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男爵府

積分: 6772

好媽媽勳章 畀面勳章


2781#
發表於 09-1-13 12:00 |只看該作者
大家如果要開刀,最好就39wks or later la!
Early Elective C-Sections Produce Complications
By Serena Gordon
HealthDay Reporter
by Serena Gordon
healthday Reporter
– Wed Jan 7, 11:47 pm ET
WEDNESDAY, Jan. 7 (HealthDay News) -- Women having an elective repeat C-section should wait until they're at least 39 weeks into their pregnancy to have the baby, if there are no medical issues with the mother or baby, a new study found.
Delivering just two weeks earlier doubles the risk that the baby will have problems, such as trouble breathing, infection and low blood sugar, according to the study.
The findings buttress recommendations from the American
College of Obstetricians and Gynecologists (ACOG).
"About 36 percent of women were delivered prior to 39 weeks, electively by Caesarean," said the study's lead author, Dr. Alan T.N. Tita, an assistant professor of obstetrics and gynecology and an epidemiologist at the University of Alabama at Birmingham. "These early deliveries were associated with adverse outcomes. There was a two-fold increase in morbidity in those delivered at 37 weeks compared to women delivered at 39 weeks."
Results of the study are published in the Jan. 8 issue of the New England Journal of Medicine.
Once a woman has had a Caesarean delivery, she and her doctor may decide to perform an "elective" C-section for subsequent births. The recommendation is that any such delivery should occur at 39 weeks or later if there are no medical concerns for the mother or baby. If a woman wants to deliver before 39 weeks, ACOG recommends that amniocentesis be performed to assess lung maturity in the baby.
The new study included 13,258 women who underwent elective repeat Caesarean deliveries at one of 19 U.S.
academic medical centers. All of the sites are part of the Eunice Kennedy Shriver National Institute of Child Health and Human Development's Maternal-Fetal Medicine Units Network.
Of the elective C-sections, 35.8 percent were performed before 39 weeks of gestation, with 6.3 percent done at 37 weeks and 29.5 percent at 38 weeks, the study found.
Babies born at 37 weeks had twice the rate of certain complications, such as needing to be placed on a mechanical ventilator, newborn sepsis (a blood infection) and low blood sugar. Babies delivered at 38 weeks had a 1.5 times higher rate of complications, according to the study.
Dr. Peter Bernstein, a maternal-fetal medicine specialist at Montefiore
Medical
Center and Albert Einstein College of Medicine in New York City, said he was not surprised by the increase in complications for deliveries before 39 weeks. "The bigger surprise to me was that nearly 36 percent of elective procedures were done before the 39th week," Bernstein said.
"The institutions that participate in this network are big academic centers," he said. "In the academic world, these are among the top institutions, and that more than one-third apparently aren't following ACOG guidelines is a surprise."
Both Tita and Bernstein said that early deliveries are probably due to both mothers and doctors. "There's an interplay between patient desires and physician willingness to accommodate patients," Tita said.
Bernstein said that women often prefer their own doctor for the delivery and not another doctor in the practice, which can lead to scheduled deliveries. And, he added, when you try to accommodate both the mother's and the doctor's schedule, it's easy to see how things get pushed back a week or more.
But he added a caution. "We have to not fool around with this," he said. "The baby may not be ready. This study's findings underline that the ACOG guidelines are appropriate."
Tita added, "In the absence of complications, it's probably optimal to wait until 39 weeks to undergo elective Caesarean."
    


大宅

積分: 2701


2782#
發表於 09-1-13 12:43 |只看該作者
urgent!

do you have any recommedation for 抽羊水測試?

is 香港產前診斷中心 in 中環雪廠街 good at 抽羊水? 林勇行醫生?

I am need to deterimine it in these few days....pls help


大宅

積分: 4497


2783#
發表於 09-1-13 13:41 |只看該作者
eeee,

首先政府醫生係咁嫁, 我1月頭做第一次產檢時佢直頭話check唔到心跳就算, 連翻check的意慾都冇, 如果唔係我哋都唔會去c+自己俾錢keep 住check la.

如果你唸住係c+生的話, 可以唔洗係聯合做所有測試的, 但如果你好似我咁, 唸住係聯合生的話, 當然在聯合做整有關的測試等佢度有齊bb的record就比較好.

但我上星期五在聯合做綜合測試個醫生就唔錯, 幾細心, 所以都要睇吓好唔好彩的, 所以唔好太擔心放鬆d先.

原帖由 eeee 於 09-1-12 14:12 發表
大家好呀, 以下係我今日喺聯合醫院既經歷, 想同大定分享下... ( 其實喺另一個post到講過的, 不過, 我都係呢到既一分子, 所以, 都想同大定講... )

我喺07年尾小產過一次, 大約10週都照唔到心跳, 要刮宮。所以, 今之 ...


