Re: Bleeding disorders, pregnancy and risk of M/C? please note changes

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At Sun, 22 Jun 2003, William F. von Almen, II, MD, FACOG wrote:

--
Marie

Try local medical school.

At Sat, 21 Jun 2003, Marie wrote:

Thank you for your advise, but how do I find a perinatologist who is
familiar with these bleeding disorders too? I am sitting here with no
insurance, new hemmorages on my hands, since writing this and that is
while staying in bed, the spotting is light, watery & continues with no
clotting.  If I go to an ER they will send me home and not sure how long
this can contiue while looking for a perinatologist on a weekend, it
could be a moot point or is there hope?

At Sat, 21 Jun 2003, William F. von Almen, II, MD, FACOG wrote:
Marie
You need to seek the advice of a specialist (perinatologist) for this.

At Sat, 21 Jun 2003, Marie wrote:

OOPS! some errors in my ?  please note changes in "  "
At Sat, 21 Jun 2003, Marie wrote:

I've had 2fullterm babies.  Now, complex medical Hx/conditions,
3"= abnormal" bleeding, Steven's-Johnson Syndrome(SJS), Drug
Hypersensitivity Syndrome(DHS) &genetic deficiency affecting vW
factors-VIII&X1a(even with normal labs) &like ITP, all were well
managed.  During excabations, MP was=amt but 2xheavy/2days!
DHS=sensitive Rx&substances&cannot metabolise@normal rate& have abnormal
signs of bleeding:petechea, non-traumatic paupura, bleeding mucus
membranes& skin slipage called Nikoski's sign(Like a blister), I avoid
known triggers like, sulfur but some hormones(inc stress) make it worse.
Since I've become pregnantLMP=4-1-3/27/4 I've had all these
signs&spotting @LMP+26 implantation(?) & @7w.  "US@8w= 1mm stripe" NOT
0!
Minimal blood loss w/no clotting, unlike normal period under these
circumstances.  Bed rest seems to help.  Purpura last week, now spotting
again, -cramps&clots, blood granular&heavy(?).  I'm alone, the father,
got cold feet, now I don't know if I'll get thru legal stuff or
pregnancy.  What are my/baby chances?

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.






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 In reply to: William F. von Almen, II, MD, FACOG: "Re: Bleeding disorders, pregnancy and risk of M/C? please note changes"