Re: Lupus and pregnancy
From: Charlie Chambers (ricechaz@earthlink.net)
Sat Jun 24 12:39:24 2006
I believe it to be imprudent for a pregnant patient with lupus to
cared for without a physician involved in care. Sure, a number of
Lupus patients can get through a pregnancy without any complications.
But, a patient with Lupus can go from stable to critically ill over
a very short interval of time. Someone else wiser than me on this
list made the analogy before that just because you can get across the
street blindfolded without getting hit, doesn't make it prudent to
continue to do so. Why take an unnecessary risk?
On Jun 23, 2006, at 9:32 PM, Sherri Holley wrote:
> 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 -----
> From: Elrod, Darryl G Maj 48 MDOS/SGOBO
> To: Multiple recipients of list OB-GYN-L
> Sent: Wednesday, June 21, 2006 2:21 AM
> Subject: Lupus and pregnancy
>
> 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
>
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Charlie Chambers
--
Hood River, OR
cchamber@alumni.rice.edu
"Almost anything you do will seem insignificant but it is very important
that you do it....You must be the change you wish to see in the world"
-- Mahatma Ghandi.
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