Doctor insights on:
Internal Fetal Monitoring Procedure
Yes: Internal monitoring requires that the bag of water is broken. If it is intact, the doctor will break the bag of water with a tiny plastic hook. If contractions need to be monitored, a small plastic tube (iupc) is slid into the uterus, it gets squeezed during contractions and monitors intensity. If the baby needs to be monitored a small heart rate monitor is attached to the baby's scalp. ...Read moreSee 1 more doctor answer
Your health care provider will monitor you and your baby throughout your pregnancy. These tests may be done anytime during your pregnancy, especially if you have a high-risk pregnancy, a medical condition, or have had complications with a previous pregnancy. Sometimes a test may be repeated at intervals to show the well-being of the baby over time. Finally, tests may be done if you have reached 41- 42 weeks or are considered postdate, or "overdue." These tests are designed to miss as few abnormal babies as possible. That means a lot of healthy babies may have abnormal results. It's important to talk with your health care provider about testing so that you can understand how concerned she is ...Read more
Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?
Perinatal medicine : Fetal intervention/fetal surgery is performed by an entire team. The team is made up of a pediatric surgeon, Perinatologist, and a neonatolist. The pediatric surgeon is the one who performs the surgery, the Perinatologist manages the patient with the complications that can result from the surgery, such as preterm labor. The neonatologist takes care of the complications that the baby may have. ...Read moreSee 2 more doctor answers
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more
Different settings: There are different settings for this. The most appropriate is when a patient comes to the hospital with a heart attack in progress, under those circumstances, angioplasty (opening the occluded artery) saves lives. Cardiac catheterization is also indicated in patients with chest pain or shortness of breath with a positive stress test or high risk. Your doctor should decide. ...Read moreSee 1 more doctor answer
Rarely any more: CVP is falling out of favor as a way to manage fluids and volume status. It is only helpful when it rises very high, and is associated with significant risks in its placement and application. Pulse pressure variation (ppv) and stroke volume variation (svv) are less invasive ways to manage fluids and better reflect the response of the heart to changes in hydration. ...Read moreSee 1 more doctor answer
My dopler scan says a loop of cord vessel seen close to the fetal neck .is their any complication in normal delivery?
Common: This is common and usually causes no problem but the cord can tighten during delivery. The fetal monitor should show if there is a problem and you might have to have a C-section but I have delivered many babies with the cord around the neck vaginally and just lifted the cord over the baby's head after the head came out with no problem. ...Read more
I asked: Is cardiac monitoring used during transrectal ultrasound? I had the TRUS with conscious sedation & I had cardiac monitoring. No cardiac hx.
Cardiac monitoring: Is always done during conscious sedation, it's a rule nothing to do with your health history ...Read more
What is the difference between a pediatric surgeon (neonatal or fetal intervention) vs. ob/gyn (perinatology)?
Totally different: a pediatric surgeon is a specially trained surgeon who operates on the baby after birth, or in certain centers, can operate while the baby is in the womb (fetal surgeons). A perinatologist is an adult doctor who specializes in caring for the mother and diagnosing certain problems in the fetus before birth ...Read more
See your doctor: These are symptoms that require a thorough evaluation by your doctor. Only after obtaining this informstion, can he/she adequately diagnose and treat you. ...Read more
After 1b low grade Endometrial stromal sarcoma hysterectomy operation, should the follow-up monitoring be done with CT/CAT or MRI?
Your Gyn to guide: CT and MRI provide good images to detect pelvic/abdominal tumors. But your doctor should help you to decide whether either is indicated in your case. Most low grade tumors do not recur, so it is not necessary to do these expensive tests as their yield is very low. So they are not considered useful or helpful for Cancer surveillance in most Cancers .Annual medical checkup is all that I recommend ...Read more
Is a transeptal puncture required to access the left ventricular during an EP study for ventricular tachycardia? If so, is it as risky as A-fib?
If the tachycardia: is originating from a left sided focus either transeptal approach or retrograde approach across the aortic valve would be necessary. Any time you are intervening on the left side there are slightly increased risks but in experienced hands this is no more concerning than any other interventional procedure. ...Read more
Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?
Not traditionally: I don't believe so. There may be some programs that will experiment with noninvasive pre-fontan imaging, but i believe that this is risky. The pressures are obtainable only by catheterization and this data may change the operation (e.g., whether or not to fenestrate the fontan to allow a pop-off of blue blood to increase the cardiac output.) catheterization also allows presurgical interventions. ...Read moreSee 1 more doctor answer
Your health care provider will monitor you and your baby throughout your pregnancy. These tests may be done anytime during your pregnancy, especially if you have a high-risk pregnancy, a medical condition, or have had complications with a previous pregnancy. Sometimes a test may be repeated at intervals to show the well-being of the baby over time. Finally, tests may be done if you have reached 41- 42 weeks or are ...Read more
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