Doctor insights on:
C Section With Embolization Of Uterine Artery
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
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Will the combination of retroverted uterine, resection of 7cm proximal rectum & thinning of rectalvaginal septum cause trouble for pregnancy/delivery?
Same: Same as a c-section without a tubal ligation. Healing is the same, hormone balance is the same, dependent more on whether you breast feed, take hormonal birth control, & how soon you resume ovulation. Patho-phys is therefore no different & different for each patient because of pain thresholds, healing parameters, use of medications, rest, & the amount of support. I hope that helps. ...Read more
Cervical Stenosis Hematometra post menopausal pelvic pain Fibroids.Dr wants 2wait 6wks b4 D and C. No thickening or blood. Can this resolve by itself?
Possibly yes: If your cervix is stenotic, you can accumulate "fluid" in your endometrial cavity which may be mucus, not blood? Bleeding will usually not occur if your cervix is closed The fact that " no thickening" of your endometrium was noted on sonogram is reassuring and means you probably do not have " hematometra" and that the "fluid" may resolve spontaneously in weeks to months.Ask for an office Pipelle ...Read more
Not recommended: Controversy over vaginal birth after c-section has gone from one end of the spectrum (no) to the other (sometimes) . Your OB can determine if you are a candidate for vaginal birth after c-section and if you are your delivery will be very closely monitored and preparation for c-section will be in place in case you need it. The surgical team will be nearby throughout your labor and delivery. ...Read more
What are the risks of miscarriage / still birth with a moderate arcuate uterus without septum? (Dx'd by HSG, confirmed via hysteoscopy)
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
Which is better di vinci hysterectomy or regular after 2 c-section. Endometerosis in uterine and pelvic area?
Very low: This procedure very seldom causes any perforation of the uterine wall. ...Read more
After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...Read more
43yo with a posterior intramural fibroid 5x5x4cm. Endo stripe is 3mm. Uterus 10x6.5x6.2cm. Doc advised TVH. any input about size of uterus for TVH.
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 moreSee 1 more doctor answer
Hysteroscopic resection of fibroids removal for pregnancy. Does it improve fertility after removal of small or large uterine fiborids? in all women.
Depends on location: if the fibroids is significantly distorting the endometrial cavity, it will be of benefit (assuming all other factors are normal). Fibroids outside of the endometrial cavity or that are pedunculated, may not reduce your chances of getting pregnant and may not be neccessary to remove them. Speak to your GYN who can discuss this further with you . Best wishes ...Read more
Largefundal fibroid with ovarian cyst and endometrial thickenng lots of pain bleeding and dysuria nd swelling query laparosopic myomectomy recommeded?
Maybe: Since I am unaware of your total history and physical, I am loathed to "recommend" any procedure without it. It sounds like you have multiple problems that need resolution. ...Read more
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