Re: PREGNANCY-BIRTH digest 880

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Sorry for the inconvenience

--
Selman I. Welt, M.D.

At 06:03 PM 8/30/00 -0500, you wrote:
>			    PREGNANCY-BIRTH Digest 880
>
>Topics covered in this issue include:
>
>  1) Re: With regards to Dr. Lynn Montgomery's response[Re: effects of
marihuana]
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>  2) Re: What is it?
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>  3) RE: Am I hurting the baby?
>	by Esmeralda Gallegos <EGallegos@fossil.com>
>  4) Re: Braxton Hicks
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>  5) Help regarding IUGR??
>	by ncypantz@aol.com (Nancy)
>  6) Re: Vanishing Twin?
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>  7) Surgery: Ovarian Cyst in Pregnancy
>	by duchessoferat@esatclear.ie (D.O'Brien)
>  8) Re: Help regarding IUGR??
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>  9) Re: Surgery: Ovarian Cyst in Pregnancy
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 10) 3 hour GTT (glucose tolerance test)
>	by anonmom@anon.net (Ann)
> 11) Re: BH Contractions
>	by schmoo897@yahoo.com (Janna)
> 12) Drunk before finding out about pregnancy
>	by karamichelle@dellnet.com (Kara)
> 13) Tubal Ligation Failure Question
>	by emk@vircomsolutions.com (EMK)
> 14) repeated miscarriage and use of prometrium
>	by jrardin@wyoming.com (Jennifer Rardin)
> 15) Re: Am I hurting the baby?
>	by Tonja.Brossette@obgyn.net (Tonja Brossette)
> 16) Re: Drunk before finding out about pregnancy
>	by Tonja.Brossette@obgyn.net (Tonja Brossette)
> 17) Re: 3 hour GTT (glucose tolerance test)
>	by Tonja.Brossette@obgyn.net (Tonja Brossette)
> 18) First Trimester Question
>	by Scarcelli@AOL.COM (Cindy)
> 19) Re: 3 hour GTT (glucose tolerance test)
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
> 20) Re: Drunk before finding out about pregnancy
>	by lmontgomery@communitymed.org (Lynn D. Montgomery, MD)
>
>----------------------------------------------------------------------
>
>----------------------------------------------------------------------
>Date: Wed, 30 Aug 2000 14:57:37 -0500 (CDT)
>----------------------------------------------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: With regards to Dr. Lynn Montgomery's response[Re: effects of
marihuana]
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, J wrote:
>>
>>The experimental drug for psoriasis is made by a company called Biogen
>>Inc...the drug is called Amevive.
>>Her dermatologist, who is conducting the study, told her that there
>>isn't anything to worry about.
>>She wants to have an amniocentesis done regardless of what he
>>said...what exactly can the amnio tell her....and what doesn't it tell
>>her about the health of the fetus?
>>
>>Thank you for responding.
>>Jacqueline
>
>Jacqueline,
>She is certainly entitled to have an amniocentesis.  I would have her
>request the data on the medication.  I have checked my sources and
>cannot find the med-this is unusual because the sources I have are
>usually very up to date.  If the medication is being used on humans,
>experimental or not, there are several levels of trials the medication
>must undergo prior to human use-have your friend get that data.
>
>The problem with the amnio is the fact that it only shows whether or not
>the chromosomes are normal or not.  What it doesn't show are the more
>common problems that occur secondary to medications-deformities.  She
>should make sure that she asks for a targeted ultrasound from a
>specialist in obstetric ultrasound (either a maternal-fetal specialist
>or a Radiologist with special experience in obstetric scans)...
>Lynn
>>
>>At Wed, 30 Aug 2000, Lynn D. Montgomery, MD wrote:
>>>
>>>At Wed, 30 Aug 2000, J wrote:
>>>>
>>>>Hello
>>>>
>>>>My sister found out yesterday that she is 10 weeks pregnant...it was a
>>>>great shock because she had been taking an experimental drug for
>>>>psoriasis and apparently the baby was conceived 1 week after her last
>>>>dose of the meds...but her test results for the past few months showed
>>>>negative for pregnancy!
>>>>
>>>>Anyway, she is indeed pregnant...she had some concerns about this drug
>>>>(Amevive)...but her dermatologist assured her it wouldn't harm the fetus
>>>>(she hasn't taken any since 1 week before conception).
