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Doctor insights on: Do I Have The Right To Decide How My Baby Is Treated If Born At 23 Weeks

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Hi every year I fly to new mexico to see family and I have a baby on the way he/she will be 4 month and I was wondering if it can hurt the baby at all?

Hi every year I fly to new mexico to see family and I have a baby on the way he/she will be 4 month and I was wondering if it can hurt the baby at all?

Not at all: Keep up her regular food and sleep schedule if possible, and try to fly after her second set of shots, usually at 4 months. She will be well protected. It is safest for her to fly strapped in a car seat, but the only way to be sure of that is to buy her a ticket, which not everyone can afford; instead, try to pick a flight which is not full and use the seat as your carryon. Use bottled water. ...Read more

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I was drinking and breastfeeding at the same time to my 23 w baby is this going to affect her in anyway , and now she running fever what can I do ?

I was drinking and breastfeeding at the same time to my 23 w baby is this going to affect her in anyway , and now she running fever what can I do ?

Breastfeed alcohol: If your 23 week infant is running a fever and there is no obvious cause then contact your pediatrician asap. As far as alcohol and breastfeeding, there is the possibility that the baby could appear lethargic since alcohol is a depressant. It also depends upon the amount of alcohol that you may be consuming. If it all costs i would refrain from excessive alcohol intake while breast feeding. ...Read more

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How safe is it to have a baby if I have myasthenia gravis? I know people do it, but what are the risks? Both to me and the baby? Will I have to go off my meds? Will i pass the disease on to my baby? I’d really like to have a baby, but i’m worried. My doc

How safe is it to have a baby if I have myasthenia gravis? I know people do it, but what are the risks? Both to me and the baby?  Will I have to go off my meds? Will i pass the disease on to my baby? I’d really like to have a baby, but i’m worried. My doc

The : The more common kind of myasthenia gravis is an acquired condition: your body is tricked into making antibodies that attack its own acetylcholine receptors on the surface of your muscles, reducing the ability of your nerves to activate them, and leading to weakness. There is another, much rarer type of myasthenia gravis that is not acquired, but genetic. Women with acquired myasthenia gravis won't pass the disease itself on to their children, but since the myasthnia antibodies made by mom can cross the placenta into the circulation of the fetus, the fetus can be affected temporarily (mom's antibodies can stay in the baby up to several weeks after birth). This condition is called neonatal myasthenia gravis. Newborns with neonatal myasthenia can have temporary weakness of limb muscles, breathing muscles, and feeding muscles. They can also have a condition called arthrogryposis, stiff joints with limited range of flexibility because they didn't move as much in the womb as they might have otherwise. This is why it is important to have acquired myasthenia gravis well-controlled throughout pregnancy. There are many different kinds of medications used to control myasthenia. Some of them, particularly the immunosuppressants (like methotrexate, azathioprine, mycophenolate mofetic) are known to cause harm to the baby if taken during pregancy, while breastfeeding, or even prior to conception. Other treatments such as steroids and ivig are less risky (but not zero risk). Women with myasthenia who are considering pregnancy should work very closely with a team including a neurologist experienced in the treatment of myasthenia gravis, an obstetrician and a neonatologist. This is the best way to reduce worry, and risk, as much as possible. For general information about myasthenia gravis, visit the myasthenia gravis foundation of america website at www.Myasthenia.Org. ...Read more

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After I have my baby, if i get breast reduction surgery and i decide to have more kids, will it reverse the affect?

After I have my baby, if i get breast reduction surgery and i decide to have more kids, will it reverse the affect?

