women with scoliosis express is how it will affect the outcome of their pregnancy. If you are planning to conceive, do see a doctor. But scoliosis is not known to cause any major complications during pregnancy or childbirth.
Earlier, doctors routinely turned to C-sections to deliver babies of women with scoliosis. But a number of studies have shown that scoliosis alone does not warrant an elective c section. A vaginal delivery is worth trying for if you have no other underlying health issue.however, people with scoliosis stand a chance of carrying pregnancies to term and delivering naturally, but the children may be predisposed to the condition as it is genetically.
Uterine fibroid tumors are benign (noncancerous) growths of the uterus and may also be called myomas, leiomyomas, fibromas, or just fibroids. They arise from the smooth muscle connective tissue that lines the uterus (myometrium) and can grow in any location in and around the uterus. Since not all fibroids causesymptoms, not all fibroids will be diagnosed, which means prevalence rates may be higher than current estimates. A woman may have only one fibroid or many of varying sizes. A fibroid may remain very small for a long time and suddenly grow rapidly, or grow slowly over a number of years.
Fibroids are almost always benign (not cancerous). Rarely (less than one in 1,000) a cancerous fibroid will occur. This is called leiomyosarcoma. Doctors think that these cancers do not arise from an already-existing fibroid. Having fibroids does not increase the risk of developing a cancerous fibroid. Having fibroids also does not increase a woman’s chances of getting other forms of cancer in the uterus.
Minimally invasive surgery techniques, which include hysteroscopy and video-assisted laparoscopy, should be considered valid options for all patients seeking treatment for their symptomaticfibroids.
Removing fibroids minimally invasively requires advanced surgical skill.
Its not well known, but removing fibroids minimally invasively actually calls for quite advanced surgical skills and experience. The fact that so many laparotomies and hysterectomies are performed each year merely for fibroids suggests that only a small minority of surgeons are able to treat this condition minimally invasively and while sparing the uterus. Although these hysterectomy statistics are disappointing, we really should not condemn surgeons too much because fibroids can be, indeed, rather tricky to treat. This is because they usually bleed extensively due to their densely packed vascularization. Extensive bleeding during surgery is definitely not something any surgeon looks forward to. But, for those less experienced, its an especially dreaded possibility because, as you can imagine, uncontrolled bleeding during surgery can be life-threatening. In some cases, for example, a surgeon only has a few minutes to control bleeding before more serious consequences ensue. This is particularly true for certain types of myomas, like interligamentous fibroids, which are especially difficult to remove without injuring other organs or vital blood vessels. Unusually large fibroids also present challenges because their vascular system can become intertwined with and therefore difficult to distinguish from the body’s major blood vessels. Such complex surgeries can be exacerbated when co-morbidities like endometriosis, excessive adhesions, and/or adenomyosisare present,all ofwhich often co-exist with fibroids.
Its because of these potential difficulties and the inability to control intra-operative bleeding that can cause less experienced surgeons to convert laparoscopic procedures to laparotomies; or simply avoid fibroid surgeries altogether and begin favouring hysterectomies instead.
However, in the hands of an expert minimally invasive surgeon, any size or type of fibroid can be treated with minimally invasive, organ-sparing techniques. Of course, the caveat is this: it takes a practically supernatural ability to remain sublimely calm under pressure, while delivering exquisitely deft and safe surgical skill that makes all the difference.
As with any medical/ surgical intervention or procedure there could be some risk associated with it. These risks are similar to those encountered with conventional open surgery (bleeding, infection trauma to adjacent organs etc…) Extensive operative laparoscopic procedures are technically more demanding and require additional training and surgical skills from the surgeon. In the hands of experienced and trained surgeons laparoscopy is a very useful technique with minimal risks besides the ones encountered in traditional surgery and significant benefits for the short and long term well being of the patient. Some absolute contraindications for laparoscopy are circulatory collapse (shock), and severe cardiopulmonary disease.
