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Doctor insights on: Cephalopelvic Disproportion Previous Delivery Of Baby Greater Than 9 Pounds

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34 weeks pregnant today. Measuring "low amniotic fluid". Baby is measuring 5 pounds, likelihood of complications of delivered now? Induction? C-sec?

34 weeks pregnant today. Measuring "low amniotic fluid". Baby is measuring 5 pounds, likelihood of complications of delivered now? Induction? C-sec?

Depends: Depends on how low the AFI (amniotic fluid index) is and how compliant you are with NSTs. You should be resting on your left side, getting NSTs and maybe even biophysical profiles. If a smoker, stop immediately. Your fluid may rebound if you follow this plan. At 34 weeks there is about 5% chance of long term newborn complications and the c section risk depends again on how low the fluid is. ...Read more

Baby Too Large For Mother's Pelvis (Definition)

Cephalopelvic disproportion is a condition where the baby's head or body is too big to fit through the mother's pelvis. This often leads to "failure to progress" in labor, and is a common indication for ...Read more


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Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more

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Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?

Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?

Maybe,miscarriage is: More likely. Not knowing how many weeks pregnant you are, it's difficult to give you more specific information. Usually the above consistent with early pregnancy loss. It is best to follow closely with Gyn/OB. Also try to avoid air travel or long car rides, trips in remote areas until this is settled. Miscarriage is potentially serious and can result in significant blood loss, so call 911 4 help ...Read more

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Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

You'd be amazed...: The majority of 24 week infants now survive, especially if they make it through the first 48 hours of life. That's not to say they may not have significant problems with breathing, feeding, development, vision. You also don't say 24 weeks and how many days . 24 weeks 0 days is worse than 24 weeks 5 days - at that stage of the game, every extra day makes a difference. Continue hope, faith and pray. ...Read more

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Mother is obese52 lb weight gain, has GD, Pre-eclampsia, male infant, EFA at 35W4D, 8lbs. Fundal height 4 weeks ahead. C-section or vaginal??

Mother is obese52 lb weight gain, has GD, Pre-eclampsia, male infant, EFA at 35W4D, 8lbs.  Fundal height 4 weeks ahead. C-section or vaginal??

Trial of labor: There is no right or wrong answer. A trial of labor with timely c/section if there is inadequate progress of cervical dilatation would be a reasonable approach. ...Read more

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What is the average wt of 5 months old monochorionic diamniotic twin fetus in grams.?

What is the average wt of 5 months old monochorionic diamniotic twin fetus in grams.?

5 months?: Obstetricians deal in weeks, not months. Assuming you mean 21-22 weeks, the expected fetal weight should be around 300-500 grams. Please specify question parameters if you need more details. ...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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Average weight of 5 month old monochorionic diamniotic twin fetus in grams?

Average weight of 5 month old monochorionic diamniotic twin fetus in grams?

5 months?: 300-500 grams at 21-22 weeks - please specify question in weeks not months for more details. ...Read more

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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?

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

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Is C-section necsisary for 4th baby after 3rd was shoulder dystocia delivery? All perv were vaginal. All less than 8 lbs., no diabetes or obesity in

Is C-section necsisary for 4th baby after 3rd was shoulder dystocia delivery?  All perv were vaginal.  All less than 8 lbs., no diabetes or obesity in

It will be offered: Since the recurrence rate of shoulder dystocia is relatively high and the consequences can be grave, a c-section should be offered or even highly recommended to you. You must weigh all options and make the best decision for you and your baby in conjunction with your doctor. ...Read more

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Chances of partial placental previa at 18weeks being dangerous? Chance of fixing itself by ultrasound in 4 weeks?

Chances of partial placental previa at 18weeks being dangerous? Chance of fixing itself by ultrasound in 4 weeks?

Depends: At 18 weeks, it's definitely within the realm of possibility that the partial previa will move out of the way. If you had a complete previa then chances quite low, but with a partial, chances are on the higher side. It might not be completely out of the way in 4 weeks, but maybe by 32 weeks. Be sure not to have sex and report any bleeding to doctor or go to the er. Good luck! ...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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What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?

About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read more

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My baby died in womb at 40 weeks + 4 days. No umbrical cord wrapping or placenta seperation. Does cephalo pelvic disproportion cause death. ?

My baby died in womb at 40 weeks + 4 days. No umbrical cord wrapping or placenta seperation. Does cephalo pelvic disproportion cause death. ?

Sorry for your loss: Tragically, many fetal deaths after 40 weeks remain unexplained. Cpd means that the baby gets "stuck" after a very prolonged labor. If your baby died before labor started, then it wasn't cpd. If you decide to have another child, give yourself enough time to grieve and heal, and then work closely with a perinatologist (high risk OB specialist) who can do extra specialized testing and monitor well. ...Read more

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What is the ideal time for cesarean section in women with central placenta previa ?

What is the ideal time for cesarean section in women with central placenta previa ?

After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...Read more

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What is the ideal timing of repair of av canal defect with tetralogy of fallot in a child 4 months old delivered premature , growing slowly ?

What is the ideal timing of repair of av canal defect with tetralogy of fallot in a child 4 months old delivered premature , growing slowly ?

Ideally 4-6 m: Ideally repair is carried out at 4-6 months of age. However, some babies may be very symptomatic requiring repair earlier. Many surgeons may prefer the baby to be 4-5 kg (9-12 lbs) before repair. Considering preemies start with a low birth weight and may have poor weight gain, then repair may be at an older age still within the first year of life. Caloric intake should be optimized until surgery. ...Read more

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What size baby leads to prolapse of the organs years after vaginal delivery?

What size baby leads to prolapse of the organs years after vaginal delivery?

No particular size: Number of vaginal deliveries is a risk factor for pelvic organ prolapse. For example, a woman with 6 natural births will be more at risk for prolapse than a woman without any children. The relationship between baby weight and prolapse is still controversial. ...Read more

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The crl & mean sac diameter measured during 7th wk of pregnancy gives fetal age:age from conception/implantation or the gestational age:age from lmp?

The crl & mean sac diameter measured during 7th wk of pregnancy gives fetal age:age from conception/implantation or the gestational age:age from lmp?

Lmp: All pregnancy dating is based on lmp. So even when lmp is unknown the age given by crl assumes when lmp "should have been. Ie about two weeks prior to implantation. So a pregnancy is 40 weeks from lmp and 38 weeks from implantation. All studies, all research, all dating, dating by ultrasound goes by the 40 week designation or from time of lmp. ...Read more