大宅

積分: 4497


2784#
發表於 09-1-13 13:45 |只看該作者
我都book咗3月頭去巫少兹度check結構性, 因我朋友話佢都好細心同價錢只係幾佰元連DVD, 而且在旺角中心(比較方便).


別墅

積分: 657


2785#
發表於 09-1-13 15:32 |只看該作者
原帖由 Jcat 於 09-1-12 17:02 發表


之前試過失去, 心理壓力係會大d, 不過主必會保守的, 這個小b會和你一齊努力架. 俾心機, 向好方面諗, 加油, 祝福你!

我去東區都係聽左幾分鐘才聽到心跳, 不過我覺得部機咁簡陋, 係會同u/s好唔同, 要多d時間才搵到b ...


jcat, 多謝你呀~~
係呀, 果種壓力, 真係好大; 我成日同神講, 好對佢唔住, 我信心太少。但係, 我又相信, 現在我擁有的並非偶然, 所以要相信神。我會繼續同老公一齊祈禱的, 多謝你。

係呢, 你知唔知吳醫生有無得做結構架?我見好多 sister 已開始book, 有d重話full 左添, 我地要book嗎?


別墅

積分: 657


2786#
發表於 09-1-13 15:36 |只看該作者
原帖由 dar 於 09-1-13 10:00 發表
昨天去贊育抽絨毛,試咗兩次痛咗45分鐘,連麻醉共吉咗4針都最後唔啱位抽唔到,而家D傷口仲痛緊,白痛一餐今日都要休息, 而家唯有等17週時才抽羊水....

其實未抽前再睇過O/S後E生肯定個位OK才落針,不過呢個E生好無信心, ...


希望你可以快d復原, 個傷口亦都唔痛。
唔好擔心啦, 你擔心, 阿b都擔心架。
儘量放鬆d呀, 阿b會好好的。
願主祝福你~~


別墅

積分: 657


2787#
發表於 09-1-13 15:45 |只看該作者
原帖由 tigertiger7 於 09-1-13 13:41 發表
eeee,

首先政府醫生係咁嫁, 我1月頭做第一次產檢時佢直頭話check唔到心跳就算, 連翻check的意慾都冇, 如果唔係我哋都唔會去c+自己俾錢keep 住check la.

如果你唸住係c+生的話, 可以唔洗係聯合做所有測試的, 但如果 ...


tigertiger7, 多謝你的安慰。
其實, 暫時都仲決定喺c+生, 不過, 怕萬一阿b有乜需要, 又或者突然間財政有咩問題, 有政府back up埋會好d。
正正因為咁, 所以先去埋聯合。我都明白, 唔好對政府有咩期望; 但係我都有朋友, 家人喺政府醫院到做, 佢地又唔係咁官僚的。所以,真係幾失望 ...
我諗我會打比我個c+, 問下佢我宜家呢個情況, 佢會點建議我囉 . . .
有決定, 再話比大家知呀

09-1-14 我問左我個c+哪, 佢話如果政府幫我做, 就唔使喺佢度再做喎 ...
不過, 如果我擔心, 就可以喺佢度做多次

[ 本帖最後由 eeee 於 09-1-14 17:11 編輯 ]


大宅

積分: 4075


2788#
發表於 09-1-13 15:56 |只看該作者
好擔心, 明日去威爾斯照oscar, 我怕 b b 已經... ...
因為呢排公司好多野做, 心情又麻麻...唉


別墅

積分: 657


2789#
發表於 09-1-13 16:00 |只看該作者
原帖由 marie2008 於 09-1-13 15:56 發表
好擔心, 明日去威爾斯照oscar, 我怕 b b 已經... ...
因為呢排公司好多野做, 心情又麻麻...唉


唔好擔心啦, 如果你無咩特別既痛楚, 或者無咩野流出黎, 阿b應該好好咁長大緊, 放心。


大宅

積分: 4075


2790#
發表於 09-1-13 16:07 |只看該作者
原帖由 eeee 於 09-1-13 16:00 發表


唔好擔心啦, 如果你無咩特別既痛楚, 或者無咩野流出黎, 阿b應該好好咁長大緊, 放心。


多謝eeee!
但最近見有個準媽媽係無徵兆下, bb 都走咗... 頭先食飯返公司, 可能太急,個肚扯扯痛! 希望我bb可以平安無事la, 其實呢2晚都想同老公講 bb 可能... 但係怕整到佢都擔心埋, 因為佢依家滿心歡喜咁同bb 傾計...

