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Re: Lupus and pregnancyFrom: Sherri Holley (midwife@obii.net)Fri Jun 23 23:29:42 2006
I am a LM w/ 27 yrs in practice (formerly of Alaska) I have had Lupus since 15 yr old-now 50yrs. I had 2 pregnancies/births. 1st preg- totally normal except severe hyperemisis & I went very overdates- Had a home birth. 2nd child born 12 yrs later- had preterm complications, bed rest for 5 1/2 months. Went to Swedish Hsp, in Seattle several times I was also in much pain in bones and muscles. Was put on Terb. for Preterm then Penobarbital (to control the tachy in me) Was also treated by an ND. I had him at home on his due date. Baby fine, I went into a huge flair @ 6 wks postpartum however. The 27 yr old son (1st) has Lupus w/ severe Bipolar. 16yr old (2nd) has Bipolar with some slight immune problems. I due take non severe lupus in preg clients and have found that many of the natural remedies support these women, dier is extremely important and in some cases add baby aspirin. I do monitor them toxemia, preterm and kidney problems. I do do more prenatals on them, to keep closer tabs on them with emphisis (sp) on keeping them feeling non high risk. I have had very good success one the more than 25 cases. ( always explain in depth the risk and chance of hospitalization) I think I have good outcomes also be case I know personally what its like.
> ----- Original Message ----- I am seeing a 26 yo G2P1 with a known diagnosis of SLE. She recently had some bloodwork done that showed a positive lupus anticoagulant. She had previously been negative for LAC. She now is pregnant at about 5 weeks. She has no prior poor obstetrical outcomes, no prior history of DVT nor family history of DVT. Would you a) do nothing and observe b) start baby aspirin c) start baby aspirin and heparin Thanks, Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer.
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