Understanding Pregnancy Chances and Medication-Induced Abortion Concerns
Pregnancy probability?? And questions regarding medical abortion (Little Tianwen) Thank you 🙏 Hello Doctor, thank you for taking the time to read my message. My recent menstrual period was from January 26 to January 30, lasting five days. On February 6, during ovulation, I had an...
Dr. Lin Xinwang Reply:
Hello, Xiao Tian: 1. You should first take a pregnancy test to see if you are pregnant. 2. "Induction of labor" must be done with the consent of your partner.[Read More] Understanding Pregnancy Chances and Medication-Induced Abortion Concerns
Impact of Cold Medications During Early Pregnancy on Baby's Health
Cold during pregnancy Doctor, I had a cold during the early stages of my pregnancy and took medication on December 8th when I was 11 weeks along. Now, I have caught another cold at 17 weeks on January 16th and have taken medication again. I am going to see a doctor tonight, but I...
Dr. Cao Guotao Reply:
Hello, there isn't any special method. Drink more hot water and get plenty of rest. If you feel unwell, see a doctor. Wishing you good health.[Read More] Impact of Cold Medications During Early Pregnancy on Baby's Health
Understanding Down Syndrome Screening Results: What Does 1:249 Mean?
Down syndrome screening Doctor, I had my first trimester Down syndrome screening at 12 weeks and 2 days, and my risk value showed 1 in 249, while the background risk was 1 in 1028. Is this normal?
Dr. Cao Guotao Reply:
Hello, the risk has increased. It is recommended to consult your obstetrician to see if amniocentesis is necessary. Wishing you good health.[Read More] Understanding Down Syndrome Screening Results: What Does 1:249 Mean?
Understanding Fetal Rib Anomalies: Do You Need Amniocentesis?
Fetal ribs Hello doctor, I had a high-level ultrasound examination a few days ago and found that the fetus is missing one of the 12th pair of ribs on the left side. Earlier in my pregnancy, I had a nuchal translucency test that was normal, and all four markers for Down syndrome w...
Dr. Cao Guotao Reply:
Hello, generally it does not have an impact. If you are concerned, you may consider undergoing amniocentesis. Wishing you good health.[Read More] Understanding Fetal Rib Anomalies: Do You Need Amniocentesis?
Understanding Neural Tube Defect Risks in Down Syndrome Screening
Down syndrome screening - Neural tube defects Doctor, I apologize for bothering you, but I would like to inquire about the risk value of neural tube defects being 1 in 565. Is this a reference value? Additionally, the fetal alpha-fetoprotein level is 2.12, and the doctor mentione...
Dr. Cao Guotao Reply:
Hello, a blood test is just a preliminary assessment; a high-level ultrasound is necessary to determine if there are any issues. Generally, the likelihood of problems is low. Wishing you good health.[Read More] Understanding Neural Tube Defect Risks in Down Syndrome Screening
Understanding First Trimester Down Syndrome Screening Results
First trimester screening for Down syndrome? Hello Doctor, I would like to ask you a question. My wife had her first trimester Down syndrome screening when she was about 11 weeks pregnant. The results indicated a risk greater than 1 in 4, as the fetus did not have a nasal bone an...
Dr. Cao Guotao Reply:
Hello, you have a high-risk factor. Amniocentesis is the most accurate test, and it is recommended for safety. Wishing you good health.[Read More] Understanding First Trimester Down Syndrome Screening Results
Down Syndrome Screening for Advanced Maternal Age: Options and Considerations
Advanced Maternal Age Down Syndrome Screening Hello, Doctor: I would like to ask about the definition of advanced maternal age, which is considered to be 35 years and older. I am currently 35 years old. If I undergo screening for Down syndrome, can I opt for non-invasive prenatal...
Dr. Wu Xianghui Reply:
Regardless of whether "maternal blood screening for Down syndrome" is performed, "advanced maternal age" women are advised to undergo amniocentesis.[Read More] Down Syndrome Screening for Advanced Maternal Age: Options and Considerations
Understanding Fetal Rib Abnormalities: What You Need to Know
The fetus has one fewer rib? I recently had a high-level ultrasound and discovered that the fetus is missing one of the left side of the twelfth pair of ribs. I feel very guilty as a mother for my baby being abnormal. Will this affect the baby in any way? Is it necessary to perfo...
