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Doctor insights on: Pregnancy Delivery Photo

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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

Dr. John Thaler
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


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Are bed bugs any danger to a pregnant woman's fetus during early pregnancy?

Are bed bugs any danger to a pregnant woman's fetus during early pregnancy?

No, They don't lead : To fetal loss. Bed bug bites may cause no sx's except for 2 small points where skin was punctured. It can cause itchy, pink, swollen, lesions with a clear center. In cases of hypersensitivity blisters may develop. A telltale sign is linear track of lesions from sequential feedings. ...Read more

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Preeclampsia during pregnancy, what to do?

Preeclampsia during pregnancy, what to do?

Very Important: to follow your doctor's instructions to the letter. Keep all of your appointments and be sure to let your doctor know if anything changes. Get plenty of rest, do not exert yourself. ...Read more

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Positive pregnancy test 10 weeks after full term delivery: new pregnancy or residual pregnancy hormone from previous pregnancy?

Positive pregnancy test 10 weeks after full term delivery: new pregnancy or residual pregnancy hormone from previous pregnancy?

Probably a new preg: But, rarely, there is a hormone-producing tumor left from the pregnancy. See your ob/gyn; you may need a 24 hour hormone assay to dfferentiate it from a a normal pregnancy. ...Read more

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Can an ectopic pregnancy miscarriage naturally at 7 weeks without tubal damage?

Can an ectopic pregnancy miscarriage naturally at 7 weeks without tubal damage?

Unlikely: While tubal spontaneous abortion is known to happen. .. it is extremely unlikely and that is reason that ectopic pregnancy needs treatment by a skilled ob.gyn TUBAL damage has already happened which lead to the ectopic in the beginning. This means there is high risk if another ectopic pregnancy. ...Read more

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33 wks pregnant irregular painless contractions,positive ffn test, 1 CM dilated, baby well into pelvis, 6th pregnancy,will i give birth early?

33 wks pregnant irregular painless contractions,positive ffn test, 1 CM dilated, baby well into pelvis, 6th pregnancy,will i give birth early?

Hard to say: The fetal fibrobectin test is much more predictive of the real condition, or the truth, when the test is negative, than when it is positive. A single positive ffn test result is not highly predictive of preterm labor and delivery, and since you are probably not in active labor from irregular contractions, it's hard to answer your question with confidence. See your OB regularly as directed ...Read more

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Positive ffn test at 33 wks pregnant,irregular painless contractions,baby engaged,pelvic pressure,told im in early labour.. Will i Deliver early ??




Positive ffn test at 33 wks pregnant,irregular painless contractions,baby engaged,pelvic pressure,told im in early labour.. Will i Deliver early ??

Likely: It is likely that you will deliver early since your ffn test was positive and the baby appears to be getting ready by all signs. The baby should do fine at any point now...Good Luck ...Read more

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Would a transabdominal-pelvic ultrasound detect an ectopic pregnancy at 9 weeks?

Would a transabdominal-pelvic ultrasound detect an ectopic pregnancy at 9 weeks?

Maybe: The accuracy of a transabdominal pelvic ultrasound will depend on several factors: the level of the blood betaHCG tests, (not the LMP or estimated weeks of pregnancy) the skills and experience of the sonographer, (Certified Registered Technician) the quality and resolution power of the ultrasound machine, its number of MegaHertz, the location of the ectopic pregnancy (tubal,ovarian, cervical..) ...Read more

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Would an emergency room transvaginal ultrasound miss any signs of pregnancy at 7 weeks pregnant?

Would an emergency room transvaginal ultrasound miss any signs of pregnancy at 7 weeks pregnant?

Depends: If your dates are absolutely correct, and you have not had any irregular bleeding, and you have had regular periods in the past, then at 7 weeks gestation, an ultrasound would reveal pregnancy signs. So if the ultrasound was negative for any intrauterine or extrauterine pregnancy, usually, this is corroborated with quantitative beta hCG levels. Hope this helps. ...Read more

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What are the risks of vaginal vault prolapse during pregnancy? 27w pregnant breech baby

What are the risks of vaginal vault prolapse during pregnancy? 27w pregnant breech baby

Not a problem: Vaginal vault prolapse in pregnancy is not harmful, but can be uncomfortable. Ask your ob/gyn md to place a pessary into your vagina to lift up the cervix and reduce the prolapse problem until after delivery. ...Read more

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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?

