Doctor insights on:
Biggest Pregnancy Risk Fron Itp
Bleeding: Itp is low platelets without a clear reason for having them. For most women with itp, the platelets are low but still function well. If they get low enough though, there may not be enough to prevent significant bleeding related to surgery or delivery. Some women with low platelets will not be able to get an epidural. Sometimes antibodies in the mom will also cause bleeding problems in the baby. ...Read more
Many women have no problems with pregnancy other than the normal discomforts. Others, however, experience more serious complications that need immediate attention. You may hear your situation referred to as "high risk," and that simply means that if you had certain medical conditions before you were pregnant or had a complication during your pregnancy, you and your baby will be monitored more closely. It is extremely important that you stay in close contact with your doctor and call immediately if you experience any warning signs. Early diagnosis of a problem is important for your health ...Read more
How risky is attempting pregnancy at the age of 40, mild lupus, antiphospholipid antibody syndrome currently taking coumadin (warfarin)?
Risks: The risks as you describe them, are many, but they are not insurmountable. First, having a baby at 40 is more of a health hazard than having a baby at 20. This might be the biggest hurdle. Second, any chronic disease must be well controlled. Lupus should be quiet before attempting pregnancy. Third, any medications should be reviewed - you are likely aware that warfarin causes birth defects. ...Read moreSee 2 more doctor answers
Secondary reynauds: In cases of secondary reynauds where an underlying cause or pathology there comes the risks. So if the phenomenon is secondary to scleroderma or rheumatoid arthritis the effect of this different than if the cause is smoking, hepatitis, lupus...Etc .For primary reynauds in extreme cases ulcers or gangrene of the finger tips or finger can develop but it is unusual. ...Read more
She's dengue +ve platelet count was 16000. sdp infusion is done, and having menstrual periods. But no other signs of dengue symptoms.any risk factors?
Proper workup: This thrombocytopenia is serious and a cause needs to be found. I am going to assume that she is otherwise healthy. It's idiopathic / autoimmune thrombocytopenia until proved otherewise. A competent hematologist needs to investigate now. Forget about this being dengue. Best wishes. ...Read more
What are the risks of disseminated intravascular coagulation after a single fetal demise @ 28 weeks.This a triplet pregnancy - trichorion/triamnio?
Threats to baby, mom: Risk factors include conditions that might affect the health of the fetus and/or pregnant woman. Those include higher chance for birth defects, >1 baby, prior preterm birth, diabetes, history of eclampsia. Many women at high risk for pregnancy complications have healthy babies, but they probably saw perinatologists, had extra testing or imaging, or underwent treatments or delivery with nicu aware. ...Read moreSee 1 more doctor answer
Had gestational diabetes last pregnancy.does every subsequent pregnancy put me at higher risk of developing diabetes?
What are the risks of disseminated intravascular coagulation after a single fetal demise @ 28 weeks.
This a triplet pregnancy - trichorion/triamnio?
I am truly sorry: for a loss of one of your Fetus. At 28 weeks with the advent of Modern medicine and Technology survival rate of other fituses are 100%. All the best ...Read more
Tissue testing after d&c showed up turners syndrome. What's the risk for future pregnancies. This was second early mc. Mother's age 32yrs ?
My ob found dehiscence of low-t scar during 2nd c/s delivery @39w (bw 9lb; 16m interdelivery interval). I want a 3rd & last pregnancy. How would you manage risk of rupture--including spontaneous risk?
At Time of Surgery: If determined to have another pregnancy, the best help would have been at time of surgery with a two layer closure of the uterine opening. Docs argue about best interval time but logically waiting over a year before conceiving appears to decrease risk of rupture. Lastly, the most dangerous thing is beyond your control since an accreta is your highest risk & unpreventable. A good OB - priceless! ...Read moreSee 1 more doctor answer
Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?
Altered Runx-1 gene: seems to be implicated in changing the susceptibilty to autoimmune disease and leukemia but is only 1 part of the puzzle and there appears to be other factors as well, so even if you get tested to see if you have the genetic alteration, that in itself does not mean you will get the diseases. I recommend a healthy life style with regular health exams. ...Read more
Unprovoked pulmonary embolism. Small low burden. Been on thinners for 4 months absolutely NO risk factors. Should I come off?
It depends: A pulmonary embolus triggered by surgery or a mild risk factor such as estrogen therapy, long-distance travel, non-surgical hospital stay may be treated for 3 months, rather than 6 or 12 months. A pulmonary embolus that was unprovoked is treated for 6 to 12 months or long-term. You should consult with your doctor for a specific recommendation. Good luck. David Fox, MD, FACS www.foxvein.com ...Read more
Are there any statistics on the risk of developing new blood clots (pulm. embolism) when on blood thinner (lifelong treatment)? INR is stable. Thanks.
Warfarin Failure: Warfarin Failure is the development of a new clot while on warfarin at a therapeutic dose: 2-3 % of patients with previous unprovoked clot over 1-4 years on treatment with warfarin , 17 % of patients who had a clot due to cancer over 6 months on treatment with warfarin 11 % of patients with clot due to lupus anticoagulant and antiphospholipid antibody syndrome. ...Read more
Colon cancer, bleeding mass, havng cath/stent/bypass. Risk of hemorrhage/complications from thinners during/after procedures? No CAD symptom, pos tgxt
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more