Dr. Cao Guotao Reply:
Hello, it generally does not have an impact; just monitor it. Wishing you good health.[Read More] Understanding Fetal Rib Abnormalities: What You Need to Know
High Free b-hCG Levels Despite Normal Down Syndrome Screening Results
The Down syndrome screening results are normal, but the free beta-human chorionic gonadotropin (free β-hCG) level is elevated? At 10 weeks of pregnancy, I underwent the first trimester Down syndrome screening. This week, at 13 weeks, the report came back with a Down syndrome risk...
Dr. Cao Guotao Reply:
Hello, wait for the results of the second trimester. If there are any abnormalities, amniocentesis can be performed. Wishing you good health.[Read More] High Free b-hCG Levels Despite Normal Down Syndrome Screening Results
Guidelines for Maternal Blood Screening of Down Syndrome in Pregnancy
Quadruple marker screening for Down syndrome in maternal blood? Hello Dr. Tsao, may I ask if there are specific requirements for the biparietal diameter (BPD) in centimeters and the infant's weight for maternal serum screening of Down syndrome using the four-marker test?
Dr. Cao Guotao Reply:
Hello, the generally recommended time is between 15 to 20 weeks, regardless of the baby's weight. Wishing you good health.[Read More] Guidelines for Maternal Blood Screening of Down Syndrome in Pregnancy
Understanding Early Down Syndrome Screening: Assessing Risk Factors
Early Down syndrome screening - critical risk Hello Dr. Huang, I am 32 years old and currently 15 weeks pregnant with my second child. At 12 weeks and 4 days, I underwent the initial Down syndrome screening. The report indicated a T21 risk of 1 in 935, T18 risk of 1 in >2000, ...
Dr. Huang Jianzhong Reply:
At 32 years old, this is the second pregnancy, currently at 15 weeks. An initial Down syndrome screening was performed at 12 weeks and 4 days, with the report indicating a T21 risk of 1 in 935, T18 risk of 1 in >2000, T13 risk of 1 in 16358, PAPP-A level of 2.865 µg/ml (0.55 M...[Read More] Understanding Early Down Syndrome Screening: Assessing Risk Factors
High-Age Pregnancy: Key Considerations for Future Conception
Advanced Maternal Age Pregnancy Hello Doctor, my wife is 33 years old and will turn 34 in January. During this month's prenatal check-up, we found out that the baby has Down syndrome. Last week, when the baby was 20 weeks old, we opted for a termination of pregnancy. I would...
Dr. Cao Guotao Reply:
Hello, regarding infertility, it is generally recommended to rest for 3 months without the need for supplementation of folic acid or myo-inositol. A normal diet and lifestyle are sufficient. Wishing you good health.[Read More] High-Age Pregnancy: Key Considerations for Future Conception
Understanding Organ Reversal in Pregnancy: Key Concerns and Genetic Testing
Visceral inversion Hello, I have been searching online for a long time, but most articles are repetitive and do not provide the information I am looking for. Therefore, I am posting here. I am currently 31 years and 10 months old, pregnant at 19 weeks and 5 days, with complete si...
Dr. Cao Guotao Reply:
Hello, I recommend consulting Professor Ke Tsang-Ming at the Department of Obstetrics and Gynecology for your questions. Wishing you good health.[Read More] Understanding Organ Reversal in Pregnancy: Key Concerns and Genetic Testing
Understanding the Risks of Edwards Syndrome in Down Syndrome Pregnancies
Apert syndrome with four-fingered polydactyly? Doctor, if the risk for Edwards syndrome (trisomy 18) is 1:255, should we proceed with amniocentesis or wait for a high-resolution ultrasound? Is a 1:255 ratio considered a high risk for developing Edwards syndrome? Thank you.
