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Threatened Abortion - Reasons, Signs & Treatment
Nearly every pregnant mother has had the thought of miscarriage cross her mind. Which is why most mothers take utmost precaution in ensuring no harm comes to the baby in any case. However, certain situations may arise when you may find your vagina to be bleeding with some pain. Such scenarios need to be addressed immediately since they could signify a threatened abortion.
What is Threatened Abortion or Threatened Miscarriage?
In the first 20 weeks of pregnancy, nearly 1/3rd of women experience bleeding from the vagina and most of them do complete the entire term of pregnancy. However, in some mothers, the vaginal bleeding could be accompanied by abdominal cramping and pain in the region. These could indicate the possibility of a miscarriage, needing a pre-emptive abortion to protect the mother. Since it is a possibility, it is termed as a threatened abortion or a threatened miscarriage.
Symptoms of Threatened Abortion
Nearly all threatened abortions are preceded by bleeding occurring from the vagina, which majorly occurs in the initial 20 weeks of pregnancy. Other symptoms include,
Cramping in the abdominal area that accompanies the bleeding is also observed.
Pain in the lower back or the abdominal region, that could be dull but constant or even sharp spikes at times might also occur.
Certain women observe some material resembling a clot or a tissue, that they pass from their vagina.
Causes of Threatened Abortion
Some of the causes of a threatened abortion are,
Certain anomalies present in the chromosomes of the embryo have been termed to be responsible in miscarriage at extremely initial pregnancy stages.
Most women face threatened abortion due to a cervix that can’t hold the baby, fibroids of the uterus, inflamed villi, or even the presence of other diseases and conditions.
Any swelling or inflammation in the interior parts of the uterus could trigger a miscarriage as well.
Feverish chills, extreme fatigue, physical, mental, emotional stress, are all factors that could cause a threatened abortion.
Repeat mothers face higher chances of a threatened miscarriage if they have had multiple children.
Statistically, about 10% of women lose their pregnancy in extremely early stages.
Diagnosis of Threatened Miscarriage
In case of vaginal bleeding and abdominal pain, a nursing diagnosis for threatened abortion is the first step any pregnant mother should take to get clarity on the situation.
Doctors start from the source of the problem and begin with the vaginal bleeding. They try to pinpoint the origin of the bleeding as well as check to see if the amniotic sac is intact. This examination usually involves the vagina, uterus and the cervix where the entire region of the reproductive system is properly checked for any anomalies.
A threatened abortion ultrasound is the next step that is undertaken. This is to primarily understand the health of the baby and check if the heart is still beating properly and the growth is normal. In case the bleeding has been determined to emerge from the uterus, an ultrasound helps quantify it to take necessary actions. In the initial weeks of pregnancy, doctors prefer to undertake a transvaginal ultrasound using a probe inside the vagina, instead of the traditional abdomen-based ultrasound. This probe is inserted a few inches deep in the vagina and high-frequency sound waves are emitted. These are then sensed to create a vivid image of the internal foetal structure and look for anomalies.
Since hormones can also be another culprit responsible for the condition, a blood test that includes a full blood count will be undertaken. These tests measure the HCG, or the human chorionic gonadotropin hormone, as well as progesterone. Both these hormones are produced to invoke and support pregnancy and are necessary to be present in the right amount.
Treatment & Medication
Bedrest is the primary requirement to recover from a threatened abortion. Any kind of physical activities, including sexual intercourse, should be strongly avoided.
In case of the presence of conditions such as diabetes or thyroid related complications, the doctor might prescribe appropriate medication to treat them and support the pregnancy.
In certain cases, the mother’s blood group might be Rh negative while the baby’s blood group might be Rh positive. This then causes the mother’s body to start creating antibodies and combat the format of the foetus’ blood. In such cases, doctors administer Rh immunoglobulins to keep this behaviour in check.
If the tests reveal reduced levels of hormones, treatment of threatened abortion with progesterone injections might also be undertaken to bring them to the required amount.
