Doctor insights on:
Pitocin (oxytocin): Pitocin (oxytocin) is what your own body makes to help you squeeze out a baby. It helps increase the effectiveness of the contractions. Drs can add a supplement to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make. ...Read more
Acog released study re some adverse outcomes of use of pitocin (oxytocin) in labour augmentation. How worrisome is this for those of us who had pitocin (oxytocin) used?
Pitocin (oxytocin) has been : Used for years and continues to be used if it is used properly it is very safe I use it on almost all of my inductions and to augment labor without inducing and augmenting my patients many could have ended up with problems, some doctors abuse and do not use Pitocin (oxytocin) properly ( not too many) in those cases it can cause problems, Pitocin (oxytocin) has saved many of my pts from c-section have done 5000+delivery. ...Read more
30 yr old female, thyroid cancer in 2015, ultrasound showed an enlarged uterus. family history of uterine and cervical cancer ( mom and both sisters).
Follow up with MD: You need to follow up with the GN MD to determine the source of the uterine enlargement. With your family history of various cancers it is imperative that you do so soon as some of these cancers are genetically transmitted. ...Read more
Maternal and paternal gma had breast cancer, fathers sister was just diagnosed. Strong enough history to warrant U/S or genetic test? I'm 25 and s. Asian
Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more
Would disordered proliferative endometrium with a strong family h/o ovarian and uterine ca, lynch synd. Warrant a hysterectomy ?
Absolutely not: Disordered proliferative endometrium solely describes endometrium that is in different phases of development of secretory glands at the same time. And it is definitely not a pre-cancerous diagnosis based on your biopsy. The strong family history, however, could be. Consider speaking with your gynecologist about prophylactic hysterectomy in your specific setting/family history. Good luck. ...Read more
Can the drug pitocin (oxytocin) - used to induce and augment labor cause an overreaction requiring c section?
Pitocin (oxytocin): Pitocin (oxytocin) is what your body makes.It helps increase the effectiveness of contractions.Drs can add a pit to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make.Distressed babies need to be delivered asap. ...Read more
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
Call fleming syndrome dx'd. 2 yrs after subarachnoid hemorrhage miss-dx'd 2·trauma.+family hx, +mnthly migraines w/same pain. Risks?.
Here is a site that: Gives the information you are seeking. http://www.severe-headache-expert.com/reversible-cerebral-vasoconstriction-syndrome.html. It appears that ruling out other causes of the symptoms & taking steps to prevent a stroke are priorities. "thunderclap" headaches must be quite painful. If you have difficulty finding local specialists, perhaps the neurologists on the panel can help. ...Read more
31yrs old.2miscarraiges.1st missed 2nd anembryonic.spontaneous miscarraiges.no medical history and no family history of immune disorders.want ur guid?
Long cardiac hx. history of dvts, pe's, factor 5 . 6/10 l side abd pain from this am. 0 Coumadin (warfarin) but was given 2 heparin shots. history of ovarian cysts. Same?
Not proven: There is one study that proposes, at the molecular level that an excess of oxytocin during birth could cross the infants blood brain barrier in sheep and mice. This was published almost 10 years ago, and as far as i know there has been nothing further. On the other hand there are some studies that are proposing the use of oxytocin to aid in repetitive behaviors seen in the autistic spectrum. ...Read moreSee 1 more doctor answer
Complaining of hematemisis and Hgb level of 5 not responding to iron IM shots no relevant medical history or family history no other symptoms ?
GI evaluation: If you are throwing up blood (hematemesis) and have a hemeglobin of 5, you would certainly need to see a GI specialist and be thoroughly evaluated for an upper G I bleed, which could be life threatening. ...Read more
Brugada & anesthesia: The risk of a drug causing or worsening a cardiac rhythm disturbance is a concern with some anesthetic drugs. For patients w/ Brugada syndrome, this is a much more significant issue. In a study of 57 patients w Brugada, a single dose of propafol did not cause problems, but extreme caution is advised for general anesthesia of Brugada patients especially w prolonged propafol infusion. ...Read moreSee 2 more doctor answers
Elective hysterectomy? Family history . Sister, ovarian cancer 54, mother uterine. No kids, stopped birth control 24, I am 60.
Possibly: Since your sister had ovarian cancer you are eligible to undergo brca testing. This tests for the gene that some women carry that increases the risk of ovarian and breast cancer. If that test is positive then you would consider an elective hysterectomy. If you have relatives with colon cancer then testing for lynch syndrome can also be done. Unless one of these is positive there is no need. ...Read more