Doctor insights on:
Delivery With Shoulder Dystocia Macrosomia
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
Stuck Shoulders: A shoulder dystocia is when the shoulders get stuck after the head delivers.Most of the time it is mild and resolves quickly. Rarely it can be very dangerous for the baby, causing nerve damage, brain damage and rarely fetal death. It is hard to prevent. The most important thing is to remain calm and listen to your doctor and nurses during the pushing phase. They can help you push at the right time. ...Read moreSee 1 more doctor answer
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
There isn't one: It is generally impossible to tell beforehand if shoulder dystocia will occur. ...Read more
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 common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
No and Yes: Having gestational diabetes does not mean that you will have to have a cesarean section. Lots of gestional diabetics deliver vaginally. Important to control your blood sugar because uncontrolled diabetes can lead to large babies which do need a cesarean. All gestational diabetics on medication typically deliver by 39 weeks or undergo induction at 39 weeks. One week prior to one's due date. ...Read more
Depends On Control: There is no single digit answer you can apply to an individual patient. One brazillian study in 2011 found that 14% of 400 women delivered prematurely, but the rate really depends on how well the mother controls her disease, other issues like preeclampsia, and the reason for delivery (poor control can cause other problems for the mom/baby that could require a cesarean section before 38 weeks). ...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
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
Increased C/S risk.: As our society is moving to later reproduction and more assisted conceptions for subfertility in the midst of an obesity epidemic (with concurrent diabetes mellitus and hypertension morbidities), i expect the overall c-section to keep rising for the foreseeable future. If you were born via c-section you were probably too big for your mother's pelvis and that's likely to recur when you deliver. ...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 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
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