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Doctor insights on: Gestational Hypertension Preterm Delivery

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Nifedipine for preterm labor risks?

Nifedipine for preterm labor risks?

Much safer: Nifedipine (brand name: procardia) is a much safer class of medication for premature labor than it's predecessors, such as terbutaline or ritodrine, which could cause fast heartbeat, high blood sugars, and even pulmonary edema. ...Read more

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Dr. M. Hytham Beck
324 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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Will gestational hypertension without preeclampsia be a risk factor for delivering baby early?

Will gestational hypertension without preeclampsia be a risk factor for delivering baby early?

Monitoring: Your BP must be carefully monitored on each and every visit. Hypertension can certainly play a role in pre-eclmsia. ...Read more

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How does placenta previa cause preterm delivery?

How does placenta previa cause preterm delivery?

Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read more

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Does pregnancy-induced hypertension cause placental abruption?

Does pregnancy-induced hypertension cause placental abruption?

Yes: High blood pressure, whether present before pregnancy or whether it develops during pregnancy, does increase a woman's risk for abruption. But most women with high blood pressure never have an abruption. ...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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Does gestational diabetes occur during pregnancy?

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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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

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Will having amnio cause preterm labor?

Will having amnio cause preterm labor?

It can.: Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal dna testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur. ...Read more

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Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

SecondaryInfertility: A person who has one pregnancy and cannot get pregnant a 2nd time is usually not due to the previous 26 week delivery. An incompetent cervix means that the patient got pregnant again. A vigorous scraping at a d & c post partum can cause infertility. ...Read more

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What percent of mothers with gestational diabetes deliver their babies prematurely?

What percent of mothers with gestational diabetes deliver their babies prematurely?

Depends On Control: There is no single digit answer you can apply to an individual patient. One brazillian study in 2011 found that 14% of 400 women delivered prematurely, but the rate really depends on how well the mother controls her disease, other issues like preeclampsia, and the reason for delivery (poor control can cause other problems for the mom/baby that could require a cesarean section before 38 weeks). ...Read more

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How rare is placenta abruption with polyhydramnios?

Less rare: Placental abruption is one of the increased risks associated with poly-hydramnios. Even then it is still fairly uncommon. ...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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Is gestational hypertension dangerous to the baby?

Is gestational hypertension dangerous to the baby?

Needs surveillance: When a woman has high blood pressure in pregnancy, it may cause less blood to flow to the placenta. The fetus receives less of the oxygen and nutrients it needs. This can cause the growth of the fetus to slow down. You may need periodic BP check to make sure you dont have any complications and the baby is growing appropriately. ...Read more

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Is delivery at 33 weeks considered preterm?

Is delivery at 33 weeks considered preterm?

Yes.: Any delivery before 37 weeks is considered preterm and has significant short and long term consequences. A 33 week delivery is not desirable, but is much better than a 28-32 week delivery, meaning most infant should survive intact. ...Read more

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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

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Can placenta accreta be missed at delivery?

Can placenta accreta be missed at delivery?

Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more

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Why does Gestational Diabetes increase the risk of stillbirth?

Why does Gestational Diabetes increase the risk of stillbirth?

Abnormal glucose: The same reasons that produce Diabetic coma in adults. The elevated blood glucose going to the fetus causes metabolic changes that can result in death. ...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


Dr. Austina Cho
18 doctors shared insights

Preterm Delivery (Definition)

A preterm delivery is defined as any delivery of a newborn less than ...Read more