Doctor insights on:
High Risk Pregnancy Premature Rupture Of Membranes
Very premature is a condition in which a baby is delivered between 28 and 31 weeks' gestation. Depending on how premature, how sick, and how lucky or unlucky a baby is, he can get brain problems, cerebral palsy, blindness, deafness, developmental problems, learning disabilities, severe lung diseases, infection and loss of some intestines, etc... Babies who are only moderately premature usually ...Read more
Which of the following can be a cause of preterm premature rupture of membranes before 24 weeks of pregnancy? : high tsh, high prolactin, low dhea.
2 possibilities: The theoretical reason is that the operative delivery disrupts the tissues and allows amniotic fluid to more easily pass into the woman's blood vessels. But it's not entirely clear if this is a true risk or just an association. Women with suspected amniotic fluid embolism are rushed to c-section. So it's possible it's the other way around, amniotic fluid embolism increases risk of c-section. ...Read more
How does early rupture of membranes increase risk of transmitting all infections including HIV to the fetus?
Protection gone: Uterine membrane is a protective barrior to featus, do not allow to get infection to baby and mother , prolonged disruption will cause infection besides lekage of aminiotic fluid. ...Read more
Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?
Many risks-"toxemia": A woman has a higher chance of developing preeclampsia if she has a history of it or hypertension, is diabetic, has certain kidney or autoimmune disease, has >1 fetus, is at an age extreme (young or midlife), etc. If she does develop preeclampsia, complications include the condition progressing to eclampsia (convulsions) or to strokes, kidney damage, bleeding, etc. ...Read moreSee 1 more doctor answer
APLAs: The presence of aplas or antiphospholipid antibodies increases the risk of fetal growth retardation and fetal death in utero. They also increase the risk of deep venous thrombosis, pulmonary emboli, and arterial thrombosis. Women who have aplas are usually treated with anticoagulants, for example lovenox, (enoxaparin) during and after the pregnancy. ...Read moreSee 1 more doctor answer
Threats to baby, mom: Risk factors include conditions that might affect the health of the fetus and/or pregnant woman. Those include higher chance for birth defects, >1 baby, prior preterm birth, diabetes, history of eclampsia. Many women at high risk for pregnancy complications have healthy babies, but they probably saw perinatologists, had extra testing or imaging, or underwent treatments or delivery with nicu aware. ...Read moreSee 1 more doctor answer
Nope.: Unfortunately, trials of nutritional supplementation to improve perinatal outcomes have pretty consistently failed to show any measurable improvement and some have even suggested there may be some risk. Fish oil supplements are no different - they may help the fetal brain, but have no effect of preterm birth rates. Consume 1-2 serving of fish low in methylmercury (i.e. Not predatory/large) weekly. ...Read moreSee 1 more doctor answer
Can sudden and strong scare cause problem at 23 week of pregnancy?I am high risk pregnant, with history of PPROM, currently low cervix w/cerclage
You should be ok: Preterm Labor and/or weak cervix are very complex conditions. You already do have the best evidence based preventative tool in use: a cerclage. PERSISTENT high emotional stress is not good for your overall health, but a one time high stress event should not adversely affect your pregnancy. If you have leakage of fluid or persistant vaginal bloody discharge, seek MD eval. Otherwise you should be ok ...Read more
If amniotic sac is intact during vaginal delivery or c section, Are chances of AMniotic Fluid Embolisim basically zero chance?
Yes: Actually, AFE is quite a rare event and, to a degree, independent of a patient's ruptured status. The general idea is that there is a breech and/or permeability of the of the natural blood-amniotic barriers. This allows products of pregnancy to, unaturally, enter the maternal circulation and cause catatrophic events (primarily in the lungs), culminating in death, oftentimes. ...Read more
I had preterm rupture of amniotic sac.My FSH is 17(range:3-12). AMH is high,AFC is high. Does high FSH and history of PPROM indicate poor egg quality?
High FSH/egg quality: I'm curious why you had your FSH level (assuming done day 3 of period) checked. For example, do you have a history of infertility and need treatment to aid in getting pregnant and this is an updated check? If you delivered recently and got pregnant without difficulty (esp. at your age), it's unlikely the FSH of 17 means anything for you as far as egg quality. PPROM per se not marker of egg qual. ...Read moreSee 1 more doctor answer
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
High risk pregnancies are those in which the risk to the mother or the baby is higher than for the average pregnancy. A pregnancy can be termed "high-risk" when the mother has a pre-existing condition such as high blood pressure or diabetes, or when she has had previous problem pregnancies, is pregnant with multiple babies, or ...Read more
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