>>>>
>>>>Her anxiety comes mainly in the form of her husband...he likes to smoke
>>>>marihuana (no other drugs) and she is now concerned about the effects of
>>>>his smoking on the fetus...my sister is not exposed and hasn't been
>>>>exposed to the secondhand smoke!
>>>>
>>>>Can there be any developmental or birth defects caused from a father who
>>>>smokes this stuff?
>>>>
>>>>Thanks for any advice!
>>>>
>>>>--
>>>>J
>>>>
>>>J,
>>>I checked on the "Amevive".  I am wondering about the spelling because I
>>>cannot find anything on it.  There is no evidence that paternal usage of
>>>marijuana causes any reproductive problems or congenital
>>>abnormalities...
>>>Lynn
>>>
>>>--
>>>Lynn D. Montgomery, MD
>>>Director, Maternal-Fetal Medicine
>>>Rocky Mountain Perinatal Center
>>>Missoula, Montana
>>>
>>>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>>>
>>>**Thank you for your understanding ;-)
>>>
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 14:59:41 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: What is it?
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, anonymous@obgyn.net wrote:
>>
>>I am noticing that I am having this jelly like stuff that is coming from
>>my vagina It looks like mucus or ablood clot but white.  What is this?
>
>Minormia,
>I am assuming that you are pregnant.  It is normal to have an increase
>in vaginal discharge during pregnancy.  However, if the amount is
>significantly greater than the nonpregnant state, I would certainly
>contact your obstetric care provider, especially if there is an blood
>contained...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:00:49 -0500
>------------------------------
>From: Esmeralda <anonymous@obgyn.net>
>To: "'anonymous@obgyn.net'" <anonymous@obgyn.net>
>Subject: RE: Am I hurting the baby?
>Message-ID: <anonymous@obgyn.net>
>MIME-Version: 1.0
>Content-Type: text/plain;
>	charset="iso-8859-1"
>
>Yes, I want to be sure it's a boy.
>
>-----Original Message-----
>From: anonymous@obgyn.net [mailto:anonymous@obgyn.net
>Sent: Wednesday, August 30, 2000 2:46 PM
>To: Multiple recipients of list PREGNANCY-BIRTH
>Subject: Re: Am I hurting the baby?
>
>Any time someone does something against your will that hurts you either
>physically or emotionally, it is NOT okay.  If you've asked your husband
>to stop the rough horseplay, explained that it hurts, etc.  and he has
>ignored your wishes, it might be time to get serious with him and/or
>seek some counseling.  Furthermore, a 33-week pregnant mother being
>pushed off of a bed is NOT okay under any circumstances and by all
>means, this behavior needs to stop ***immediately.*** Your baby's most
>likely okay physically as he's well protected in there, but if for
>nothing other than respect for his wife and unborn child, your husband
>needs to comply with your wishes and behave appropriately.  If you're
>concerned about injury to your baby, don't hesitate to mention it to
>your doctor.
>
>Intercourse should be fine unless you've been advised otherwise by a
>medical caregiver or unless it results in regular contractions.  As far
>as the sono, most doctors won't do a sono this late in the game simply
>for the purpose of determining sex, but if you feel comfortable asking,
>you don't have much to lose.
>
>I would be more concerned with the other issue, frankly.  I'm sure your
>husband means no harm to you or your baby, but when his wife is reduced
>to tears after "play," it's time to stop.
>
>Good luck to you...
>
>Tonja
>
>At Wed, 30 Aug 2000, anonymous@obgyn.net wrote:
>>
>>I wanted to ask, my husband i sometimes very tuff he plays to tuff, and
>>sometimes pushes me around or pushes me off the bed but very ruff, and
>>that hurts my feelings so i start crying, and i cry for ever, could the
>>baby be hurt that way, or is it okay that he does that? and is having
>>intercourse with him okay this far along that i am? I wanted to ask too,
>>i want to know if i am having a boy they had told me at the hopital that
>>it was a boy but could i ask my doctor for a sono done, or is it to late
>>i will be 33 weeks when i go back.
