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Doctor insights on: Delivery With Shoulder Dystocia Ultrasound For Fetal Size

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Can a fetal doppler detect womb sounds, maternal heart beat, and umbilical cord (abdomen the size of a 26 week pregnancy) with a pseudo pregnancy. ?

Can a fetal doppler detect womb sounds, maternal heart beat, and umbilical cord (abdomen the size of a 26 week pregnancy) with a pseudo pregnancy.  ?

Fetal doppler...: ...Can detect any movement of blood in the body, but with a false pregnancy, all the doppler rhythms should be at the same rate as the woman's heartbeat. Fetal heartbeat tends to be much faster so if you find that, the pregnancy is probably real. ...Read more

Dr. Michael Gabor
2,286 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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My wife is 29wk pregnant her recent doppler scan shows AFI 6.3, placenta grade is 3 with small calcified area. Are there chances of premature delivery?

Dr. John To Dr. To
1 doctor agreed:
My wife is 29wk pregnant her recent doppler scan shows AFI 6.3, placenta grade is 3 with small calcified area. Are there chances of premature delivery?

No increased risk: the fluid index is a bit low but that is highly variable on how the sonographer displays the image. The other ultrasound findings would not confer any increased risk of premature delivery in the absence other worrisome clinical findings like maternal hypertension eclampsia etc ...Read more

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Foetal scan showed cystic hygroma in neck, head and abdomen. Awaiting results of cvs. Advised to terminate. Chances of good outcome before decision.

Foetal scan showed cystic hygroma in neck, head and abdomen. Awaiting results of cvs. Advised to terminate. Chances of good outcome before decision.

Worrisome findings: The location & extent of the cystic hygroma suggest a chromosome defect -xo turner syndrome or other anomaly. I have had patients with large isolated ch do well when they had no other defects although extensive surgery was required to debulk the defect. ...Read more

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My wife is 36 weeks pregnant. The usg shows low abdominal size + 2.2kg + cord around the neck. Is that cause for early delivery with cesarean section?

It is cause to be: Monitored closely with ultrasounds and bpp, can be induced or do elective csection at 39 weeks as long as there is no fetal compromise before that please discuss with your obgyn asap. ...Read more

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Docs, could a baby with above average fetal head be normally delivered and not require cesarean?

Docs, could a baby with above average fetal head be normally delivered and not require cesarean?

CPD: That depends on things like the actual size of the head and the size of the mother's pelvis. Dr. can assess for cephalopelvic disproportion . ...Read more

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Ultrasound showed a gestational sac of 9 wks. Fetal pole not clearly visualized corresponding to 8wks 3 days, unable to detect fetal heart motion. ?

Ultrasound showed a gestational sac of 9 wks. Fetal pole not clearly visualized corresponding to 8wks 3 days, unable to detect fetal heart motion. ?

Repeat: The difficulty visualizing the fetal pole and heart beat at 9 weeks could be a result of the quality of the ultrasound. A repeat ultrasound and/or serial quantitative HCGs would help to clarify what is going on. Hope this helps. ...Read more

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Is this normal pregnancy or miscarriage? report details: single intrauterine gestational sac seen measuring 2.2 cms,corresponding to 6+ weeks no fetal

Is this normal pregnancy or miscarriage?
report details:
single intrauterine gestational sac seen measuring 2.2 cms,corresponding to 6+ weeks
no fetal

A little early: It sounds like your sonogram showed a very early pregnancy. Since no baby was seen there are two possibilities - too early to see or a miscarriage where the baby did not form. The sonogram will needed to be repeated in 1 -2 weeks to find out which is correct. ...Read more

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My dopler scan says a loop of cord vessel seen close to the fetal neck .is their any complication in normal delivery?

My dopler scan says a loop of cord vessel seen close to the  fetal neck .is their any complication in normal delivery?

Common: This is common and usually causes no problem but the cord can tighten during delivery. The fetal monitor should show if there is a problem and you might have to have a C-section but I have delivered many babies with the cord around the neck vaginally and just lifted the cord over the baby's head after the head came out with no problem. ...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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Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?

Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?

Yes there is!: As the uterus grows your placenta may migrate up, and the baby may turn to the vertex (head down) position. There is no guarantee. You need to be watched closely. If previa still exists and/or baby is still breech at term, you'll need a c section. Avoid intercourse or anything else in the vagina while you have a previa. This could cause severe bleeding. Be seen for any bleeding. Good luck. ...Read more

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Last ultrasound 33 weeks show cepheric presentation and placenta anterior uper as there any posibilty to move plecenta or the baby change postion?

Last ultrasound 33 weeks show cepheric presentation and placenta anterior uper as there any posibilty to move plecenta or the baby change postion?

