Doctor insights on:
Transverse Lie Gender
Unstable position.: Fetuses tend to have longitudinal lies in pregnancy - be they cephalic or breech. Transverse lies are less common and involve the fetus with its spine axis perpendicular to the mother's spine axis (head to right or left, spine up or down). If persistent, transverse lies need cesarean section for delivery, unless external cephalic version [with epidural and terbutaline under real-time u/s] works. ...Read more
I have a transverse lie at 35 weeks, and the baby won't move with exercises that my midwife has recommended. Your thoughts?
Version: If malpresentation persists at 37 weeks, an external version may be attempted where the provider places hands on the abdomen and attempts to guide the baby into the proper position. There can be complications, so this should be done in a hospital with fetal monitoring and the ability to perform a csection if necessary. ...Read moreSee 1 more doctor answer
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
Ultrasound by 18 wks: If you can't waite until the birth, you may be lucky enough to see it during a routine ultrasound, often done around 18-20 wks. It is not a 100% that the ultrasound tech person can tell you during this procedure--baby may not be willing to show. There are places offering 3-d ultrasound with dvd/video recording for a nominal fee. No doctor-order needed. Congrats and good luck. ...Read more
Choosing gender: No. As I am sure you know, couples have been trying to choose gender for all of history. There is no way to do this. Nature wins on this one. ...Read more
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