The Happy Hospitalist Hosts Grand Rounds 4.37
Tuesday, June 03, 2008
Kenneth F. Trofatter, Jr., MD, PhD
Thanks to
The Happy Hospitalist for the effort and the humor put into this week's rendition of Grand Rounds. I am thankful and quite grateful that he chose to include my recent post on
"Teen Pregnancy: We ARE Failing Our Children."As pointed out in my post, this is a growing concern that appears to be under the radar screen of many health care professionals and is being completely (conveniently?) ignored (as is so often the case with medical issues facing women and children) by the individuals in high places that would be in the best postion to effect change. Reasons for the epidemic are not entirely clear, but solutions are going to take a practical, realistic, creative, and widespread integrated approach to a problem that will just NOT go away and threatens to undermine the fabric of generations to come...
Labels: teen pregnancy
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4 Comments:
At Tue Jun 03, 05:46:00 PM 2008,
prego10 said…
hello I do not know if my previous post was entered correctly. I am 18 weeks pregnant with my 10th child.My last pregnancy was a twin pregnancy. I had preterm labor at 22weeks with cervical shortening to 1.5cm, but no funneling. I was seeing a high risk perinatologist who did cervical lengths and weight s on the babies every 2 weeks until delivery at 36 weeks. I had a delivery via c-section after my cervix dilated to 8cm after 3 contractions 2 hours apart. I lost my mucus plug last week. I went in to my ob office for a cervical length and exam. my cervical length was 40mm and closed, however , he saw a small very thin line in my cervix which was full of fluid. He was concerned and told me to come back in one week. I lost more of my mucus plug yesterday with a little blood. I have had some mild contractions since 14 weeks and lots of pelvic pressure and pain. I had a cervical legth scan done and it showed 11mm of funneling and 30 mm of cervix. My cervix is also opened 1/2-1cm dilation. I am very worried about the funneling. I have never had this before. My ob ( adifferent one than last week) saID THAT since I have delivered all of my babies 36 weeks or greater that they are not too concrened about my cervical changes. I think that they should at least get a second opinion from my high risk perinatologist that I saw in my last pregnancy. Please let me know you have any information about this subject. Thankyou.
At Wed Jun 04, 02:17:00 PM 2008,
Anonymous said…
Afternoon! I was dosed with methotrexate for a possible ectopic 2 weeks ago. So far things have progressed positively. My question is, how long is it in your system and how long after the shot (1 dose) is it ok to resort to normal activity (prior to pregnancy) such as sun exposure, drinking alcohol, taking vitamins, etc. Thanks!!
At Wed Jun 04, 07:39:00 PM 2008,
Kenneth F. Trofatter, Jr., MD, PhD said…
To Prego10: GO GET THE SECOND OPINION. With all the pregnancies you have had and the evnts of your last pregnancy, you may well have developed cervical incompetence over time and it would be better to have a cerclage placed sooner than later if that is the case! Best wishes and let us know how things turn out! Dr T
At Wed Jun 04, 07:43:00 PM 2008,
Kenneth F. Trofatter, Jr., MD, PhD said…
To anonymous June 4: I would not take anything that has extra folic acid in it until your hCG levels are < 5 mIU. As for the other activities, anytime is probably fine from this point forward. Dr T
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