How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Family Physician Your Own Question

Family Physician
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12638
Experience:  Emergency Medicine and Family Practice for over 26 years
1304720
Type Your Health Question Here...
Family Physician is online now
A new question is answered every 9 seconds

Dr. Mazumdar - I previously discussed a paternity issue with

Customer Question

Dr. Mazumdar - I previously discussed a paternity issue with you. 2 encounters were Jan 19 & other man Jan - Feb. EDD 11/12 based on multiple early ultrasounds. In Jan I felt pregnancy symptoms such as fatigue & got strep (hear people had then find out they are pregnant). Would these be unrelated to pregnancy? Also according to US I am almost 29 weeks and I started having preterm contractions after falling down the stairs. Could this be a sign I am further along? Can you access prev question?
Submitted: 1 year ago.
Category: Health
Expert:  Camille-Mod replied 1 year ago.

Hello,

I'm Camille, and I’m a moderator for this topic. I sent your requested professional a message to follow up with you here, when they are back online. Unfortunately I do not know when this may be, as the professionals come on line as they are available. You don't have to stand by, you will get an email telling you when you have received a response. If I can help further, please let me know. Thank you for your continued patience.

Best,

Camille

Expert:  Family Physician replied 1 year ago.
Dr. Mazumdar is not online - do you want to keep waiting, or would you like me to help you?
Customer: replied 1 year ago.
You can help me.
Expert:  Family Physician replied 1 year ago.
There is no real association between developing Strep and pregnancy.

You can develop preterm labor really at any time during your pregnancy. This development does NOT mean that you are further along; this can indeed happen at 29 weeks.
Customer: replied 1 year ago.
Ok. I fell down the stairs at 29 weeks & was having preterm contractions. I was given a shot t stop them. Just afraid I am further along bc of this. Had a partner on Jan 19 (3am once) used condom and plan b 50ish hrs later. Another partner Jan - Feb. stopped bc pills Feb 1. Withdrawal bleed Feb 5-8. Early ultrasounds at 7, 11, 14, 19, 21, 27 weeks all give same due date of Nov 12. Doesn't this info rule out Jan 19 encounter? If multiple ultrasounds line up does this yield accurate EDD?
Expert:  Family Physician replied 1 year ago.
Based on your history including the use of Plan B following the intercourse in January, your use of the BC pills until February 1, withdrawal bleeding in early February, and the multiple ultrasounds giving a due date of November 12 would all be strong evidence against the partner from January being the father.

Also, at time of delivery, the gestational age of the baby can be established by examination. If you delivery early, the gestational age of the baby will confirm that you were not full term. For example; if you delivered around October 12th, the baby would be expected to be approximately 36 weeks by examination rather than 40 weeks gestation if you delivered around November 12.

At this point - I would not worry about the January partner being the father.
Customer: replied 1 year ago.
Don't early ultrasounds have (7&11 wk in my case) have a range of accuracy within a week? Wouldn't it be difficult/abnormal for all of my ultrasounds to be off a month? Would it be possible for me to have been pregnant prior to Feb 5 & still have heavy/normal withdrawal bleeding for 4 days?
Expert:  Family Physician replied 1 year ago.
Yes - the accuracy of ultrasounds is in the 7-10 day range (different studies give different ranges), but MUCH more accurate than 1 month.

While it is possible to have heavy bleeding early in pregnancy - the other facts in your case are VERY strong evidence against you being pregnant at that time.
Customer: replied 1 year ago.
Ok so can I rule out the Jan 19 encounter since my ultrasounds have sown such strong accuracy across the board?

Also does the fall/early contractions put me at risk for preterm labor?
Expert:  Family Physician replied 1 year ago.
Yes - I believe you can reliably eliminate the January 19th encounter.

The early contracts may increase your risk of premature labor, however if you did not have severe trauma and the contractions have not continued or increased, this risk may not be that high. Your personal Ob/Gyn would of course be much better able to answer that questions based on your history, current (and past) examination findings.
Customer: replied 1 year ago.
Thank you! Sorry for all of the questions. jan 19 was a big mistake that I have worried about all pregnancy & although evidence points against him being the father, I continue to worry. Thank you for your help. I will talk to my OB about possible preterm labor.
Expert:  Family Physician replied 1 year ago.
You're welcome - Relax and enjoy the rest of your pregnancy.
Family Physician, Doctor (MD)
Category: Health
Satisfied Customers: 12638
Experience: Emergency Medicine and Family Practice for over 26 years
Family Physician and 12 other Health Specialists are ready to help you
Customer: replied 1 year ago.

I had an ultrasound at 30w3d and baby's EFW was 3lb 10oz. Is that really large for the age? Her femur length & BPD measured a few days behind, while head and abdominal circumference measured ahead. Is this a problem?

Expert:  Family Physician replied 1 year ago.
As you can see from this chart, there is reasonably wide range of fetal weights at this gestational age. The average is about 1.5 kg (3.3 pounds). The 90th percentile (the weight below which 90% of found) is 1.8 kg (3.96 pounds)

This estimated weight is well within the "normal" range - since 10% would actually be larger than this weight.

Just as there are variations from "average" for height and weight in adults, fetal weights and lengths have marked normal variation.
Customer: replied 1 year ago.

I cannot see the chart you mentioned. Thank you for your reply. I was just worried because 3lb10oz seems very large and prior to this she has measured right in the 50th percentile. She was alb 2oz at 27 weeks so it just seemed like a large jump!

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions