Re: Advice following severe pre-eclampsia

From: MBRIEX (mbriex@alienor.fr)
Tue Nov 25 11:58:05 1997


---------- > De : Peter A Harris <PeteHarris@classic.msn.com>
> A : Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
> Objet : Advice following severe pre-eclampsia
> Date : lundi 24 novembre 1997 18:55
>
> I am interested to hear what the rest of the globe
> would advise a post-natal lady who had:
> severe pre-eclampsia
> HELLP
> IUGR baby
> LSCS at 31/40
> (let's NOT repeat old threads like "VBAC or Bust"
> and "IUGR v. SFD" and defining severe PET)
> My thoughts were:
> Risk of recurrence 1 in 4
> Likely to be less severe or appear later
> Take aspirin 75mg a day once pregnant
> Risk increases with new partner but don't keep him just to keep the risk

> down!
> GP to monitor non pregnant blood pressure

I agre with you but i'll add: Evaluation of renal function 2 or 3 month after delivery, look for lupus antibodies and anticardiolipin. If elevated no estroprogestative pill. If pregnant 150 mg aspirin a day from 14 to 35 weeks.

> Pete Harris O&G SpR (trainee) East Anglia UK (now in
Norwich) >





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