability needing a caregiver.?

Describe the features of disability needing a caregiver.?

Care giver: In most instances this comes down to one's ability to perform activities of daily living (nutrition, hygiene, etc) as well as ambulation or transfers. If one is not able to perform these basic functions, a care giver (part of full time is needed). ...Read more

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Describe the disorder called an infection of the fetus with cytomegalovirus (c.M.V.).?

Describe the disorder called an infection of the fetus with cytomegalovirus (c.M.V.).?

CMV infection: Very rarely in pregnancy the fetus can get CMV infection. This infection rarely affect the baby. Worse case scenario could be some hearing problems and neuronal development. ...Read more

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What type of trauma and severity causes a placental abruption?

What type of trauma and severity causes a placental abruption?

Placental abrupt ion: Trauma to the abdomen can cause abruption, MVA, a fall, being hit, etc. In addition, hypertension; pre-eclampsia, pregnancy induced or chronic, uncontrolled hypertension can be at the root of placental abruption. Other reasons also include premature rupture of membranes, a bleed called a sub chorionic hemorrhage, placenta overlying the cervix in anyway as the cervix opens...many reasons. ...Read more

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Is breech presentation corrected if the mother assumes a knee-chest posture?

Is breech presentation corrected if the mother assumes a knee-chest posture?

Breech: Before labor, having mom assume a knee-chest position may help to turn the baby from the breech position to a head first position. But it doesn't always work. ...Read more

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Describe the features of a bone infection.?

Describe the features of a bone infection.?

Osteomyelitis: When bone get infected we call it osteomyelitis is defined as an inflammation or an infection in the bone marrow and surrounding bone. The disease is classified as either acute or chronic. Bone pain; fever; general discomfort, uneasiness, or ill-feeling (malaise) local swelling, redness, and warmth. ...Read more

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Delivery by cesarean section is one of the predisposing factors of neonatal respiratory distress syndrome, why? And how?

Delivery by cesarean section is one of the predisposing factors of neonatal respiratory distress syndrome, why? And how?

??RDS??: I would agree more cs babies have respiratory pbs than regular delivery but the issue is ttn ( transient tachypnea of the newborn) not rds.A trip down the birth canal helps squeeze some of the lung fluid out before birth, which does not happen for cs. About 10% of cs will have to work hard to clear that fluid & may require o2 & special care in the process.It usually clears in < 48hr. ...Read more

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Describe the features of a bacterial infection.?

Describe the features of a bacterial infection.?

Depends where: Symptoms of bacterial infection very depending on the organ system involved, commonly including fever, pain and feeling under the weather. A urine infection presents with pain and itchiness with urination, a skin infection with redness and boils, a respiratory infection with difficulty breathing. ...Read more

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Please describe the mode of inheritance of breast cancer?

Please describe the mode of inheritance of breast cancer?

Autosomal Dominant: As many as 10-15% of breast cancers in the us are believed to be hereditary. These are linked to mutations of a particular group of genes called the brca genes. There is a simple blood test to check to see if someone has a brca mutation. There is a 50:50 chance of inheriting this from either parent. If a woman inherits this gene, there's a 50-75% chance of breast ca; men will have <10% risk. ...Read more

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Is Virchow's node a rare presentation of pancreatic cancer?

Is Virchow's node a rare presentation of pancreatic cancer?

Possibly: Virchows node is a node in the left supraclavicular area, it is associated with the lymphatic drainage from the abdomen and can be a site of metastasis form abdominal cancers. It was classically described with gastric cancer but other abdominal malignancies could present this way ...Read more

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Describe the features of primary bone cancer.?

Describe the features of primary bone cancer.?

Variable: You may be referring to either myeloma or bone cancers such as ostesarcoma. Myeloma is often called bone cancer but is actually a blood cancer associated with painful bone lesions, low blood counts, renal problems and increased infections. Osteosarcomas are bone cancers of long bones, common in children/young adults associated with painful growths that can be treated successfully. ...Read more

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