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Doctor insights on: Gestational Hypertension Multiple Gestation

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Is gestational hypertension the same with preeclampsia?

Is  gestational hypertension the same with preeclampsia?

A little different: Gestational hypertension is defined as elevated blood pressure in a pregnant patient after 20 wk who does not have previously diagnosed hypertension. Preeclampsia is the same thing with other changes such as protein leaking into the urine, swelling and some blood test changes. Think of preeclampsia as a more complicated version of gestational hypertension. ...Read more

Dr. Marvin Ott
325 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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15mm Gestational sac identified 2wks later 17mm gestational sac with CRL 3.8mm with no cardiac activity. Is miscarriage imminent?

15mm Gestational sac identified
2wks later 17mm gestational sac with CRL 3.8mm with no cardiac activity.
Is miscarriage imminent?

Maybe: The fact that the embryo has essentially stopped growing and there is no cardiac activity suggests a failed pregnancy. Sometimes Mother Nature does not eject the failed embryo, but it remains in a degenerated state called a "missed abortion". Your MD will be able to make that determination with further testing and take the necessary action. ...Read more

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What are the delivery comlications with gestational diabetes?

What are the delivery comlications with  gestational diabetes?

C-section, dystocia.: Poorly controlled diabetes mellitus in pregnancy can cause large fetus (macrosomia) and increase the risk of labor dystocia requiring cesarean section, or even shoulder dystocia with severe complications. Large babies can also cause uterine atony and severe postpartum hemorrhage. ...Read more

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Can gestational diabetes affect the placenta?

Can gestational diabetes affect the placenta?

Yes: Gestational diabetes is actually caused by the placenta. A hormone called hpl (human placental lactogen) gets released and causes insulin. While the placenta is the underlying cause, gestational diabetes causes changes in the placenta making it function differently. Most doctors will recommend delivery before the due date with gestational diabetes because of this altered placental function. ...Read more

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1. Does gestational diabetic causes c section? And early delivery (before due date)

1. Does gestational diabetic causes c section? And early delivery (before due date)

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

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What are the predisposing factors in gestational diabetes mellitus?

What are the predisposing factors in gestational diabetes mellitus?

Weight/Genetics: Diabetes often runs in families, and 70% of women with gestational diabetes will get diabetes later in life. Major risks include obesity (body mass index >30), older maternal age, past history of gestational diabetes, and ethnicity (african americans, native americans, south asia/india, hispanic, pacific islanders, and some from the caribbean). Be sure to get re-tested 6-12 weeks after delivery. ...Read more

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How is gestational diabetes outcome correlated to polyhydramnios?

How is gestational diabetes outcome correlated to polyhydramnios?

High Sugars Cause It: If mom's blood sugar is high, the baby's is too. The same way high sugars cause an adult to urinate more, this high sugar. Causes the baby to make more urine, and the baby's urine is what makes up the amniotic fluid. ...Read more

Dr. James Chu Dr. Chu
2 doctors agreed:
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Is gestational diabetes hereditary?

Dr. James Chu Dr. Chu
2 doctors agreed:
Is gestational diabetes hereditary?

Yes, but partially: Gestational diabetes, which is often a precursor to type 2 diabetes, has a strong hereditary genetic component. The tendency for the body to be insulin-resistant and insulin-deficient (leading to high sugars) are often transmitted in the genetic make-up. However, gestational diabetes is also strongly related to other non-hereditary factors like age, weight, physical activity levels, and diet habits. ...Read more

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Brittany Chan Dr. Chan
14 doctors agreed:
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Does gestational diabetes occur during pregnancy?

Brittany Chan Dr. Chan
14 doctors agreed:
Does gestational diabetes occur during pregnancy?

Yes.: Yes. Gestational diabetes is diagnosed during pregnancy (hence the word "gestational" in the name). The diabetes usually resolves after delivery. However, women who have had gestational diabetes are at greater risk of developing Insulin resistance, diabetes, and heart disease when they are no longer pregnant. ...Read more

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Waht is the prognosis of fetus, newborn and mom with gestational diabetes mellitus>?

Waht is the prognosis of fetus, newborn and mom with gestational diabetes mellitus>?

Prognosis: Good for all if the diabetes is well controlled during pregnancy. Work closely with your physicians. Be mindful of what you eat and do. Gestational diabetes is not a death sentence. There are many effective treatment options currently available. ...Read more

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Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?

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

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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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What causes Gestational diabetes?

What causes Gestational diabetes?

Insulin Resistance: Gestational Diabetes is the development of glucose "intolerance" after the diagnosis of pregnancy has been made. During pregnancy, at least 6 factors are produced by the pregnancy that interfere with the body's ability to manage blood sugar by blocking the action of insulin. Age, weight, previous history,, and family history are among the risk factors. Diet,and/or medication (oral or insulin) ...Read more

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Need information on complications of molar pregnancy, gestational trophoblastic disease?

Need information on complications of molar pregnancy, gestational trophoblastic disease?

Here's a link: Here is a link to information. http://www.americanpregnancy.org/pregnancycomplications/molarpregnancy.html. ...Read more

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Gestational diabetes mellitus--what are risk factors or causes?

Gestational diabetes mellitus--what are risk factors or causes?

Weight/Family Hist.: Obesity is a major risk for any diabetes. The other factor is genetics. There are many women of asian descent who have a normal weight (and body mass index), but develop gestational or regular diabetes. Obesity is one that people can modify though. ...Read more

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Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Blighted ovum: A gestational sac without a fetal with a gestational age of almost 7 weeks is most likely a blighted ovum (non development of the fetus). Most likely with result is a miscarriage. If not you may need a D&C. Follow up with your gynecologist in 1-2 weeks. ...Read more

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6w 4d pregnant with fetal pole, yolk sac ...heartbeat detectd...but seems gestational sac is irregular...sign of miscarriage?

6w 4d pregnant with fetal pole, yolk sac ...heartbeat detectd...but seems gestational sac is irregular...sign of miscarriage?

Don't worry: The most important thing is that the fetus has a heartbeat. Did they tell you an actual fetal heart rate? Sometimes the gestational sac looks different. There could be a nearby fibroid or subchorionic hemorrhage. Signs of a miscarriage are uterine cramping and bleeding. If you are not having those symptoms I would not worry about this. The sonogram can be repeated in 1-2 weeks. ...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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U/s at possibly 7w5d gestational sac and fetal pole measuring at 6w1d but no yolk sac or heartbeat. Miscarriage or miscalculation?

U/s at possibly 7w5d gestational sac and fetal pole measuring at 6w1d but no yolk sac or heartbeat. Miscarriage or miscalculation?

Dates could be off: I would not expect to see definite fetal heart activity at 6wk 1dy. A repeat ultrasound in one week will resolve the question. If the pregnancy is viable there should be appropriate interval growth and definite fetal heart activity. If not, then there had been an early fetal demise. In cases of blighted ovum a fetal pole does not develop. ...Read more

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Dr. Adam Lewis
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


Dr. Rick Koch
153 doctors shared insights

Gestational Hypertension (Definition)

BP at 140/90 at 20 wks pregnancy with no other signs of kidney involvement. Benign condition if nothing else happens, but can worsen to serious condition of pre-eclampsia in many cases. Needs to be ...Read more