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5 Most Common Labor Complications

5 Most Common Labor Complications

Even though you might have had a normal pregnancy, and you are well prepared for labor, there is always a big possibility that something might go wrong, specially after the previous abortion (Read about: Surgical Abortion). Learn about the most common labor complications…

Most Common Delivery and Labor Complications

Slow progression of labor – the progression of labor is constantly monitored from your doctor or midwife by checking how much the cervix is opened or how far the baby has progressed. During labor, it can occur that the opening of the cervix is lower than normally, the contractions have slowed down (Read also: Braxton-Hicks Contractions) or even totally stopped . If this occurs there are some possible things that can make the labor process faster. You can try changing the position into one you might feel more comfortable, you can also try walking around as it is known that movement encourages the contractions and helps the baby move further down the birth canal (Learn also: What Causes Your Water to Break?). If these little things also don’t help there is always the possibility of induced labor with various medications, like Syntocinon.

Retained placenta – in some cases the placenta is not extracted from the uterus, so your doctor needs to remove it to reduce this kind of labor complications.

Complications in a Multiples Pregnancy

Multiple Pregnancy – when there is more than one baby, it is normal for the pregnancy to last shorter, leading to preterm birth. Usually multiple pregnancies don’t pass more than 37 weeks. If you and your doctor decide to deliver these babies by vaginal birth (Learn also: Assisted Birth), there is always the possibility that after the first baby is born, the second baby presents into an unusual position, so the doctor who is delivering you needs to maneuver the second twin into the right position to reduce labor complications. Keep in mind that babies who are born pre-term usually require some assistance for the first couple of days or weeks after the delivery.

Position of Baby During Labor

Unusual position of the baby – in many cases the baby doesn’t present as it should into the birth canal with his/her head. Instead, it can present with the feet or bottom first. This is known as breech position. If this occurs, you and your doctor will decide how is more safe for you to deliver the baby. C-section is the only solution in many cases. However, there is also the possibility of a procedure called “cephalic external version” during which your doctor will slowly try to rotate the baby by placing their hands on your abdomen. This procedure has its own risks for labor complications, as during this procedure it is possible to tangle the cord or even to separate the placenta from the uterus wall. The procedure is performed around 36 weeks, always monitoring the baby, cord and placenta. In cases that something goes wrong, an emergency C-Section is necessary to deliver the baby on time.

Except the breech position, the posterior position is also possible. Immediately this means longer labor and delivery, followed by back pain and discomfort. Sometimes in posterior position, your doctor needs to assist the birth of your baby with the help of forceps or vacuum pumps.

Postpartum Hemorrhage Treatment & Management

Postpartum hemorrhage – it is normal to lose some blood during and after the delivery of the baby. However postpartum hemorrhage is an excessive loss of blood after the baby is born (Learn also: Bleeding After Sexual Intercourse). Luckily it is a rare condition in obstetrics. There are two types of postpartum hemorrhage: primary hemorrhage which occurs within the first 24 hours after the delivery, and secondary hemorrhage which occurs up to six weeks after the delivery. The causes of postpartum hemorrhage usually include: endometriosis, retained placenta or uterine atony. In order to prevent labor complications like this you will usually get an injection of Syntocinon which stimulates uterine contractions and helps extract the placenta out of the uterus.

Hypothyroidism | Hormonal Changes | OBGYN Brooklyn

Hypothyroidism Brooklyn Gynecology Services

Hypothyroidism means an underactive thyroid gland, which results in the production of inadequate thyroid hormones (common disorder of the endocrine system). Your metabolic process works to create energy through the food you eat. Since, the thyroid gland controls the metabolism and many other important functions of the body, an underactive thyroid is very likely to produce a varied set of symptoms and a sluggish body in general.

As per statistics, nearly 12% or more Americans are likely to suffer from a thyroid disorder in their lifetime. Approximately 4.6% of Americans aged 12 years and above suffer from hypothyroidism. However, when it comes to hypothyroidism or any thyroid disorder women are at a disadvantage, with the incidence of thyroid disorders in women being a whopping 5-8 times higher than that in men.

Here’s everything you need to know about hypothyroidism.

What Causes Hypothyroidism?

Here’s a list of its most common causative factors:

  • Hashimoto’s thyroiditis: This is an autoimmune disorder, wherein the body produces antibodies against healthy thyroid tissue resulting in inflammation of the thyroid affecting its functions. It is also the commonest cause of hypothyroidism.
  • Low Iodine diet: The thyroid gland uses iodine to make thyroid hormones. Iodine enters the body through food items including shellfish, seaweed, saltwater fish, dairy products, and other iodine fortified food items. In fact, the only legitimate way your body can process iodine is through your diet. Hence, a low iodine diet can lead to lower levels of iodine in your blood stream, consequently resulting in the thyroids inability to produce adequate amounts of thyroid hormones. The end result of which is this condition.
  • Radiation to and around the neck to treat cancers such as lymphomas may also cause hypothyroidism, mainly because radiation causes tissue damage in the thyroid (Read also: Ovarian Cancer). Thus, a damaged thyroid leads to hampered thyroid activity and lower thyroid hormones in the blood stream.
  • Medications like interferon alpha, interleukin-2, amiodarone and lithium may also lead to this condition.
  • Treatment with radioactive iodine for hyperthyroidism or an overactive thyroid often causes hypothyroidism in the long run, as it is aimed at reducing thyroid activity.
  • Thyroidectomy, a surgery that involves removal of a part of or the entire thyroid may also cause this condition.
  • Pregnancy is also a common cause of hypothyroidism. In fact, many women are first diagnosed with hypothyroidism during pregnancy ( Read about: good nutrition during pregnancy)
  • Disorders of the pituitary gland or the hypothalamus also are potential hypothyroidism triggers as they control the thyroid.
  • Underdeveloped thyroid gland at birth can lead to hypothyroidism in babies that continues through adulthood.

