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Doctor insights on: Stillbirth In Multiple Gestations

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Do multiple pregnancies present higher risks than singleton pregnancies?

Do multiple pregnancies present higher risks than singleton pregnancies?

Absotutely: Every risk in a singleton pregnancy is higher with twins. Risk of miscarriage, genetic abnormalities in a child, and even though small, the risk of one baby not surviving. Risks to mother of hypertension and diabetes are much higher. And the risk of early delivery is much higher. Even though twins generally do well, many twins do not. So it is always medically preferable to have a single pregnancy. ...Read more

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Dr. Sandra Lora Cremers
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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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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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 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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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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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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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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Could an inutero twin death cause fetal lobulation in the surviving twin ?

Could an inutero twin death cause fetal lobulation in the surviving twin ?

Are you referring: to fetal lobulation of the kidneys? That is a normal anatomic variant, not related to an in utero twin. ...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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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

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Need information on complications of molar pregnancy, gestational trophoblastic disease?

Need information on complications of molar pregnancy, gestational trophoblastic disease?

Here's a link: Here is a link to information. http://www.americanpregnancy.org/pregnancycomplications/molarpregnancy.html. ...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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Sonogram indicates gestational sac 25.2mm at 7 weeks 1 day,embryo 5.2 mm.also indicated an early pregnancy demise.am i having miscarriage?

Sonogram indicates gestational sac 25.2mm at 7 weeks 1 day,embryo 5.2 mm.also indicated an early pregnancy demise.am i having miscarriage?

Heartbeat: Clarify with your doctor if a heartbeat was seen in the baby. At 7 weeks a heartbeat should be easy to see. If not then a miscarriage is likely. ...Read more

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Does twin miscarriage considers as two miscarriages?

Does twin miscarriage considers as two miscarriages?

Unfortunate : Unfortunate event, miscarriage is miscarriage with one or two , if you want more descriptive you can say twin miscarriage ...Read more

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Why does Gestational Diabetes increase the risk of stillbirth?

Why does Gestational Diabetes increase the risk of stillbirth?

Abnormal glucose: The same reasons that produce Diabetic coma in adults. The elevated blood glucose going to the fetus causes metabolic changes that can result in death. ...Read more

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If I am pregnant 5 weeks after a stillbirth at 16 weeks gestation, would bleeding still be happening from delivery? It is pretty sporadic now.

If I am pregnant 5 weeks after a stillbirth at 16 weeks gestation, would bleeding  still be happening from delivery? It is pretty sporadic now.

No: At 5 weeks and until there is a heartbeat, the pregnancy is not yet considered viable. On the other hand 25% of pregnancies in the first trimester may have some bleeding. I hope it works out well, after a loss pregnancies are often wrought with anxiety. Five weeks is very early so i suppose you began checking upt's almost immediatly. You are having a "threatened miscarriage" get in to your ob. ...Read more

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36w pregnant and petrified of a stillbirth. Am i being unreasonable? Aside from controlled gestational diabetes pregnancy has been healthy

36w pregnant and petrified of a stillbirth. Am i being unreasonable? Aside from controlled gestational diabetes pregnancy has been healthy

Yes discuss with: Your OB u are at no greater risk than anyone than anyone else, your OB shoudld reasuure u, and if u are that worried you should difinetly go past your due date u can be induced 39-40 weeks even with gest diabetes , 95% of my pts want to be induced by their due date. ...Read more

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What are the tests for multiple gestation?

What are the tests for multiple gestation?

Ultrasound: Ultrasound is the only totally reliable test for multiple pregnancy, and between 6 and 8 weeks it should be nearly 100% reliable. ...Read more

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Question: what is multiple gestation really?

Question: what is multiple gestation really?

Two or more babies: Multiple gestation is simply twins, triplets, etc. In other words, a woman carrying more than one baby. ...Read more

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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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What does multiple gestation mean?

What does multiple gestation mean?

Multiple babies: Multiple gestation means more than one baby at a time. They can be twins, triplets, etc. The multiple can be identical or fraternal. Our infertility treatments increase the risk for having multiples. Multiples are much more complicated pregnancies (more for babies than mom). We are trying to reduce the number of multiples with our treatments. ...Read more

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I had two grade A blastocysts transferred on day 5. My hCG levels are: 9dpt 498, 13dpt 2994, 16dpt 9400 Does this suggest multiple gestation?

