Doctor insights on:
Postpartum Preeclampsia Treatment
2 alp tests one month apart at 150. All other liver tests normal. 5 months postpartum with preeclampsia and ibs. Could this be from strenuous exercise
No: It's not from exercise - you need tests to find the cause. ...Read more
Resolution.: 15% of pree occurs postpartum; your bps suggest gradual resolution. Your maternal-fetal medicine doctor can tell you when you are out of the woods completely. Do not drive until then! ...Read more
Delivery: The only reeal cure for preeclampsia is delivery. We use Magnesium Sulfate to prevent seizures. ...Read more
Diagnosed with asymptomatic APS as haven't had any clots but I have had two episodes of preeclampsia! I have been told given no treatment, Is this ok?
Antidepressants: If it's true post-partum depression, and you are having difficultly functioning and bonding with the baby, antidepressants work well. If in addition to depression, you are having obsessional thoughts about hurting the baby, you should see a mental health professional immediately. If it is baby blues-which start soon after birth and last days, will improve on it's own. ...Read more
I have a small retained placental fragment (14 weeks postpartum). I was prescribed methotrexate. Is this normal treatment?
Is a hospital psych ward an appropriate place for postpartum psychosis treatment? I'm particularly concerned with use of anti-psychotic drugs!
At times, yes: Postpartum psychosis is an extremely serious illness. Women with postpartum psychosis may hallucinate and be delusional. Without treatment, may act on delusions. When ill, some have thought their babies were demonically possessed and needed to be killed. Temporary inpatient treatment can stabilize the mom, and protect both her & her infant. Antipsychotic medications may be life-saving. ...Read more
Pre-eclampsia. . .: The only final treatment of pre-eclampsia is delivery. If a woman is within 3 weeks of term, her doctor may consider induction. If she is still early, her doctor will try to prolong the pregnancy as long as it's safe. She'll be monitored through lab tests, ultrasounds, and frequent non-stress tests (monitoring baby's heart rate). She may also receive medications to lower her blood pressure. ...Read more
Depending on the severity here are options to consider talking with your obgyn and psychiatrist:
1) bright light therapy
3) antidepressant drugs - some drugs, such as zoloft & paxil, (paroxetine) end up in very low concentrations (if at all) in breast milk.
4) transcranial magnetic stimulation (tms) is an outpatient treatment that uses an MRI strength magnet to stimulate the brain.
5) and more. ...Read more
Worst case: If antibiotics for what is believed to be post partum infection of the uterus don't work, the symptoms being treated are either not from an infection, or there are bacteria present and/or the environment in the uterus is such that these antibiotics are not effective. The source of an infection needs to be removed, potentially by way of hysterectomy. ...Read more
How is post-partum hormonal imbalance treated? Its 10 months later w/ ectropic cervix and persistent hsv-1 breakouts, suppressive therapy not working.
SSRI medications: Are usually effective. Don't wait.Get a more detailed answer ›
Delivery: Toxemia is only relieved or cured with the delivery of the baby. If toxemia develops before the pregnancy is carried to full-term, medications, bedrest and close monitoring may be used to try to keep mother & baby stable until baby is a little more mature. Magnesium sulfate is used to reduce seizure risk prior to and during delivery, and other blood pressure medications may be used as well. ...Read more
Sometimes small, etc: Babies of women with preeclampsia might be smaller because they did not grow well (due to higher blood pressure) or were born early because the women needed to be delivered preterm. There are other possible effects that are known or being studied, but those are the main ones in developed nations. ...Read more
Familial: The pathogenic mechanisms underlying pre-eclampsia remain to be elucidated; however, immune maladaptation, inadequate placental development and trophoblast invasion, placental ischaemia, oxidative stress and thrombosis are all thought to represent key factors in the development of disease. Furthermore, all of these components have genetic factors that may be involved in the pathogenic changes. ...Read more
Preeclampsia: Preeclampsia causes seizures. This is called "eclampsia" and is quite serious, even deadly for both mother and baby. The exact cause of these seizures is not known. The treatment is immediate delivery once the mother has been medically stabilized. Delivery can be vaginal, but is usually by c/s because of the time involved. ...Read more
Stress test for body: Consider any pregnancy a stress-test for the body and the female heart and vessels. The preeclamptic women fail that test and are at increased risk for chronic hypertension and heart disease down the road - not as a consequence of preeclmapsia, but rather because of their genes, lifestyle, weight, activity and diet. ...Read more
HPN-PREECLAMPSIA: The BP is checked after delivery to make sure mother is fine after preeclampsia. BP usually returns to normal. ...Read more
Yes, a criteria: Preeclampsia is clinically defined as hypertention and proteinuria (protein in urine) with/out edema occuring after 20 wks of pregnancy. So, hypertention is a required component for the diagnosis. Help is severe preeclampsia involing hemolytic anemia, liver dysfuctions, and low platelet count. These are very important illnesses and follow-up with doc asap/regularly is strongly advised...Good luck. ...Read more