Q: What is your question? What would you consider high blood pressure in a
pregnancy? My daughter was almost 41 weeks and went in to hospital with a blood
pressure of 150/86 and it increased to 159/96 and they would not induce her due
to lack of an ob nurse. 2 days later the baby died and she had to have a
c-section. What do you consider to be too high for a blood pressure during
pregnancy? -Dana Philpott
A: Im very sorry to hear about this. That is a high blood pressure for pregnancy, assuming she had normal blood pressure throughout the early part of the pregnancy. however, a high blood pressure by itself is not a reason to induce labor. Surely, it is an indication to monitor the baby. Also, when the blood pressure is this high a patient is usually monitored for signs of pre-ecclampsia which is diagnosed by high blood pressure, headaches, blurry vision, excessive swelling of the feet and hands, hyper-reflexes and certain laboratory tests.
Sunday, June 10, 2007
Induction and C-section
Q: If a pregnant woman is induced, is there a higher risk that she will have to have
a cesarean section than if she was not induced? Is it safer to not be induced
and wait for one's body to go into labor on its own?
A: Not necessarily. The success of an induction depends on many things, like the condition of the cervix, etc. For example, a cervix that is soft, effaced and dilated is more likely to respond well to induction than one that is less favorable, hard etc. But yes, some inductions do end up going to c-sxn. Again, there are many variables. You need to outweigh the risks and benefits of the induction. For example, it may be necessary to induce labor at the risk of going to a c-section. We prefer women to deliver by 41 weeks because statistics show that babies do better if delivered by 41 weeks than 42, for example. So if a woman has not gone into labor by 41 weeks, we often induce labor. There are many other reasons for induction. But, if you just want to be induced earlier for no particular reason, then you need to discuss the risks and benefits with your doctor.
a cesarean section than if she was not induced? Is it safer to not be induced
and wait for one's body to go into labor on its own?
A: Not necessarily. The success of an induction depends on many things, like the condition of the cervix, etc. For example, a cervix that is soft, effaced and dilated is more likely to respond well to induction than one that is less favorable, hard etc. But yes, some inductions do end up going to c-sxn. Again, there are many variables. You need to outweigh the risks and benefits of the induction. For example, it may be necessary to induce labor at the risk of going to a c-section. We prefer women to deliver by 41 weeks because statistics show that babies do better if delivered by 41 weeks than 42, for example. So if a woman has not gone into labor by 41 weeks, we often induce labor. There are many other reasons for induction. But, if you just want to be induced earlier for no particular reason, then you need to discuss the risks and benefits with your doctor.
Miscarriage
Q:What is your question?
In 2005 I had an incomplete miscarriage. I went to the doctor with what I had
passed. They did a pelvic ultrasound which was abnormal and needed further
testing with an endometrial ablation and an MRI. I had the MRI but never heard
the results. I am wondering if a D&C should have been done. and if it should have
been done is it too late now? I am in the process of getting my records and
finding a new GYN. Should they follow up these findings
A: D&C's are not always done after miscarriages. It really depends on the circumstances. It is usually done if there is retained product left in the uterus that hasn't passed on its own. You should call the doctor to discuss your results.
In 2005 I had an incomplete miscarriage. I went to the doctor with what I had
passed. They did a pelvic ultrasound which was abnormal and needed further
testing with an endometrial ablation and an MRI. I had the MRI but never heard
the results. I am wondering if a D&C should have been done. and if it should have
been done is it too late now? I am in the process of getting my records and
finding a new GYN. Should they follow up these findings
A: D&C's are not always done after miscarriages. It really depends on the circumstances. It is usually done if there is retained product left in the uterus that hasn't passed on its own. You should call the doctor to discuss your results.
Saturday, June 9, 2007
Vaginal discharge.
Q: What is your question? I have a yellow discharge & I feel numbing in vagina area
Nancy
A: I dont know that the vaginal discharge and numbness are related. The only way to know for sure what is going on is to see your doctor. You may have a vaginal exam in which a swab of the discharge is taken and examined under the microscope. This may give you an answer. Sexually transmitted diseases, bacterial vaginosis (which is not sexually transmitted) and physiologic increase in secretions can cause vaginal dishcarge.
Nancy
A: I dont know that the vaginal discharge and numbness are related. The only way to know for sure what is going on is to see your doctor. You may have a vaginal exam in which a swab of the discharge is taken and examined under the microscope. This may give you an answer. Sexually transmitted diseases, bacterial vaginosis (which is not sexually transmitted) and physiologic increase in secretions can cause vaginal dishcarge.
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