Doctor insights on:
Delivery Complication Asphyxia Delivery With Shoulder Dystocia
Not likely: Although the causes for autism are still being discovered and likely involve a combination of factors, complications during delivery/birth, while being a risk factor for many other problems, do not seem to be a major contributor or risk for autism specifically. ...Read moreSee 1 more doctor answer
How common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
Muscle tone: Abdominal muscle tone is regained by sit-ups and abdominal crunches after the baby is born. Women who have a cesarean section must wait a little longer before doing those exercises than a woman who has had a vaginal delivery. With a little work that muscle tone can be regained. ...Read more
Placenta accreta: A previously undiagnosed placenta accrete may be diagnosed at the time of a cesarean section. This would occur when the OB is trying to remove the placenta but cannot because it is attached (accreta). On the other hand, if the placenta detaches easily, the uterine cavity is always explored so it would be rare to have an attached placenta left behind but a focal placenta accrete could be missed. ...Read more
Not squeezed: Normal vaginal delivery squeezes some of the fluid in the lung spaces out during passage through the birth canal. C-sections alows that fluid to remain and thereby can cause a poor exchange of oxygen. Ttn uaually resolves on its own with supportive care. Ttn can also happen with a normal delivery but less often. ...Read more
After 2 births(vag), I had 2 retained placentas, 2 postpartum hemmorhage 2nd labor precipitous (2hr) Is induction or csection safer to manage nextime
May be: Since the likelihood of such complications increase with subsequent pregnancies, your OB might suggest you to deliver at a predictable time. ...Read more
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
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 moreSee 1 more doctor answer
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
How dangerous is a pregancy after uterine rupture? 1st baby born normally, 2nd c-section, 3rd vbac attempt which resulted in stillbirth.
Umbilical cord prolapse caused a 30 second lack of oxygen to the baby during delivery. Will the baby be okay?
Only 30 ???: I am reluctant to accept the initial statement as realistic. Once a cord begins to prolapse it can produce an intermittent but complete obstruction to blood flow that may add up to a significant o2 deficit over time.I'm not sure anyone can estimate the insult accurately.If only 30, probably no long term effect. If low 1/5/10 min apgars and seizures in the 1st 24hr,it was longer and more problemat ...Read more
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
Yes: Generally respiratory distress following c section is because of fluid in the lungs that can take few hours to clear up , other times it really depends on the reason for the c section. If the c section is done because of fetal distress it indicates there was some problem already and c section is only incidental. ...Read more
Could the staples from a previous bilateral femoral/ingnal hernia repair with mesh put a baby or placenta at risk during pregnancy?
Hernia repair: Whether done open or laparoscopic the mesh, tacks, and suture from the hernia repairs will incorporate into your own tissue. Once the healing process is complete then the material utilized for the repair becomes part of your own tissue and pregnancy can go on safely without any risk of the fetus. ...Read moreSee 1 more doctor answer
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