>
>--
>Tonja Brossette
>OBGYN.net Coordinator
>Pregnancy & Birth
>tonja.brossette@obgyn.net
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:01:18 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: Braxton Hicks
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, Michele wrote:
>>
>>When do BH contractions usually start? Yesterday, I was really surprised
>>when my lower abdomen got all tight and hard.  Was this a BH? If not,
>>what else could it be? I'm 17 weeks along and have been feeling alot of
>>little flutters.  ( :
>
>Michele,
>Could have been a BH contraction or could have been gas...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:04:16 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Nancy)
>To: anonymous@obgyn.net
>Subject: Help regarding IUGR??
>Message-ID: <anonymous@obgyn.net>
>
>I am 22.5 wks pg and my baby has intrauterine growth retardation,
>measuring around 18-19 wks.  I have a bicornuate uterus and had bleeding
>at 11 wks.  I was also on progesterone suppositories because my level
>was low.  I have had every test -amnio, cystic fibrosis, cmv, ana,
>antiphospholipid antibodies, and they have all come back normal.  The
>baby is behind symmetrically which means the head isn't growing very
>well.  My doctor says the prognosis is poor and suggests induction.  I
>went today for a final u/s, and the heart is still beating and the baby
>grew.  I am supposed to go in for induction, but am afraid I'm giving up
>too easily.  Anyone else with similar experience? I feel I need more
>info.  Please help!!
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:07:39 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: Vanishing Twin?
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, Melinda wrote:
>>
>>I posted earlier about being 7.4 weeks pregnant.  The baby has a
>>heartbeat but my uterus has a pool of blood plus more blood and some
>>clots throughout.  I am not having any miscarriage symptoms.  My doc
>>said the pool was a placenta.  I'm leary with that because I did Clomid
>>and ultrasounds for timed HCG and had one 20mm follicle.  One thing I
>>failed to mention in my last post was that my doctor pointed out the
>>good, solid implantation attachment.  (One respondent questioned
>>placenta detachment.)
>>
>>My questions:
>>
>>1.  With seeing only one mature follicle, could I have possibly released
>>two eggs?
>
>With only one follicle on scan before ovulation, it is unlikely that you
>ovulated two eggs.  The fertilized egg could have divided, creating two
>embryos.
>>
>>2.  Looking at other ultrasounds of vanishing twins on the internet,
>>they do not have a uterus full of blood, just a placenta getting
>>smaller.  Why would mine be a pool of blood instead of a formed
>>placenta? Is this normal?
>
>It can be normal, depending on when the scan is done in relation to the
>loss of the twin.
>>
>>3.  I've run across brief suggestions that vanishing twin syndrome is a
>>higher risk for cerebral palsey.  Any thoughts?
>
>Probably not this early in pregnancy.  This suggestion is related to a
>twin lost later in the pregnancy.  There are probably many pregnancies
>that begin as a twin gestation.  I have heard one suggestion of as many
>as 40% of pregnancies begin as twins.  I think this a bit high, but I
>think it is more common than we know.
>>
>>4. What else could this blood be from?
>
>Marginal seperation of the placenta, threatened abortion
>>
>>5.  I have a 16-month old.  Could I have done damage by playing with her
>>too rough--running, wrestling, picking her up?
>
>Very doubtful.  You really can't do much to a healthy first trimester
>pregnancy.  They are very well protected...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:11:17 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (D.O'Brien)
>To: anonymous@obgyn.net
>Subject: Surgery: Ovarian Cyst in Pregnancy
>Message-ID: <anonymous@obgyn.net>
>
>I've been diagnosed with having a benign ovarian cyst (corpus luteum,
>9cm+) and I am 10 weeks pregnant.  My doctor feels that it should be
>removed at 16-20 weeks, after the placenta has taken over...HOWEVER, I'm
>finding it difficult to glean any further information from him than
>' We'll chop you open and snip it out- You'll be fine.'
>Which, as you can imagine, is none too reassuring....
>I'm worried silly about this operation-
>There are no other 'complications', and I'm a healthy 23 year old with 2
>other children.  Could you PLEASE send me some information on laparotomy
>etc.  during pregnancy, and outline the risks to the
>a) my baby
>b) myself and
>c) my fertility
>following this surgical procedure.
>I would truly appreciate any help you could give me by way of
>information - especially the risk it in relation to miscarriage,
>premature labour or caesarean section labour.
