Top
20
Doctor insights on: Multiple Gestation Preterm Labor

Share
1

1
Nifedipine for preterm labor risks?

Nifedipine for preterm labor risks?

Much safer: Nifedipine (brand name: procardia) is a much safer class of medication for premature labor than it's predecessors, such as terbutaline or ritodrine, which could cause fast heartbeat, high blood sugars, and even pulmonary edema. ...Read more

See 1 more doctor answer
Dr. John Michalski
4 doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


2

2
Will having amnio cause preterm labor?

Will having amnio cause preterm labor?

It can.: Amniocentesis involves introducing a fine needle into the pregnancy sac to retrieve some amniotic fluid for fetal dna testing. That technique had inherent risks for complications, including preterm labor and preterm premature rupture of membranes. The risk for any of these complications to occur is <1%, but is real and devastating if they do occur. ...Read more

See 1 more doctor answer
3

3
Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

Can premature labor and delivery cause infertility at 26 weeks with vaginal delivery?

SecondaryInfertility: A person who has one pregnancy and cannot get pregnant a 2nd time is usually not due to the previous 26 week delivery. An incompetent cervix means that the patient got pregnant again. A vigorous scraping at a d & c post partum can cause infertility. ...Read more

4

4
Pelvic pressuere at 23 weeks pregnant with history of preterm labor at 31 weeks?

Pelvic pressuere at 23 weeks pregnant with history of preterm labor at 31 weeks?

Pelvic pressure: The pelvic pressure from the developing pregnancy may be normal, but with your premature labor history, you MUST inform your OB MD. ...Read more

5

5
Difference between braxton hicks contractions, trimesteral uterine contractions and regular labor contractions??

Difference between braxton hicks contractions, trimesteral uterine contractions and regular labor contractions??

Cervical change: Braxton-Hicks contractions are real contractions, but are not putting you into labor, as evidenced by changing your cervix. Keep well hydrated, and time them. If they are coming ever 5 minutes, you need to be evaluated by your obstetrician. ...Read more

6

6
How does placenta previa cause preterm delivery?

How does placenta previa cause preterm delivery?

Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read more

See 1 more doctor answer
7

7
39 weeks pregnant increased fetal movement sign of labor?

39 weeks pregnant increased fetal movement sign of labor?

No: Increased Fetal Movement is not a common complaint. It is not a sign of labor. If you just ate a huge carbohydrate meal then maybe you have some increased movement. In pregnancy, I usually follow one rule. If you find something is not usual and normal for you go to Labor and Delivery and get the baby checked with a Non Stress Test. This is the only safe thing to do. ...Read more

10

10
How possible is preterm labor with very frequent braxton hicks at 30 weeks?

How possible is preterm labor with very frequent braxton hicks at 30 weeks?

Timing is everything: If the frequency of Braxton Hicks contractions with a timed shortened interval, then that is actual labor when it gets down to 5 to 7 minutes whereupon you cannot walk, talk, laugh or breathe ...Read more

11

11
TVS measured cervical length [email protected] to [email protected], fFN+, cramping/backache, spotting. Normal shortening of CL? What's the risk of preterm labor?

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

12

12
Can placenta accreta be missed at delivery?

Can placenta accreta be missed at delivery?

Very definitely: Unfortunately, placenta accreta is often diagnosed at the time post delivery when a cotyledon(plug) of placenta is missing or the placenta itself does not detach normally. At that point, aggressive measures to 'detach" the placenta may result in massive hemorrhage and the resultant post apocalyptic diagnosis of placenta accreta. ...Read more

13

13
1. Does gestational diabetic causes c section? And early delivery (before due date)

1. Does gestational diabetic causes c section? And early delivery (before due date)

No and Yes: Having gestational diabetes does not mean that you will have to have a cesarean section. Lots of gestional diabetics deliver vaginally. Important to control your blood sugar because uncontrolled diabetes can lead to large babies which do need a cesarean. All gestational diabetics on medication typically deliver by 39 weeks or undergo induction at 39 weeks. One week prior to one's due date. ...Read more

14

14
Is delivery at 33 weeks considered preterm?

Is delivery at 33 weeks considered preterm?

Yes.: Any delivery before 37 weeks is considered preterm and has significant short and long term consequences. A 33 week delivery is not desirable, but is much better than a 28-32 week delivery, meaning most infant should survive intact. ...Read more

See 1 more doctor answer
15

15
Pregnant with triplet.Have history of preterm labor 29 weeks (twins) due to rupture membrane.Is it important to do cervical cerclage? (cervix is fine)

Pregnant with triplet.Have history of preterm labor 29 weeks (twins) due to rupture membrane.Is it important to do cervical cerclage? (cervix is fine)

Hmmmm. : Let's see. You had preterm labor at 29 weeks with twins and are pregnant with triplets? I'd go for cerclage given the risk of an incompetent cervix is present with 3 babies. I'm guessing you see a perinatologist? If that's what she/he is recommending, i'd sign up for it. Good luck. ...Read more

16

16
Are progesterone shows good for preterm labor?

Are progesterone shows good for preterm labor?

Yes: In a select group of patients , those with a single fetus, and prior preterm delivery, have benefitted from taking a specific kind of progesterone. ...Read more

See 1 more doctor answer
17

17
What's a multiple gestation pregnancy?

What's a multiple gestation pregnancy?

Multifetal pregnancy: Simple answer: a multiple gestation is a pregnancy with more than one fetus. Please see my guide to multiple gestation. I will post the link in comments below. ...Read more

18

18
Do multiple pregnancies present higher risks than singleton pregnancies?

Do multiple pregnancies present higher risks than singleton pregnancies?

Absotutely: Every risk in a singleton pregnancy is higher with twins. Risk of miscarriage, genetic abnormalities in a child, and even though small, the risk of one baby not surviving. Risks to mother of hypertension and diabetes are much higher. And the risk of early delivery is much higher. Even though twins generally do well, many twins do not. So it is always medically preferable to have a single pregnancy. ...Read more

See 1 more doctor answer
Dr. Victor Beshay
201 doctors shared insights

Multiple Pregnancy (Definition)

A singleton pregnancy means there is only one baby in the womb. A multiple pregnancy means that there is more than one: Twins, ...Read more


Dr. Guy VanDell
295 doctors shared insights

Preterm Labor (Definition)

Preterm labor =regular uterine contractions before 37 weeks of pregnancy with accompanying cervical changes ...Read more