Doctor insights on:
Stillbirth Intrauterine Growth Restriction
Baby measured 2 days smaller on anatomy scan @ 20 weeks. How can avoid intrauterine growth restriction? Diet is not too varied but I eat healthily.
Consult with OB-GYN: Not knowing more about you it's very important that you talk about this finding with your ob-gyn for the sake of your baby and your emotional state of mind. You only want the best for this baby and your want to do everything to insure a healthy child is born. ...Read more
MF/placental factors: Maternal-fetal and placental etiologies can all cause fetal growth restriction. Severa fetal syndromes can lead to fgr (e.g. Down, patau, triploidy, edwards, noonan's, digeorge). Multifetal pregnancies are at increased risk for fgr; this can result in fetal demise, fetal brain injury, cerebral palsy or even normal outcomes in non-syndromic cases. Placental infarcts, hypertension, lupus: culprits. ...Read more
How do I know if adopted child has growth hormone deficiency, wrong birthdate, or growth restriction?
Have them evaluated: We approach them as an unknown, repeat the basic vaccines and evaluate their needs individually. A growth evaluation often starts with a proposed date of birth, charted height/weights when known & a wrist hand x-ray for bone age. Another study in 6m to a year can see if the bone maturity is progressing. If slow, a hormonal evaluation would be reasonable. If normal, its okay to just watch. ...Read moreSee 1 more doctor answer
Maybe: If your stillbirth occurred in the second half of pregnancy (greater than 20 weeks), your body needs time to recover from the physical and nutritional demands of pregnancy. Pregnancies in less than 6 months can be associated with a slightly higher risk for preterm delivery and growth restriction. Nutritionally, you should at least stay on prenatal vitamins or take supplemental folic acid. ...Read moreSee 1 more doctor answer
I delivered a stillbirth girl at 24 weeks and want try again. What testing or such is recommended before doing so?
Good question: Status of evaluation for stillbirth? fetal autopsy? placental evaluation? Karyotype? Indirect coombs’? serologic test for syphilis? screen for fetal-maternal hemorrhage (kliehauer-betke or other)? toxicology screen? thorough medical and obstetric history? parvovirus serology? lupus anticoagulant screen? anticardiolipin antibodies? factor v leiden mutation. These are just a few of the many tests. ...Read more
I delivered stillbirth on may 21.I got first period on june 28.I didn't get my second period...Is it any problem?
No: I'm so sorry for your loss. Sometimes after a stillbirth the periods might not be regular for a couple of cycles. As you likely know, you can get pregnant right away again, so if that's a possibility, you may want to check a home pregnancy test. Give it 2-3 months to return to normal cycle. Again, I hope you are doing well. Best wishes to you. ...Read more
23yo female last pregnacy resulted in a stillbirth at 38weeks placenta stopped working. Preg again wagt are the chances of happening again?
Difficult to say: It would depend on why the "placenta stopped working". Was there any testing done? Any evidence of diabetes, uncontrolled blood pressure, pre-eclampsia, blood clotting disorder, etc? Having more information would be helpful in answering that question. None-the less extra vigilance during a subsequent pregnancy is required. Early testing, ultrasounds, etc. Good Luck! ...Read more
If the preg is: Healthy very uncommon, if someone has that happen, hopefully not then an evaluation can be done to try to determine the cause. ...Read more
Vaginally: A stillbirth is so heartbreaking for the parents. It is difficult to make decisions under this circumstances. However, it would be beneficial to your future childbearing if you delivered vaginally and avoided surgery which could impact on future pregnancies. ...Read moreSee 1 more doctor answer
Stillbirth: There are different medications that are given to induce delivery of a still birth. The choices are based upon the gestational age at the time of diagnosis. Usually a combination of prostaglandin and Pitocin (oxytocin) medications are used. Sometimes laminaria are also used. Your physician and institution have protocols that are set up specifically for these situations. ...Read more
Stillbirth: The pain will probably never go away. It may fade somewhat over time, but you will always feel the emptiness from the loss. The next pregnancy will be high stress even if everything goes according to plan. So my advice would be to wait until emotionally and pschologically you are ready. For some patients this might be a few months, but for most it will be closer to a year. ...Read moreSee 1 more doctor answer
Minimal: Less than 1% chanceGet a more detailed answer ›
Seeing my period 3 weeks after stillbirth what does it mean? Is it a good sign seeing period that early?
Period: This is not unusual but your periods should revert back to normal ...Read more
How long should one take before resuming on sex after stillbirth? Or when is it safe to start having sex after stillbirth?
Sex after stillbirth: Some of this depends on how far along you were at the time of your loss. It's best to check in with the OB who cared for you. But generally somewhere in the range of 2-6 weeks would be typical. ...Read more
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