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

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Friend had early misscariage at 4-5wks.she attributes it to many vaginal ultrsounds.she's pregnant again,brown discharge.risk with vaginal uktrasound?

Friend had early misscariage at 4-5wks.she attributes it to many vaginal ultrsounds.she's pregnant again,brown discharge.risk with vaginal uktrasound?

Risk very very small: There is no scientific evidence that vaginal ultrasounds cause "early miscarriages". Advise your friend to consult a knowledgeable Ob geneticist and / or a specialist in Reproductive Endocrinology - Infertility who can help her understand the challenges and possible causes of early pregnancy losses. ...Read more

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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

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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

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What are the risks in labor and delivery for a pregnant mother who had retinal detachment surgery during pregnancy?

What are the risks in labor and delivery for a pregnant mother who had retinal detachment surgery during pregnancy?

Depends: If the retina detachment was successfully repaired, there should be little risk that the retina will re-detach during the stress of labor. ...Read more

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Which members of labor and delivery staff will be around during pregnancy?

Which members of labor and delivery staff will be around during pregnancy?

Labor nurse: Usually your labor nurse and possibly a nursing student or a resident (only in training facilities). ...Read more

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Lmp 2/24/13. +serum pregnant 4/1/13.Spotting started 4/10/13 with hCG 215. Us showed no fetus, small sac. 4/12 hCG 310. Could this be a viable pregnancy?

Early pregnancy: The timing is right for a 5 week pregnancy but the HCG is much lower than may be normal. If you are not having any spotting, pain or bleeding, then repeating the ultrasound in 1 - 2 weeks will let you know definitively what is going on. Still, if any of the other symptoms occur, you should see your doctor. ...Read more

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Would doctors be able to detect ectopic pregnancy when doing surgical abortion for normal pregnancy?

Would doctors be able to detect ectopic pregnancy when doing surgical abortion for normal pregnancy?

Please Clarify: No. But, why? A person cannot be pregnant twice at the same time. Ectopic pregnancy happens outside of the uterus, thus it would not be diagnosed during a surgical procedure in the uterus. ...Read more

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How effective is stripping the membranes during pregnancy? I'm 38 weeks, dilated to 3, 50% effaced, 2nd pregnancy!

Pregnancy: There is no evidence to show that stripping membranes induces labor. In fact, it can results in cramping and spotting, just making you more uncomfortable than you already are! ...Read more

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Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

Can alopecia areata be treated in pregnancy with kenalog (triamcinolone) injections or should expectant mothers wait until after delivery?

I would not advise: Kenalog (triamcinolone) is a Category C agent. Animal studies show adverse fetal harm but no controlled human studies have been done. The OB will be the one to make that call. ...Read more

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How do I ensure safe delivery with 7 months pregnancy?

How do I ensure safe delivery with 7 months pregnancy?

Preterm labor? : If you are in preterm labor at 7 months you need to be in the hospital now. Your doctor will then assess and see if your labor can be stopped or slowed. Steroids will be given to speed up the baby's lung development. 7 months is very early to deliver. ...Read more

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What number of types of delivery are there in pregnancy?

What number of types of delivery are there in pregnancy?

2: vaginal birth and C-section. vaginal births can be assisted with forceps or vacuum ...Read more

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What is the normal date of delivery after 9th month of pregnancy?

What is the normal date of delivery after 9th month of pregnancy?

Unpredictable: The convention is to use weeks of gestation, and the due date is calculated as 40 weeks from your last menstrual period, or 38 weeks from conception. Of course only 5% of women deliver on their due date, but about 90% will delivery between weeks 37 and 42. ...Read more

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Its been 15 months after my baby delivery. Is it possible to reduce my pregnancy pouch now through diet and exercises ?

Its been 15 months after my baby delivery.  Is it possible to reduce my pregnancy pouch now through diet and exercises ?

Yes: But u need to have caloric restriction and a good exercise program with the proper exercises it will take hard work but u can do if u are comiitted. ...Read more

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Can the delivery part of the pregnancy be similar from one baby to the next? I had a great one the 1st time i'm scared its going to be bad 2nd time..

