Question 1

I'm in a bit of a dilemma here. I had a cerclage done at 20 weeks, and now I'm thinking about heading back to my hometown. The doctor mentioned it might be okay to travel after 28 weeks, but I'm still feeling unsure. I'm considering a long car trip of about 45 hours sometime during my 28th to 32nd week. Do you think that's safe?

Accepted Answer

Traveling between 28-32 weeks is generally considered safe for most women, but since you have a cervical cerclage, its important to discuss this in detail with your healthcare provider.
If your doctor gives you the go-ahead and you are feeling well, taking necessary precautions during travel (frequent breaks, hydration, proper seatbelt use) should be fine.
Avoid traveling if you're experiencing complications, and always have a backup plan for medical assistance.

Question 2

I'm really worried about my 23-year-old wife. She's in her 31st week of pregnancy, and her hemoglobin level is at 9.3. Earlier, her doctor had her on Lupiheme twice daily, but now she's switched to RicherCR and recommended two Revofer injections with NS as IV. I'm concerned if the Revofer injections are safe during pregnancy. We noticed her hemoglobin didn't really go up with just the tablets. Should we go ahead with the injections, or is there hope her levels might increase with the tablets? Can you help us out with some guidance?

Accepted Answer

Given your wife's low hemoglobin level (9.3) at 31 weeks pregnant, the doctor's recommendation to administer two Revofer (iron sucrose) injections with Normal Saline (NS) as IV is a common practice to rapidly increase iron levels; Revofer is generally considered safe during pregnancy, but it's essential to monitor for potential side effects, such as allergic reactions or hypotension; since oral iron supplements (Lupiheme and RicherCR) haven't significantly increased her hemoglobin levels, IV iron may be necessary to prevent maternal and fetal complications associated with iron deficiency anemia.

Question 3

I'm a bit worried because my last menstrual period was on April 27, 2017, and when I took a home pregnancy test on June 4, it came out positive. I got a blood test on Tuesday with an hCG level of 12579.68. Then, I went for an ultrasound on June 6th. They saw a sac with a fetus, but there was no heartbeat. I'm currently 6 weeks pregnant, and its been two days since that ultrasound. Is it okay for me to go for another ultrasound today to check for a heartbeat?

Accepted Answer

It is recommended to wait at least one week after the first ultrasound to check for the heartbeat. You can go for another ultrasound around 7 weeks of pregnancy to have a better chance of detecting the fetal heartbeat.

I'm currently 21 weeks pregnant and recently had a blood test that showed my glucose level is 160. I'm worried if this is normal for pregnancy or if it could cause any problems. Can you provide some guidance on this?

That say you have Gestational Diabetes,vist obstetrician for appropriate n[management and councelling.

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