To stop the bleeding or any uterine contractions, haemostatic drugs or even tocolytic agent based medication might be given by your doctor to help mitigate the condition.
Complications of Threatened Miscarriage
With any health-related condition, and especially with pregnancy, there are strong chances of complications occurring even after taking the right actions in a threatened miscarriage.
Since there is blood loss that takes place from the vagina, and the amount can sometimes be quite substantial, mothers could end up suffering from anaemia, which further deteriorates her health. In extreme conditions, doctors may even advise undertaking a blood transfusion in order to quickly bring the iron levels in the blood to a normal state.
Due to illnesses, an infection might make its way to the foetus or even infect the region around it, leading to possible complications.
The final condition might be such where a miscarriage does occur and the mother loses her foetus, or the foetus is not in a state to be carried to full term, and hence, requires to be aborted. This can be quite taxing for the mother physically as well as emotionally. In such cases, doctors also take high precautions in ensuring a fatal complication such as ectopic pregnancy, doesn’t take place.
Will You be Able to Work After Threatened Abortion?
Listening to your body and understanding it is the best way to know if you’re ready for work or not. In case your work is physically intensive, then it is highly advised to take some more time off and get as much rest as possible and recover properly. If your work is mostly sedentary and you feel that you are well-rested and fine, you may gradually start going to work.
Can Threatened Abortion or Miscarriage Be Prevented?
Such conditions cannot be fully prevented. However, their chances of occurring can be reduced by taking certain precautions.
Avoiding alcohol, tobacco, drugs, cigarette, completely
Reducing the intake of caffeine based drinks to the very minimal
Refraining from consuming any food items that are known to be harmful during pregnancy
Treating any infections as soon as they are diagnosed
Having a healthy and balanced diet, with supplementary vitamins and nutrients
Proper and safe exercise, along with non-exposure to harmful chemicals and environments
Long-Term Outlook
Most women deliver happy healthy babies even after experiencing the conditions of a threatened miscarriage. It primarily depends on the conditions of the cervix, uterus, and your hormone levels.
In case you do suffer from a miscarriage, you can still have a successful pregnancy after that. If you have had multiple miscarriages sequentially, then a doctor’s examination is highly advised.
Management of threatened abortion or miscarriage is not simply a medical activity. The entire process can affect a mother emotionally and cause undue anxiety and stress during the pregnancy or even for subsequent ones. Talk to people who provide you with emotional support and don’t hesitate from undertaking therapy if required.
Also Read:
Medical Abortion
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Macrosomia(Big Baby): A Labour complication
Macrosomia or big baby is a condition wherein the baby is larger or heavier than a full-term baby. This is commonly observed in babies of mothers who are obese or diabetic, and may lead to problems during delivery as the baby may be too large to pass through the birth canal.
What Is Macrosomia (Big Baby)?
The term ‘Macrosomia’ is adapted from the Greek language and literally means ‘macro – large or big’ and ‘somia’ meaning “body” and is usually used to describe a newborn with excessive birth weight. (The average weight of a healthy newborn is about 7 pounds). Macrosomia is also known as big baby syndrome.
Foetal Macrosomia in pregnancy is defined as the condition where the birth weight of a baby is more than 4000-4500g or 8-9lbs or more than 90% for gestational age. Women pregnant with a big baby are likely to have a difficult labour. The risk of complications significantly increases when the birth weight is greater than 9 pounds,15 ounces (4,500 grams).
The Centres for Disease Control estimates that 7-8 percent of infants born in 2015 weighed about 4,000 grams at birth, and 1-1.1 percent weighed 4,500 grams and 0.1% weighed more than 5000g.
Various attempts to make a prenatal (before birth) diagnosis of this condition have largely been inaccurate. However, your obstetrician may check for macrosomia if your abdominal measurements or ultrasound indicate that the baby is heavy compared to their gestational age (weeks or months of pregnancy). However, it should be noted that an ultrasound is not accurate during the later stages of pregnancy.
What Can The Causes Of Macrosomia Be?
