Daily dose Ovarian Cysts Or Pregnancy: Why You Can Mistake One For The Other There are a number of risk factors for ectopic pregnancies. However, in as many as one third to one half no risk factors can be identified. Risk factors include: pelvic inflammatory disease, infertility, use of an intrauterine device (IUD), previous exposure to DES, tubal surgery, intrauterine surgery (e.g. D&C), smoking, previous ectopic pregnancy, and tubal ligation. A therapist who also practices fitness training can offer exercise guidelines that are safe and effective for your prenatal fitness needs. A therapist who was formally a nurse will know how gestational diabetes and edema contribute to your pregnancy, and to your massage experience. Adequate periconceptional folic acid (also called folate or Vitamin B9) intake has been shown to decrease the risk of fetal neural tube defects such as spina bifida, a serious birth defect. The neural tube develops during the first 28 days of pregnancy, explaining the necessity to guarantee adequate periconceptional folate intake. Folate (from folia, leaf) is abundant in spinach (fresh, frozen, or canned), and is found in green leafy vegetables e.g. salads, beets, broccoli, asparagus, citrus fruits and melons, chickpeas (i.e. in the form of hummus or falafel), and eggs. In the United States and Canada, most wheat products (flour, noodles) are fortified with folic acid. PREGNANCY - 39 WEEKS In addition to an ultrasound, the doctor may order blood work to determine the concentration of beta human chorionic gonadotropin, or beta hCG. This hormone is produced in pregnancy and should double every 2-3 days. By taking blood draws over the course of a few days, the doctor can tell if the hormone levels are rising as they should, or if a miscarriage is impending. Most couples have many questions when you and your partner first make the decision to embark on the road to parenthood with a pregnancy and this is a great time to schedule an appointment with your doctor. Finding the right doctor is a very important part of this process because you want to choose a practitioner that you are comfortable with and that you feel will guide you successfully through your journey to parenthood. Once you find a doctor that you think you will be happy with, you can begin learning about all of the options that you have to become pregnant. An ultrasound showing a gestational sac with fetal heart in the fallopian tube has a very high specificity of ectopic pregnancy. Transvaginal ultrasonography has a sensitivity of at least 90% for ectopic pregnancy. The diagnostic ultrasonographic finding in ectopic pregnancy is an adnexal mass that moves separately from the ovary. In around 60% of cases, it is an inhomogeneous or a noncystic adnexal mass sometimes known as the blob sign. It is generally spherical, but a more tubular appearance may be seen in case of hematosalpinx. This sign has been estimated to have a sensitivity of 84% and specificity of 99% in diagnosing ectopic pregnancy. In the study estimating these values, the blob sign had a positive predictive value of 96% and a negative predictive value of 95%. The visualization of an empty extrauterine gestational sac is sometimes known as the bagel sign, and is present in around 20% of cases. In another 20% of cases, there is visualization of a gestational sac containing a yolk sac and/or an embryo. Ectopic pregnancies where there is visualization of cardiac activity are sometimes termed viable ectopic. Although extremely rare, there have also been at least two successful cases of transplation of the fetus into the womb. Both of these cases reportedly resulted in live births; therefore, it may not always be necessary to terminate the pregnancy. However, this has been rarely attempted, as there is much greater risk to the life of the mother, and it is only possible in very early stages of pregnancy.
Posted on: Sun, 31 Aug 2014 14:13:29 +0000
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