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Re: Protein in urine, possible PIH?
From: Amit (anonymous@obgyn.net)
Mon, 31 Jan 2000 19:29:26 +0530
Jody,
You are at 27weeks of gestation ( Parity??) with twins with Hypothyroidism,
chronic UTI,Gestational Diabetes with ketones, chronic hypertension with
rapid pulse and normal BP and abruption. It appears you have autoimmune
disorder that goes in favour of most of the problem you have now.You are at
a very high-high feto-maternal risk for developing PE, IUGR etc., Abruption
is generally common under such circumstances. I am not sure about your
blood loss as well as the extent of retroplacental clot & Complete blood
count ( Haematocrit level), you may be anemic also.You really need bed rest
along with expert perinatal care. BP may or may not rise even then you can
develop severe PE or even Eclampsia with just urine protein rising. I think
you should get full regular biophysical fetal monitoring ( including Doppler
studies) and detailed work up done at the earliest for Liver, renal,
autoimmune, Coagulation functions (HEELP) and also proper Diabetic
assessment both in terms of better control and prognosis. I am sure your
high risk OB must be taking care of you. Follow your OB advice regularly.
Best of Luck.
Dr.Amit Sengupta, MD; Ph.D.
This is for educational purpose only.
>----- Original Message -----
From: Jody <anonymous@obgyn.net>
To: Multiple recipients of list PREGNANCY-BIRTH
<pregnancy-birth@forum.obgyn.net>
Sent: Sunday, January 30, 2000 8:23 AM
Subject: Protein in urine, possible PIH?
> I wish I had gotten checked! I ended up in the L&D unit on the 10th with
> severe vaginal bleeding. After an u/s, it turned out to be due to an
> abruption of one of the placentas. I have been in the hospital ever
> since and I have no idea when I will be able to go home. My OB says
> that the cough probably didn't cause the abruption, but it couldn't have
> helped anything.
>
> I now have yet another question (so sorry to keep bothering you). I
> have chronic hypertension and am considered to be at a high risk of
> developing PIH because of carrying twins. While I have been in the
> hospital, my blood pressures have been incredibly low, ranging from
> 130/60 to 100/47. I assumed that meant I was not developing PIH, but
> now I am passing protein in my urine. With my previous pregnancy, I did
> indeed have PIH and was on bed rest, which caused my bp to remain within
> normal levels. Is it possible that I do indeed have PIH but my bp is
> being controlled by the enforced bed rest? If so, are there any other
> effects on my body and the babies?
>
> I also have ketones in my urine. Is it possible that I am developing
> gestational diabetes?
>
> Despite all of these worries, I just wanted to say that I am 28 weeks
> now and Baby A is 2 lbs. 8 oz. and Baby B is 2 lbs. 13 oz.
>
> At Wed, 12 Jan 2000, Harvey S. Marchbein, M.D. wrote:
> >
> >At Sun, 9 Jan 2000, Jody wrote:
> >>
> >>I am 26.5 weeks pregnant with fraternal twins and suffer from
> >>hypothyroidism, chronic hypertension, chronic UTI's and am currently on
> >>bed rest to ward off pre-term labor (I experienced a few mild
> >>contractions on December 26th). I am scheduled to see my OB on
> >>Thursday, but I have developed a rather severe cough that is keeping me
> >>up at night. I don't have any normal cold symptoms, just the cough,
> >>extreme fatigue and a mild headache. My question is whether I should
> >>try and get in to see my OB before Thursday to have her listen to my
> >>chest or whether waiting until Thursday is ok. I am on a low dose of
> >>Macrobid to attempt to ward off UTI's, but that has not seemed to impact
> >>my cough in any way.
> >>
> >>Any advice would be appreciated.
> >>
> >>--
> >>Jody
> >>
> >Get checked and feel better.
> >
> >--
> >Harvey S. Marchbein, M.D. FACOG, FACS
> >Great Neck, New York
> >
> >**Note: Opinions expressed here are for educational purposes only
> >and, as such, do not constitute a physician-patient relationship.
> >This information is not intended to supplant the need for you to
> >consult with your physician prior to choosing therapeutic options
> >and/or interventions.
> >
> >**Private emails cannot be entertained due to time constraints,
> >consequently no private emails will receive a response.
> >
> >**Thank you for your understanding ;-)
> >
>
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