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Doctor insights on: High Risk Pregnancy Previous Second Or Third Trimester Loss

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Dr. Amrita Dosanjh
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


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My ob found dehiscence of low-t scar during 2nd c/s delivery @39w (bw 9lb; 16m interdelivery interval). I want a 3rd & last pregnancy. How would you manage risk of rupture--including spontaneous risk?

My ob found dehiscence of low-t scar during 2nd c/s delivery @39w (bw 9lb; 16m interdelivery interval). I want a 3rd & last pregnancy. How would you manage risk of rupture--including spontaneous risk?

At Time of Surgery: If determined to have another pregnancy, the best help would have been at time of surgery with a two layer closure of the uterine opening. Docs argue about best interval time but logically waiting over a year before conceiving appears to decrease risk of rupture. Lastly, the most dangerous thing is beyond your control since an accreta is your highest risk & unpreventable. A good OB - priceless! ...Read more

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25 weeks pregnant, is Zika risk still a concern in third trimester?

25 weeks pregnant, is Zika risk still a concern in third trimester?

Yes,: The neurological damage from exposure to Zika in the third trimester is more subtle than when the exposure occurs earlier in pregnancy, None-the-less, observational experience strongly suggests that, even if the brain appears anatomically normal at birth, developmental problems may emerge as the child grows. ...Read more

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Had GD in last pregnancy, diet controlled.Does every subsequent pregnancy put me at a higher risk of developing established Type 2 diabetes?

Had GD in last pregnancy, diet controlled.Does every subsequent pregnancy put me at a higher risk of developing established Type 2 diabetes?

Not exactly: Having gestational diabetes means that you are at a higher risk of having GDM again in future pregnancies. It also means you have a higher lifetime risk of type 2 diabetes. The number of total pregnancies does not directly correlate with the lifetime risk of type 2 diabetes. ...Read more

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Are the chances of miscarriage still high in 2nd trimester with twins?

Are the chances of miscarriage still high in 2nd trimester with twins?

Twin Pregnancies : The twin miscarriage rate is 17-20% overall, but does become less frequent later in pregnancy. Nevertheless, as you already know, twin pregnancy is a high risk pregnancy, and should be under the close care of your OB provider. ...Read more

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What are the main causes of second trimester pregnancy loss other than fetal abnormalities? I lost my baby at 22 wks, i hav fibroids.

What are the main causes of second trimester pregnancy loss other than fetal abnormalities? I lost my baby at 22 wks, i hav fibroids.

Look up: Incompotent cervix, an issue where a weakended or shortended cerivx causes painless cerival dilation and second tirmester losses due to early delivery. The other may be a cord accident or autoimmune(but it is late for that problem). It can be difficult to say, sometimes there is an autopsy. ...Read more

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I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.

I'm O+, my husband is AB+. What's the likelihood of our baby having neonatal anemia? High risk pregnancy w/ maternal anemia and planned c-section cutting through anterior placenta previa.

Possible: There is some possibility of an A/O or B/O reaction with jaundice and hemolytic disease but that part of this is usually minor and easy to manage. An OB with quick hands can limit the other issue. I would try to relax and figure out what your life will be like with 3 kids running around. ...Read more

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CAP CT done on 6dpo. I am aware of increased spontaneous miscarriage. But if pregnancy viable, will my baby be at higher risk for any birth defects?

CAP CT done on 6dpo. I am aware of increased spontaneous miscarriage. But if pregnancy viable, will my baby be at higher risk for any birth defects?

Highly unlikely: At this stage of the pregnancy it is generally an "all or nothing" radiation effect, i.e. either the embryo is completely unaffected, or there is miscarriage. ...Read more

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Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?

Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?

Yes: The subchorionic hemorrhage needs to be followed closely. Most resolve with rest and decreased activity. If they do not, and bleeding continues, they can progress to cause miscarriage or PPROM. ...Read more

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Can a common cold during the first trimester increase the chance of birth defects? No fever and no medications were taken.

Can a common cold during the first trimester increase the chance of birth defects? No fever and no medications were taken.

No: The common cold is a localized process i your upper airway.It does not generate a blood phase that would send the virus to baby through your placenta. Similar conditions like strep throat or a UTI that are localized are also no risk. It is the blood borne issues like measles that cause problems. ...Read more

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High risk pregnancy last time due to abruption. Am I at risk again?

High risk pregnancy last time due to abruption. Am I at risk again?

Yes.: Placental abruption is poorly understood and unpredictable. The risk of recurrence has been reported to be 5-15%, compared to a baseline incidence of 0.4-1.3% in the general population. After two consecutive abruptions, the risk of a third rises to 20 to 25%. When the abruption is severe enough to kill the fetus, there is 7% recurrence risk with the same complication. Aspirin could help prevent it. ...Read more

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I have had 3 pregnancies all high risk and c sections. I got my tubes clamped. I'm having the same high risk pregnancy early pregnancy symptoms.

I have had 3 pregnancies all high risk and c sections. I got my tubes clamped. I'm having the same high risk pregnancy early pregnancy symptoms.

Pregnancy rare: It is extremely rare to get pregnant after a bilateral tubal ligation, especially current technique - which includes cutting, cauterizing, then clipping tubes. Your symptoms may be due to hormonal changes. However, if having unprotected sex recently, and you are anxious, you can check a home pregnancy test to reassure yourself. Take Care! ...Read more

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What is considered low blood pressure in third trimester of pregnancy?

What is considered low blood pressure in third trimester of pregnancy?

Which cause symptoms: Numbers are for general assessment and may vary person to person. If you are dizzy or lightheaded you may have low bp. ...Read more

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Can catching fifth disease during third trimester cause problems for baby at birth, ?

Can catching fifth disease during third trimester cause problems for baby at birth, ?

Rare: Fetal complications from exposure to fifth disease or parvovirus are rare in the 3rd trimester. Have you had a test to see if you've been exposed? Your doctor can perform a blood test to see if you have been exposed. ...Read more

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Can low progesterone in the first trimester cause a blighted ovum or a missed miscarriage?

Can low progesterone in the first trimester cause a blighted ovum or a missed miscarriage?

No and sometimes: Not a blighted ovum, that's genetic; first trimester loss is sometimes caused by luteal phase defect ("low progesterone."). ...Read more

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What are the risk and outcomes of low amniotic fluid in the first trimester? (17weeks pregnant)

What are the risk and outcomes of low amniotic fluid in the first trimester? (17weeks pregnant)

Poor lung developmnt: The fluid is what the fetus "breathes" and helps the lungs develop normally. Severely decreased amniotic fluid can prevent the lungs from growing, developing, and being able to support the breathing needs of a newborn. Please visit with your provider to discuss management and options. Best wishes to you. ...Read more

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What are major developments in second trimester of pregnancy?

What are major developments in second trimester of pregnancy?

Lots: Too much to answer in 400 spaces! go to: http://www.Pregnancy.Com this web site has week by week information on what's happening with baby development, how mom should be feeling, etc. Hope it helps. ...Read more

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Dr. Michael Sparacino
384 doctors shared insights

High Risk Pregnancy (Definition)

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