Doctor insights on:
Respiratory distress: Meconium aspiration syndrome(mas) occurs when an infant delivers via meconium stained amniotic fluid which travels into the lungs and causes respiratory distress. You must exclude other forms of respiratory distresss. Mas can be mild to severe. Severe forms can lead to severe lack of oxygen and respiratory failure. It can occur in 20-30% of meconium stained deliveries. Treatment is in the nicu. ...Read more
No: Meconium aspiration, per se, is uncommon, and many cases of so-called meconium aspiration are simply other forms of respiratory distress noted in newborns who also passed meconium prior to delivery. True meconium aspiration does cause acute lung injury but most, if not all, cases heal completely within days to weeks. ...Read moreSee 1 more doctor answer
Lung vs Gut: Meconium aspiration occurs when the newborn actually poops just before or during delivery into its fluid, gets some in their mouth/throat and then inhale it down into their lungs with their first breaths. Ileus is when they have trouble even passing that first poop - can indicate guts aren't working right or other problems like cystic fibrosis. One poops too early, the other not soon enough! ...Read moreSee 1 more doctor answer
???????: If the baby had a meconium bowel movement before it was born then it is possible , it depends on a lot of factors like how thick and old is the meconium, how much stress the baby had, if the baby had the movement after birth then no, that is why I do not let my patients go past their due date as the risk of meconium aspiration and other problems( why that can happen anytime)is higherafter40weeks. ...Read more
Usually not: Sometimes long term ventilator therapy can injure the lungs but most full term baby's usually recover and do well. ...Read more
Yes: Meconium is the normal fecal debris composing the accumulated intestinal contents at birth.It is heavily colored by bile, dark and sticky. Meconium ileus can occur when the meconium has abnormal glue like stickiness caused by CF and will not empty from the bowel.The blockage can require emergency surgery. ...Read more
Meconium ; asthma: Meconium aspiration depending on severity can cause "chronic lung disease" (cld). Cld is a term used for a variety of lung diseases producing similar symptoms ; end results. Relationship of meconium aspiration to asthma is not well studied. Since asthma ; cld have similar symptoms to present with some children may be wrongly diagnosed with asthma. ...Read more
maybe: Mecononium aspiration at birth can cause a condition called an 'anoxic brain injury'. This is when not enough oxygen feeds the brain. As a result one can suffer with learning disabilities, physical deficits, mental retardation, and other disorders. A psychological disorder can develop depending on multiple factors but not all ma babies will necessarily develop any of the above. ...Read more
Possible: It is unclear if true IgE morphine allergy exist. Narcotics are non specific irritants of mast cells and can cause these allergy cells to release their mediators and cause allergy symptoms. Having said that any medicine when used has the potential to cause untoward reactions and narcotics in particular are very dangerous medications that need to be carefully prescribed and monitored when used ...Read moreSee 1 more doctor answer
Indication for et intubation during general anaesthesia include:a.Alcohol intoxicationb.Active tbc.Small bowel obstructiond.Pregnancye.Hiv infect?
At 30 wks ultrasound there is a single loop of umbilical cord loosely entwining baby's neck..is there any risk?.what are the chances of stillbirth?
Chances low: It is not uncommon to have the cord around the neck before birth. It may become disentangled naturally. Sometimes during labor if the cord is around the neck the infant may have fetal distress that can be picked up by fetal monitoring during labor. I would not be too worried right now as long os the fetus shows signs of movement. Your OB doc can follow this during the pregnancy. ...Read more
How rare are fatal complications for mothers when delivering a baby? Examples including amniotic embolism.
Maternal death: 37 F asks: How rare are fatal complications for mothers when delivering a baby? Examples including amniotic embolism. ANS: rare but this depends on age, ethnicity, social class, access to prenatal care and past history of preg complications. So share you question with your Drs and discuss with them. Let us know what they say. ...Read moreSee 1 more doctor answer
Degree of injury: Bpd is likely to occur in infants whose rds was prolonged and whose airway pressures for ventilation were high enough to produce the level of airway injury seen with bpd. The human system has a great capacity to repair itself over time & the bpd kid is the one whose lungs may show abnormalities for several years while the transient rds kid's lung is essentially normal by age 1. ...Read more
What are the risks of disseminated intravascular coagulation after a single fetal demise @ 28 weeks.
This a triplet pregnancy - trichorion/triamnio?
I am truly sorry: for a loss of one of your Fetus. At 28 weeks with the advent of Modern medicine and Technology survival rate of other fituses are 100%. All the best ...Read more