Re: edema at 17 weeks

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At Thu, 29 Aug 2002, anonymous@obgyn.net wrote: >
>I am 17 weeks pregnant with my second child and am experiencing some
>mild edema that, because of my history, concerns me. My first pregnancy
>was characterized by severe and debilitating swelling from the waist
>down (nothing in hands/face) starting at the beginning of the third
>trimester (October-December - heat not a factor). Typical remedies
>(surgical stockings, elevated feet, drinking tons of water, sensible
>diet) were completely and totally ineffective. I had no indications
>otherwise of preeclampsia. (Actually, I was spilling "a bit" of protein
>in my urine, but my OB was not alarmed because he said I had been doing
>so throughout the pregnancy.) To give you an idea of the magnitude of
>the water retention: I gained 45 pounds, 40 of which was lost within
>three weeks of the birth. I had an uncomplicated delivery at 41 weeks
>and baby was healthy/normal at 7 lbs 10 oz.
>
>I am now in the 18th week of my second pregnancy and am already noticing
>some mild swelling. (Heat is not a factor right now, and I am getting
>excersize). I understand that swelling in pregnancy is not uncommon and
>is usually not an indication of a problem if preeclampsia is ruled out.
>But this is a bit early, isn't it? Is there some other condition other
>than preeclampsia that might be at the root of my tendency to retain
>water? I would do anything to avoid a repeat of my previous swelling
>experience - it was so difficult. Is there anything that can be done
>for women like me who have very severe swelling not due to preeclampsia?

--
Alicia M. Lapidus M.D.
Chief of Staff Obstetrics, Hospital Fernández
Assistant Professor, School of Medicine, Barcelo University
Vicepresident of Argentine Society of Hypertension in Pregnancy
Director Latina Obgyn.net- http\latina.obgyn.net\espanol
Buenos Aires
Argentina

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