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Re: 2nd pregnancy--one more question

From: AM (anonymous@obgyn.net)
Tue, 20 Mar 2001 08:49:51 -0600 (CST)


Dr. McIntosh: Thank you for your quick reply--I have one more question. I'm afraid to go see my MFM doctor because I'm afraid he's going to be mad or disappointed or something. Is this an irrational fear? How do I deal with his disappointment if it exists? Why is it so important for me to see someone soon?

--
AM
At Tue, 20 Mar 2001, William McIntosh, MD wrote:
>
>At Tue, 20 Mar 2001, AM wrote:
>>
>>My son is 6 months old and I am pregnant again--not exactly planned, but
>>okay.  My first pregnancy was very difficult.  I had GDM, hyperemisis,
>>acitive lupus and was in the hospital for two weeks after he was born
>>with pyleonephritis and kidney stones (7 of them).  I am currently
>>dealing with a low grade Lupus flare.  My questions are--how will being
>>pregnant again so close to my first affect this pregnancy? I am taking
>>prednisone (20 mg/day) to control my Lupus--How does this drug affect
>>early pregnancy? One more, on Feb.  27 I had surgery to remove the last
>>kidney stone from my pregnancy.  I took a urine preg.  test the day of
>>my surgery and it was negative, but now I am pregnant.  How will the
>>general anestetic affect the developing embryo? I don't want to go see
>>my OB (a MFM doc) because he told me to wait 2 years before having
>>another baby.  I feel like I know what I'm doing being pregnant because
>>I was just barely there.  When should I begin seeing my OB this time
>>around?
>>
>>Thank you for your help!
>
>Well, you are going to be high risk, and you are going to have to go see
>your MFM as soon as possible.  The general anesthesia should not effect
>the pregnancy, but the lupus is potentially serious, and the steroids
>make a return of your GDM much more likely, even inevitable.  Hopefully,
>you will avoid the hyperemesis this time around.  Knowing what is going
>on may help that.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute
>for consultation and examination by a licensed medical professional.
>





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