Doctor insights on:
Does Previous Delivery Of Baby Greater Than 9 Pounds Cause Gestational Diabetes
Gestation diabetes is diabetes that occurs during pregnancy. This develops when pregnancy hormones change a patient's metabolism so that they can not regulate their blood sugar. A patient with GDM will have to go on a low sugar and low carb diet and monitor blood sugars very carefully. Sometimes they will require medications. There is a 30% chance ...Read more
34 weeks pregnant today. Measuring "low amniotic fluid". Baby is measuring 5 pounds, likelihood of complications of delivered now? Induction? C-sec?
Depends: Depends on how low the AFI (amniotic fluid index) is and how compliant you are with NSTs. You should be resting on your left side, getting NSTs and maybe even biophysical profiles. If a smoker, stop immediately. Your fluid may rebound if you follow this plan. At 34 weeks there is about 5% chance of long term newborn complications and the c section risk depends again on how low the fluid is. ...Read more
Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?
Maybe,miscarriage is: More likely. Not knowing how many weeks pregnant you are, it's difficult to give you more specific information. Usually the above consistent with early pregnancy loss. It is best to follow closely with Gyn/OB. Also try to avoid air travel or long car rides, trips in remote areas until this is settled. Miscarriage is potentially serious and can result in significant blood loss, so call 911 4 help ...Read more
Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?
You'd be amazed...: The majority of 24 week infants now survive, especially if they make it through the first 48 hours of life. That's not to say they may not have significant problems with breathing, feeding, development, vision. You also don't say 24 weeks and how many days . 24 weeks 0 days is worse than 24 weeks 5 days - at that stage of the game, every extra day makes a difference. Continue hope, faith and pray. ...Read more
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
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 moreSee 1 more doctor answer
I'm 27 weeks pregnant, high blood pressure/ preeclamsia ob is predicting will deliver at max by 32 weeks. Whats the chances i can make it full term?
Change your view: I think you're thinking about it the wrong way. If you're pre-eclamptic, the longer you wait, the more dangerous it becomes for you and baby. Your OB wants to deliver you at the earliest possible time that is safe for baby. Follow their judgement and thank god for modern medicine! ...Read more
Had 2 babies over 40. Is that considered high risk for breast cancer? Breastfeed both. How much higher of a risk than average woman.
Minimal if any: We don't truly understand what "causes" breast cancer outside certain mutations (brca1/2) ; in most cases its a combination of factors - gene switches ; lifetime experiences. Many items associated w/ "risk" have been identified such as early menarche, late 1st period, mammo density. These are not causes but likely surrogates for other influencing factors. #1 risk: being female and having breast. ...Read moreSee 1 more doctor answer
I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.
Possible: There is some possibility of an A/O or B/O reaction with jaundice and hemolytic disease but that part of this is usually minor and easy to manage. An OB with quick hands can limit the other issue. I would try to relax and figure out what your life will be like with 3 kids running around. ...Read moreSee 1 more doctor answer
5 months?: Obstetricians deal in weeks, not months. Assuming you mean 21-22 weeks, the expected fetal weight should be around 300-500 grams. Please specify question parameters if you need more details. ...Read more
3 to 3.5 pounds: The average fetal weight at 33 weeks is 3 to 3.5 pounds. But a fetus could be smaller or larger and still be normal. ...Read more
Had gestational diabetes last pregnancy.does every subsequent pregnancy put me at higher risk of developing diabetes?
Had GD last pregnancy, diet controlled.Does every subsequent pregnancy put me at a higher and higher risk of developing established Type 2 diabetes?
GD: Most likely but discuss wth your team who know you best. Check with relatives experience as well. ...Read more
My ob found dehiscence of low-t scar during 2nd c/s delivery @39w (bw 9lb; 16m interdelivery interval). I want a 3rd & last pregnancy. How would you manage risk of rupture--including spontaneous risk?
At Time of Surgery: If determined to have another pregnancy, the best help would have been at time of surgery with a two layer closure of the uterine opening. Docs argue about best interval time but logically waiting over a year before conceiving appears to decrease risk of rupture. Lastly, the most dangerous thing is beyond your control since an accreta is your highest risk & unpreventable. A good OB - priceless! ...Read moreSee 1 more doctor answer
Im 37w pregnant & hav gestational diabetes with high level of sugrar but baby size n amniotic fluid is normal. Doc is suggesting induction at 38-39.Advice?
Delivery at 39 weeks: If before 39 week u need amnio to make sure lungs are mature at 39 weeks do not need amnio. ...Read more
Gestational diabetes occurs in women who are pregnant. Prior to becoming pregant the woman was not diabetic and once the woman delivers the baby the diabetes goes away, although she has a higher chance of getting non-insulin-dependent diabetes in the future. With gestational diabetes, hormones from the pregnancy ...Read more
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