PREGNANCY-BIRTH Messages for December, 2000: Re: Why does everyone except my OB think I am a 'high risk' patient??

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Re: Why does everyone except my OB think I am a 'high risk' patient??

From: William D. McIntosh MD (anonymous@obgyn.net)
Sun, 10 Dec 2000 21:45:09 -0600 (CST)

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In reply to: CS: "Why does everyone except my OB think I am a 'high risk' patient??"
Next in thread: William F. von Almen, II, MD, FACOG: "Re: MacroBid ???'s"
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Reply: Chelsey: "Re: Why does everyone except my OB think I am a 'high risk' patient? To Dr McIntosh another question and Thanks!"

At Sun, 10 Dec 2000, CS wrote: >
>This just amazes me! First my history, got pregnant with my 1st child
>and had a vaginal delivery in May 1999. In Aug 1999 I was diagnosed
>with Hodgkin's Disease and treated with chemo until Feb 2000. April
>2000 I was given a clean bill of health (had a PET scan which detects
>any cancer remaining). I got pregnant in Aug 2000 and had an early
>miscarriage and then got pregnant when I ovulated next and I am now 15
>weeks. There is a hematoma/bleed that they found at my 7 and 8 week
>ultrasound and I have not had another ultrasound yet.
>I get all sorts of questions from nurses, my oncologist, friends and
>family wondering if they are considering this pregnany as a high risk.
>Why would I be consider high risk or are these people just thinking
>since I had cancer and have that blood clot it should be high risk.
>Thanks for answering. I see my OB this week and I will bring it up with
>him.

I don't know that I would consider you high risk either, except for the retroplacental blood clot, and even that is not really anything that you can do anything about, especially since you have gone another 2 months from that time, presumably without problem. I suspect that I would get a level III ultrasound at 18-20 weeks given that you had chemotherapy, but that is honestly not an indication, just my personal paranoia. These clots are common. My wife and I had one with our last pregnancy, now a 27# 1 year old. There isn't anything that you can do about them, and they generally resolve.

Just the mention of the word cancer raises all sorts of fears, but that is in your past, hopefully forever. The only impact it could have on your pregnancy would be a recurrence while you are pregnant, unlikely at this point. Even then, the big concern would be the impact of the chemo, if given, on the baby.

--
William D. McIntosh, MD, FACOG

Intended for educational purposes only, and not intended to replace examination
 and consultation with a qualified medical professional.

No private e-mails, please.

Next message: Rachael: "Re: MacroBid ???'s"
Previous message: Janeen: "Spotting 3-4 days prior to Period...trying to Conceive"
In reply to: CS: "Why does everyone except my OB think I am a 'high risk' patient??"
Next in thread: William F. von Almen, II, MD, FACOG: "Re: MacroBid ???'s"
Reply: William F. von Almen, II, MD, FACOG: "Re: MacroBid ???'s"
Reply: Chelsey: "Re: Why does everyone except my OB think I am a 'high risk' patient? To Dr McIntosh another question and Thanks!"

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