Obstetrics, Gynecology

Obstetrics and Gynecology

An ultrasound can provider evaluate your baby's growth

An ultrasound to evaluate your baby’s growth

An ultrasound to evaluate your baby's growth

What is the ultrasound?

An ultrasound can provider evaluate your baby’s growth.  An ultrasound is an imaging technique that uses sound waves to produce images of the fetus inside the womb. And can help your health care provider evaluate your baby’s growth and development and monitor your pregnancy. In some cases, a fetal ultrasound is used to evaluate potential problems or help confirm a diagnosis.

Why is a fetal ultrasound important during pregnancy?

 An ultrasound to evaluate your baby’s growth ,It is one of the few ways your pregnancy care provider can see and hear your baby. It can help them determine how far along you are in pregnancy, if your baby is growing properly or if there are any potential problems with the pregnancy. its may occur at any time in pregnancy depending on what your provider is looking for.

What can be detected in a pregnancy ultrasound?

Generally prenatal ultrasound does two things:

  • Evaluates the overall health, growth and development of the fetus.
  • Detects certain complications and medical conditions related to pregnancy.

In most pregnancies, ultrasounds are positive experiences and pregnancy care providers don’t find any problems. However, there are times this isn’t the case and your provider detects birth disorders or other problems with the pregnancy.

Also Reasons why your provider performs a prenatal ultrasound are to:

  • Confirm you’re pregnant.
  • Check for ectopic pregnancy, molar pregnancy, miscarriage or other early pregnancy complications.
  • Determine your baby’s gestational age and due date.
  • Check your baby’s growth, movement and heart rate.
  • Look for multiple babies (twins, triplets or more).
  • Examine your pelvic organs like your uterus, ovaries and cervix.
  • Examine how much amniotic fluid you have.
  • Check the location of the placenta.
  • Check your baby’s position in your uterus.
  • Detect problems with your baby’s organs, muscles or bones.
Why is a fetal ultrasound important during pregnancy?

Also an important tool to help providers screen for congenital conditions (conditions your baby is born with). A screening is a type of test that determines if your baby is more likely to have a specific health condition. Your provider also uses ultrasound to guide the needle during certain diagnostic procedures in pregnancy like amniocentesis or CVS (chorionic villus sampling).

at the present time part of a biophysical profile (BPP), a test that combines ultrasound with a nonstress test to evaluate if your baby is getting enough oxygen.

Prof. Haitham Al-Tahwi ⬅️ Fem Clinic
Heliopolis: 94 El Merghany Street in front of the Girls College metro station
Fifth Settlement: Clinic 215, second floor, HCC building, behind the Air Hospital – New Cairo
For inquiries and reservations 📲 00201274777359

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glucose tolerance الجلوكوز أثناء الحمل​

Glucose tolerance during Pregnancy

Glucose tolerance during Pregnancy

Overview

Glucose tolerance during Pregnancy ,The glucose challenge test, also called the one-hour glucose tolerance test, measures the body’s response to sugar, called glucose. The glucose challenge test is done during pregnancy. The purpose of this test is to check for diabetes that develops during pregnancy. That condition is called gestational diabetes.

 

The test is done in two steps. The first is drinking a sugary drink. One hour later, blood sugar is measured. The results show whether gestational diabetes might be present.

If the test results fall outside the standard range, more testing may be needed to diagnose gestational diabetes.

Why it's done

The glucose challenge test is used to check for gestational diabetes during pregnancy.

People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.

Why it's done

People at high risk of gestational diabetes might have this test done earlier than 24 to 28 weeks. Risk factors may include:

  • A body mass index of 30 or higher.
  • A lack of physical activity.
  • Gestational diabetes in an earlier pregnancy.
  • A medical condition linked to getting diabetes, such as metabolic syndrome or polycystic ovary syndrome.
  • Being 35 or older during pregnancy.
  • Diabetes in a blood relative.
  • Having had a baby in an earlier pregnancy who weighed more than 4.1 kilograms at birth
The test is done in two steps

 The first is drinking a sugary drink. One hour later, blood sugar is measured. The results show whether gestational diabetes might be present.

If the test results fall outside the standard range, more testing may be needed to diagnose gestational diabetes.

In glucose tolerance (glucose tolerance), true diabetes appears or is first diagnosed during pregnancy.
Symptoms of gestational diabetes:
1- Excessively thirsty.
2-Hunger than usual.
3- Needing to urinate more often
Prof. Haitham Al-Tahwi
FEM Clinic Center

Find us

Heliopolis: 94 El Merghany Street, in front of the Girls College metro station
Fifth Settlement: Clinic 215, second floor, HCC building, behind the Air Hospital – New Cairo
For inquiries and reservations:  00201274777359

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The difference in the blood type between negative and positive for both spouses in pregnancy اختلاف فصيلة الدم بين سلبي وإيجابي في الحمل

The difference in the blood type between negative and positive for both spouses in pregnancy

True or false

The difference in the blood type between negative and positive for both spouses in pregnancy and the cause of pregnancy and the cause or pregnancy and the reason, put it in their bodies, and return them.

