Doctor insights on:
Macrosomia Obstruction Of Labor
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more
Heartburn in Preg: Heartburn is very common in pregnancy. From a hormonal standpoint your gut relaxes and acid rises up. From a mechanical standpoint your growing pregnancy will push up on your stomach. These are not signs of preterm labor though; you would feel much stronger contractions. ...Read more
Not typically: Increased amounts of rest in pregnancy is important. Rest improves uterine perfusion for the fetus and allows your body to recover over the course of the day. Overall, good hydration and nutrition play an important role in all pregnancies. However, difficulty sleeping can be a common complaint in pregnancy. ...Read more
Small pieces of mucus plug lost, diarrhea, increased intensity of contractions (diagnosed w irritable uterus), 35 weeks. early signs of labor?
5 more weeks: it is not uncommon for attraction to begin starting at 32 weeks and they may not be a true sign of labor, rather the might just be practice contractions or whatare called Braxton Hicks contractions. Just because you lose some mucus, does not mean you will go into labor because your cervix will keep on creating mucus. call the hospital though, for regular painful contractions or loss of fluid. ...Read more
Delivery by cesarean section is one of the predisposing factors of neonatal respiratory distress syndrome, why? And how?
??RDS??: I would agree more cs babies have respiratory pbs than regular delivery but the issue is ttn ( transient tachypnea of the newborn) not rds.A trip down the birth canal helps squeeze some of the lung fluid out before birth, which does not happen for cs. About 10% of cs will have to work hard to clear that fluid & may require o2 & special care in the process.It usually clears in < 48hr. ...Read more
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
Will happen: At 39 weeks you are getting close. There is no way to predict when but you are certainly in good shape to deliver soon. ...Read more
TVS measured cervical length 56mm@20wks to 38mm@27wks, fFN+, cramping/backache, spotting. Normal shortening of CL? What's the risk of preterm labor?
Very real risk: The positive fetal fibronectin suggests that the risk is very real and treatment to prevent/stop preterm labor +/- steroids to hasten lung maturity should be considered based on your particular case. If one is available I would guess your OB wants to consult a maternal-fetal medicine specialist ( a doctor who specializes in high risk pregnancies). Best wishes to you and the baby. Hope this helps. ...Read more
What meaning of mode of death asphyxia as a result of diaphragmatic herniation of intestine in lung cavity along with multisystem diseased process?
Complicated: You are describing a situation in which someone had problems with many parts of the body and died as a result of movement of the intestines into the chest through an abnormal opening in the diaphragm. When this happens the intestinal material becomes trapped in the chest cavity and cut off from it's blood supply, leading to tissue death and edema. This would collapse the lungs. ...Read more
Will the combination of retroverted uterine, resection of 7cm proximal rectum & thinning of rectalvaginal septum cause trouble for pregnancy/delivery?
Is there a tight link between first trimester subchorionic hemorrhage and second trimester preterm premature rupture of membranes?
Treatment: D&C: You need to see your ob/gyn. He/she needs to verify that the unborn fetus is completely gone. Tissue fragments could lead to infection and pain/bleeding. He may need to do a dilation and currattage. ...Read more
Contractions, other: Contractions with cervical change before term define preterm labor. They can be mild or irregular, accompanied by discharge, back pain, etc. If preterm, especially with risk factors (eg, twins, diabetes), it is always appropriate to call OB or go to labor & delivery asap. An evaluation by physician is needed. Sometimes a transfer to a perinatal center is required, and it can take time to mobilize. ...Read more