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Doctor insights on: Is Five Minute Apgar Score Less Than Or Equal To 6 A Symptom Of Premature Baby

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Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

You'd be amazed...: The majority of 24 week infants now survive, especially if they make it through the first 48 hours of life. That's not to say they may not have significant problems with breathing, feeding, development, vision. You also don't say 24 weeks and how many days . 24 weeks 0 days is worse than 24 weeks 5 days - at that stage of the game, every extra day makes a difference. Continue hope, faith and pray. ...Read more

Dr. Chevies Newman
1,113 doctors shared insights

Premature (Definition)

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


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Had 2 babies over 40. Is that considered high risk for breast cancer? Breastfeed both. How much higher of a risk than average woman.

Had 2 babies over 40. Is that considered high risk for breast cancer? Breastfeed both. How much higher of a risk than average woman.

Minimal if any: We don't truly understand what "causes" breast cancer outside certain mutations (brca1/2) ; in most cases its a combination of factors - gene switches ; lifetime experiences. Many items associated w/ "risk" have been identified such as early menarche, late 1st period, mammo density. These are not causes but likely surrogates for other influencing factors. #1 risk: being female and having breast. ...Read more

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Baby motrin or baby tylenol (acetaminophen)? From a doctors standpoint, is one more effective than the other and does one have a higher risk? 6mo teething baby.

Baby motrin or baby tylenol (acetaminophen)? From a doctors standpoint, is one more effective than the other and does one have a higher risk? 6mo teething baby.

Both are good: Tylenol (acetaminophen) has fewer reported complications so may be a bit 'safer' but Motrin is going to be more effective in reducing a fever. For a non-fever minor pain situation like teething, i'd use tylenol (acetaminophen) first but if that doesn't help Motrin would be most likely fine assuming you are carefully observing dosing recommendations. ...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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For a twin pregnancy, what is considered a short cervical length? Is 2.5 CM at 24 weeks considered short (and so put me at increased risk for ptl)?

For a twin pregnancy, what is considered a short cervical length?  Is 2.5 CM at 24 weeks considered short (and so put me at increased risk for ptl)?

Depends: All twin pregnancy are at risk for ptl.Your cervix at 2.5 cm requires follow up with your high risk doctor to make sure is not shortening any more. Dont stress too much, make sure u let the doctor know if you get cramping, bleeding or leakage of fluid.Make sure you keep ur appts as well. ...Read more

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Reason for a higher than expected resting heart rate in an athlete? mine is about 80-95. used to be in the 60's? i drink tons of water

Reason for a higher than expected resting heart rate in an athlete? mine is about 80-95. used to be in the 60's? i drink tons of water

Fast pulse: That is an abnormally rapid resting heart rate for a healthy young person. Causes include overactive thyroid, fever, anemia, caffeine, alcohol, nicotine, anxiety, cardiac arrhythmias and certain stimulant medications. I recommend an evaluation by your physician and appropriate tests will be ordered. ...Read more

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What is an estradiol level range that is low for any part of the cycle of a healthy young woman? Is less than 20 too low? Mine is never higher than 32

What is an estradiol level range that is low for any part of the cycle of a healthy young woman? Is less than 20 too low? Mine is never higher than 32

Too low: Yes, twenty is quite low for a young woman. Furthermore, your Estradiol level should be well above 32 during most of your cycle. Since there could be many causes of this you would need to be evaluated by an endocrinologist or gynecologist - sometimes both. ...Read more

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If one testicles is 4 times bigger than the other and progesterone is 5.03 ng/ml and testosterone is 102.44 ng/dl of 6 yr old boy. What is the reason?

If one testicles is 4 times bigger than the other and progesterone is 5.03 ng/ml and testosterone is 102.44 ng/dl of 6 yr old boy. What is the reason?

Rule out tumor: Need to rule out testicular tumor, quite possibly a sertoli or a leydig cell tumor. Boy needs to have tumor markers of alphafetoprotein (AFP) ; beta hcg. Unusual for it to have grown so large. Also needs a scrotal ultrasound. Tumor needs to be removed with intra-operative frozen section pathology if available. This is a rare tumor ; hopefully benign. Needs expert care. Please keep us informed. ...Read more

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What has a more of a chance to lose all or more babies in triplets selective reduction or natural miscarriage of one triplet?

What has a more of a chance to lose all or more babies in triplets selective reduction or  natural miscarriage of one triplet?

