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Pregnancy Bliss | Reproductive Health Hub

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View of a breech baby in the womb

Question: I have looked all over the internet for a web page that will show me a picture of a baby that is in breech position i am 32 weeks pregnant and the midwife told me that he is breech i just wanted to know what he looked like inside me being breech. Thanks. N. (UK)


Answer: if you have checked out our section on breech presentation, you will have seenextended (frank) breech that there is a classification into three groups. These are complete, frank and footling. Illustrations for all these accompany the description. As a quick reminder, here is a picture of the commonest type of breech; (frank breech), also descriptively known as ‘extended breech’.


I would also assume your midwife has informed you that a breech presentation at 32 weeks might not be significant as there is a substantial chance that it will turn in the coming days and weeks.











In defence of Subutex replacement in pregnancy

Comment: I was wondering where the hell you got your information regarding Subutex and pregnancy?  Maybe I was just lucky, but my baby was fine and experienced NO withdrawal.  I nursed him and he was fine!  He did have to stay in the hospital for 5 days, and his highest Finnegan score was 6, and it only happened once in 5 days.  The rest of the time his scores were 2-3.  I was on a relatively low dose, and this may have helped.  I realize that Subutex has not been tested as widely as Methadone, but to say it is better to take Methadone is CRAZY in my opinion.  Methadone IS known to cause problems, such as prematurity and low birth-weight.  My baby weighed over 7 pounds.  I do not profess to know everything, but from my experience I truly believe I am right about this.  If opiate replacement is necessary, I think Subutex is great!  Of course, healthy diet, not smoking and all that good stuff will help to have a healthy baby.  However, if Methadone is used, no matter how wonderful and balanced of a diet you have, you will probably have a tiny baby. M. (USA)


Answer: Thank you for your comment and sharing your good news. You may have missed the small but important detail in our Subutex information: We have stated clearly that, due to lack of information on this particular opiate, the standard advice is to avoid during pregnancy. This is standard advice for any medication where information about safety is lacking. We have also stated clearly that there has, so far, been no reported adverse effects in humans but this is not the same as saying it is safe.


Your contention that using Methadone is invariably associated with delivery of a small baby is quite clearly incorrect. This is the most extensively used opiate replacement in pregnancy and where properly done, growth restriction is not a major problem.




Cervical weakness after previous cervical excision

Question: I have just had a miscarriage at 11 weeks and after a large cervical cell removal 6 years ago. I am convinced this is because my cervix is weak although I have been advised that this will not be investigated without multiple losses and my loss was too early to be this cause but my instinct tells me otherwise.  I want to know if it is possible to have a cervical stitch put in before pregnancy and if I can have this done privately if my doctor will not. K.W. (UK)


Answer: Not having more detailed information about your specific pregnancy, I don't feel qualified to comment on that. However, as a general observation, I have to say a miscarriage as a result of cervical weakness at 11 weeks is exceedingly unlikely. The weight of the pregnancy unit is far too small at that stage to have any appreciable pressure effect on the cervix. It is extremely unlikely that you will get an obstetrician who would want to put a stitch in a cervix when you are not pregnant, let alone without credible evidence of cervical weakness. In fact, it may not be in your best interest. My advice is that you should speak to your GP about possibly having a vaginal ultrasound scan to have your cervical length measured. This is best done in early pregnancy to give reliable results. In any case, a cervical suture is usually inserted at the beginning of the second trimester. Part of the reason for this is that cervical weakness is not a problem in the first trimester.


I hope you will get the help that you really need. It is also quite likely that the miscarriage you have just suffered is a sporadic one (the vast majority are) and unlikely to recur.





Pregnancy surviving a vaginal bleed

Question: Can vaginal bleeding occur and the pregnancy remain? K. (Uganda)


Answer: The majority of pregnancies that are affected by vaginal bleeding do continue normally. If this occurs in early pregnancy; especially the first trimester, about 90% will continue, meaning about 1 in 10 will result in a miscarriage. We have covered the subject in some detail here:





A milky discharge from the breasts

Question: My nipples have started to discharge a milky white substance over the past couple of days.  i have done a home pregnancy test and that was negative.  i suffer very bad with my periods and have been told that to have children would be difficult and IVF would be my best option.  I also had a period a particularly heavy one about a week and a half ago.  Everyone i ask just keeps saying that I’m pregnant.  I can’t get into see my doctor for another week and a half.  Please help I’m sick of keep changing my tops. R. (UK)


Answer: Production of milk in the absence of recent delivery could be caused by a number of factors. You may be producing an excess of a hormone called Prolactin, something that can happen without you being pregnant. Your doctor is likely to want to check this as one of the tests. Another cause of milk production is a recent miscarriage. Are you sure that recent "heavy period" was not actually a miscarriage?

To cause milk production, a miscarriage needs to occur very late, around 16 weeks or beyond. You have not mentioned that you had missed periods so this is probably unlikely. Yet another cause of milk production is some types of medications. Are you taking any? If so, check the information leaflet on whether this is mentioned as a pogalactorrhoeatential side-effect.

























More questions and answers on the next page


A late miscarriage, increased levels of prolactin production and some medicines are some of the several potential causes of unscheduled milk production