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Doctor insights on: Is Ethnicity A Factor In Delivery With Shoulder Dystocia

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Is a woman with sc blood genotype a sickle cell carrier or patient. And what is the health implication of this especially during pregnancy?

Is a woman with sc blood genotype a sickle cell carrier or patient. And what is the health implication of this especially during pregnancy?

Hgb SC: Is a sickle cell syndrome but the genetics are different. A woman with HGB sc will pass either a HGB s gene, or a HGB c gene to her child. It is important to know what kind of HGB the father has-he should have a hemoglobin electrophoresis to find out how the child might be affected. Pregnancy complications are rare, but the baby can have a low weight, and rarely there are complications for the mom. ...Read more

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In how many percentage of cases a mother or baby died due to general anesthesia in c section.? In your practise. ?

In how many percentage of cases a mother or baby died due to general anesthesia in c section.? In your practise. ?

General Anes and OB: General anesthesia is used for urgent delivery and when regional anesthesia ( spinal or epidural ) is contraindicated. Statistically, general anesthesia is very safe, with severe complications in 1 or of 50, 000 to 1 out of 200, 000 cases. I have been in practice 37 years and have never seen a severe complication from general or regional anesthesia for delivery. ...Read more

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What is the ideal time for cesarean section in women with central placenta previa ?

What is the ideal time for cesarean section in women with central placenta previa ?

After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...Read more

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Is primary tokophobia a known condition to obstetricians? R women with the condition respected? Are they forced in vaginal deliveries to avoid a c sec

Is primary tokophobia a known condition to obstetricians? R women with the condition respected? Are they forced in vaginal deliveries to avoid a c sec

Not a known term: I haven't heard the term, but based on the word I assume it is fear of contractions. Vaginal births cannot be forced, they happen spontaneously; cesarean sections are what can become forced (i.e. Can only occur with the intervention of another) ...Read more

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What is expected when a man of a+ and woman of o rh+ produces an offspring ? Could this translate to any complications in terms of blincompatibilit

What is expected when a man of a+ and woman  of  o rh+ produces an offspring ?  Could this translate to any complications in terms of blincompatibilit

ABO: You are a+, the woman is o+. Women who are o+ carry anti-a and anti-b antibodies. The child will either be a+ or o+. If the child is a+, there is a chance that mother's anti-a antibodies will be high and cross the placenta and cause red cell break down. This doesn't affect the baby in utero but may cause high bilirubin levels (or jaundice) in the new born. ...Read more

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Can raising a premature baby's feeding from 19cc to 30 cc play a part in the baby getiting necrotizing enterocolitis?

Can raising a premature baby's feeding from 19cc to 30 cc play a part in the baby getiting necrotizing enterocolitis?

Unlikely: Nec (necrotizing enterocolitis) affects mainly prematurely born infants who sustained hypoxic insult. Early introduction of oral feeding seems precipitate the development of nec, not the increase of oral intake. ...Read more

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Section with first/breech. This is last baby. No complications this preg. Which is riskier to baby--section or vbac? Which is riskier to mother?

Section with first/breech. This is last baby. No complications this preg. Which is riskier to baby--section or vbac? Which is riskier to mother?

Baby prefers C/S.: In broad terms, a repeat cesarean delivery without labor is the safest for the baby. Both options are extremely safe for the mother in the U.S. - slightly increased risk with cesarean. If you are planning to have your tubes tied for permanent sterilization you are better off scheduling your repeat cesarean delivery at 39 weeks with btl to be done at the same time. Talk to your obstetrician! ...Read more

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Is vaginal tightness a factor of age?

Is vaginal tightness a factor of age?

A minor factor...: The biggest factor is the number of vaginal deliveries. lacerations at delivery, etc. Age is a secondary factor. Best wishes! ...Read more

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I have heard that fetal heart rate bear a relation with the gender of the baby. Less than 140 BPM indicates a boy and vice versa. How far is this true?

I have heard that fetal heart rate bear a relation with the gender of the baby. Less than 140 BPM indicates a boy and vice versa. How far is this true?

Not true.: All the indirect "signs" of fetal gender are old wive's tales; if you want to know your baby's sex, just get an ultrasound (or even blood test nowadays such as maternit21/harmony). There is no scientific proof that male fetuses have lower baseline heart-rate in comparison to females. Gender does not affect fetal heart rate variation. Oguch o, steer p. Br j obstet gynaecol. 1998 dec;105(12):1312-4. ...Read more

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What are the risks associated with a repeat c-section after laboring in attemp of vbac?

What are the risks associated with a repeat c-section after laboring in attemp of vbac?

Infection, bleeding.: An urgent or emergent repeat cesarean section after failed trial of labor in women with a prior cesarean section can be a very morbid procedure with high risk for infection, fever, bleeding, transfusion, injury to the bladder, ureters, bowel, possible hysterectomy and infertility. A prelabor repeat c-section is infinitely safer and more controlled - and is a much preferable choice. ...Read more

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Whipple/Oncology: What is the likelihood of a persons demise during or directly after a Whipple IRE intensive operation for pc? Are there any numbers?

