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Doctor insights on: Internal Fetal Monitoring Procedure

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Is internal fetal monitoring require an invasive procedure?

Is internal fetal monitoring require an invasive 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 more

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Dr. Mark Ingerman
6 doctors shared insights

Internal Fetal Monitoring (Definition)

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


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Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?

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 more

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Who performs a fetal echo? Pediatric cardiology or perinatology?

Who performs a fetal echo? Pediatric cardiology or perinatology?

Either can, but: A pediatric cardiologist is specifically skilled in congenital heart disease, and is more likely to catch as much detail as possible. They can also counsel parents in more detail about discovered abnormalities. ...Read more

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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?

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

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When is an interventional cardiac catheterization procedure needed?

When is an interventional cardiac catheterization procedure needed?

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 more

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Can abnormal heart rhythms be detected with weekly fetal monitoring?

Can abnormal heart rhythms be detected with weekly fetal monitoring?

Often: If the arrhythmia is intermittent, it may be difficult to detect with weekly monitoring. Most of the significant fetal arrhythmias are sustained and should be detected by an examination that includes an assessment of fetal heart rate and rhythm. ...Read more

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Is there a role for central venous catheter in invasive hemodynamic monitoring for preeclamptic?

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 more

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My dopler scan says a loop of cord vessel seen close to the fetal neck .is their any complication in normal delivery?

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

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What is intra uterine fetal death?

What is intra uterine fetal death?

In utero demise: An intrauterine fetal death or demise is a pregnancy complication where the fetus dies in the uterus before labor occurs. It usually requires labor induction or a d & e to remove the fetus and the other products of conception from the uterus. ...Read more

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What is the difference between a pediatric surgeon (neonatal or fetal intervention) vs. ob/gyn (perinatology)?

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

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Ultrasound showed fetal demise and collection of fluid after an abortion?

Ultrasound showed fetal demise and collection of fluid after an abortion?

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

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After 1b low grade Endometrial stromal sarcoma hysterectomy operation, should the follow-up monitoring be done with CT/CAT or MRI?

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

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Is heart laser surgery performed on an enlarged heart safe?

Is heart laser surgery performed on an enlarged heart safe?

Ablation?: Not sure exactly what procedure you are asking about. Maybe an ablation for atrial fibrillation or other arrhythmia? Those are generally quite safe. ...Read more

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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?

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

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Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?

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 more

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Dr. Susan Almquist
213 doctors shared insights

Fetal Monitoring (Definition)

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