Wait if you can.: With breast reduction there is also a reshaping that gives the breasts a more youthful shape and position. With additional pregnancies the reduction won't be "reversed" but the long term result would not be as good as if you waited until you are done having kids. Other issues- potentially not being able to nurse, nipple numbness, loss of erectile function, wound complications, hematomas, seromas. ...Read more

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Should i preserve my eggs? I want to get pregnant sometime in the future. I am 37 and no where close to having kids (not in a relationship), but want them in the future. At what point should I do something about this? What should I do to ensure longer

Should i preserve my eggs?  I want to get pregnant sometime in the future. I am 37 and no where close to having kids (not in a relationship), but want them in the future.  At what point should I do something about this?  What should I do to ensure longer

Although : Although the american society of reproductive states that egg freezing for future use is experimental, this is becoming a more widely used method for preserving fertility for any woman not ready to conceive. This had traditionally only been offered to cancer patients, but now many clinics are offering it to women not ready to conceive for any reason. If you would like to consider this option - you should discuss it with a reproductive endocrinlogist at at clinic that provides this service. If you were coming to see me, i would do ovarian reserve testing first because if you have a low egg supply - freezing eggs may not be a good idea. This option is not for everyone and i recommend going to a clinic with experience with egg freezing. I hope this helps! ...Read more

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My 6 week old baby has calcaneovalgus do you think he should be in casts or will massaging work? how long do babies normally take to recover with th

My 6 week old baby has calcaneovalgus do you think he should be in casts or will massaging work? 

how long do babies normally take to recover with th

Hard to say: The chances that massage & manipulation would work in a given case depend on features only evident on physical exam. The more flexability, the better the chance. Only a well trained pediatric podiatrist or pediatric orthopedist would be able to predict this and only after an exam. ...Read more

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Both of my kids have had a minor head injury at some point and im sure not their last. How do I know when to treat at home and when to go to the doc?

Both of my kids have had a minor head injury at some point and im sure not their last. How do I know when to treat at home and when to go to the doc?

Vomiting & LOC=worry: Loss of consciousness (loc) from the head blow or subsequent vomiting warrants a call to your pediatrician, or a visit to your local emergency department. While worrisome, a knot on the head rarely amounts to serious injury except in the very young infant. Another more difficult sign to check--but very useful--is to check the pupils. If the pupils are unequal in size, this is most concerning. ...Read more

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Want my baby to be induced at 36 weeks been in hospital for 3 week do to hypertension HBP but my doctor is gone.. will they do it if I ask?! 35w today

Want my baby to be induced at 36 weeks been in hospital for 3 week do to hypertension HBP but my doctor is gone.. will they do it if I ask?! 35w today

The Doc knows best: Trust that the OB caring for you is aware that you are developing a complication of pregnancy. Your baby will be delivered either by inducing you or C-Section if there are signs of either significant fetal distress or if the baby and you will be safer if the baby is delivered pre-term. The gender matters as well. Male babies do better if allowed to get to 36 weeks or later. Ask OB what the plan is ...Read more

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My keloid is getting bigger. They can't get me in at ku until sept. I can't wait that long. What can I do in the mean time to prevent it from growing mo?

My keloid is getting bigger. They can't get me in at ku until sept. I can't wait that long. What can I do in the mean time to prevent it from growing mo?

Scars: Moisturizing scars with hypoallergenic lotion is a great way to start. You can also gently rub the scar. This increased amount of pressure can help with reshaping the scar. ...Read more

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I want to get both my daughters ears peirced. One is 3 the other is 6 months. Is this safe? Should i wait? Best age to do this?

I want to get both my daughters ears peirced. One is 3 the other is 6 months. Is this safe? Should i wait? Best age to do this?

It is safe: Babies can have their ears pierced at any age after 1 month. Since it is strictly cosmetic and there is no "reason" to have to do it you can wait as long as you want. Babies are cute and don't need much extra adornment!!! ...Read more

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Am 40 weeks pregnant and want to know if its ok to have sex in a hospital? My age is 38

Am 40 weeks pregnant and want to know if its ok to have sex in a hospital? My age is 38

It : It is not clear to me from your question if you are the patient in the hospital, and if you are, i assume it is for a complication from your pregnancy. If so, then no, it would not be safe to have sex in a hospital. ...Read more

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Will a hospital admit me if my OCD is out of control and causing me not to eat I can't see my doctor until 3 weeks cause she's at new office ?

Will a hospital admit me if my OCD is out of control and causing me not to eat I can't see my doctor until 3 weeks cause she's at new office ?

