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Re: Sheehan's syndromeFrom: Dr. Rupak Ranjan Roy (rupakroy1@dataone.in)Sat Dec 30 07:15:51 2006
--Boundary_(ID_wV0eMarhsG3ov80y/wGuWg) Content-type: text/plain; charset=iso-8859-1 Content-transfer-encoding: 7BIT I have seen two Sheehan's. In both, lactation failure was the first symptom. So, I guess, your lady will not get Sheehan's. Dr. Rupak Ranjan Roy FRCOG
> ----- Original Message ----- Have a 29 y/o G1P1, 2 weeks PP. Uneventful labor, but had a partially retained placenta which resulted in about 400 cc EBL and several hours later she became symptomatic with a vaginal hematoma. Only symptom was "not feeling well", no c/o pain. Not sure of the exact EBL with the hematoma (haven't read surgical report), but hgb bottomed out at 6.2 from 11 at 38 weeks. She received 2 units PRBC while in hospital. Lactogenesis has occurred and baby is gaining well. Patient developed mastitis Christmas eve, but ABX given and she is feeling well, although tired. I know that Sheehan's is rare (1:10,000) but also know symptoms can show up weeks to years after the occurrence. None of my research talked about the extent of blood loss that can result in Sheehan's. Does anyone on the list have experience with this and can fill me in? Thank you. Linda Johnson, CNM http://www.mothersownbirth.com Temperance, MI 1-866-920-8100 "Not to know is bad. Not to want to know is worse. Not to hope is unthinkable. Not to care is unforgivable." --Nigerian saying ------------------------------------------------------------------------------ Check Out the new free AIM(R) Mail -- 2 GB of storage and industry-leading spam and email virus protection. ------------------------------------------------------------------------------
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