Can the delivery part of the pregnancy be similar from one baby to the next? I had a great one the 1st time i'm scared its going to be bad 2nd time..

Normal worries: I'm sure you hear some horror stories from well meaning friends but take heart.You proved you could get through it once, which means your body can actually do it. Most have a shorter labor with 2nd deliveries. There is never any guarantees that some unexpected thing can show up but as long as you get good prenatal care and behave yourself you have done all you can. ...Read more

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Cronic weed smoker through half of pregnancy then slowed to at night within the last month i've smoked here and there. 8 weeks delivery. Will i show pos?

Cronic weed smoker through half of pregnancy then slowed to at night within the last month i've smoked here and there. 8 weeks delivery. Will i show pos?

Probably: In a chronic (daily) user thc will show-up positive in urine analysis up to 4- 6 weeks after stopping. You must stop all use as soon as possible in order to minimize health risk to your unborn child. ...Read more

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Can sciatica occur after pregnancy and delivery?

Can sciatica occur after pregnancy and delivery?

Yes.: Sciatica and other musculoskeletal pain occur in pregnancy due a number of changes that occur in the body with pregnancy. These include compression of nerves due to a number of factors eg postural changes,,fluid retention, joint laxity, etc. These changes persist for some time into the postpartum period. Hence, we can see these problems both antepartum and postpartum. ...Read more

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Has anyone here witnessed a teen pregnancy delivery?

Has anyone here  witnessed a teen pregnancy delivery?

Yes: My first delivery as a medical student was from a 13yo. She did a lot better than some i've dealt with since.Sad that some go down this road so unprepaired. ...Read more

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Hi Dr, after almost 6months after premature delivery I feel weaker than I used to before pregnancy. Is it normal?

Hi Dr,  after almost 6months after premature delivery I feel weaker than I used to before pregnancy.  Is it normal?

No: You may be tired from doing your usual chores and looking after a baby. It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss if you may be depressed. Counter-intuitive as it may seem, exercise may help. Start with low intensity exercise such as walking and gradually increase the intensity as tolerated. ...Read more

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7 months preg. I dont want to take nutrition tablets. Instead what foods should i take for healthy pregnancy and delivery?

7 months preg. I dont want to take nutrition tablets. Instead what foods should i take for healthy pregnancy and delivery?

Iron, folic acid: Foods that are high in folic acid, iron, and calcium to start are good. NUTS have great minerals. Focus on fruits, vegetables and vary them. I like to say eat your colors of the rainbow. Think broad. Great resources include the CDC and mypyramid.gov for basic food nutrition. Good luck and rest up! ...Read more

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My cellulite is increased from the beginning of my pregnancy is it normal? And it will disappear after the delivery or not ?

My cellulite is increased from the beginning of my pregnancy is it normal? And it will disappear after the delivery or not ?

It is normal: Cellulite does increase with pregnancy. It is from the increase in estrogen that is associated with pregnancy. Some of it will go away after pregnancy. The rest will need a healthy diet and exercise. Unfortunately all of it will not go away...Best regards ...Read more

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Why do people in the U.S. need medicine to have a safe pregnancy/delivery when women in other countries can do it without any doctors or medicine at all?

Why do people in the U.S. need medicine to have a safe pregnancy/delivery when women in other countries can do it without any doctors or medicine at all?

Can be done, but...: 100 years ago, 1 in 4 women in the USA died in Childbirth. Now, the rate is .28 per 1000. This is due mostly to the availability of doctors, blood, antibiotics and c/sections. Its true that women in, say, Sierra Leone, frequently give birth without medicine or doctors but the maternal mortality rate is 40 times higher (11 per 1,000 women). It can (and is) being done but carries some risk. ...Read more

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Could asthma effect badly pregnancy and delivery! thanks?

Could asthma effect  badly pregnancy and delivery! thanks?

Asthma and pregnancy: With appropriate asthma therapy, most women can breathe easily, have a normal pregnancy, and deliver a healthy baby. Overall, the risk of poorly controlled asthma is much greater than the risk of taking medications to control asthma. Asthma therapy during pregnancy is most successful when a woman receives regular medical care and follows her treatment plan closely. Before. ...Read more