Although most of the foetal macrosomia in pregnancy remain unexplained, various causative factors that may be the reason for having a big baby have been identified. These include:
Genetics: Parents height and weight have an impact on baby’s birth weight.
Ethnicity: Hispanic women are more likely to have a large baby as compared to Asian women.
Duration of Gestation (Pregnancy): It is more common in pregnancies which have crossed the expected date of delivery (E.D.D) by 1-2 weeks or more.
Presence Of Gestational Diabetes Or A Known Case Of Diabetes Mellitus: A diagnosis of Diabetes Mellitus before or during pregnancy is an alarming risk factor for foetal macrosomia. Uncontrolled diabetes may be linked to higher frequencies of this condition.
Maternal Age: Women over the age of 35years are more likely to get pregnant with a big baby.
Male Child: Male foetuses commonly weigh more than their female counterparts. Most babies above 4500g are usually males.
Pre-Pregnancy Weight: Excessive obesity or a high BMI before pregnancy.
Pregnancy Weight Gain: Excessive weight gain during pregnancy.
Family History: History of a previous macrosomia baby increases the risk by multiple folds.
What Can The Symptoms Of Macrosomia Be?
While there are no specific symptoms of macrosomia, the following are the signs of a big baby during pregnancy:
Excessive Fundal Height: Foetal macrosomia is usually suspected when your routine ante-natal (pre-delivery) visits to a doctor are suggestive of an excessive fundal height (maximum distance from the pubic bone to the top of the uterus in the abdomen). It is generally termed as being large for gestational age in the medical language.
High Weight Gain: Excessive body weight during later pregnancy might be an indirect symptom of having a macrosomia baby.
Polyhydramnios: Excessive amniotic fluid, which surrounds the uterus and acts as a shock absorber may be associated with this condition. This can be detected by ultrasonography. According to some investigators, polyhydramnios is said to be a result of excessive urine output by a large baby.
Complications
Macrosomia can cause issues for both the mother and the baby. Here is a quick overview of the complications both the mother and the baby may face.
Complications In Moms:
The major maternal complications of foetal macrosomia occur because of birth injuries and traumatic deliveries.
Difficult Labour: A baby that is larger than usual may get obstructed in the birth canal during normal labour. This may require assisted deliveries with the help of forceps or vacuum devices. In certain situation for a caesarean section (lower abdominal surgical technique for delivery) may be the only option available to deliver a big baby.
Genital Tract Injuries and Lacerations: The excessive force required to deliver a large foetus may injure the vaginal tissues and the perianal muscles (muscles that hold the integrity of the anal canal).
Excessive Bleeding: Ante-partum (birth time) or Post-partum (after delivery) bleeding may occur in case of a complicated labour due to foetal macrosomia. Here, the birth canal is larger than normal to accommodate the oversized foetus.
Uterine Rupture: Although rare, a previously operated uterus of a woman, either because of a previous C-section or any other uterine repair procedure may be at higher risk of rupture at the suture site. This is because a macrosomic foetus exerts more strain on the uterine walls.
Higher Risk Of Foetal Macrosomia In Future Pregnancies: The risk of foetal macrosomia successively increases in probability with each macrosomic delivery.
Complications In Babies:
Birth Time Injuries: In cases of obstructed labour due to foetal macrosomia, babies delivered normally with or without assisted techniques may sustain bodily damage. This includes shoulder dystocia, a mechanical complication wherein due to disproportion the shoulders are not delivered after the head of the baby. It results in the shoulders getting lodged within the mother’s pelvic bone. Neurological complications may also occur due to trauma to the baby’s head during delivery.
Hypoglycemia At Birth: A baby born with an excessive birth weight is more likely to have lower than normal blood sugar levels at birth. This may be detrimental if not diagnosed instantly and may trigger neonatal seizures.
Childhood Obesity: Macrosomic babies are prone to obesity in their childhood. The risk is directly proportional to the birth weight.
