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Doctor insights on: Puppps Macrosomia

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Big baby, birth defects caused by diabetes? What defines macrosomia?

Big baby, birth defects caused by diabetes? What defines macrosomia?

Not just big.: Fetal macrosomia can be suspected by serial ultrasound in which the fetus exceeds the 90th percentile. This means that the baby is larger than 89% of the babies of same gestational age. Furthermore"macrocosmic" fetus are at a higher risk of shoulder dystocia (difficulty of delivering shoulders after the head is out) and hypoglycemia or dropping blood sugars shortly after delivery. ...Read more

Dr. Emily Altman
17 doctors shared insights

Pregnancy Rash (Definition)

pregnancy rash is merely a description, not a diagnosis. however, there are some rashes that only happen during pregnancy such as Puppp (Pruritic urticarial papules and plaques of pregnancy) which can happen during the mid trimester and be very itchy. it can be treated ...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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Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Anteverted,bulky gravid uterus,single intrauterine gestational sac 2.7 cm gestational age 6 weeks 6 days no fetal pole is this OK?or a miscarriage?

Blighted ovum: A gestational sac without a fetal with a gestational age of almost 7 weeks is most likely a blighted ovum (non development of the fetus). Most likely with result is a miscarriage. If not you may need a D&C. Follow up with your gynecologist in 1-2 weeks. ...Read more

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Hi, fetal ascites dx at 14w, fetal anomaly scan at 15w NAD, TORCH /Amnio NAD, what is the likelihood of a happy/healthy baby please?

Hi, fetal ascites dx at 14w, fetal anomaly scan at 15w NAD, TORCH /Amnio NAD, what is the likelihood of a happy/healthy baby please?

Unclear: There is not enough information for us to offer an opinion. Schedule a follow up visit with your Obgyn to go over the sonogram results. If you are unclear on the results and plan then ask for a referral to a perinatologist for a second opinion ...Read more

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Is placenta previa hereditary?

Is placenta previa hereditary?

no: Placenta previa is an obstetric complication in which the placenta is inserted partially or wholly in lower uterine segment.It can sometimes occur in the later part of the first trimester, but usually during the second or third. It is a leading cause of antepartum haemorrhage (vaginal bleeding). It affects approximately 0.4-0.5% of all labours. ...Read more

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Do breech babies carry congenital defects?

Do breech babies carry congenital defects?

Rarely: Rarely does this happen where babies have congenital defects that are severe enough that they either neurological impair the baby and prevent movement or simply get in the way of a baby being able to flip on its own. This is a rare cause of breech though. ...Read more

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What challenges do premature babies face?

What challenges do premature babies face?

Extensive list: The risks are following depends how premature the baby is: rds -respiratory distress syndrome, bpd- bronchopulmonary dysplasia, pda- patent dustus arteriosus, nec- necrotising enterocolitis ivh- intracranial bleed rop- retinopathy of prematurity hypothermia feeding intolerance prolonged hospital stay sepsis cerebral palsy learning disabilities developmental delays death. ...Read more

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What is acute neonatal hydramnios?

What is acute neonatal hydramnios?

About the fetus: When the fetus is developing their is too much fluid in the uterine sac for fetal development. ...Read more

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Does monochorionic diamniotic twin pregnancy mean that my babies are identical?

Does monochorionic diamniotic twin pregnancy mean that my babies are identical?

Yes: While the diagnosis may be suspected, it can only be confirmed by close examination of the placentas or genetic testing before/after delivery. Usually with early ultrasounds, we can be pretty sure about identical or monozygotic twins. It means that during very early embryo development, one embryo split into two. ...Read more

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Baby born with face rash?

Baby born with face rash?

Very common: Newborns are frequently born with a fine, white/pearly rash to their face, primarily on the cheeks, nose and chin. This is known as "milia" or sometimes known as "newborn acne." milia is found on virtually all newborns and is nothing to worry about. ...Read more

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I hv 3 miscarregesnd 1 medical abortion.1 normal delivery. No dlc.M 29 weeks pregnant dignose with central plecenta preiva.Ithere chance of pl acreta ?

I hv 3 miscarregesnd 1 medical abortion.1 normal delivery. No dlc.M 29 weeks pregnant dignose with central plecenta preiva.Ithere chance of pl acreta
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Possible: Unlikely but never ignored. Your doc will perform or have a high resolution ultrasound performed to screen for an accreta. If there is a sign that this is possible, sometimes an MRI can be helpful. If worrisome, arrangements to deliver where access to blood bank, icu, surgical specialists, & interventional radiologists (for placement of catheters to block vessels) should be done. Good luck to you. ...Read more

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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

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Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Pregnancy 15 week,  ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?

Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more

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What is vanishing twin syndrome?

What is vanishing twin syndrome?

Demise of one fetus: Vanishing twin syndrome is the demise of one twin sometime during the pregnancy. One study suggested it occurred about 20-30% of twin pregnancies. Most commonly it occurs early in the pregnancy and generally the remaining fetus has a good outcome. Its' occurrence later in pregnancy can be associated with adverse maternal and fetal outcomes. ...Read more

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Gestational age at 13.8 weeks, fetal heart beat 165& at 18.1 weeks, 155. Is my baby gender boy or girl?

Gestational age at 13.8 weeks, fetal heart beat 165& at 18.1 weeks, 155. Is my baby gender boy or girl?

Wait 21.9 (+/-2)wks: While there are many wives' tales about predicting baby's gender, all have their flaws. The only way to truly tell is once the little one is born. What a blessed surprise! ...Read more

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Dr. Thomas Fiala
15 doctors shared insights

Large Baby (Definition)

A large baby or large for gestational age baby is a baby whose weight is greater than 95% of babies born at ...Read more


Dr. Nasiruddin Mansury
35 doctors shared insights

Macrosomia (Definition)

Macrosomia is a body that is larger ...Read more