>PLEASE reply, as I have tried many sources- and yours seems the most
>professional and my best chance of getting the information I so greatly
>need.
>Thanking you sincerely in advance,
>D.O'Brien.
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:31:09 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: Help regarding IUGR??
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, Nancy wrote:
>>
>>I am 22.5 wks pg and my baby has intrauterine growth retardation,
>>measuring around 18-19 wks.  I have a bicornuate uterus and had bleeding
>>at 11 wks.  I was also on progesterone suppositories because my level
>>was low.  I have had every test -amnio, cystic fibrosis, cmv, ana,
>>antiphospholipid antibodies, and they have all come back normal.  The
>>baby is behind symmetrically which means the head isn't growing very
>>well.  My doctor says the prognosis is poor and suggests induction.  I
>>went today for a final u/s, and the heart is still beating and the baby
>>grew.  I am supposed to go in for induction, but am afraid I'm giving up
>>too easily.  Anyone else with similar experience? I feel I need more
>>info.  Please help!!
>
>Nancy,
>I certainly feel bad for you in that you are in a difficult place.  My
>reservation comes in not having a diagnosis.  Certainly there can be
>syndromic things that will have normal chromosomes and cause this kind
>of thing.  Also there are skeletal dysplasias that can also cause this
>with a normal karyotype.
>You have to understand that you do not have to have an induction.
>Another option would be to manage things expectantly and see what
>happens.  The growth issue is a big item.  Depending on the solidarity
>of the dating, there is a variation of 1+ weeks at this gestational age.
>If the dates are not solidly accurate, then the growth restriction may
>not be as pronounced as thought.  I would just make sure that the
>calculations and comparisons are being made appropriately...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:37:15 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: Surgery: Ovarian Cyst in Pregnancy
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, D.O'Brien wrote:
>>
>>I've been diagnosed with having a benign ovarian cyst (corpus luteum,
>>9cm+) and I am 10 weeks pregnant.  My doctor feels that it should be
>>removed at 16-20 weeks, after the placenta has taken over...HOWEVER, I'm
>>finding it difficult to glean any further information from him than
>>' We'll chop you open and snip it out- You'll be fine.'
>>Which, as you can imagine, is none too reassuring....
>>I'm worried silly about this operation-
>>There are no other 'complications', and I'm a healthy 23 year old with 2
>>other children.  Could you PLEASE send me some information on laparotomy
>>etc.  during pregnancy, and outline the risks to the
>>a) my baby
>>b) myself and
>>c) my fertility
>>following this surgical procedure.
>>I would truly appreciate any help you could give me by way of
>>information - especially the risk it in relation to miscarriage,
>>premature labour or caesarean section labour.
>>PLEASE reply, as I have tried many sources- and yours seems the most
>>professional and my best chance of getting the information I so greatly
>>need.
>>Thanking you sincerely in advance,
>>D.O'Brien.
>
>D.O.,
>Seeing as how the corpus luteum will become unneccesary from this point,
>if this is a corpus luteum, it will begin to decrease in size.  If that
>happens and the cyst begins to get smaller, even if it doesn't
>completely resolve, it can be followed closely and not surgically
>addressed.  If it remains the same size, it should be surgically
>addressed-If so, I truly hope they don't "chop" you open.
>
>The "chopping" should best occur in the second trimester if required.
>This is the safest time for you and most importantly the baby.  The risk
>of the anesthetics, preterm labor, etc.  are lowest at this time...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 15:50:00 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Ann)
>To: anonymous@obgyn.net
>Subject: 3 hour GTT (glucose tolerance test)
>Message-ID: <anonymous@obgyn.net>
>
>Hi:
>
>I posted earlier this week when I found out I had failed my one hour
>test.  I had a question then and I have another one now.
>
>Today I took the 3 hour GTT.  I drank about 24 oz of water about an hour
>and a half to an hour and forty-five minutes before beginning the first
>blood draw.  (the fasting blood draw).  Could that skew the results in
>any way? Also, when I went back to take the second blood draw, the
>phlebotomist was 15 minutes late in taking my blood so instead of it
>being an hour after the glucola, it was an hour and fifteen minutes.
