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Re: Ovary Torsion in early pregnancy.

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 30 Apr 2002 14:38:47 -0500 (CDT)


At Tue, 30 Apr 2002, Heidi wrote: >
>I have one child, age 9, perfect health. I had two miscarriages in 2001
>both after only TTC for one month. Started seeing a RE in November of
>2001 and after a couple of study cycles started Gonal F in March to
>thicken my lining and mature an egg. All went extremely well and I had
>three small immature folly's on the left side and one mature folly on
>the right side. Husband gave me the hcg shot on March 14. Blood test
>confirmed pregnancy on March 25, but on Thursday, March 28, I started
>spotting and having some pain on my right side. It was a strange pain -
>not cramping but more like squeezing. This got progessively worse
>throughout the day and doc ended up calling in Darvocet to ease the pain
>(he thought it was probably a cyst bursting on the right ovary). By
>midnight I had passed out due to the pain and was in emergency surgery
>by Friday at 10:00 a.m. due to torsion (I lost the right ovary and
>tube).
>
>Well, I am now 8 weeks 5 days pregnant and we saw a beautiful heartbeat
>last week at 7 weeks 4 days! It's truly a miracle. Here's my concern...
>During my 6-day stay in the hospital I was given darvocet, vicodin,
>amoxil because I had developed an infection and was running a fever, and
>I was on a morphine drip in addition to whatever was given to me during
>the surgery itself to knock me out. Because I was on all of these heavy
>drugs during the early part of my pregnancy do I have an increased risk
>of birth defects? And are there tests above the regular ultrasound which
>can prepare my husband and I for these problems?

All of those meds are used commonly in pregnancy, and I am sure, were chosen with that fact in mind. There is little increased risk. You might consider a triple screen in the second trimester in addition to the U/S.

--
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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