Doctor insights on:
Placental Abruption Sporting Activities
Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?
Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more
It may be easier to exercise earlier in your pregnancy than during the last three months (third trimester) of pregnancy. Choosing safe exercises for you and your baby is important because some positions, as your weight and balance change, may become uncomfortable or have potentially harmful effects. After 20 weeks of pregnancy, you should not do exercises that require lying flat on your back, because this position may make ...Read more
Ask your OB MD: You need to ask your currently treating OB md who will handle any complications should there be some. ...Read more
6 wks after osteotomies & peroneal tendon repair & transfer for cavus foot, low impact sports allowed. Will higher impact usually be allowed in time?
I'm surprised: Low impact is allowed at six weeks, I would double check to make sure that was allowed... ...Read more
Yes, possible!: 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 moreSee 1 more doctor answer
Not necessarily: Since the placenta cannot be directly examined, I am guessing that they are seeing an apparent collection of blood behind the placenta on ultrasound. These "subchorionic hematomas" are actually fairly common, are usually limited, and are not normally clinically significant. The chance of an evolving abruption is small but your history increases your risk. Monitor it and hopefully it is stable. ...Read more
Ischemic stroke at 90, pelvic fracture and cerebral contusion at 92. If risk of bleeding from falling > risk of tia/stroke from clot, baby aspirin ok?
Judgement: There's no answer to your question. No one has collected a series of 5, 000 people like you and tested the two options. This is where having a doctor whom you trust and who knows your history and all about you makes all the difference. (your question exemplifies why computers are never going to be able to practice medicine!). ...Read moreSee 2 more doctor answers
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
Whencan i resume physical activity after normal delivey, such as walking, jogging, cleaning house?
As you can tolerate: If you r not having much pain or bleeding, you can go about and pretty much do anything you want/can. Just be sensible, easy yourself back into the activities and take a rest when needed. Pregnancy and birth, as well as caring for the baby can take quite a toll on you and so eat well, sleep, and listen to your body. Congrats on new baby and good luck to you! ...Read moreSee 1 more doctor answer
Can heavy lifting cause placenta abruption? Can it cause harm? I'm 38weeks and been lifting heavy things preparing for the baby & the baby's room
Not necessarily: you need to have risk factors for the placental ubruption, as high blood pressure, abnormally situated placenta, etc, if the baby is kicking well , no pain, no vaginal bleeding, you should be fine, in addition to avoiding over-exertion and having enough rest as you can afford, call your doctor for an exam / ultrasound for reassurance ...Read more
Do repeated light bleedings in both 1st and 2nd trimesters due to subchorionic hematoma and placenta previa increase my risk of placenta abruption during 3rd trimester?
Unless told otherwis: Your midwife or obstetrician should have given you advice after stripping your amniotic membranes from your cervix to stimulate labor. Provided you are gbs negative and membrane-intact you should have no problems. Remember than orogenital and anogenital contact is contraindicated in pregnancy. ...Read more
Could the staples from a previous bilateral femoral/ingnal hernia repair with mesh put a baby or placenta at risk during pregnancy?
Hernia repair: Whether done open or laparoscopic the mesh, tacks, and suture from the hernia repairs will incorporate into your own tissue. Once the healing process is complete then the material utilized for the repair becomes part of your own tissue and pregnancy can go on safely without any risk of the fetus. ...Read moreSee 1 more doctor answer
Can placenta previa move closer to rather than away from cervix over time? I had low-lying placenta @14w, marginal previa@20w, partial previa@28w?
No: No those activities should not cause a miscarriage. ...Read more
How common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
Diagnosed fetal demise. Hcg level dropped from ~19,000 to ~18,000. Says about wks. Small fetal pole without cardiac activity. Is possible for hope?
Oh so sad: I am sorry. No does not sound good. I feel bad for you. Keep appointments with the doctor and monitor the hcg I feel your sadness ...Read more
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