>Would that have skewed the data? I went back to take the other two blood
>draws on time from the original start of test time (time from which I
>drank the glucola) so I they were uneventful.  Neither girl could give
>me an exact answer re: these two questions although they did both say
>that you cannot drink water after the test has begun.  Please advise.  By
>the way, the test both came back normal.
>
>Thanks for your input.
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 16:25:20 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Janna)
>To: anonymous@obgyn.net
>Subject: Re: BH Contractions
>Message-ID: <anonymous@obgyn.net>
>
>Hey Julie-I've always been told that some have them and some
>don't...:-)It's just your uterus getting ready for the birth! Your doc
>will be able to look for signs as you visit him each week.  Good luck!
>
>At Wed, 30 Aug 2000, Julie wrote:
>>
>>I have a questions about Braxton Hicks contractions.  I've been having
>>them pretty steadily (about 10 or more a day) since about 30 weeks.  I
>>am 35 weeks now.  Does having BH indicate anything about how my labor
>>might be or is that all just tales? I've heard that it could make it
>>easier.  I also wonder if having them every day might indicate I could
>>delivery earlier than my EDD of October 4.  Just curious!!
>>
>>Thanks!
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 16:32:14 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Kara)
>To: anonymous@obgyn.net
>Subject: Drunk before finding out about pregnancy
>Message-ID: <anonymous@obgyn.net>
>
>A week before I found out I was pregnant I got extremely drunk, probably
>the drunkest I have ever been.  I know that in those first few weeks the
>baby's brain begins developing and I am wondering if it will adversely
>affect my baby.  I also had an endometrial biopsy a few days before I
>found out, but my doctor said since I haven't miscarried then it means
>that the embryo was unharmed and there shouldn't be any problems from
>that.  Does this sound right? I am really worried that I will have a
>freak baby!
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 16:45:21 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (EMK)
>To: anonymous@obgyn.net
>Subject: Tubal Ligation Failure Question
>Message-ID: <anonymous@obgyn.net>
>
>I had a tubal ligation performed in 1992, the day after the birth of my
>second child.  I do not know the exact procedure used (clips, etc) but
>seem to recall cauterization being performed (though not for certain).
>Within the last few weeks, I've had several pregnancy symptoms occuring,
>but this is not unusal for me, as I have a prolactinoma and often
>experience some of these symptoms, such as morning sickness and
>lactation.  However, the symptoms I am currently experiencing are a
>"evening" sickness, repeated burping, lethargy, and change in appetite.
>(I had evening sickness and burping in both pregnancies.) My period last
>month was very short and very light, but again this did not bother me.  I
>often get periods ranging from 2-4 days, usually moderate for the first
>1-2 days and light the rest.  Also, during both of my pregnancies, I
>experienced periods during the first trimester.  My first pregnancy was
>discovered at 16 weeks and my second one at 12 weeks! On both occasions,
>the last period I experienced was very light and short.  What is the
>probability of being pregnant eight years after a tubal ligation has
>been performed?
>
>Thanks,
>EMK
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:17:10 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Jennifer)
>To: anonymous@obgyn.net
>Subject: repeated miscarriage and use of prometrium
>Message-ID: <anonymous@obgyn.net>
>
>After 5 miscarriages my physician has put me on prometrium.  I am 8
>weeks pregnant and an ultrasound yesterday showed good fetal development
>with heartbeat.  However, no corpus luteum was seen on either fallicle.
>I'm interested in responses from women who have taken prometrium and the
>effects it had on their pregnancy.
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:32:38 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Tonja)
>To: anonymous@obgyn.net
>Subject: Re: Am I hurting the baby?
>Message-ID: <anonymous@obgyn.net>
>
>Out of curiosity, by what means did the hospital tell you it was a boy
>the first time? Ultrasound? Amnio? I doubt you'll get an OB to perform
>an ultrasound for the sole purpose of satisfying your curiosity, but I
>suppose anything's possible - I have known women who were tight with
>different sonographers and had multiple ultrasounds for that very
>purpose.  Keep in mind, however, that even with multiple sonograms, some
>women are just destined for a "surprise" in the delivery room!
>
>Tonja
>
>At Wed, 30 Aug 2000, Esmeralda wrote:
>>
>>Yes, I want to be sure it's a boy.
