Top
20
Doctor insights on: Joint Commission Perinatal Core Measure Exclusive Breastfeeding

Share
1

1
Does dads job as a med equipment repair tech constitute risk of exposing infant to hep b ?

Does dads job as a med equipment repair tech constitute risk of exposing infant to hep b ?

Unlikely: Your dad would be wise to have the vaccine in that line of work, if not, his personal risk would depend on the type of equipment he worked on. Since hep b is a hardy germ, machines that involved blood or fluids could infect him. If he was infected, he would not pass it by casual contact with an infant. The infant has the benefit of an available vaccine that can be started at birth. ...Read more

See 1 more doctor answer
Dr. Ana Adelstein
4 doctors shared insights

Breastfeeding (Definition)

Breastfeeding is providing nutrition to an infant using breat milk either directly by infant latching and sucking on the nipple or by feeding via bottle with expressed breast milk (when baby has difficulty suckling). Breast milk is the best milk for any baby but ...Read more


2

2
Which jobs suitable for someone narcissistic , introverted , low esteemed , social anxiety one ? Or its better to keep home - no treatment is vital

Which jobs suitable for someone narcissistic , introverted , low esteemed , social anxiety one ? Or its better to keep home - no treatment is vital

Job could help: While treatment may not be vital, it could certainly help given your description. So could working since it will direct attention toward doing something useful. This will likely increase self esteem and help overcome social anxiety. Staying at home is a setting which is likely to increase the negative feelings which you imply. Your first step may be to speak with someone about your concerns. ...Read more

See 3 more doctor answers
3

3
What individual fetal measurement holds accuracy (represents true gestational age) longest in pregnancy (fl, ac, bpd, hc)?

What individual fetal measurement holds accuracy (represents true gestational age) longest in pregnancy (fl, ac, bpd, hc)?

Must use averages: I don't believe that any single measurement is most accurate throughout pregnancy. It is usually the averages that are taken. The most accurate measurements are actually in the first trimester in the way of the crown rump length in terms of predicting the estimated date of delivery. ...Read more

4

4
Asst. Professor in Engineering college and on study leave for PhD. @35. Low health. No child. 1 miscarriage. Long cycle. Hectic life.want safe planing?

Asst. Professor in Engineering college and on study leave for PhD. @35. Low health. No child. 1 miscarriage. Long cycle. Hectic life.want safe planing?

Planning?: Are you referring to birth control and family planning?. Initially, condoms and spermicidal foam, jelly, vaginal sponge or ovale ( vaginal suppository ); however, ultimately, a GYN exam and oral contraceptives if you are a candidate. ...Read more

5

5
Aog 29 weeks every test result normal , in new scan the result is bpd , hc is >97th% ile hadlock for aog , afi 22.38 high normal/ what is risk?

Aog 29 weeks every test result normal , in new scan the result is bpd , hc is >97th% ile hadlock for aog , afi 22.38 high normal/ what is risk?

Don't panic!: I did not understand the "ile hadlock" part of your question. But a large head and borderline high afi do not sound particularly concerning. First thought is you may be a few weeks further along than originally calculated. Hi afi's can be due to maternal diabetes, or rarely fetal abnormalities. Please discuss your concerns with your OB doc. ...Read more

6

6
Correlation between exercise mountain bike amd gimn vs general health benefits is scientifily supported?Benefits of movement?Work eight hours sitted..

Correlation between exercise mountain bike amd gimn vs general health benefits is scientifily supported?Benefits of movement?Work eight hours sitted..

Yes: There is a plethora of literature that supports that movement and exercise promote better health. There are many people that have sedentary jobs. That can be combated by getting up several times an hour to move around and with what you do in your time off. Mountain biking is excellent exercise so keep doing that. Good luck. ...Read more

7

7
Is the resolution of mindray DP 50 ultrasound is efficient for nerve block ? (My mom is an anesthetist)

Is the resolution of mindray DP 50 ultrasound is efficient for nerve block ? (My mom is an anesthetist)

Nerve block: In the not too distant past nerve blocks were done without any ultrasound or fluoroscopy but with a solid understanding of anatomy. Ultrasound now offers a different view and has the blocks safer. So yes is the answer provided you know what you are looking at and you know the anatomy. The basic skills are still important and ultrasound and x-ray are not replacements of this requirement ...Read more

8

8
What changes were made since 2008 in terms of medicare, medicaid & hmo/ppo insurance reimbursements of dme, mobility, bath safety & orthopedic items?

What changes were made since 2008 in terms of medicare, medicaid & hmo/ppo insurance reimbursements of dme, mobility, bath safety & orthopedic items?

This is a great: Question and ive tried to do some searching to give a concise answer but i cannot find a study that isolates this data. If you go to cms website and drill down to search the term dme http://www.Cms.Gov/site-search/search-results.Html?Q=dme you see how hard it is to give a quick answer, ( have you read an article in hfn or elsewhere that gives this data? If so please share. ...Read more

9

9
Is there any relationship between maternal weight gain during pregnancy and gestation period/duration for singletons? For twins?