Miscarriage unreliab: You can't rely on a natural miscarriage so if the plan is to have twins then reduction is the only way to go. That said, it is not without risk. ...Read more

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My heart rate increases at doctors office and is normal at home, is this a sign of anxiety, at anytime in a day my heart rate is less than 75.

My heart rate increases at doctors office and is normal at home, is this a sign of anxiety, at anytime in a day my heart rate is less than 75.

Heart rate: Heart rate is closely related to emotional state and often it goes up when anxious such as many people are when visiting the doctor ...Read more

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In my 31 week of pregnancy, baby kicks are less than 10 per hour, what does this mean?

In my 31 week of pregnancy, baby kicks are less than 10 per hour, what does this mean?

Lie on left side...: To count kicks, drink lots of water, lie on your left side, and then do a kick count for one hour. If there are less than 10 kicks within an hour, one should contact the doctor right away to have the baby placed on a fetal monitor for evaluation, at the birth center or hospital. It is important to make sure baby is getting enough oxygen and nutrients, and that everything is okay. ...Read more

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After a 40 minute basketball shoot out heart rate is at 103 but not higher than this and stay within 100-90s for a 3 to 4 hrs is this a concern ?

After a 40 minute basketball shoot out heart rate is at 103 but not higher than this and stay within 100-90s for a 3 to 4 hrs is this a concern ?

No: It is normal for your heart rate to go up like that with exercise. A heartbeats of 100 is normal . You might be our of condition a bit why it does not come down more but it is ok ...Read more

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Can you tell me is a -3.1 mm st heart depression lasting longer than 1 minute bad or good?

Can you tell me is a -3.1 mm st heart depression lasting longer than 1 minute bad or good?

ST depression: Ecg findings need to be interpreted in the context of clinical situation and information. In general, we would be highly concerned about isoelectric st segment depression of 3mm lasting longer than 1 minute. There could be situations which would suggest less reason for concern depending on the physiology of the situation. ...Read more

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Would an hCG level of 634 put a pregnancy in a range of 1 week or less than a week? Is it too high for less than a week?

Would an hCG level of  634 put a pregnancy in a range of  1 week or less than a week? Is it too high for less than  a week?

Hcg levels: Preg is "dated" by first day of last menses. "a wk pregnant" is technically before conception, (typically around ovulation @ day 14 depending your cycle length). You'd be "3 weeks" "ega" est. Gestational age if conception a week ago. Nml HCG doubles every 48-72 hours till 8-11 weeks ega. Rough:3 wks: 5-50 4wk 5-486, 5wk:18-7340 (labs vary don't fret early variation common, us can confirm ega). ...Read more

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In stress the need for bcomplex is higher than RDA - but how much? By 50,70, 200 or more?

In stress the need for bcomplex is higher than RDA - but how much? By 50,70, 200 or more?

Don't get your: medical information from friends, tv or internet scams. Eat a healthy diet and you'll get more than enough vitamins. If you're concerned, try the cheapest generic once/day vitamin you can buy. ...Read more

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What is the percentage/risk of one or more babies having cerebral palsy with triplets?

What is the percentage/risk of one or more babies having cerebral palsy with triplets?

3.1% for all & 8% : For 1 triplet to have cp. Drops in blood flow/oxygen to the fetal brains any time during pregnancy, but most commonly near the end of the 2nd trimester through labor & delivery increase the risk, as does delivery at. ...Read more

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Is hearing of a 'high pitch sound' for less than 1 second, every month or so, a problem?

Is hearing of a 'high pitch sound' for less than 1 second, every month or so, a problem?

No: The belief is that it's a hair cell within your inner ear dying making that noise. But you have hundreds of them, so loss of a few is completely normal and expected. But take care to not listen to loud sounds if you can avoid them. ...Read more

Apgar (Definition)

The apgar score was devised in 1952 by the eponymous dr. Virginia apgar as a simple and repeatable method to quickly and summarily assess the health of newborn children immediately after birth. Apgar was an anesthesiologist who developed the score in order to ascertain the effects of ...Read more


Dr. Cindy Juster
260 doctors shared insights

Premature Baby (Definition)

Any newborn infant with a gestational age of less 37 weeks- since most pregnancies other than in vitro fertilization cannot determine exact dates of conception, several methods such as early ultrasound, last menstrual period, and the Ballard gestational assessment can ...Read more