Baby moving: At 33 weeks, the placenta isn't likely to move any more, it will stay anterior upper. By 33 weeks, the baby has probably settled in for the term BUT if you've given birth before, there in an increased chance that the baby can still shift around to transverse or breech. This is much less common if it's your first. ...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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My gestational age is 6weak and fetal age is 4 weak but no foetal pole or heart beat seen in ultrasound. Only smal gestational sac is seen. Pls guide.

My gestational age is 6weak and fetal age is 4 weak but no foetal pole or heart beat seen in ultrasound. Only smal gestational sac is seen. Pls guide.

Early pregnancy.: During the early stages of pregnancy, the fetal age calculated by your lmp and the fetal age by the ultrasound can differ. This is frequent and can be a normal occurrence. Depending on the size in millimeters of the gestational sac, one might not see a fetal pole in a very early pregnancy. Seek the advice of your OB and they will follow your hormone levels and re-ultrasound you if necessary. ...Read more

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Uterus is gravid containing a gestational sac.Gs measures about 40mm, corresponds with 9 weeks 2 days gestation.No fetal pole or heartbeat. Good/bad?

Uterus is gravid containing a gestational sac.Gs measures about 40mm, corresponds with 9 weeks 2 days gestation.No fetal pole or heartbeat. Good/bad?

Likely bad: This is likely a missed abortion/miscarriage heartbeat appears at 6 weeks fetal pole clear by 7 weeks 4cm fluid sac usually means hydropic absent a fetus serial b HCG levels be done, but overkill. ...Read more

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Single intruterine fundal gestational sac is seen with no detectable fetal pole development at 7 weeks 4 days will the baby survive looks like 5weeks?

Single intruterine fundal gestational sac is seen with no detectable  fetal pole development at 7 weeks 4 days will the baby survive looks like 5weeks?

Less likely: So, the first assumption is that the dating is correct. If you are truly 7+4 weeks, there should be both a fetal pole and a heartbeat. But for various reasons you may be only 5-6 weeks so worth repeating ultrasound to make sure ...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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When you subtract 2 weeks from the ga provided by an ultrasound, does that give you the estimated fertilisation age or the estimated fetal age?

When you subtract 2 weeks from the ga provided by an ultrasound, does that give you the estimated fertilisation age or the estimated fetal age?

Yes: When estimating gestational age by using an ultrasound scan, 2 weeks are added to the fetal age (the fetal age is the fertilisation age). ...Read more

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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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Why is an episiotomy standard practice when trying to resolve shoulder dystocia?

Why is an episiotomy standard practice when trying to resolve shoulder dystocia?

More room: Cutting an episiotomy increased room to deliver the posterior shoulder. The anterior shoulder is caught under the pubic bone, and you can't create room in that direction. ...Read more

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Is there other reasons to use the zavanelli maneuver other than shoulder dystocia?

Is there other reasons to use the zavanelli maneuver other than shoulder dystocia?

Zavanelli: It's a maneuver of last resort in cases of severe shoulder dystocia. I can think of at least 1 other circumstance in which an obstetrician might be desperate enough to think of using the Zavanelli. If there was a very short umbilical cord and/or a nuchal cord that was so tight that it could not be cut without risking injury to the baby. I don't know of any such case reports but it's possible. ...Read more

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Tell me about shoulder dystocia?

Tell me about shoulder dystocia?

Serious complication: Shoulder dystocia occurs when the baby's head delivers but the shoulders are too big to come through. This results in injury to the chest outlet (fracture of the clavicle), arm (fracture of the humerus) and/or the nerves traveling from the neck to the arm. Some of the nerve injuries are permanent and result in congenital arm paralysis. This dire complication occurs in large babies and/ big mothers. ...Read more

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What is the significance of preganglionic in shoulder dystocia cases?

What is the significance of preganglionic in shoulder dystocia cases?

Complex question: This has to do with where the nerve tear occurred. The ganglion is just off the spinal cord and shoulder dysytocia brachial plexus injuries can occur before or after. Preganglionic injuries tend to have a poorer outcome and can cause a related horners syndrome as well. Because of where the injury is, there tends to be less spontaneous healing or surgical options. I hope this answer helps. ...Read more

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What is a shoulder dystocia?

What is a shoulder dystocia?

Severe labor problem: Shoulder dystocia occurs when the baby's head is delivered vaginally but the shoulders take more than a minute to deliver. This can cost the baby its life, brain or nerves, or it may only cause a fracture and mild perinatal injury. If you have shoulder dystocia, permanent injury to the baby's brachial (arm) plexus is anticipated in 0.5-1.6% of cases with congenital paralysis of that arm. ...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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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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Hi, my first pregnancy was a traumatic one, was induced and had my baby after 18 hours, with shoulder dystocia, Would you advice CS? now pregnant.

Hi, my first pregnancy was a traumatic one, was induced and had my baby after 18 hours,  with shoulder dystocia, Would you advice CS? now pregnant.