Metabolic Complications: Babies with excessive birth weight have a higher likelihood of acquiring the metabolic syndrome. This is a triad of excessive blood pressure, elevated blood sugars, and abnormal body fat or deranged cholesterol profiles. It is directly associated with the higher risk of future cardiovascular and cerebrovascular diseases in adulthood.
Factors Influencing Risk Of Macrosomia In Women
Obesity: Obesity may significantly affect pregnancy outcomes, including the incidence of foetal macrosomia in many direct and indirect ways. Body Mass Index (BMI) is measured as Weight in kgs/height in meters square. Obesity is described as a BMI of more than 30, while a BMI of more than 25 is considered overweight and a harbinger of obesity. Obese women are more likely to have diabetes mellitus and gestational diabetes, both, in turn, are other direct etiological factors for foetal macrosomia.
Diabetes Mellitus Or Gestational Diabetes: Women with existing diabetes or that detected during pregnancy are at a higher risk of having a large baby. The blood sugar levels also affect the foetal outcomes.
Diagnosis For Big Baby
Laboratory Method: A Glucose tolerance test (GTT) done around 24-28 weeks of gestation can be a good method to rule out possibilities of gestational diabetes. An impaired fasting GTT may suggest further workup and evaluation for Gestational Diabetes Mellitus (GDM) and subsequently for foetal macrosomia.
Screening Method: Clinical examination including regular abdominal measurements and fundal height may give an idea of the possibility for foetal macrosomia. Specifically, abdominal circumference measuring more than 35cms before 2 weeks of delivery is associated with macrosomic delivery.
Imaging Method: Macrosomia Ultrasound (USG) of the abdomen can estimate the foetal dimensions from time to time and help correlate them to the gestational age of the foetus.
Treatment For Macrosomia
Treatment of Foetal Macrosomia includes an integrated approach. Although definitive treatments are subjective for each case, the following is a common protocol advised for foetal macrosomia management.
Diet: In consultation with a dietician. Overweight and diabetic mothers should adhere to balanced and healthy diets.
Medical Obstetric Care: Although induction of labour in cases of foetal macrosomia is a subject of debate, pregnancies more than 39 weeks may be offered induction in a subjective and supervised view to prevent complications.
Surgical Care: Vaginal assisted deliveries with either forceps or vacuum-assisted devices may be applied for obstructed normal deliveries.
Caesarean section (c section for big baby) may be chosen as an elective or emergency procedure based on the screening results.
Will Macrosomia Affect My Delivery?
Macrosomia in a few cases, may result in traumatic deliveries, including vaginal and perineal injuries. There are chances of excessive haemorrhage and rare instances of uterine rupture. It may necessitate assisted vaginal or caesarean section delivery. Macrosomia also increases the chances of having foetal macrosomia in successive future pregnancies.
Will Macrosomia Affect My Baby’s Health?
Macrosomia may affect the baby during delivery, including birth time hypoglycemia, shoulder dystocia, and neurological damage. It may also predispose the baby to have obesity, diabetes mellitus, cardiovascular and stroke like diseases in the future.
Can Macrosomia Be Prevented And Managed?
Yes, with timely medical consultations, regular ante-natal follow-ups and scanning, macrosomia can be prevented. Also, efficient weight control with dietary measures, regular exercise, and adequately controlled sugars with medications can help prevent macrosomia.
How To Avoid Having A Big Baby?
Early testing for Gestational diabetes, foetal echocardiography and delayed sonography at around 20-22 weeks of pregnancy can help prevent foetal macrosomia.
Macrosomia is a labour complication for the mother and disease predisposing for the baby in future. However, it can be well estimated during pregnancy with frequent and timely scans. It can also be effectively prevented with lifestyle measures in the expecting mother and managed or treated with assisted delivery techniques.
Also read: Foetal Growth Chart Week By Week - Length & Weight Read more
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Back Extension Exercises to Strengthen Your Back
Do you feel back pain every now and then? If yes, then you are not alone. Back pain is a common complaint of people of this generation. The hours you spend sitting (in not-so-correct posture) on a chair while working at the computer and your sedentary lifestyle can subject your back to a lot of discomfort and distress. But the good thing is that you can prevent this pain from aggravating by practising some exercises. Performing these exercises can help strengthen your back and provide you relief from the constant pain.
