What Does the Fox Say? Answers to Your Maternal Fetal Medicine Questions
In the latest Healthful Woman episode, “Mailbag #6: What Does the Fox Say?” Dr. Nathan Fox answers listeners’ questions. This episode covers a wide range of topics, including how culture influences labor and birth, placental abruption, fetal growth restriction, Group B strep, and taking medication during pregnancy.
How Does Culture Influence Birth Practices?
The episode begins with a listener’s question about how culture affects labor and delivery. Dr. Fox explains that while some practices are universally consistent, others vary widely due to cultural differences, resources, and hospital-specific philosophies. For example, the attitude toward VBAC (vaginal birth after cesarean) or the presence of doulas and midwives on labor floors can reflect the culture of the hospital or country. Dr. Fox emphasizes the importance of understanding the culture of your birthing environment early in prenatal care, as it can impact your experience and the support you receive.
Placental Abruption Causes and Concerns
Placental abruption, or the premature detachment of the placenta from the uterine wall, is another topic that Dr. Fox discussed. Dr. Fox explains the symptoms of placental abruption, which include vaginal bleeding, pain, and changes in the baby’s heart rate, and he discusses the risks associated with this condition. While mild cases often result in healthy deliveries, severe cases require urgent medical attention.
Understanding Fetal Growth Restriction
Dr. Fox discusses fetal growth restriction (FGR) versus small-for-gestational-age (SGA) babies. He outlines the factors that can cause a baby to measure small, such as placental issues or genetic conditions, and explains how doctors evaluate these situations. Most small babies are perfectly healthy, but additional monitoring may be needed to ensure optimal care, including ultrasounds and blood flow studies. Dr. Fox advises listeners to have open, informed conversations about risk factors and management plans with their providers.
Group B Strep and Delivery Decisions
Group B strep (GBS) is a common bacteria that can pose risks during delivery. Dr. Fox explains the protocols for managing GBS in pregnancy, including early testing and the use of antibiotics during labor. He also addresses a listener’s question about why GBS detected in urine early in pregnancy can dictate delivery decisions later. His thorough explanation highlights the importance of personalized care and balancing risks with evidence-based practices.
Is Zofran Safe During Pregnancy?
Dr. Fox wraps up the episode by discussing whether Zofran is safe for nausea during pregnancy. He notes that most studies suggest no increased risk of birth defects, though the data is imperfect. Zofran can be a helpful option for managing severe nausea when other treatments fail, but it should be used thoughtfully, balancing risks and benefits with a healthcare provider.
Learn More
Listen to the complete episode, “Mailbag #6: What Does the Fox Say?” on the Healthful Woman podcast to learn more about these topics. For pregnancy care in New York, contact Maternal Fetal Medicine Associates today by completing the online contact form.
Maternal Fetal Medicine blogs are intended for educational purposes only and do not replace certified professional care. Medical conditions vary and change frequently. Please ask your doctor any questions you may have regarding your condition to receive a proper diagnosis or risk analysis. Thank you!