Dr. Cao Guotao Reply:
Hello, it is recommended to undergo amniocentesis. Wishing you good health.[Read More] Understanding the Risks of Edwards Syndrome in Down Syndrome Pregnancies
Understanding Low Amniotic Fluid and Neural Tube Defects in Pregnancy
Oligohydramnios and neural tube defects? Hello Doctor, I am currently 19 weeks pregnant. During my 14-week check-up, the doctor informed me that there is a low level of amniotic fluid, which was visually assessed to be well below the minimum index of 8. The ultrasound did not rev...
Dr. Cao Guotao Reply:
Hello, a high-level ultrasound is sufficient. With a Down syndrome risk value of 1:31,300, amniocentesis is not necessary. The probability of neural tube defects is low, but let's wait for the results of the high-level ultrasound. Wishing you good health.[Read More] Understanding Low Amniotic Fluid and Neural Tube Defects in Pregnancy
Pregnant While on Birth Control and Ovulation Pills: Risks and Concerns
Taking birth control pills and ovulation medication, only to discover that you are pregnant? Hello, doctor. My last menstrual period started on June 24. I had intercourse on July 10 and took emergency contraception (Postcoital contraceptive - Yuzpe regimen) on July 12. I experien...
Dr. Cao Guotao Reply:
Hello, the medication that may affect you is the emergency contraceptive pill - Yu-Ting tablet. Generally, it is not recommended to continue the pregnancy, and it is advisable to consult your regular obstetrician for their opinion. Wishing you good health.[Read More] Pregnant While on Birth Control and Ovulation Pills: Risks and Concerns
Impact of Pre-Conception Birth Control on Early Pregnancy Outcomes
Regarding pregnancy and preconception contraceptive pills? Hello doctor, I would like to ask about the effects on the fetus after discovering that I was pregnant at 8 weeks while having taken Diane for one month and Yuezhi for one month. Is there any definitive information regard...
Dr. Zhang Kunmin Reply:
Hello, the chances of oral contraceptives, whether taken daily or as emergency contraception, affecting fetal health are quite low. However, it is advisable to inform your physician during prenatal check-ups for more detailed examinations. It is best to undergo high-level fetal u...[Read More] Impact of Pre-Conception Birth Control on Early Pregnancy Outcomes
Emergency Contraceptive Failure: What to Do If You're Pregnant?
Ineffective emergency contraception leading to pregnancy? Hello Dr. Chang, my last menstrual period was on March 19, and I had intercourse on April 6. I took emergency contraception on April 8, but my period still hasn't arrived. After two weeks, I took a pregnancy test and ...
Dr. Zhang Kunmin Reply:
Hello, the likelihood of affecting fetal health after taking emergency contraceptive pills and then becoming pregnant is low. However, it is advisable to inform your physician during prenatal check-ups for more detailed examinations. It is best to undergo high-level fetal ultraso...[Read More] Emergency Contraceptive Failure: What to Do If You're Pregnant?
Factors Affecting First Trimester Maternal Serum Down Syndrome Screening Results
Inquiring about the variables involved in the calculation of first-trimester maternal serum screening for Down syndrome? Hello, I would like to inquire about the factors that are considered in the first trimester maternal serum screening for Down syndrome. When I submitted the te...
Dr. Lin Wenbin Reply:
Please discuss with your original physician. Corrections must be made if necessary.[Read More] Factors Affecting First Trimester Maternal Serum Down Syndrome Screening Results
Understanding PAPP-A Levels: Are Your First Trimester Results Normal?
Regarding PAPP-A levels? Hello Doctor: At nine weeks, I had a blood test for first trimester maternal serum screening, and the values are as follows: free B-HCG 71.4 IU/L, PAPP-A 0.532 mIU/L, and PIGF 19.16 pg/ml. Are these values normal? Is the PAPP-A value low? Should I be conc...
Dr. Lü Lizheng Reply:
1. When reporting, in addition to providing the PAPP-A value, the standard values for the gestational age are also typically communicated. Please consult your outpatient physician directly. 2. Usually, a single value is not used for judgment; rather, all data must be considered...[Read More] Understanding PAPP-A Levels: Are Your First Trimester Results Normal?