5 Hyperextension Exercises You Can Try at Home
Back extension exercises can provide you relief from back pain. You can practise them along with crunches to build a balanced, solid midsection. Here are some top 5 exercises that you can try at home:
1. Cat and Cow Stretch
This simple stretch can be performed as a warm-up exercise. This exercise can improve your balance and posture. This exercise will also help calm your mind.
How to Perform
Get down on all fours on a yoga mat aligning your wrists underneath your shoulders and your knees underneath your hips. You will be in a tabletop position.
Breathe in and tuck your toes. Then arch your spine and lift your toes for a cow pose.
For cat pose, untuck your toes and round your spine.
Next, drop your head and keep your abdominal muscles tight and drawn in. Your navel should be drawn toward your spine.
Return to normal position.
2. Swimming Pose Exercise
This exercise can help stretch your back and lower the back pain. This is a great workout for lower back, butt, and core.
How to Perform
Lie down on your stomach on a yoga mat keeping your legs straight and together.
Stretch your arms straight overhead and ensure that your abs are tight.
Next, stretch your arms and legs as far away as possible in opposite directions so that they come up off the floor.
Also, elongate your spine for your head to rise off the floor.
Move your left arm and right leg up and down and pulse for a few seconds.
Then move your right arm and left leg up and down and pulse.
Breathe in for a total of 5 seconds. Similarly, breathe out for the same duration.
3. Pilates Dart Exercise
This exercise is often recommended to those who experience back pain. Performing this exercise helps strengthen the muscles of the lower and upper back. The trapezius and latissimus dorsi back muscles are put to use in the dart workout which stretches and pulls open the front of the rib cage.
How to Perform
Lie on your stomach on a yoga mat and straighten your legs.
Keep your arms by your side.
Inhale and raise your abdominal muscles up.
Exhale while keeping your abdominal muscles pulled in. Make sure your upper body is not on the ground - it should be slightly off the mat.
Your glutes and legs (thighs) should provide stability to your lower body.
Bring your arms behind you while sliding your shoulder blades and keeping your gaze pinned downwards.
Inhale and hold for a few seconds.
Exhale and lower your body to the mat.
Repeat the exercise three times.
4. Superman Stretch
The superman stretch involves raising the arms and legs simultaneously. This challenging stretch can benefit the back tremendously.
How to Perform
Lie down on the mat on your belly. Extend your legs behind you.
Straighten out your arms in front of you. Relax your neck and make sure it is aligned to your spine. Keep your gaze onto the mat.
Engage your glutes and core.
Lift your arms a few inches away from the floor, raising your chest up. In unison, raise your legs a few inches away from the floor. Hold for 5 seconds.
Next, lower both your arms and legs onto the floor.
Repeat the action. Subsequently, try and hold the pose for a longer time.
You can also try to raise the arms and legs a little higher but remember not to force it.
5. Planks
Planks can strengthen your abdomen and wrists, and build up your arms. Here is how you can perform planks.
How to Perform
Start in the plank position on a yoga mat.
Align your wrists underneath your shoulders.
Extend your legs straight behind, grounding the toes.
Stretch your heels back and secure the legs.
Raise your kneecaps and push the front of your thighs upwards.
Tilt your tailbone back.
Next, push your hands into the mat to straighten your arms.
Feel your breath expand into your chest as you engage the lower abdominals.
Hold for several counts of breath before returning to the usual position.
Tips to Keep in Mind While Performing Back Extension Exercises
Some tips that you should keep in mind while performing back extension exercises are:
Exhale while raising your arms and legs. Inhale while lowering them.
Make sure you follow every step properly. Be patient and take your time to get comfortable with the moves.
A Word of Caution
It is important to be cautious while performing these exercises.
In case your back feels sore after performing lower back extension exercise, get in touch with a doctor immediately.