Whipple/Oncology: What is the likelihood of a persons demise during or directly after a Whipple IRE intensive operation for pc? Are there any numbers?

Unusual: Experience is the most important part of the procedure. Knowing how to find the SMV helps and creating the tunnel under the pancreatic neck is important so that it extends to where the gastroduodenal artery is ligated at the hepatic artery. Because of many anastomosis, drains should be used I employ a T-tube in the CD anastomosis. If all is performed properly, very low mortality.less than 1% ...Read more

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Wich is the probability that a 66yo woman with spontaneous, monolateral bloody nipple discharge have cancer?no injuries,no drugs and no familiarity

Wich is the probability that a 66yo woman with spontaneous, monolateral bloody nipple discharge have cancer?no injuries,no drugs and no familiarity

Varies: There can be benign conditions such as ductal papilloma, or there could be a cancerous cause. I hope yours is benign. Be sure to see a doctor and get a mammogram soon. ...Read more

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Is the a connection between pyloric stenosis in 1 sibling and mentriers disease in another? I was born with pyloric stenosis and my sister now has menetrieres disease. Is there a gastric problem in our family?

Is the a connection between pyloric stenosis in 1 sibling and mentriers disease in another? I was born with pyloric stenosis and my sister now has menetrieres disease. Is there a gastric problem in our family?

I : I couldn't find any studies that tied the two together except that they can both present with obstruction and should be differentiated for proper treatment. No one really knows why a child will get pyloric stenosis, but it is thought to have some genetic component since it can run in families. Menetrier's disease can be broken down into 2 types: childhood and adult. Both types tend to happen after the person has been infected with a specific virus called cytomegalovirus (CMV) or bacteria call h. Pylori. The childhood type has a good prognosis and usually clears up on its own. The adlut type requires treatment. Kids are not born with this disease and it does not get passed from parent to child which makes it unlikely that your pyloric stenosis is related to her menetrier's. ...Read more

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Is there a higher incidence of femur fracture with da approach to hip replacement compared to other approaches? Or is it dr experience?

Is there a higher incidence of femur fracture with da approach to hip replacement compared to other approaches? Or is it dr experience?

No: There is an association between complications of the direct anterior approach and fractures of the proximal femur. The technique is more difficult to learn then posterior exposure and there are a higher incidence of complications early in a doctors experience. Otherwise no. Fractures occur when we place the prosthesis on occasion. ...Read more

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My wife is having a 6.4 level of hypothyroidism during her 1st trimester of pregnancy. Is it a matter of risk or can be controlled?

My wife is having a 6.4 level of hypothyroidism during her 1st trimester of pregnancy. Is it a matter of risk or can be controlled?

Can be controlled: She must consult with her ob/gyn and an endocrinologist (thyroid specialist). It is essential for the good health of the baby ; your wife to make frequent appointments and keep them. ...Read more

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What are the complications with a premature (34 weeks) male newborn who is missing a chromosome?

What are the complications with a premature (34 weeks) male newborn who is missing a chromosome?

Which one?: The answer to your question will likely vary depending on which chromosome has been deleted. ...Read more

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Why is having fewer pregnancies or fewer kids a risk factor for cancer of the breast?

Why is having fewer pregnancies or fewer kids a risk factor for cancer of the breast?

Estrogen exposure: Prolonged exposure to and higher concentrations of estrogen increases the risk of breast cancer. The more pregnancies the fewer menses. Breast feeding accomplishes the same goal. Also age at 1st birth is associated with bc risk too. Check this out from acs: http://bit.Ly/oysxjs. ...Read more

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Is percieving recurrent reduced movement a prediction of poor outcome at 32 weeks? Anterior placenta. Having to constantly go in for NST due to this.

Is percieving recurrent reduced movement a prediction of poor outcome at 32 weeks? Anterior placenta. Having to constantly go in for NST due to this.

Nst: As long as the NST comes back normal the outcome will be just fine, however if there is an issue with the NST your OB will deliver the baby right away, and at 32 weeks your baby will be allright. ...Read more

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What is the current surgical method of choice for repairing a cystocele resulting from childbirth trauma? Cystocele has resulted in stress incontinence and physical therapy with pelvic health specialist is not enough. Condition is still present 2 years a

What is the current surgical method of choice for repairing a cystocele resulting from childbirth trauma? Cystocele has resulted in stress incontinence and physical therapy with pelvic health specialist is not enough.  Condition is still present 2 years a

Colporrhaphy: The bladder can be elevated back into the normal anatomic position via surgery. Often, the uterus and rectum are falling as well. If the only repair is o the bladder, the failure rate can be quite high. After completion of childbearing, complete vaginal repairs in conjunction with a hysterectomy is generally the most effective treatment. ...Read more

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