Doctor insights on:
Transverse Baby Delivery
Too soon : It's too soon to determine the need for a c section at 33 weeks. Your baby could still change its position over the next 5-6 weeks. If your baby remains transverse or becomes breech late in pregnancy, you will need a c section. However, it is simply too early to tell right now. Discuss this with your obgyn. Good luck! ...Read more
Yes: Babies can be delivered vaginally even over 10 lbs. Some larger babies may cause difficulty with delivery however. Do not rely on the estimated size to determine if the baby can be delivered vaginally as size estimates in the 3rd trimester can be inaccurate. Rely on your obstetrician's experience! ...Read more
Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
What is the incidence of mixed delivery (one twin delivered vaginally, one twin delivered via c-section)?
About 4% but rising: The most common reasons for c section of a second twin are heart rate problems and the baby coming down in a position other than head first. Many doctors used to be willing to deliver a second twin either butt first or by the feet, but few still have much experience in doing this. There is also a risk of injury to the nerves of the arm or learning disability in any baby that is born breech. ...Read moreSee 1 more doctor answer
Im 25 weeks pregnant. Diagnosed with placenta previa totalis. Baby is in breech position. Is there a chance of my placenta migrating and baby rotating?
Yes there is!: As the uterus grows your placenta may migrate up, and the baby may turn to the vertex (head down) position. There is no guarantee. You need to be watched closely. If previa still exists and/or baby is still breech at term, you'll need a c section. Avoid intercourse or anything else in the vagina while you have a previa. This could cause severe bleeding. Be seen for any bleeding. Good luck. ...Read more
How common are cord accidents/prolapse/compression with footling breech at+after 28 weeks of pregnancy? is footling breech dangerous during pregnancy?
What kind of incision for delivery of singleton in transverse lie with anterior placenta previa? Will low transverse cut risk hemorrhage/uterine tear?
Hyst'omy MANDATED: hello Annie-_777 I am not an OB GYN but I have had a lot of experience which tells me that a lower abdominal incision (Pfannen-Stiel) is a better incision in almost all situations. This situation of a transverse lie and an anterior placenta praevia is a very hazardous situation because you need the baby out and the cord clamped within seconds of opening the uterus so choose a very skilled surgeon. ...Read more
Yes: Breech is when the baby's head isn't pointing down to the cvx/vagina. Frank/footling meanthe baby's feet are either tucked up to its head/dangling down to the vagina. Many reasons why; sometimes baby's size, shape of uterus, rarely it's babies w/ a neuro disorder. >50% flip to cephalic at 32wks, and it even happens at 38wks. OBGYNs can perform a version to flip baby at term, but DON'T TRY @ HOME ...Read moreSee 1 more doctor answer
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
Yes, possible!: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
They are different: Iugr =small for gestational age= a small baby despite appropriate length of gestation/pregnancy--causes: smoking, alcohol abuse, drug use, infections, excessively low amniotic fluids, maternal hypertension, hypothyroid etc... Preterm means baby is born before its time and thus had not the opportunity to grow in utero! if you still have question, repost here or consult your doc. Good luck. ...Read moreSee 1 more doctor answer
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