Rh Incompatibility in Pregnancy

Problems can occur when the mother is Rh- and the baby is Rh+. This mismatch in blood type is often referred to as Rh incompatibility

This mismatch doesn’t cause any problems for the first pregnancy. But it can lead to problems in later pregnancies.

During birth, the blood of mother and baby will mix. In a mom that is Rh-, her immune system won’t recognize the Rh+ in the baby’s blood. The mom’s immune system will think these definitely don’t belong – her own blood cells don’t have Rh!

Later after birth, the Rh- mom’s immune system will create antibodies that will attack any Rh+ blood they see in the future. It takes some time for the mom to make these antibodies, so these antibodies are not usually an issue during the first pregnancy. 

But in future pregnancies, if the mom’s immune system sees any Rh proteins, they are treated like foreign invaders! It will attack any Rh+ blood cells, even those of the mom’s own unborn baby. This is referred to as Rh disease of the newborn.

Incompatibility in Pregnancy

In situations where a mother has Type O blood, and the baby has A, B, or AB blood, the mother’s immune system will recognize the baby’s blood as foreign. The mother’s immune system will then create special antibodies that attack the ABO group of the baby’s blood cells, just like in Rh incompatibility. 

But these antibodies are different than the antibodies that attack the Rh proteins!  

A baby receives one gene from the father and one from the mother. More specifically, consider the following:

rh-disease-newborn

finally The difference in the blood type between negative and positive for both spouses in pregnancy and the cause of pregnancy and the

Conclusion

It’s always important to see a doctor before having a baby! Even in cases where blood group incompatibility is a problem, a doctor can help you to figure out the best plan forward to keep you and your baby happy and healthy. 

Fam Clinic Center
Heliopolis: 94 El Merghany Street, in front of the Girls College metro station
Fifth Settlement: Clinic 215, second floor, HCC building, behind the Air Hospital – New Cairo
For inquiries and reservations  00201274777359
#Haitham_Al-Bahawi #Pregnancy #Birth #ICSI #Women’s Health #Breastfeeding #Uterine #Men Infertility # IVF # IVF # Abortion # Good Morning # UAE # Jordan # Misurata

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أنواع المشيمة المنزاحةTypes Of Placenta Previa

Types of placenta previa

أنواع المشيمة المنزاحةTypes Of Placenta Previa

Types of placenta previa:
1️⃣ Total: When the placenta is completely cervical.
2️⃣ Upper part of the uterus.
3️⃣ Marginal: When the placenta terminates from the cervix, about 2 cm from the internal orifice of the cervix.

 

Signs and symptoms

Women with placenta previa often present with painless, bright red vaginal bleeding. This commonly occurs around 32 weeks of gestation, but can be as early as late mid-trimester.[8] More than half of women affected by placenta praevia (51.6%) have bleeding before delivery.[9] This bleeding often starts mildly and may increase as the area of placental separation increases. Placenta praevia should be suspected if there is bleeding after 24 weeks of gestation. Bleeding after delivery occurs in about 22% of those affected.[2]

Women may also present as a case of failure of engagement of fetal head.[10]

BC-PlacentaPrevia أنواع المشيمة المنزاحة

Cause

The exact cause of placenta previa is unknown. It is hypothesized to be related to abnormal vascularisation of the endometrium caused by scarring or atrophy from previous trauma, surgery, or infection. These factors may reduce differential growth of lower segment, resulting in less upward shift in placental position as pregnancy advances

BC-PlacentaPrevia أنواع المشيمة المنزاحة

Risk factors

The following have been identified as risk factors for placenta previa:

  • Previous placenta previa (recurrence rate 4–8%), caesarean delivery, myomectomy or endometrium damage caused by D&C.
  • Women who are younger than 20 are at higher risk and women older than 35 are at increasing risk as they get older.
  • Women who have had previous pregnancies (multiparity), especially a large number of closely spaced pregnancies, are at higher risk due to uterine damage.
  • Smoking during pregnancy; cocaine use during pregnancy
  • Women with a large placentae from twins or erythroblastosis are at higher risk.
  • Race is a controversial risk factor, with some studies finding that people from Asia and Africa are at higher risk and others finding no difference.
  • Placental pathology (velamentous insertion, succenturiate lobes, bipartite i.e. bilobed placenta etc.)
  • Baby is in an unusual position: breech (buttocks first) or transverse (lying horizontally across the womb).

Placenta previa is itself a risk factor of placenta accreta. Alcohol use during pregnancy was previously listed as a risk factor, but is discredited by this article.

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