Not necessarily: Each pregnancy is different in its conduct and labor progress, and the events of the first pregnancy will not necessarily be repeated in the second. A vaginal birth with the 2nd pregnancy may go very smoothly and if all else "fails" thank God for safe Cesarean sections. ...Read more

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Just had an ultrasound today am supposed to be 9 weeks...last mp was 8/6/15 showing fetus +- 6 weeks in size no heartbeat and hcg levels 35000...help!

Just had an ultrasound today am supposed to be 9 weeks...last mp was 8/6/15 showing fetus +- 6 weeks in size no heartbeat and hcg levels 35000...help!

Sorry: Unfortunately, with bHCG at 35,000 and no FHT, I am sorry to say, the result does not look good. You need to talk with your Obstetrician ASAP. It helps to repeat the bHCG in 2 days to see if it drops or it doubles. Also, repeat the ultrasound. Sometimes, the worse looking situations can yield surprisingly positive results... like the sonographer being wrong. Good luck. ...Read more

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My ultrasound report says that Live fetus of 34W 1D Gestational size,With Doppler indices(Small for Gestational Age);LMP GSA is 36W 5D,ur recomendatio?

Doctor visit: You will need to review the sonogram with the doctor treating your pregnancy. They can evaluate your gestational dating criteria. Previous sonograms can be used as points of comparison. They can also calculate the estimated fetal weight to confirm that growth restriction is not occurring. Any further testing can be ordered if needed ...Read more

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Is 14 weeks too early for the routine anatomy ultrasound? Is there a big difference in fetal size at 14 weeks and 18 wks?

Is 14 weeks too early for the routine anatomy ultrasound? Is there a big difference in fetal size at 14 weeks and 18 wks?

Yes way too early: 18 weeks is the lower limit for fetal anantomy scan, most are done 18-20 weeks so u need to be patient, u should ahae already had the integrated screen or one of the newer blood tests to r/o down's tri 13 and 18 you need to be patient. ...Read more

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Would 14 weeks be too early for the routine anatomy ultrasound compared to doing it at 18-20wks? Would there be a big diff in fetal size 14wk vs. 18wk?

Would 14 weeks be too early for the routine anatomy ultrasound compared to doing it at 18-20wks? Would there be a big diff in fetal size 14wk vs. 18wk?

Talk to MD: The perinatologist is the best one to answer this question. Yes there is a big difference in size between a 14 wks fetus to a 20 week fetus, so yes it will be easier to do a screening ultrasound with a bigger baby. However, if you have concerns related to your pregnancy, or perhaps difficulty with a previous pregnancy, you should talk to md. ...Read more

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If ultrasounds have margin of error, how do u know when you're within the range of when the NT scan should be done?Does fetus have to be certain size?

If ultrasounds have margin of error, how do u know when you're within the range of when the NT scan should be done?Does fetus have to be certain size?

Best estimate : The margin of error for ultrasound dating is the smallest in the first trimester, which is when the nuchal translucency scans are performed. Yes the fetus does have to be a certain size and between certain dates in order for the information to be accurate. ...Read more

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What size should gestational sac be at 5 weeks 6 days? Ultrasound today, 13 mm NO yolk sac or fetal pole. HCG 561 progesterone 119 5/19/14, HCG 1255 5/21/14. IUI 5/2/14. Should I be concerned?

What size should gestational sac be at 5 weeks 6 days?  Ultrasound today, 13 mm NO yolk sac or fetal pole. HCG 561 progesterone 119 5/19/14, HCG 1255 5/21/14. IUI 5/2/14.  Should I be concerned?

Possibly: Usually at 5 weeks there is a yolk sac and fetal pole. However, there is a variation in the ultrasound dating so this may still be a very early pregnancy. Best to wait a week or two and repeat blood work and ultrasound . As always discuss with your obstetrician . Best wishes ...Read more

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My daughters ultra sound showed the fetus to have a body size of 59 percent and a head size of 88 percent. The technologist wasnt worried is it a prob?

My daughters ultra sound showed the fetus to have a body size of 59 percent and a head size of 88 percent. The technologist wasnt worried is it a prob?

Ultrasound: pregnant: It may be a problem if this is done late in pregnancy, but if less than 20 weeks pregnant, the body is routinely less advanced than head (biparietal diameter) size. Only later in pregnancy is the disparity between body and head size worrisome. Ask your obstetric provider to give you details, which depend on when the ultrasound is done in pregnancy. ...Read more

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Hi Doctor,Iam 6weeks pregnant.I've taken sonogram test.There is no yolk sac and fetal pole.Size of gestational sac is 21.8mm.Is it problematic?

Hi Doctor,Iam 6weeks pregnant.I've taken sonogram test.There is no yolk sac and fetal pole.Size of gestational sac is 21.8mm.Is it problematic?

Maybe: If your dates are accurate then there may be an issue. But suppose your dates are not exactly accurate. Off by a week or two can make a world of difference on an ultrasound . Best talk to your doctor. He will correlate with blood level of HCG and go from there. ...Read more