People with a herniated disc must avoid doing these exercises for it may heighten intervertebral pressure.
Individuals with sensitive spinal nerves must refrain from performing reverse hyperextension exercise.
Back pain is a common issue. Most people experience it at some point or the other in their lifetime. Give your back a chance to develop stronger by taking on back extension exercises.
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Yoga or Gym: Which is Better?
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How Effective is Acupuncture to Reduce Back Pain
Many of us today are looking for an alternative to allopathic medicine to treat our ailing bodies. This is particularly true for patients with chronic pains who do not wish to take drugs continuously. What is the best alternative to such medication? One can opt for Ayurvedic and Siddha treatments, homoeopathy, or even go for regular body massages. Ayurvedic body massages like Kati Basti, abhyanga, or Greevabasti and Shirodhara can relieve pain to a large extent. There is one other traditional treatment that can be sought for chronic pain, and that is acupuncture. Acupuncture, especially, is known to relieve body pain if done by an expert practitioner. Although it is not a very popular option and people are sceptical about this course of treatment, it has its own merits. Read on to understand more about this treatment.
What is Acupuncture?
Acupuncture is a type of treatment which involves inserting thin needles into the skin of a person at precise points in the body. These needles are inserted to various depths, depending on the treatment required for the kind of pain the patient has. It is a very crucial component in traditional Chinese medicine which dates back to 2500 years before today. It is a form of treatment that is usually combined with other methods of treatment. Several trials and systematic reviews of acupuncture stand to show inconsistent results, and it is inconclusive whether acupuncture is effective in the treatment of any ailment other than pain.
How Does Acupuncture Help Treat Back Pain?
Acupuncture is based on the premise that our bodies consist of a selective form of energy flow. This energy is known as Prana in yoga and Qi (pronounced as chee) in Chinese medicine. It is vital for optimum energy flow to maintain good health. There are said to be 2000 points all through the body which connect 20 energy pathways. While performing acupuncture, thin needles are inserted at various points to calibrate your energy flow. Most sessions require between 5-20 metallic needles to be placed in the skin for about 20 minutes. The needles usually reach anywhere just below the surface or several inches lower. Longer needles are required where the muscles are deeper, or there is a layer of fat cells.
Stimulation of these points is supposed to activate parts of the nervous system to relieve pain. The needle stimulation is also known to deliver opioid-like chemicals into the bloodstream to numb pain. Also, it is known to trigger electromagnetic impulses that increase the rate at which endorphins and encephalin are released into the body. These chemicals may alter the pain experience or trigger the flow of other hormones which influence the body’s internal pain regulating system. The effect is that our neuroendocrine function stabilises. Additionally, acupuncture is supposed to shut off pain receptors in the body by using neurotransmitters. It stimulates the body’s innate healing abilities and improves emotional well-being and well as physical health.
Energy pathways and points in our body correspond to certain parts and organs of our body. Acupuncture points for neck and back pain differ vastly, and should only be performed by an expert. Acupuncture pressure points for lower back pain are located on the stomach, back of the knees, lower back, foot, hip, and hands. Pressure points for the upper back are entirely different and may be located on the head, shoulder, neck, and upper back. There are no conclusive researches that evidence the exact nature of acupuncture. It is said to be based on intuition and philosophy rather than scientific research. However, it is seen that acupuncture creates a host of desired effects. It is said to stimulate the spinal cord and the brain. Most people who have undergone treatment have reported feeling energised and relaxed.
Precautions To Be Taken While Doing Acupuncture
The ancient practice of acupuncture may have found new takers in the modern world. But it is important to remember a few things if you decide to get acupuncture treatment to relieve your aches.
Get the treatment from a responsible and well-trained practitioner. A little bit of research on the practitioner will go a long way in keeping you safe and healthy. Your therapist should use medically approved sterile, single-use needles only.
If you are pregnant and are looking at acupuncture to relieve lower back pain, remember that acupuncture is known to stimulate labour and delivery. Speak to your healthcare provider before you make a decision.
