Most accurate way of dating pregnancy, herpes and pregnancy
They also don't trust traditional measurement techniques for tracking a baby's size and progress because of the mother's size.
Prior toACOG recommended that doctors culture women for HSV-2 in the last few weeks before delivery, in an effort to identify women who are shedding.
If your dates have been quite well validated from a previous scan, then it appears your baby could have a slightly smaller head. I am currently 33 weeks gestation. Because of this, there is some degree of uncertainty that is inherent to any ultrasound done in a woman of very large size.
Gestational Age Week 1 & 2 (Fetal Age: Conception)
Babies born prematurely may be at a slightly increased risk, however, even if the mother has a long-standing infection.
However, other factors are can be more important than the size of the mother. Since a woman's size can make it harder to fully visualize the fetus' internal organs, does it make estimated fetal sizes less accurate in big women?
This will affect the gestational age of their baby, making it younger than it "should" be by Last Menstrual Period LMP. This is time of implantation, when the future fetus attaches to the lining of the uterus. Fortunately, babies of mothers with long-standing herpes infections have a natural protection against the virus.
Most of the time, a skilled provider can palpate the baby's position just fine in women of size without exposing the baby to more ultrasound. Be assertive about your treatment, both for your own sake and for the sake of all the fat women who will follow after you, and for the sake of the new generation of children that will follow after us.
Gestational Age Weeks 3-4 (Fetal Age: 2 weeks)
Ultrasounds to date the pregnancy should not be done automatically in women of size. This is currently the best way to detect herpes lesions. He saw the scan and said, "Wait a minute, you're pushing too hard!
Instead, make your decision about ultrasounds based on what you would do with that information and your feelings about abortion, just like any other woman. For instance, the enlarged uterus may impede blood flow by compressing the vena cava when lying flat, which is relieved by lying on the left side.
While the risk from the scalp monitor may be quite small, a cautious approach would be for a pregnant woman to ask that it not be used unless there is a compelling medical reason.
During the second trimester, the woman's abdomen would have been upright, whereas in the third trimester it will drop down low. Pregnancy rates for sexual intercourse are highest during the menstrual cycle time from some 5 days before until 1 to 2 days after ovulation.
Are ultrasounds for estimating fetal size accurate in women of size? This does expose the baby to a very small risk of infection from possible asymptomatic shedding.
Similarly, if a provider believes that extra ultrasounds are necessary and that there is no way to tell a baby's size or position 'through all that fat,' it probably reflects a strong fat-phobic bias on the part of the provider, and is a good sign that a woman should switch providers if at all possible.
Your partner may also wish to have a Western blot late in pregnancy, since two-thirds of women who acquire genital herpes in pregnancy never have symptoms -- meaning neither they nor their doctors know there is a risk for neonatal herpes.
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