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.

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Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

Consult Now

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:

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.

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).

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.

Antibiotic course: Complete the full antibiotic course as prescribed by the pediatrician, even if symptoms seem to improve before finishing the medication.

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.

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

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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.
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.
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.
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

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Answered 20/08/2025

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