Doctor insights on:
Can ectopic resolve on its own. Doctors giving expectant management, hCG is going down, bleeding stopped 10 days ago vitals stable. Its my 1st pregnancy?
Hiii doctor...my friend, she is 28 yrs old, 10 weeks pregnant, primi, has amniotic fluid leakage. Why it is happens and what is the management?
How diagnosed?: Amniotic fluid leakage is not often diagnosed as early as 10 weeks. There can be some increase in vaginal secretions or some urine loss that look like leakage of the amniotic fluid. If it is truly amniotic fluid, the only treatment this early is observation with nothing in the vagina and close monitoring of temperature hoping that the hole in the sac will heal over and she won't get infected. ...Read more
Any alternative pain management suggestions once excrutiating migraine hits? No medication as I'm pregnant. Only taking tylenol (acetaminophen) and icing neck.
Limited: Due to the pregnancy, labs, 2 echo and holter would be first studies ordered. 30day event recorder may be needed if symptoms are intermittant. Really can't do stress testing or tilt table tests. She needs to stay hydrated, don't get up too quickly, eat regularly, get plenty of sleep, support socks. BP should be taken with pt lying then sitting then standing to see if BP drops severly or becomes symp. ...Read more
Few: 33 is a low risk age for a woman and while the risk of mental illness in the baby has been shown to increase with increasing paternal age the risk is not seen until he is over 50. Good luck. ...Read more
Breastfeeding: I think if I had only one class to go to I would pick a breastfeeding class. We don't spend enough time talking about the importance of breastfeeding. Learn as much about it as possible. If there are family members who do not know about it or who may not be supportive, they should go to the class with you. ...Read more
I am curious if an expectant mother finds out that she has cancer, what is the best route for her to take?
Would having details of an expectant mother's nutrition intake yield more accurate diagnoses/recommendations?
We believe in herbal supplements for expectant mothers. We see no problems in our community. Why do doctors object?
Lack of education: In med school doctors are taught primarily about drugs & surgery. We are taught very little about herbs, nutrition & other natural therapies & often look at alternative approaches with suspicion. I believe this is due to the pervasive influence of the pharmaceutical industry. While many herbs are safe in pregnancy, many are not. I do advise avoiding most herbs in the 1st trimester-see comment:. ...Read more
Can you tell me in expectant mothers who undergo caesarean delivery does the afterbirth come out naturally or it is removed to?
I'm 16wks pregnant and have been diagnosed with high risk hpv. Are c-sections offered to expectant mothers because of hpv?
Not routinely: If you have an active outbreak that is visible then possibly. You need to discuss with your obsterician ...Read more
Handwashing: Be diligent with handwashing and avoid oral/nasal secretions for at least the first 24 hours after antibiotics are started, and you should be good! ...Read more
Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?
In the 40's and 50's, women's bodies tend to become more "apple" shaped, retaining fat in the middle.
However if you feel your lower abdomen is unusually enlarged, please see a doctor! This could be a sign of fibroids in the uterus, or even uterine or ovarian cancer. Don't hesitate - check this out. ...Read more
Meet someone...: Meet someone nice, date a while, get engaged, get married, relax, start having sex once or twice a day during the fertile days, and hopefully get pregnant soon. The fertile days are about days 10-15 in a 28-day cycle. Of course, if a couple has sex every one or two days throughout the month, they don't have to think about fertile days. ...Read more
Many things: 1. If trying for 1 year seek advice from a reproductive endocrinologist to run basic tests. 2. If just starting and less than 35 years monitor your period and use ovulation predictor kits (commercially available) and have intercourse 3 days after the surge indicated by the kit. Try that for 6 mnths. ...Read more
It depends!: There are lots of possibilities! Roughly one-third of the time there is a "female" problem (ovulation problems, blocked tubes, etc), one-third of the time there is a "male" problem (sperm issue), and one-third there are more than one identifiable issue. Your general ob/gyn or fertility specialist can get you started with the appropriate workup/tests (if any). Good luck! ...Read more
No guarantees: Some tips: have sex with your man mid-cycle. Empty your bladder before sex and elevate your hips slightly on a pillow during sex. Lie on your back for sex and stay there for at least 10 minutes after ejaculation. Make sure you don't have any vaginal infections. Watch for signs of ovulation (a mucusy discharge with the consistency of egg white). That's the night to make the candlelight dinner! ...Read more