Doctor insights on:
Why Is A Vbac So Controversial
Uterine Rupture: Vaginal delivery after c section is controversial because of a complication that occurs in approximately 1/200 cases where the scar from the previous surgery opens up. This is called a uterine rupture. Strict guidelines in hospitals as well as the medical legal climate have made it difficult for some doctors to offer this service. ...Read moreSee 1 more doctor answer
Vbac stands for vaginal birth after cesarean. Because the uterine muscle has a scar from the prior surgery, and scar tissue isn't as strong as unscarred tissue, there are some additional risks to attempting a vaginal delivery after a cesarean. <1% of patients attempting vbac will have a complication ...Read more
Hi, making a decision about whether to circumcise my newborn, is there a strong medical case for circumcision or is it just a preference?
Personal choice: In the US circumcision is commonplace, 70-80 %, France 30%, Australia 30%, great Britain 10% (not covered by national health insurance). There is data suggesting increased life risks of UTI & STD if not. I remember it being the most requested elective surgery among young enlisted men during my Navy years. If it is done at all it is easiest and heals quickest in newborns. ...Read moreSee 1 more doctor answer
Safety: Most cesareans (about 50-66%) are because the baby doesn't fit. Half because she can't dilate to 10cm and half are completely dilated but she can't bring the baby through the birth canal. About 25% of cesareans are for baby heart rate concerns ideally, ob/gyns should try to have the best outcomes for mom and baby with the lowest possible section rate. ...Read more
Not true: This is a myth and in fact played a role in the defeat of a Senatorial candidate recently who talked about legitimate rape and non-legitimate rate and the ability of the body to reject it if illegitimate. The possibility of pregnancy depends upon the potency of the rapist and the time of assault in regards to the ovarian cycle of the female. This is why day after pills are useful in these cases. ...Read moreSee 1 more doctor answer
Could be: Elective c-section adds the risks of surgery, anesthesia, blood transfusion, & wound healing to what may be an uncomplicated vaginal delivery. Recovery is also harder for moms & i know it's unfair to women who have long painful labors & then end up with a c-section anyway. Review your concerns with your ob, if you had previous complications with vag delivery, many obs are willing to discuss it. ...Read more
Is having transrectal ultrasound is ok even you are not a virgin anymore because my mother is there that why i am not able to say the truth?
It's OK, but...: It's OK to do this if not a virgin. However, the reason for needing this test might reveal to your mom that you're not a virgin. It might diagnose a problem that shows you must have had sex, e.g. pregnancy or fallopian tube infection, which usually is an STD. You have the right to talk to the doctor or have ultrasound in private, without mom. If not possible, maybe best to be honest with her. ...Read more
Aspartame, is it safe to consume or not? A lot of controversy regarding this ingredient. Very interested to hear what a doctor has to say about this ?
No controversy: There is absolutely no controversy. There is a huge amount of good scientific data showing it's safe (unless you have the genetic disorder pku) and some internet wackos and conspiracy theorists with no scientific data but loudly protested pseudoscience and invalid opinions. Which do you trust? Don't get your scientific information from friends, tv or the internet. ...Read more
I was told its uncommon for a woman of 20 years of age to have scoliosis surgery is this true or is it because there would be more complications?
Scoliosis: This is true. Scoliosis surgery is typically not done unless the degree of curvature is high. There is a misconception that scoliosis always causes pain, but in actuality most patients with a mild scoliosis have no pain and have normal lives. If you have pain, it is likely due to benign causes such as soft tissue inflammation/deconditioning, and conservative treatment should help. ...Read more
Is coccygodynia a reason for cesarean?My bone is so deformed it might be a problem during delivery.
It isn't.: Having a retroverted (tipped or tilted) uterus does not effect fertility. I can't tell you how many women over the years have come to me saying that someone told them they can't get pregnant because of a tilted uterus, and here they are pregnant. If you are having trouble getting pregnant, you need to be evaluated for more likely causes. ...Read more
Is it normal to not be showing that much at 16 weeks pregnant ? this is my first pregnancy and im not that big is this ok?
Yes: 16 weeks is still early and the top of the uterus will be roughly halfway to your belly button. Some women look obviously pregnant at this point but many do not, especially when it is your first. Unless your doctor tells you that you are smaller than expected, don't stress about how it "looks". ...Read more
No: There is a procedure called an external cephalic version. An experienced physician uses his or her hands to gently move the baby into the correct position. A few years ago a medical study showed than vaginal breech delivery was more dangerous than a c section. Vaginal breech deliveries are not done often anymore. Ask if you are a candidate for external version. ...Read moreSee 1 more doctor answer
Discuss with OB: I think you are asking if a vaginal delivery is safe after having had a prior c-section. The clinical thinking on this has changed in the past several years, and you should certainly discuss this at some length with the doctor who is going to delivery the baby. Have a good delivery and a great baby. ...Read moreSee 1 more doctor answer
Huge blood supply: Basically the pregnant uterus has a huge blood supply from numerous and very large blood vessels and the organ itself is very large. During surgery for a cesarean hysterectomy each vessel keeps bleeding copiously until it is secured with a suture ligation (stitch). In the nonpregnant state, the blood vessels and uterus are much, much smaller making it easier to secure the bleeding. ...Read more
Why there is no concensus on ericsson method for gender selection and still used. If it is useless why not forbidden. It is unethical for drs to use?
Autonomy rules: This is the crude technique of centrifuging sperms, the x-chromosome carriers being heavier than the y-chromosome carrier. It works so-so, thus ethical. Free speech allows advocacy even of obvious false claims and many dubious practices. I'd encourage you not to sex-select your child; in countries where there is selection for boys, girls will be at a huge advantage in the next generation. ...Read more
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