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Doctor insights on: Placental Insufficiency Smaller Than Average Newborns

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Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?

Hemorrhage, lower then average hormones, fetus smaller then normal, gestational sac 2 weeks behind fetus. Chances of trisomy or other abnormalities?

Maybe,miscarriage is: More likely. Not knowing how many weeks pregnant you are, it's difficult to give you more specific information. Usually the above consistent with early pregnancy loss. It is best to follow closely with Gyn/OB. Also try to avoid air travel or long car rides, trips in remote areas until this is settled. Miscarriage is potentially serious and can result in significant blood loss, so call 911 4 help ...Read more

Dr. Mark Neerhof
37 doctors shared insights

Placental Insufficiency (Definition)

Placental insufficiency is a rare pregnancy complication of insufficient blood flow to the placenta during pregnancy. It is a potentially serious complication. If it is not detected and treated as soon as possible, can lead to life-threatening health complications for ...Read more


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Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

Twin girls born at 24 weeks weighing less than 500 grams each . How high is the possibility of survival?

You'd be amazed...: The majority of 24 week infants now survive, especially if they make it through the first 48 hours of life. That's not to say they may not have significant problems with breathing, feeding, development, vision. You also don't say 24 weeks and how many days . 24 weeks 0 days is worse than 24 weeks 5 days - at that stage of the game, every extra day makes a difference. Continue hope, faith and pray. ...Read more

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Could a fetus measuring smaller than average mean miscarriage?

Could a fetus measuring smaller than average mean miscarriage?

Maybe: A smaller fetus in the first trimester can mean increased risk of miscarriage. Later on in pregnancy it can mean that you have a high risk pregnancy and your doctor has to keep a close look in to the causes of the smaller fetus. A smaller fetus can mean genetic causes as well. If you are small then naturally, your fetus is small also. So, let us not worry at this time. ...Read more

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Had 2 babies over 40. Is that considered high risk for breast cancer? Breastfeed both. How much higher of a risk than average woman.

Had 2 babies over 40. Is that considered high risk for breast cancer? Breastfeed both. How much higher of a risk than average woman.

Minimal if any: We don't truly understand what "causes" breast cancer outside certain mutations (brca1/2) ; in most cases its a combination of factors - gene switches ; lifetime experiences. Many items associated w/ "risk" have been identified such as early menarche, late 1st period, mammo density. These are not causes but likely surrogates for other influencing factors. #1 risk: being female and having breast. ...Read more

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What is the average wt of 5 months old monochorionic diamniotic twin fetus in grams.?

What is the average wt of 5 months old monochorionic diamniotic twin fetus in grams.?

5 months?: Obstetricians deal in weeks, not months. Assuming you mean 21-22 weeks, the expected fetal weight should be around 300-500 grams. Please specify question parameters if you need more details. ...Read more

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Is there a pupil state associated w/ mania? (as in larger or smaller than normal)

Is there a pupil state associated w/ mania? (as in larger or smaller than normal)

Pupil size: I would suspect that pupils would be dilated with mania as long as there are no medications in the system. Medications can influence pupil size. ...Read more

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Average weight of 5 month old monochorionic diamniotic twin fetus in grams?

Average weight of 5 month old monochorionic diamniotic twin fetus in grams?

5 months?: 300-500 grams at 21-22 weeks - please specify question in weeks not months for more details. ...Read more

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Is reaching higher level of education more common in firstborns than in later borns?

Is reaching higher level of education more common in firstborns than in later borns?

No: No, there is no correlate between birth order and achievement of higher education later in life. ...Read more

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What percent of mothers with gestational diabetes deliver their babies prematurely?

What percent of mothers with gestational diabetes deliver their babies prematurely?

Depends On Control: There is no single digit answer you can apply to an individual patient. One brazillian study in 2011 found that 14% of 400 women delivered prematurely, but the rate really depends on how well the mother controls her disease, other issues like preeclampsia, and the reason for delivery (poor control can cause other problems for the mom/baby that could require a cesarean section before 38 weeks). ...Read more

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Are small melanomas <5mm in diameter less likely to be invasive? Do they have better prognosis than melanomas of larger diameter?

Are small melanomas <5mm in diameter less likely to be invasive? Do they have better prognosis than melanomas of larger diameter?

Px/Melanoma/size: The prognosis of a melanoma ids based on depth of penetration into the dermis, simply. What is the depth usually does not related to surface size. Best to see in person opinions.. ...Read more

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Does the babies ( under 6 mts & on mother feed ) who fed more frequently gain more and r more healthy as compare to ones who demand less frequently .

