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Doctor insights on: Puppps Multiple Gestation

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Dr. Austina Cho
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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What's a multiple gestation pregnancy?

What's a multiple gestation pregnancy?

Multifetal pregnancy: Simple answer: a multiple gestation is a pregnancy with more than one fetus. Please see my guide to multiple gestation. I will post the link in comments below. ...Read more

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Babyaa 7wks 4days visible gestational sac and fetal pole, no yolk sac heartbeat. Babybb 9wks 4days alive. Could ob/gyn and perinatal ob tested early?

Babyaa 7wks 4days visible gestational sac and fetal pole, no yolk sac heartbeat. Babybb 9wks 4days alive. Could ob/gyn and perinatal ob tested early?

Doubtful: Usually when twin pregnancies occur fertilization happens at approximately the same time. The growth should be very consistent with each other. It appears that baby a will not continue to grow. I'm sorry. ...Read more

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What are the risks of disseminated intravascular coagulation after a single fetal demise @ 28 weeks. This a triplet pregnancy - trichorion/triamnio?

What are the risks of disseminated intravascular coagulation after a single fetal demise @  28 weeks.
This a triplet pregnancy - trichorion/triamnio?

I am truly sorry: for a loss of one of your Fetus. At 28 weeks with the advent of Modern medicine and Technology survival rate of other fituses are 100%. All the best ...Read more

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Is this normal pregnancy or miscarriage? report details: single intrauterine gestational sac seen measuring 2.2 cms,corresponding to 6+ weeks no fetal

Is this normal pregnancy or miscarriage?
report details:
single intrauterine gestational sac seen measuring 2.2 cms,corresponding to 6+ weeks
no fetal

A little early: It sounds like your sonogram showed a very early pregnancy. Since no baby was seen there are two possibilities - too early to see or a miscarriage where the baby did not form. The sonogram will needed to be repeated in 1 -2 weeks to find out which is correct. ...Read more

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15mm Gestational sac identified 2wks later 17mm gestational sac with CRL 3.8mm with no cardiac activity. Is miscarriage imminent?

15mm Gestational sac identified
2wks later 17mm gestational sac with CRL 3.8mm with no cardiac activity.
Is miscarriage imminent?

Maybe: The fact that the embryo has essentially stopped growing and there is no cardiac activity suggests a failed pregnancy. Sometimes Mother Nature does not eject the failed embryo, but it remains in a degenerated state called a "missed abortion". Your MD will be able to make that determination with further testing and take the necessary action. ...Read more

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Ultrasound at 6weeks 2days pregnant shows gestational sac, yolk sac, fetal pole n heartbeat (133bpm). What are the chances of miscarriage after this?

Ultrasound at 6weeks 2days pregnant shows gestational sac, yolk sac, fetal pole n heartbeat (133bpm).
What are the chances of miscarriage after this?

Risk is decreased: The fact the fetal pole has a heartbeat is very good and encouraging. However, the risk of miscarriage is still present until 12-13 weeks. That is why most celebrities do not release statements about pregnancy, due to the fact that miscarriage can happen. After this time, with a normal fetal heartbeat and placenta, the risk of miscarriage drastically decreases. ...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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Are abdominal ultrasounds just as accurate at dating pregnancies at 8 weeks as transvaginal?

Are abdominal ultrasounds just as accurate at dating pregnancies at 8 weeks as transvaginal?

Transvag better: Generally, transvag more accurate as you can get better views (usually). But if thin patient, experienced operator of the ultrasound and good views it can be very accurate. Best of luck. Dr R ...Read more

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Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Beta HCG 3700, doubling normally, w5d5 pregnant by LMP, and no gestational SAC seen on Vaginal US. This means Ectopic ?

Maybe: It might be an ectopic, intra uterine or molar pregnancy. If no gestational sac is seen by the 8th week of pregnancy by ultrasound and the hCG is still rising then a search for the pregnancy site is definitely warranted. ...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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U/s at possibly 7w5d gestational sac and fetal pole measuring at 6w1d but no yolk sac or heartbeat. Miscarriage or miscalculation?

U/s at possibly 7w5d gestational sac and fetal pole measuring at 6w1d but no yolk sac or heartbeat. Miscarriage or miscalculation?

Dates could be off: I would not expect to see definite fetal heart activity at 6wk 1dy. A repeat ultrasound in one week will resolve the question. If the pregnancy is viable there should be appropriate interval growth and definite fetal heart activity. If not, then there had been an early fetal demise. In cases of blighted ovum a fetal pole does not develop. ...Read more

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6w 4d pregnant with fetal pole, yolk sac ...heartbeat detectd...but seems gestational sac is irregular...sign of miscarriage?

6w 4d pregnant with fetal pole, yolk sac ...heartbeat detectd...but seems gestational sac is irregular...sign of miscarriage?

Don't worry: The most important thing is that the fetus has a heartbeat. Did they tell you an actual fetal heart rate? Sometimes the gestational sac looks different. There could be a nearby fibroid or subchorionic hemorrhage. Signs of a miscarriage are uterine cramping and bleeding. If you are not having those symptoms I would not worry about this. The sonogram can be repeated in 1-2 weeks. ...Read more

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Uterus is gravid containing a gestational sac.Gs measures about 40mm, corresponds with 9 weeks 2 days gestation.No fetal pole or heartbeat. Good/bad?

Uterus is gravid containing a gestational sac.Gs measures about 40mm, corresponds with 9 weeks 2 days gestation.No fetal pole or heartbeat. Good/bad?

Likely bad: This is likely a missed abortion/miscarriage heartbeat appears at 6 weeks fetal pole clear by 7 weeks 4cm fluid sac usually means hydropic absent a fetus serial b HCG levels be done, but overkill. ...Read more

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Single intruterine fundal gestational sac is seen with no detectable fetal pole development at 7 weeks 4 days will the baby survive looks like 5weeks?

Single intruterine fundal gestational sac is seen with no detectable  fetal pole development at 7 weeks 4 days will the baby survive looks like 5weeks?

Less likely: So, the first assumption is that the dating is correct. If you are truly 7+4 weeks, there should be both a fetal pole and a heartbeat. But for various reasons you may be only 5-6 weeks so worth repeating ultrasound to make sure ...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


Dr. Victor Beshay
198 doctors shared insights

Multiple Pregnancy (Definition)

A singleton pregnancy means there is only one baby in the womb. A multiple pregnancy means that there is more than one: Twins, ...Read more