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Doctor insights on: Is It Better To Have Vaginal Or Abdominal Delivery If Morbidly Obese

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Is it better to have vaginal or abdominal delivery if morbidly obese?

Is it better to have vaginal or abdominal delivery if morbidly obese?

Vaginal: Vaginal delivery is still considered to be the safest option for most mothers depending on the particulars of her pregnancy. Morbidly obese gravidas, for a number of reasons, have about a 30% chance of needing a cesarean section. The good news is that 70% will deliver successfully vaginally. ...Read more

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Dr. Quang Nguyen
4,576 doctors shared insights

Obesity (Definition)

Having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for ...Read more


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If i'm having twins is it easier to have a c-section?

If i'm having twins is it easier to have a c-section?

No: C-sections carry the complications of surgery and anesthesia. If the twins are presenting both head first and are size appropriate for the mother, then a trial of labor could possible be considered. In any other presentation such as breech (bottom first) then caesarian section should be seriously considered. ...Read more

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Is there any risk in having an anal sphincterectomy if i want to have more children and deliver vaginally? Fissure hasn't heal with medical treatment.

Is there any risk in having an anal sphincterectomy if i want to have more children and deliver vaginally? Fissure hasn't heal with medical treatment.

Anal fissue: Theoretically, yes. If a vaginal birth is complicated by a 4 th degree tear, then that potentially can weaken the sphincter and a concomitant sphincterotomy could aggravate that. Sphincterotomy alone and in the right hands has a minimal chance of sphincter issues and is an excellent treatment of chronic anal fissure that has failed medical mgmt. ...Read more

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Is it possible to choose to have a c-section if I want that over a vaginal delivery?

Is it possible to choose to have a c-section if I want that over a vaginal delivery?

It depends: Talk to your doctor about your reasons that you want a section. YOu will experience a longer recovery with a c section, and there are more complications after a csection than a vaginal delivery. ...Read more

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How safe is it to have rough sex if you are 28weeks pregnant with a baby that has gastroschisis? Is it possible to cause premature labor if too much?

How safe is it to have rough sex if you are 28weeks pregnant with a baby that has gastroschisis? Is it possible to cause premature labor if too much?

Rough sex: "rough sex" is a variable term, and depending on extent could be damaging even if not pregnant. Gastroschisis is considered a high-risk pregnancy in many hospitals and requires careful monitoring. http://tinyurl.com/kfat7ap sex during pregnancy is generally safe, but i suggest speaking very frankly with your high risk OB doctor so that you're both clear about the kind of activities you mean. ...Read more

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Petite person with a small pelvis, so I think that may be cesarean delivery best?

Petite person with a small pelvis, so I think that may be cesarean delivery best?

Yes - depends.: The risk of cesarean section depends on maternal height/weight and pelvic size, as well as on fetal size, lie and placental location. Talk to your doctor. ...Read more

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Is a low fat dinner recommended the eve prior to having an abdominal sonogram. If so why?

Is a low fat dinner recommended the eve prior to having an abdominal sonogram. If so why?

Should fast overnigh: Please follow the instructions from the imaging center or hospital exactly as written. Being properly prepared will increase the likelihood of an technically excellent exam. Imaging of the gallbladder is better with a short (usually overnight, at least 8 and no more than 24 hours) fast. Usually drinking water is encouraged to stay hydrated which may improve kidney images. ...Read more

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Is it safe to exercise if you have rectal prolapse or will this make it worse?

Is it safe to exercise if you have  rectal prolapse or will this make it worse?

Exercises: Avoid abrupt, heavy weight lifting and bouncing. Pelvic tilt exercises, abdominal strengthening, inner thigh exercises and slow lunges all improve pelvic floor muscles. ...Read more

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What happens if your baby is both extremely large and breech, is it safer to have him naturally or by c-section?

What happens if your baby is both extremely large and breech, is it safer to have him naturally or by c-section?

You decide: The head is part with the largest dimension that needs to transit the birth canal. In practice, if the feet come first, there is no guarantee that the head will. ( they can & do get stuck) If head first, feet and umbilical cord come after with plenty of room. Feet first, the head can also compress the umbilical cord like a tourniquet so baby gets no oxygen= likely brain damage. Answer should be ez ...Read more

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Is it normal for a woman who with central abdominal obesity to look pregnant even when she isnt?

Is it normal for a woman who with central abdominal obesity to look pregnant even when she isnt?

Obesity: Obesity, defined as a bmi >35, can often involve the abdomen or trunk of one's body. This form of "central obesity" tends to be more dangerous in terms of the risks for developing diabetes, sleep apnea, and heart disease. Such a person might look pregnant in certain clothes. ...Read more

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Is it true if you had a maternal aunt with breast cancer you are more likely to get it?

Is it true if you had a maternal aunt with breast cancer you are more likely to get it?

True!: Yes. Family history of breast cancer in second degree relatives increases the risk of breast cancer but only modestly. Family history in a first degree relative is a much stronger risk factor. In addition, if the family member is diagnosed younger age, the risk is higher than if he/she was diagnosed at older age. ...Read more

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If u have smaller arteries it must be easier to get high BP than if u have big right? I mean it's less area for the blood.

If u have smaller arteries it must be easier to get high BP than if u have big right? I mean it's less area for the blood.

Blood pressure: It isn't quite as simple as you put it because there are multiple variables involved. Pressure is related to flow and resistance, if the smaller arteries produce a higher resistance to the fixed flow then pressure will be higher. If you equate smaller arteries to higher resistance to flow, then you are more or less 'right.' ...Read more

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So my 14mm abdominal aorta is not more likely to rupture than a normal aorta? It's actually less likely due to Laplace law? Can I weight lift much?

So my 14mm abdominal aorta is not more likely to rupture than a normal aorta? It's actually less likely due to Laplace law? Can I weight lift much?

CameToThRightLaPlace: Not "due" to Laplace's Law. LaPlace's Law came about by the Laws of Nature. But like I said, I wouldn't worry too much about it. Lift away, just be smart about it. Proper posture and breathing. Even Arnold had to learn that the hard way! But I sense you need more info or reassurance so do some research on the web or see a cardiologist or internist. Or talk to the guy who ordered the CT. ...Read more

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If 10 centimeters dilated and baby has not yet dropped is that need for c section? Or would that be vaginal?

If 10 centimeters dilated and baby has not yet dropped is that need for c section? Or would that be vaginal?

Dilatation: I'm not exactly sure what you mean by saying "dropped". In order for the cervix to dilate the head or presenting part has to be in contact with the cervix. Therefore, the baby is in the birth canal. If no further movement occurs or not enough occurs after an appropriate amount of pushing or there is evidence of fetal or maternal distress a c-section is done, otherwise a vaginal delivery is done ...Read more

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Is it true if you have a lot of sex, vaginal birth will be easier?

Is it true if you have a lot of sex, vaginal birth will be easier?

?: Not that i've ever heard of. Think about the relative sizes involved and you will see why this is not logical. ...Read more

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Can someone at the age of 18 get a hysterectomy? My periods are awful, and I want kids, but would be open to adopting if it means no more suffering...

Can someone at the age of 18 get a hysterectomy? My periods are awful, and I want kids, but would be open to adopting if it means no more suffering...

Yes, but....: There are so many ways to help you feel better that do not require removing your uterus. Only on very rare occasions does the uterus need to be removed to control symptoms. You need to see a doctor and figure out why you are having such pain and then treat the cause. ...Read more