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Doctor insights on: Delivery With Shoulder Dystocia Macrosomia

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Cesarean section or vaginal delivery is better ?

Cesarean section or vaginal delivery is better ?

Vaginal: it depends , vaginal is preferred , unless you have contraindications for it i would check with your OB first ...Read more

Dr. Gary Sandler
15 doctors shared insights

Large Baby (Definition)

A large baby or large for gestational age baby is a baby whose weight is greater than 95% of babies born at ...Read more


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Can you regain abdominal muscle tone after cesarean twin delivery?

Can you regain abdominal muscle tone after cesarean twin delivery?

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

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What is shoulder dystocia?

What is shoulder dystocia?

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 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 are the tests for possible delivery with shoulder dystocia?

What are the tests for possible delivery with shoulder dystocia?

There isn't one: It is generally impossible to tell beforehand if shoulder dystocia will occur. ...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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Can forceps delivery cause deafness in a newborn baby?

Can forceps delivery cause deafness in a newborn baby?

No: Forceps delivery can cause problems with the facial nerve, rarely. However, there is no concern for forceps delivery causing deafness. ...Read more

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When pregnant with twins, does delivery usually have to be through a cesarean delivery?

Not necessarilly: most pregnancies are vaginal but with twins sometimes a c sections necessary to manage the health of the babies talk to you gyn as the pregnancy progresses ...Read more

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1. Does gestational diabetic causes c section? And early delivery (before due date)

1. Does gestational diabetic causes c section? And early delivery (before due date)

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

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What percent of mothers with gestational diabetes deliver their babies prematurely?

What percent of mothers with gestational diabetes deliver their babies prematurely?

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

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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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Could the staples from a previous bilateral femoral/ingnal hernia repair with mesh put a baby or placenta at risk during pregnancy?

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 more

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Baby has brachial plexus injury. Why?

Baby has brachial plexus injury. Why?

Orthopedic surgeon: He will take it fro you, it will okay. Thanks. ...Read more

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How often are an obstetric brachial plexus injury ( erbs palsy ) permanent?

How often are an obstetric brachial plexus injury ( erbs palsy ) permanent?

0.5-1.6%.: Overall incidence of congenital permanent brachial plexus injury is 0.04-0.2% of us live births. If you have shoulder dystocia, permanent injury to the brachial plexus is anticipated in 0.5-1.6% of cases. ...Read more

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Is there any correlation between being a cesarean section baby and future delivery?

Is there any correlation between being a cesarean section baby and future delivery?

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

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How often does placenta accreta go undiagnosed even after a csection delivery?

How often does placenta accreta go undiagnosed even after a csection delivery?

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

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Is autism resulting from complications during delivery?

Is autism resulting from complications during delivery?

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 more

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Dr. Nasiruddin Mansury
36 doctors shared insights

Macrosomia (Definition)

Macrosomia is a body that is larger ...Read more