Does the babies ( under 6 mts & on mother feed ) who fed  more frequently gain more and r more healthy as compare to ones who demand less frequently .

Babies are different: Even at that very young age, babies have their own personalities and likes and dislikes. Some babies are big eaters a few times a day, others are "grazers" who like to snack small amounts all day. The end result - weight gain, adequate growth, and appropriate development are the goal, and these can be achieved with either type of feeding. In the end it's the calorie intake a day that counts. ...Read more

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At 21 wks 3 days pregnant anomaly scan, baby measures HC 19.9 cm and weighs 482 gm. with 158 bmp. Is the baby measuring small? Is the growth OK?

At 21 wks 3 days pregnant anomaly scan, baby measures HC 19.9 cm and weighs 482 gm. with 158 bmp. Is the baby measuring small? Is the growth OK?

Normal: All of those measurements are within a normal range. It is actually a little too early to reliably judge rate of growth, but so far so good. ...Read more

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If a baby received breastmilk from more than one women , would it promote increased immune system development ?

If a baby received breastmilk from more than one women , would it promote increased immune system development ?

Intriguing question: Theoretically the protective effects from breast milk may be additive since there will likely be more preformed antibodies in the breast milk when obtained from more than 1 woman. Another intriguing aspect is that this may also introduce more protective bacteria to the infant and steer his immune system away from allergy. I have not read any study on this subject however and thus it is a guess. ...Read more

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3 yr well child check up. 30.6lbs 38 1/4 inches. Bmi 14.7. Birth size 6lbs 12 oz. 21 inches. He is smaller than kids younger than him. Is that normal?

3 yr well child check up. 30.6lbs 38 1/4 inches. Bmi 14.7. Birth size 6lbs 12 oz. 21 inches. He is smaller than kids younger than him. Is that normal?

Normal range: From your listed points, the child was at the 21% for weight at birth and 36% at 3y. His length was at the 90% (hard to get good measures then) at birth & is 72% at 3 years. These are well within the normal range for growth in kids. He is a bit leaner & taller than his age equivalent peers. ...Read more

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Are diastolic and systolic diameter increases reversible ? One echo showed increased size and a later echo showed a smaller diameter.

Are diastolic and systolic diameter increases reversible ? One echo showed increased size and a later echo showed a smaller diameter.

Not exactly: sure what you are specifically asking. The diameters of the cardiac chambers normally change as the heart relaxes and contract throughout diastole and systole. If there is abnormal dilatation, the extent to which it is reversible depends on the cause. ...Read more

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Can late implantation bleeding make measuring from ultrasound 1 - 2 weeks younger than measuring from LMP?

Can late implantation bleeding make measuring from ultrasound 1 - 2 weeks younger than measuring from LMP?

Ultrasound: Implantation bleeding first of all is not a very common event. Ultrasounds by their very nature have a built in error factor depending on when they were preformed of plus or minus days to weeks. They are more accurate early in pregnancy but still are not accurate to the day. So if you are trying to determine paternity, you generally can only do that with blood testing after birth. ...Read more

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Do Down syndrome babies grow at a smaller rate in womb?

Do Down syndrome babies grow at a smaller rate in womb?

No: They tend to grow at a pretty normal rate prior to birth. Deficiencies in linear growth will eventually occcur in the average ds kid as they grow older. However, some maintain a relatively normal rate of growth, dependingg on other factors affecting their health. ...Read more

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Will florinef (fludrocortisone) increase blood volume by more, equal or less than 500ml?

Will florinef (fludrocortisone) increase blood volume by more, equal or less than 500ml?

Be careful: What are the possible side effects of Fludrocortisone (florinef (fludrocortisone) acetate)? Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects: problems with your vision; swelling, rapid weight gain, feeling short of breath; severe dep. ...Read more

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Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely at 31 weeks ga & 2 vessel cord?

Low co2, elevated anion gap, elevated pH of 7.5, low creatinine of . 2 in toddler with slow growth born prematurely  at 31 weeks ga & 2 vessel cord?

Consider...: ...The possibility of a genetic or metabolic disease which will create excess anions (the anion "gap"). Examples would include Lactic Acid built up in cells that undergo anaerobic metabolism, or acids that build up such as ketoacids in the face of diabetes. A 2 vessel cord suggests a kidney or genetic anomaly and should have a genetics and nephrology evaluation. ...Read more

Dr. Sewa Legha
1 doctor shared a insight

Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth.Some practitioners are looser with the definition & extend the ...Read more