- female
- 34 Years
- 29/01/2025
Question
Hey, I'm 34 weeks and 2 days along, and my ultrasound shows a cephalic presentation with the placenta anterior. This is my fourth pregnancy. My first baby was a C-section at 33 weeks, second was a full-term SVD, and my third was a C-section at 36 weeks. It's been eight years since my last pregnancy. I'm currently on insulin with a dosage of 5050, 20 units in the morning and 10 at night. Do you think it's possible for me to have a spontaneous vaginal delivery this time around? I'm really curious about what would be safest for me and the baby.
Answered by 1 Apollo Doctors
Given the symptoms of cold, cough, and vomiting for 3 days, along with the medication already taken (antibiotic and cough syrup), here are some suggestions: 1. *Consult the pediatrician again*: Schedule a follow-up appointment with the pediatrician to reassess the child's condition and adjust the treatment plan if needed. 2. *Monitor vomiting*: If vomiting persists or worsens, seek immediate medical attention. Ensure the child stays hydrated with small, frequent sips of an oral rehydration solution (e.g., Pedialyte). 3. *Cough syrup usage*: Continue administering the cough syrup as directed by the pediatrician. However, be aware of the potential side effects, such as drowsiness or stomach upset. 4. *Antibiotic course*: Complete the full antibiotic course as prescribed by the pediatrician, even if symptoms seem to improve before finishing the medication. 5. *Supportive care*: Provide comfort measures, such as: - Offering a warm, comforting drink, like tea or broth. - Using a humidifier to relieve congestion. - Encouraging rest and relaxation. 6. *Watch for warning signs*: Seek immediate medical attention if you notice any of the following: - Difficulty breathing - Severe vomiting or diarrhea - Fever above 104F (40C) - Severe headache or stiff neck - Refusal to drink fluids
Dr. Shubham Suggests...
Consult a Obstetrician and Gynaecologist
Answered 04/07/2025
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Safety of Spontaneous Vaginal Delivery (SVD) After Previous C-Sections
- Attempting a vaginal birth after cesarean (VBAC) involves risks, especially with a history of preterm C-section and full-term SVD.
- Cephalic presentation and anterior placenta are favorable but require careful planning.
- Close monitoring and consultation with a high-risk pregnancy specialist are crucial.
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Factors Influencing Delivery Method Decision
- Previous C-section timing and reasons impact current delivery options.
- Assess maternal and fetal health at 34 weeks gestation.
- Emphasize individualized care and shared decision-making.
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Insulin (NA) 5050 Dosage Information
- Insulin (NA) 5050 is a premixed insulin with 50% NPH and 50% regular insulin.
- Dosage is individualized based on glucose levels, diet, activity, and pregnancy.
- Follow your healthcare provider's prescription and monitor glucose regularly.
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Recommendations
- Consult your obstetrician and endocrinologist for personalized delivery and insulin management plans.
- Maintain regular prenatal visits and glucose monitoring for safety.
Recommended next steps
Consult a Obstetrician and Gynaecologist or Consult a Endocrinologist
Answered 13 days ago
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