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Eloise Page, Singapore

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How big is the epidural injection? Will it hurt? Is a "bloody show" (mucus tinged with blood) in the toilet a sign of labour?

Chuyên gia

The spinal needle is much smaller—the width of a thick piece of hair. But before this happens, the injection site is numbed with a local anesthetic, at which point you will feel a pinch and sting for about 10 seconds. You'll feel pressure, but not pain, when the epidural and/or spinal itself is given. Bloody show is a sign that the blood vessels in the cervix are rupturing as it effaces and dilates. The cervix undergoes significant changes during the third trimester of pregnancy. As labor approaches, two main changes occur: effacement, which occurs when the lining of the cervix becomes softer and thinner dilation, which occurs when the opening to the cervix widens

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What can I do to avoid excessive gas and bloating in pregnancy?

Chuyên gia

Sometimes, there is no way to avoid it but I generally tell my patients to take small frequent meals, avoid products and food that cause excessive gas for some people (e.g. beans, spicy food, oily food). For those who are lactose-intolerant, avoid dairy products. Ginger tea can help to a certain extent. If all these fail, I will tell my patients to see a doctor. The doctor may give antacids. Most over-the-counter antacids such as Mylanta and Gaviscon are safe for pregnancy.

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What is a double marker test? What will it tell me?

Chuyên gia

Dual Marker Test is used to measure the presence of two hormones which are Beta Human Chorionic Gonadotropin (Beta hCG) and Pregnancy Associated Plasma Protein (PAPP-A) in blood. The hormone levels are used to estimate a risk for Down Syndrome and 2 other chromosome abnormalities together with the NT scan result.

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