>>
>>-----Original Message-----
>>From: anonymous@obgyn.net [mailto:anonymous@obgyn.net
>>Sent: Wednesday, August 30, 2000 2:46 PM
>>To: Multiple recipients of list PREGNANCY-BIRTH
>>Subject: Re: Am I hurting the baby?
>>
>>Any time someone does something against your will that hurts you either
>>physically or emotionally, it is NOT okay.  If you've asked your husband
>>to stop the rough horseplay, explained that it hurts, etc.  and he has
>>ignored your wishes, it might be time to get serious with him and/or
>>seek some counseling.  Furthermore, a 33-week pregnant mother being
>>pushed off of a bed is NOT okay under any circumstances and by all
>>means, this behavior needs to stop ***immediately.*** Your baby's most
>>likely okay physically as he's well protected in there, but if for
>>nothing other than respect for his wife and unborn child, your husband
>>needs to comply with your wishes and behave appropriately.  If you're
>>concerned about injury to your baby, don't hesitate to mention it to
>>your doctor.
>>
>>Intercourse should be fine unless you've been advised otherwise by a
>>medical caregiver or unless it results in regular contractions.  As far
>>as the sono, most doctors won't do a sono this late in the game simply
>>for the purpose of determining sex, but if you feel comfortable asking,
>>you don't have much to lose.
>>
>>I would be more concerned with the other issue, frankly.  I'm sure your
>>husband means no harm to you or your baby, but when his wife is reduced
>>to tears after "play," it's time to stop.
>>
>>Good luck to you...
>>
>>Tonja
>>
>>At Wed, 30 Aug 2000, anonymous@obgyn.net wrote:
>>>
>>>I wanted to ask, my husband i sometimes very tuff he plays to tuff, and
>>>sometimes pushes me around or pushes me off the bed but very ruff, and
>>>that hurts my feelings so i start crying, and i cry for ever, could the
>>>baby be hurt that way, or is it okay that he does that? and is having
>>>intercourse with him okay this far along that i am? I wanted to ask too,
>>>i want to know if i am having a boy they had told me at the hopital that
>>>it was a boy but could i ask my doctor for a sono done, or is it to late
>>>i will be 33 weeks when i go back.
>>
>>--
>>Tonja Brossette
>>OBGYN.net Coordinator
>>Pregnancy & Birth
>>tonja.brossette@obgyn.net
>>
>
>--
>Tonja Brossette
>OBGYN.net Coordinator
>Pregnancy & Birth
>tonja.brossette@obgyn.net
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:35:21 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Tonja)
>To: anonymous@obgyn.net
>Subject: Re: Drunk before finding out about pregnancy
>Message-ID: <anonymous@obgyn.net>
>
>How far along were you during the drinking binge?
>
>At Wed, 30 Aug 2000, Kara wrote:
>>
>>A week before I found out I was pregnant I got extremely drunk, probably
>>the drunkest I have ever been.  I know that in those first few weeks the
>>baby's brain begins developing and I am wondering if it will adversely
>>affect my baby.  I also had an endometrial biopsy a few days before I
>>found out, but my doctor said since I haven't miscarried then it means
>>that the embryo was unharmed and there shouldn't be any problems from
>>that.  Does this sound right? I am really worried that I will have a
>>freak baby!
>
>--
>Tonja Brossette
>OBGYN.net Coordinator
>Pregnancy & Birth
>tonja.brossette@obgyn.net
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:42:05 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Tonja)
>To: anonymous@obgyn.net
>Subject: Re: 3 hour GTT (glucose tolerance test)
>Message-ID: <anonymous@obgyn.net>
>
>The water may have been a bad idea and could have diluted the glucola,
>possibly skewing the results.  I know with both of my GTTs (both of
>which I had to take the 3-hr.  "challenge", both of which came back
>normal), there were at least two instances where my blood was drawn 10
>or 15 minutes late - I was told it wasn't a concern.  During the tests
>with both of my pregnancies, NO water or food was drilled into my head
>at least a dozen times!
>
>On the upside, TONS of women who failed the initial glucose test and had
>to take the challenge have gone on to pass it with no problems at all
>(me included), so just because you failed the first one, and passed the
>second, it doesn't mean the results of the second were skewed - there
>are simply a lot of false and borderline positives with the initial
>test.