OCD hospitalization: Not withstanding any diagnosed conditions such as OCD, hospitalization has to be considered for life-endangering consequences of not eating or restricting fluids. ...Read more

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My boyfriend wants a DNA test done and i'm only 18 weeks is there any chance I can get one done before the baby is born or do I have to wait until ?

My boyfriend wants a DNA test done and i'm only  18 weeks is there any chance I can get one done before the baby is born or do I have to wait until ?

Risky idea: Dna analysis would require a needle stuck into your bag of waters to get a sample.This is risky for you & baby & should only be done for specific urgent medical issues, not paternity. ...Read more

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I am 36 weeks pregnant, baby has Umbilical Varix. I am being told that they want to induce at 37 weeks. Is this the right way to go?

I am 36 weeks pregnant, baby has Umbilical Varix. I am being told that they want to induce at 37 weeks. Is this the right way to go?

Minimal data : to know. There is very little info about this diagnosis. There is some that shows potential chromosome issues. Because it is rare, I would seek a second opinion on the original diagnosis. If confirmed, some recommend testing for chromosomes. Also echocardiogram, heart ultrasound may be needed. Early delivery may be warranted depending on the results of the work up. ...Read more

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My 10 months old baby is running a fever. I have no access to pediatrician at the moment. What can I do to manage the temperature?

My 10 months old baby is running a fever. I have no access to pediatrician at the moment. What can I do to manage the temperature?

Fever: Remember that fever is a symptom. Tylenol (acetaminophen) or ibuprofen. If the child just has cold symptoms (cough, runny nose) with the ever then it would be fine to treat with tylenol (acetaminophen) and or ibuprofen. If the child does not look well or is out of it or you are otherwise worried about him you may want to bring him in to be seen by a family practitioner or if he is very sick to the emergency department. ...Read more

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How bad is a popped out belly button? What is it called? When after birth you need surgery to survive. Doctors please help. Well my mom had my little baby sister on february the 22 of 2010 but the doctor told her that she had to get a surgery 3 months aft

How bad is a popped out belly button? What is it called? When after birth you need surgery to survive. Doctors please help. Well my mom had my little baby sister on february the 22 of 2010 but the doctor told her that she had to get a surgery 3 months aft

You : You seem to be describing a condition of an umbilical hernia. These hernias are quite common and often are not that serious. I do not know if you are describing that the hernia is affecting your mother, or your baby sister. Umbilical hernias in newborns babies are common and may resolve on their own, without surgery, by age two. If they are causing discomfort or enlarging, then surgery would be recommended. In an adult, an umbilical hernia will not resolve on its own, and would eventually need an operation to repair the hernia. But that surgery is elective, meaning it can be repaired at the preference of the patient, depending on hernia size, hernia discomfort, or hernia enlargement. Hernia incarceration means a sudden onset of bad painful hernia swelling and the hernia becomes very hard, then emergency evaluation and surgery may be necessary. ...Read more

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I am 34 & just conceived. By the time i deliver, i will have turned 35. What are chances my baby will have down syndrome? Thank you!

I am 34 & just conceived. By the time i deliver, i will have turned 35. What are chances my baby will have down syndrome? Thank you!

Consult your doctor: The most common risk factor for down syndrome is maternal age. As a woman gets older, her risk to have a pregnancy with a chromosome abnormality increases. The risk for down syndrome (trisomy 21) is of 1 in 500 at maternal age of 34 years. Consult your ob-gyn for further recommendations. ...Read more

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Why do babies go to a separate place when being born for shots?Nd is not because the mother can't handle it when a few weeks u watch your baby get shots

Why do babies go to a separate place when being born for shots?Nd is not because the mother can't handle it when a few weeks u watch your baby get shots

No good reason: Your pediatrician may prefer to examine and treat the baby elsewhere. But, you are the mother! if you don't want the baby to leave you to get shots, you have every right to tell them that you want your baby to stay with you. Having surgery, or having to go to the intensive care unit is really the only reason your baby would need to leave your side. ...Read more