I had two grade A blastocysts  transferred on day 5. My hCG levels are: 9dpt 498, 13dpt 2994, 16dpt 9400
Does this suggest multiple gestation?

Yes: In a normal singleton pregnancy these levels should double . The fact that they are closer to quadrupling suggests but does not diagnose twins. You should know soon with an ultrasound. Good luck. ...Read more

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I had an stillbirth at 20th week of pregnancy on oct 13th, will i have difficulty in conceiving again? Wat i need to do?

I had an stillbirth at 20th week of pregnancy on oct 13th, will i have difficulty in conceiving again? Wat i need to do?

Not necessarily: If you haven't had trouble conceiving in the past there is no reason this would increase the risk in the future but your doctor does need to look into the reason for the still birth to try to keep it from recurring. Best wishes for a healthy pregnancy next time. ...Read more

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I delivered stillbirth 3 month ago.Now period is not come there is no symptom of pregnancy.Bt in 1st pregnant there is lot symptom.What will do.Pls help.

Late period : Sorry for your loss. Your period could be late due to changes to your body/hormones after a delivery. But if you think you could be pregnant, you should take a pregnancy test and present early for prenatal care. ...Read more

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How common is a stillbirth in a healthy pregnancy?

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

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What to do during early pregnancy to prevent stillbirth?

What to do during early pregnancy to prevent stillbirth?

Ultrasound, Testing: Testing and ultrasound are needed to evaluate you for risk factors. Also cvs or amniocentesis (testing the fluid around the fetus) may be needed as well. Your OB doctor will give you a good diet and vitamins to further reduce your risk. ...Read more

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I delivered stillbirth during 24 week due to pressure..What are the preventive measure to take before next pregnancy?

Exercise: If by "pressure" you mean elevated blood pressure or preeclampsia, the best you can do is to get fit and exercise. Make sure you're at a healthy weight as well. You can check your bmi to see what that weight would be. Exercise, though, is the best way to bring blood pressure down. You may need medication? Talk with your md about that. Exercise is free and effects are long lasting! ...Read more

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I just had a stillbirth delivery at 38 weeks, first pregnancy , no know cause. How long should I wait to get pregnant again?

I just had a stillbirth delivery at 38 weeks, first pregnancy , no know cause. How long should I wait to get pregnant again?

Give it some time: Speak to your obstetrician and make sure that all aspects have been evaluated for the stillbirth. If there was a compromise in the umbilical cord that may potentially give an answer. Also chromosomal evaluation may be helpful along with familial thrombophilia clotting studies. Allow yourself and your partner to grieve the death of the child before jumping into the next pregnancy. Make sure that all potential causes have been evaluated before attempting another pregnancy. I personally would have my patient waited at least 4 to 6 months before trying again. ...Read more

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How does listeria cause stillbirth in pregnancy? Is it possible to be contaminated with listeria and not have any adverse symptoms until birth?

How does listeria cause stillbirth in pregnancy?  Is it possible to be contaminated with listeria and not have any adverse symptoms until birth?

Listeria: typically by infecting the bag of water. The symptoms might be mild enough that you might not be aware of them. Listeria is not a very common cause of chorioamnionitis, but is quite serious. ...Read more

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38wks pregnant, gained a total of 32lbs with this pregnancy. Doctor concerned. Can too much weight gain during pregnancy cause stillbirth?

38wks pregnant, gained a total of 32lbs with this pregnancy. Doctor concerned. Can too much weight gain during pregnancy cause stillbirth?

Stilllbirth: It is unlikely that stillbirth can be caused by the amount of weight which you have gained. Excessive weight gain, however, is related to diabetes of pregnancy. Undiagnosed diabetes can lead to elevated blood sugars which in turn can lead to stillbirth. ...Read more

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I am 3 month pregnant.This is my second pregnancy. I first delivered stillbirth during 24 week through vaginal delivery.When can I feel baby movement?

I am 3 month pregnant.This is my second pregnancy. I first delivered stillbirth during 24 week through vaginal delivery.When can I feel baby movement?

At about 18 weeks: Since you know what to look for you might feel it a little earlier, but sometimes it can be even weeks later and still be completely normal. My sympathies to you as you wait this out and i wish you well. ...Read more

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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


Dr. Gary Stephens
120 doctors shared insights

Stillbirth (Definition)

Stillbirth =death of fetus e after ...Read more