PREGNANCY-BIRTH Messages for April, 2002: Re: induction and cholecystectomy

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Re: induction and cholecystectomy

From: Garry Siegel, MD (anonymous@obgyn.net)
Tue, 30 Apr 2002 18:02:44 -0500 (CDT)

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In reply to: Ann: "induction and cholecystectomy"

At Mon, 29 Apr 2002, Ann wrote: >
>An ultrasound confirmed I have "quite a few" gall stones. I have had 3
>gall bladder attacks in 3 weeks. I am 38 weeks pregnant and have been
>severely nauseated throughout my pregnancy. (zofran pump, reglan, et
>al) In fact, I lost 30 lbs and have not quite gained them back.
>
>I told my doc I'd like to have the gall bladder out ASAP. So, she has
>scheduled an induced labor at 39 weeks.
>
>She also is trying to get the general surgeon to take out the gall
>bladder the first postpartum day.
>
>Unfortunately, my doctor has said weird things like - you could have it
>removed while you have your epidural. I told her I thought that an
>epidural wouldn't numb me high enough for a gall bladder surgery. "Oh,
>that's right..." she said. For this reason (and others) I'm left with
>little confidence in her opinions.

We all have brain cramps :).

>
>Question 1: Is this a valid reason for an induction at 39 weeks?

Absolutely--but I wouldn't jump and do it unless your cervix was ripe, i.e. dilated, softened, etc., since it is your first baby.

>Question 2: Do you think a general surgeon would be willing to remove
>the gall bladder the first post partum day? (If there seems to be no
>infection or immediate serious risk to me or the baby)

I would guess that the best course is to see how you feel. My gut is that you will be better, and that this would be better done after 6 weeks. You are at a higher risk of blood clots near delivery, and that risk (while small) is a reason that I would delay if you feel well enough.

>Question 3: If the surgeon will, do you think it is advisable to have it
>done so soon?
>

See above.

Good luck.

Garry

--
Garry E. Siegel, M.D., F.A.C.O.G.
Roswell, GA
Private Practice

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In reply to: Ann: "induction and cholecystectomy"

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