明日就知道, 再同大家報告


別墅

積分: 657


2791#
發表於 09-1-13 16:31 |只看該作者
原帖由 marie2008 於 09-1-13 16:07 發表


多謝eeee!
但最近見有個準媽媽係無徵兆下, bb 都走咗... 頭先食飯返公司, 可能太急,個肚扯扯痛! 希望我bb可以平安無事la, 其實呢2晚都想同老公講 bb 可能... 但係怕整到佢都擔心埋, 因為佢依家滿心歡喜咁同bb 傾 ...


我相信好多準媽媽都會好似你咁擔心, 我自己都係 :p
因為我地比體內既荷爾蒙影響, 而變得緊張d, 情緒易波動d...
不過, 我都成日同自己講, 放鬆d, 阿b都會感應到而快樂成長。我地一齊努力啦...

我唔開心, 或者擔心都會同老公講的, 因為佢可以同我分享, 又可以知道點支持我, 重可以詐下嬌, 嘻嘻。

我會去睇 "崖上的波兒"呀, 睇片頭見到佢好得意, 睇左應該好開心的。我最近成日聽到佢首歌, 好搞笑, 我跟住佢亂咁唱, 個人都不自覺開心左 ( 哈哈)

你都搵d輕鬆野做下啦, 放鬆d 啦...
有個sister 同我講, 要好好享受懷孕既樂趣, 我覺得好啱, 大家一齊努力呀 :) :) :)


伯爵府

積分: 18286

好媽媽勳章 醒目開學勳章 畀面勳章


2792#
發表於 09-1-13 16:36 |只看該作者
雖然話政府唔好
但我係贊育
見到好多鬼佬陪老婆來生呀


子爵府

積分: 14944

開心吸收勳章 玩具勳章 趣教勳章 醒目開學勳章 畀面勳章 叻叻勳章 有「營」勳章 wyeth冷知識勳章 陪月勳章 大廚勳章 BK Milk勳章 hashtag影視迷勳章


2793#
發表於 09-1-13 16:47 |只看該作者
好想食McDonlad 個新飽...唔知好唔好...

昨日飲左一can可樂..好正..

不過飲完有d怕bb有事..
ToBy GiNNy VinCent


伯爵府

積分: 18286

好媽媽勳章 醒目開學勳章 畀面勳章


2794#
發表於 09-1-13 16:51 |只看該作者
COKE我都成日飲
今日飲左MILK TEA TIM.....


別墅

積分: 657


2795#
發表於 09-1-13 17:06 |只看該作者
無問題喎, 我成日都食老麥, 而且亦無唔安樂喎...
想食就食啦, 無問題架, 只要唔係日日食, 餐餐食, 一次半次, ok架。
食得開心d :)


子爵府

積分: 14944

開心吸收勳章 玩具勳章 趣教勳章 醒目開學勳章 畀面勳章 叻叻勳章 有「營」勳章 wyeth冷知識勳章 陪月勳章 大廚勳章 BK Milk勳章 hashtag影視迷勳章


2796#
發表於 09-1-13 19:24 |只看該作者
你地都有食, 咁我都安心d
ToBy GiNNy VinCent


男爵府

積分: 9332


2797#
發表於 09-1-13 22:24 |只看該作者
原帖由 vincentoby 於 09-1-13 10:32 發表
我book左照結構啦...$1200 (在林勇行醫生)

佢地話18-22weeks可以照..咁我7/3/09 20weeks照都ok呀?


姑娘都話20weeks照係最好架!


別墅

積分: 809


2798#
發表於 09-1-13 23:04 |只看該作者
原帖由 Bean0602 於 09-1-11 23:43 發表
唔知點解呢兩個星期開始, 我覺得右面pat pat條筋成日扯住扯住咁, 如果瞓係床想轉身, 重覺得好痛要慢慢先郁到, 你地有冇人好似我咁呀?



有呀.. 我都係咁呀..


民房

積分: 25


2799#
發表於 09-1-14 00:12 |只看該作者
我覺得一無老公噶支持.個心就會好唔開心.有時候真系好想發大脾氣.


大宅

積分: 1288


2800#
發表於 09-1-14 00:56 |只看該作者
我琴日係林勇行醫生度照左oscar啦!
一齊順利!係 1:2707,姑娘話個數字都好好!
林醫生好勁,
落u/s唔夠3秒,一睇就話係女,
眼耳口鼻幾下手勢指晒出來,
我唔係好明點解佢話係女,再問,
佢連邊度係陰部, 陰戶.... 都講晒出來,
話「99%係,不過照結構時再confirm啦」,
o下?99%都要再confirm?


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