Symptoms of Hypothyroidism

The hypothyroidism symptoms are usually varied and indefinite, which is why they are often mistaken for something else. Here’s what you are likely to experience if you have hypothyroidism:

  • Menstrual cycle irregularities
  • Fatigue
  • Weight gain and failure to lose weight
  • Depression and mood swings
  • Hair fall and dryness
  • Dryness of the skin
  • Lower pulse and heart rate
  • Constipation
  • Extremely sensitive to cold
  • Goitre or swelling of the thyroid gland
  • Carpal tunnel syndrome

Diagnosis of Hypothyroidism

This condition diagnosed and monitored by analysing a woman’s thyroid hormone levels. The two main hormones tested are Thyroxine or T4 and Thyroid stimulating hormone or TSH. Low T4 levels and raised TSH levels are an indication of this condition. Since, a failing or underactive thyroid gland is the culprit behind this condition, there is a marked reduction in the thyroid hormones in the blood stream as it cannot secrete enough hormones. However, this thyroid underactivity makes the pituitary and hypothalamus increase the production of the thyroid stimulating hormone (TSH) to push the thyroid gland to increase the T4 secretion to meet the needs of the body. Hence, we see a rise in TSH and a consequent fall in the T4 levels.

Hypothyroidism Treatment in Brooklyn

It is treated with synthetically made T4, one of the thyroid hormones. This synthetic T4 tries to compensate for the underactive thyroid by fulfilling its T4 requirements. A daily dose of synthetic T4 is prescribed depending on the blood thyroid hormone levels. The hypothyroid pill is to be taken daily or as advised by your physician half an hour before breakfast on an empty stomach. This helps your body absorb the synthetic T4 better.

Amniotic Fluid Embolism – OB/GYN Services Brooklyn

Amniotic Fluid Embolism - Ob\Gyn Services Brooklyn

Amniotic fluid embolism is a serious and life-threatening condition, luckily a very rare condition.  It occurs in cases when the amniotic fluid that surrounds and supports the baby during pregnancy inside of the uterus, enters the mother’s bloodstream. Except the amniotic fluid, also fetal cells or fetal material can enter the mother’s bloodstream. Amniotic fluid embolism is more likely to occur during childbirth or immediately after the delivery (Read also: Assisted Birth).

Amniotic fluid embolism is also very difficult to diagnose. When suspected, it requires urgent medical care and treatment, Brooklyn in order to prevent complications that are life – threatening.

What Is Amniotic Fluid Embolism?

The reason why amniotic fluid embolism occurs is not known. It is believed to be due to a breakdown in the placental barrier, caused usually from trauma. Once the breakdown in the placental barrier occurs, the human body responds by releasing products that cause an inflammatory reaction activating abnormal clotting in the mother’s lungs and blood vessels that can result in a serious blood-clotting disorder known as disseminated intravascular coagulation.

It is believed that some amniotic fluid enters the mother’s bloodstream during childbirth, without causing any problems. However, the reason why in some cases this leads to fluid embolism is not known.

Risk factors for amniotic fluid embolism include:

  • The age of the mother over 35 years old
  • Medically induced labor
  • Placenta problems – like abruption placenta, placenta previa
  • Preeclampsia
  • C-section
  • Polyhydramnios, etc.

What Are the Signs and Symptoms of Amniotic Fluid Embolism?

Amniotic fluid embolism is a condition that develops suddenly and very rapidly. Any change in the general condition of a women, who have recently given birth should be taken serious. The signs and symptoms of amniotic fluid embolism include:

  • Shortness of breath that occurs suddenly
  • Sudden low blood pressure
  • Pulmonary edema
  • Chills
  • Rapid heart beat
  • Altered mental status
  • Anxiety
  • Seizures
  • Coma
  • Cardiovascular collapse
  • Disseminated intravascular coagulopathy – impaired and life threatening problems with blood clotting
  • Bleeding from the uterus, incision or intravenous (IV) sites, etc.

How Is Amniotic Fluid Embolism Diagnosed?

It is hard to diagnose fluid embolism. Usually, this diagnosis is suspected by the doctor in cases when there is a sudden and rapid change on the general condition of the women who is in labor or has recently given birth. Diagnosis usually consists in ruling out any other possible medical condition that could cause these signs and symptoms. In many cases with amniotic fluid embolism, the diagnosis is only made with autopsy, after the death of the mother.

Some of the tests and medical examinations that doctor’s usually order, are:

  • Total blood count
  • ECG
  • Pulse oxymetry
  • X-ray of the chest
  • Echocardiography, etc.

Get Gynecologic Treatment in Brooklyn

As it is a serious and life threatening condition amniotic fluid embolism requires immediate medical treatment. Emergency treatments usually include:

  • Oxygen therapy – usually a breathing tube is necessary
  • Catheter placement – a central venous catheter is placed in order to easily administrate fluids, blood transfusions and various medications
  • Blood transfusions – are necessary due to an excessive loss of blood
  • Various medications

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This website contains general information about medical conditions and treatments. The information is not medical advice.

If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare provider.