Yes, even a very large uterus or fibroids the size of a large softball have been removed laparoscopically. The tissue to be removed is cut into pieces with specially designed- for this purpose-instruments. Then the pieces are removed through one of the incisions.
In general, a woman’s fertile period is the day of ovulation (usually 14 days before the menstrual period begins) and the five days preceding it. For the average woman that occurs somewhere between days 10 and 16. One more method of identifying your fertile period is to notice changes in your cervical mucus. The mucus ranges from dry (following menstruation) to sticky (approaching ovulation) to wet, stretchy, and semi-transparent (during ovulation). Ovulation usually occurs from two days before to two days after the peak day of stretchy mucus. Planning sex during this time gives maximum chances of getting pregnant.
All pregnancy tests work by detecting human chorionic gonadotropin (hCG). Urine pregnancy testing kits can produce positive results at the level of 20 mIU/mL, which is 2-3 days before most women expect their next menstrual period. The kits are very accurate, widely available, and can be completed in about 3-5 minutes. The kits all use the same technique.
Pregnant women are at increased risk of bacterial food poisoning. For the safety of both mother and fetus, it is important to take steps to prevent food borne illnesses, including the following:
• Properly cook food to kill bacteria. Use a meat thermometer to determine the appropriate temperature, although cooking until well done is safe for most meat. Ground beef should be cooked to at least 160°F, roasts and steaks to 145°F, and whole poultry to 180°F.
• Cook eggs until they have a firm yolk and are white. Eggnog and Hollander sauce have raw or partially cooked eggs and are not considered safe.
• Eat liver in moderation. Liver can contain extremely high levels of vitamin A.
• Avoid products containing unpasteurized milk, including soft cheeses like brie, feta, and blue cheese. Also avoid unpasteurized juice.
• Carefully wash all fruits and vegetables to eliminate harmful bacteria. Avoid raw sprouts altogether.
• Limit caffeine intake. Caffeine crosses the placenta and can affect fetal heart rate. Some clinicians recommend limiting caffeine to less than 200 mg/day (about 2 cups of coffee).
Seat belts should absolutely be worn during pregnancy. Trauma to the mother is more devastating to the child than any potential entrapment of the pregnant abdomen in the seat belt. The seat belt should be placed low, across the hip bones and under the pregnant abdomen. The shoulder strap should be placed to the side of the abdomen, between the breasts, and over the mid portion of the clavicle. No information indicates that air bags are unsafe during pregnancy. Pregnant women should try to keep their abdomen 10 inches from the airbag.
Half of women report having back pain at some point during pregnancy. The pain can be lumbar or sacroiliac. The pain may also be present only at night. Back pain is thought to be due to multiple factors, which include shifting of the center of gravity caused by the enlarging uterus, increased joint laxity due to an increase in relaxing, stretching of the ligaments (which are pain-sensitive structures), and pregnancy-related circulatory changes.
Treatment is heat and ice, acetaminophen, massage, proper posturing, good support shoes, and a good exercise program for strength and conditioning. Pregnant women may also relieve back pain by placing one foot on a stool when standing for long periods of time and placing a pillow between the legs when lying down.
Research indicates that sexual intercourse is safe in the absence of ruptured membranes, bleeding, or placenta previa, but pregnant women engage in sex less often as their pregnancy progresses. ACOG states that sexual activity during pregnancy is safe for most women right up until labor, unless there is a specific contraindication.
ACOG specifically cautions that a woman should limit or avoid sex if she has a history of preterm labor or birth, more than one miscarriage, placenta previa, infection, bleeding, and/or breaking of the amniotic sac or leaking amniotic fluid. ACOG discusses that, as part of natural sexuality, couples may need to try different positions as the woman’s stomach grows. Vaginal penetration by the male is not as deep with the male facing the woman’s back, and this may be more comfortable for the pregnant woman.