If you take blood thinners for blood pressure or suffer from a bleeding disorder, avoid acupuncture because it can be a health risk.
Keep the site of puncture clean post each session to avoid contracting an infection. The risk of infection is minimal if you have chosen a professional practitioner.
Sometimes there may be a bit of soreness, minimal bleeding, or bruising at the point of puncture. It clears up without any further treatment and does not pose any risk to health.
Keep in mind that a single session cannot remedy your pain permanently. As all treatments and medication do, acupuncture requires time and belief to show results.
Do not cancel subsequent sessions if you feel pain relief after the first session. Consistency is key to long-term pain relief.
Acupuncture, although it has many sceptics, is an ancient therapy that has long held value in the East. It can aid in relieving upper and lower back pain as well as neck pain. There are several indications that it can help to reduce the pain of migraine headaches, osteoarthritis, and knee pain too. There are various methods of needling like spinning, moving down, or flicking. The needles are sometimes heated with electric charge after insertion to improve reception of treatment.
Several governments across the world have regulatory bodies governing the practice of acupuncture. WHO recommends a minimum of 200 hours of intensive training before becoming a registered practitioner of acupuncture. Despite this, malpractice has lead to several cases of adverse effects like pneumothorax, oedema, and spinal injuries. It is very crucial to find a professional with many years of experience before deciding to take the treatment.
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Dr Ghouse has added a new answer
Expecting Mom due this month
11 hours ago
Q. hello dr..I am 39 weeks 3 days pregnant, AFI level 8 is this normal?and normal delivery possible for me? Is the fluid enough for up to 1 week?Do I need a drip? please suggest me.
Dr Ghouse
Paediatrician
11 hours ago
A. the levels are on the lower side. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
Sarika gupta has added a new answer
Expecting Mom due this month
10 hours ago
Q. Hi.. Priyanka kalra doctor..I am 39 weeks 3 days pregnant, AFI level 8 is this normal?and normal delivery possible for me? Is the fluid enough for up to 1 week?Do I need a drip? please suggest me.
Sarika gupta
Mom of 2 children
10 hours ago
A. Hello there ma’am please do not worry about it too much and it is quite difficult to say anything about it without personally examination and proper reports evaluation. So better to consult with your treating gynaecologist in person as she knew the exact health condition of your pregnancy and can guide you better.
Take care
Rashmi has added a new answer
Expecting Mom due this month
8 hours ago
Q. Hi, for May 1st they will check AFI fluid... should I need to be on empty bladder for that scan... which is around 37 weeks
Rashmi
Mom of a 9 yr 7 m old girl
8 hours ago
A. It’s completely normal this kind of an ultrasound is different it is not necessary that your stomach should be full or you should go empty stomach you can have your basic breakfast and all whatever you would want to eat before you go ahead with getting a scan and there is no need to go empty stomach for the scan
Rashmi has added a new answer
Guardian of 0 children
7 hours ago
Q. hi everyone..the position of my baby is still in breech position from first trimester till now as I entered in my third trimester position is still breech is it normal..
Rashmi
Mom of a 9 yr 7 m old girl
7 hours ago
A. Absolutely hundred percent normal if the child changes the position then it’s just a matter of time otherwise I would just say that sometimes kids do not change the position throughout their pregnancy so now you should just be mentally sorted to have a C-section
parminder kaur has added a new answer
Guardian of 0 children
7 hours ago
Q. Mera Mera 7th month end pe hai ab scan Karate doctor please tell me
parminder kaur
Mom of a 1 yr 1 m old boy
7 hours ago
A. yess
Dr Ghouse has added a new answer
Expecting Mom due in 1 month
6 hours ago
Q. what types of clothes are good for a new born baby during summers
Dr Ghouse
Paediatrician
31 mins ago
A. cotton cloth and loose fitting for good ventilation. if there is no relief it is better you see your doctor for proper examination particularly physical examination if there is need for doing investigations to find out the problem and treatment ok
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