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Doctor insights on: Expectant Management

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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?

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?

Possible: If the bhcg is dropping on its own then the pregnancy is resolving. Management though varies depending on the size of the ectopic and the startin bhcg numbers. Even with a falling bhcg surgical or medical management is often indicated. ...Read more

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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?

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

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Any alternative pain management suggestions once excrutiating migraine hits? No medication as I'm pregnant. Only taking tylenol (acetaminophen) and icing neck.

Any alternative pain management suggestions once excrutiating migraine hits? No medication as I'm pregnant. Only taking tylenol (acetaminophen) and icing neck.

Safe sedation: Sleep is often the best treatment for severe migraine. Your doctor can prescribe safe sedative medication as well as nausea medication. Later in pregnancy triptans and Aspirin may be safe. Be sure your blood pressure is well controlled. ...Read more

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How is syncope diagnosed in expectant mothers?

How is syncope diagnosed in expectant mothers?

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

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What are potential complications for an expectant 42 year old father with a wife 33 years of age?

What are potential complications for an expectant 42 year old father with a wife 33 years of age?

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

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Is table salt harmful to expectant mothers?

Is table salt harmful to expectant mothers?

Moderation: Everything in moderation. Mom and unborn child need salt. All our nerves are conducted on changes in sodium and chloride. Salt is a important part of the diet, in moderation. The recommendation is 2g of salt a day. ...Read more

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Can expectant mothers take benadryl (diphenhydramine)?

Can expectant mothers take benadryl (diphenhydramine)?

Probably: It is a category B drug that is usually safe during pregnancy. I would ask your OB to be complete and let him know any OTC medications you are taking ...Read more

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What are the best parenting classes for expectant parents?

What are the best parenting classes for expectant parents?

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

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Is there such thing as pre-partum anxiety / depression for expectant fathers?

Is there such thing as pre-partum anxiety / depression for expectant fathers?

Expectant fathers: Sure, especially in ones who are involved throughout the pregnancy & worrying about the health of their pregnant partner/unborn child, more so if it is their first. ...Read more

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I am curious if an expectant mother finds out that she has cancer, what is the best route for her to take?

I am curious if an expectant mother finds out that she has cancer, what is the best route for her to take?

A sad story: But a lot depends on how many months pregnant and what "cancer". Then the option fall to the mother, her doctor and the prognosis for the cancer and the pregnancy. ...Read more

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Would having details of an expectant mother's nutrition intake yield more accurate diagnoses/recommendations?

Would having details of an expectant mother's nutrition intake yield more accurate diagnoses/recommendations?

Yes: Keeping a 2 to 4 day diet diary, writing down everything you eat including approximate amounts, will allow you, or a nutritionist, to make a good evaluation of the calories, protein, carbohydrate, fat and other nutrient intake. ...Read more

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We believe in herbal supplements for expectant mothers. We see no problems in our community. Why do doctors object?

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

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Can an expectant mother take Azo to treat a UTI?

Azo: Doesn't cure UTI - just helps with symptoms. Please see doctor for UTI. ...Read more

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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

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What precautions should a expectant parent take with some one with strep throat.

What precautions should a expectant parent take with some one with strep throat.

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

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Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

I would not advise: Kenalog (triamcinolone) is a Category C agent. Animal studies show adverse fetal harm but no controlled human studies have been done. The OB will be the one to make that call. ...Read more

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Early pregnant symptoms

Early pregnant symptoms

A positive test: In today's world the easiest way to know if you are pregnant is to take a home test. There is no reason to guess based on symptoms. ...Read more

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Why do I look pregnant?

Why do I look pregnant?

Not sure.: 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

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Disease while pregnant?

There are: There are several different conditions that affect and complicate pregnancy. Your questions needs to be specific in order to address. ...Read more

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How can I get pregnant?

How can I get pregnant?

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

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Diet for pregnant women?

Diet for pregnant women?

Low carb/low sugar: A diet low in sugar and carbs will minimize weight gain and the size of the baby. It will also decrease the risk of gestational diabetes. ...Read more

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Can a male get pregnant?

Can a male get pregnant?

No: A male human cannot get pregnant. A pregnant human is not a male human. Unfortunately, like in science-fiction movies, somebody in a lab somewhere might be trying to create a pregnant male... hope it never happens. ...Read more

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Why can I get pregnant?

Why can I get pregnant?

Ovulating female: With open fallopian tubes and a healthy uterus. That's the basic requirement, along with a partner who provides the sperm. If you're having trouble getting pregnant, there are many reasons. ...Read more

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How to get pregnant fast?

How to get pregnant fast?

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

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Why can't I get pregnant?

Why can't I get pregnant?

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

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How to get pregnant fast?

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