Is there any relationship between maternal weight gain during pregnancy and gestation period/duration for singletons? For twins?

Not consistantly: Too little weight gain or excessive weight gain could be associated with indications for early delivery (iugr, pre-eclampsia, gestational diabetes, ect). There is no specific concrete direct relationship between pregnancy duration and maternal weight gain. ...Read more

See 1 more doctor answer
11

11
Is chronic disease management considered a particular specialty of nursing ?

Is chronic disease management considered a particular  specialty of nursing ?

Yes and no: Nurses may get specialized training and develop expert-level knowledge and experience in chronic disease management, but there is not one universal certification or national exam for nurses in this area. A good, attentive nurse can be a tremendous ally in managing any chronic health issue! ...Read more

12

12
Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more

13

13
Polycythemia, appears factitious, no secondary association, draw thrice 1unit blood in 1yr, s.Ferritin 5, weakness, no iron diet, hb.17.8.Help me. ?

Polycythemia, appears factitious, no secondary association, draw thrice 1unit blood in 1yr, s.Ferritin 5, weakness, no iron diet, hb.17.8.Help me. ?

Need another doctor?: This just isn't adding up. Forgive me. A teen being treated by phlebotomy for presumptive polycythemia vera rubra without having a serum erythropoietin assay or a jak2 assay, cell culture? A check for kidney tumor / hemangioblastoma? You may have a mutant erythropoietin receptor, a high-affinity hemoglobin (my guess); 17.9 is way below the who criteria. Something is wrong; get a 2nd opinion. ...Read more

14

14
Second child or no ? Needing medical opinions. First pregnant @ 22yo , pre e at 18wks , emerg c sec at 26 weeks for hellp. To much of a risk to try again ?

Second child or no ? Needing medical opinions. First pregnant @ 22yo , pre e at 18wks , emerg c sec at 26 weeks for hellp. To much of a risk to try again ?

There is risk, but..: The biggest risk for getting pre-eclampsia is having had it before. Age , weight and hypertension are also risks. Hellp (as you know), can be very dangerous, and your case occurred quite early. Prior to conception, consult a maternal fetal medicine specialist. Also, make sure you are in the best physical condition possible before pregnancy. ...Read more

See 1 more doctor answer
15

15
I'm 31 weeks pregnant. CMV IgG is 77iu, the reference range >1.0 is positive. CMV IgM is 1.52iu, positive also. How much the incidence of congen.CMV?

 I'm 31 weeks pregnant.
CMV IgG is 77iu, the reference range >1.0 is positive. CMV IgM is 1.52iu, positive also.
How much the incidence of congen.CMV?

Acute infection: is suggested by the presence of IgM antibodies but it is not 100 % certain that your infection did not start in the first half of pregnancy when the risk for the baby is higher. Of babies born with congenital CMV, 80 percent will have no consequences while 20 percent will have hearing loss over time and be at risk for other problems. It is important to determine if the virus iis present. while the details are too many to answer in this short space, there is reason to ascertain the presence of virus and consider hyperimmune globulin treatment which may reduce risk to the baby for consequences other than hearing loss. ...Read more

16

16
Any hospitals in US performing three level C spine surgery with synthetic disks? Experimental, no problem.

Any hospitals in US performing three level C spine surgery with synthetic disks? Experimental, no problem.

Artificial discs: The artificial disc is not FDA approved for three levels and US insurance companies will not pay for a three level cervical arthroplasty. Outside the US may be an option. ...Read more

See 1 more doctor answer
18

18
Is 30-45 min of walking on the treadmill @ 3.5mph @ 9% incline 3-5x weekly enough for maintaining general health? Cardio-health?

Is 30-45 min of walking on the treadmill @ 3.5mph @ 9% incline 3-5x weekly enough for maintaining general health? Cardio-health?

Cardiovasculr health: Absolutely. American Heart Association recommends at least 150 minutes per week of moderate exercise or 75 minutes per week of vigorous exercise (or a combination of moderate and vigorous activity). Thirty minutes a day, five times a week is an easy goal to remember. ...Read more

19

19
What is the importance of maternal nutrition during pregnancy?

What is the importance of maternal nutrition during pregnancy?

This sounds like : A school assignment. I would refer you to americanpregnancy.Org. You will find many other sites by googling it. ...Read more

Dr. Stratos Christianakis
1,189 doctors shared insights

Joints (Definition)

Joints are parts of the body, formed by the cartilage-covered ends of bones plus the strong, flexible ligaments that attach the bones to one another. Movements at the joints in the body allow the different parts of the body to move in ...Read more


Perinatal (Definition)

Natal means birth. Since peri means around & not during birth, which the ob-gyn does(birth of baby), this refers to the care before the birth as well as the care after the ...Read more