>
>If you're concerned about the water intake issue, by all means, ask your
>care provider.
>
>Tonja
>
>At Wed, 30 Aug 2000, Ann wrote:
>>
>>Hi:
>>
>>I posted earlier this week when I found out I had failed my one hour
>>test.  I had a question then and I have another one now.
>>
>>Today I took the 3 hour GTT.  I drank about 24 oz of water about an hour
>>and a half to an hour and forty-five minutes before beginning the first
>>blood draw.  (the fasting blood draw).  Could that skew the results in
>>any way? Also, when I went back to take the second blood draw, the
>>phlebotomist was 15 minutes late in taking my blood so instead of it
>>being an hour after the glucola, it was an hour and fifteen minutes.
>>Would that have skewed the data? I went back to take the other two blood
>>draws on time from the original start of test time (time from which I
>>drank the glucola) so I they were uneventful.  Neither girl could give
>>me an exact answer re: these two questions although they did both say
>>that you cannot drink water after the test has begun.  Please advise.  By
>>the way, the test both came back normal.
>>
>>Thanks for your input.
>
>--
>Tonja Brossette
>OBGYN.net Coordinator
>Pregnancy & Birth
>tonja.brossette@obgyn.net
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:44:48 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Cindy)
>To: anonymous@obgyn.net
>Subject: First Trimester Question
>Message-ID: <anonymous@obgyn.net>
>
>I am 6 weeks pregnant.  2 previous ectopics but this one made it to the
>uterus!! The past 3 days I have had a nasty one-sided pain that extends
>to my back and down my leg.  No pain when urinating.  The baby is in the
>uterus so ectopic is out.  I have no appendix or gallbladder so I am
>confused what this could be.  Please help.  Being tossed around in the
>military system is not helping.
>
>--
>Cindy
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 17:58:45 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: 3 hour GTT (glucose tolerance test)
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, Ann wrote:
>>
>>Hi:
>>
>>I posted earlier this week when I found out I had failed my one hour
>>test.  I had a question then and I have another one now.
>>
>>Today I took the 3 hour GTT.  I drank about 24 oz of water about an hour
>>and a half to an hour and forty-five minutes before beginning the first
>>blood draw.  (the fasting blood draw).  Could that skew the results in
>>any way? Also, when I went back to take the second blood draw, the
>>phlebotomist was 15 minutes late in taking my blood so instead of it
>>being an hour after the glucola, it was an hour and fifteen minutes.
>>Would that have skewed the data? I went back to take the other two blood
>>draws on time from the original start of test time (time from which I
>>drank the glucola) so I they were uneventful.  Neither girl could give
>>me an exact answer re: these two questions although they did both say
>>that you cannot drink water after the test has begun.  Please advise.  By
>>the way, the test both came back normal.
>>
>>Thanks for your input.
>
>Ann,
>Neither the drinking water or the 15 minute late draw should
>significantly affect the test...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>Date: Wed, 30 Aug 2000 18:02:31 -0500 (CDT)
>------------------------------
>From: anonymous@obgyn.net (Lynn D. Montgomery, MD)
>To: anonymous@obgyn.net
>Subject: Re: Drunk before finding out about pregnancy
>Message-ID: <anonymous@obgyn.net>
>
>At Wed, 30 Aug 2000, Kara wrote:
>>
>>A week before I found out I was pregnant I got extremely drunk, probably
>>the drunkest I have ever been.  I know that in those first few weeks the
>>baby's brain begins developing and I am wondering if it will adversely
>>affect my baby.  I also had an endometrial biopsy a few days before I
>>found out, but my doctor said since I haven't miscarried then it means
>>that the embryo was unharmed and there shouldn't be any problems from
>>that.  Does this sound right? I am really worried that I will have a
>>freak baby!
>
>Kara,
>There is just no way to know for sure, but it isn't likely that the baby
>will be affected.  Most of the fetal alcohol stuff is based on chronic
>alcohol usage.  There is no answer to the amount that may place the
>fetus at risk...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**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 e-mails cannot be entertained due to time constraints,
consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
>------------------------------
>
>------------------------------
>End of PREGNANCY-BIRTH Digest 880
>------------------------------
>*********************************
>

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