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Re: Pregnancy symptoms
From: Sophie (anonymous@obgyn.net)
Thu, 22 Oct 1998 11:01:09 -0500 (CDT)
I JUST WANTED TO SAY THANK YOU SO MUCH FOR YOUR REPLY. IT'S VERY KIND
OF YOU TO TAKE THE TIME TO REPLY TO THE RAMBLINGS OF A NEUROTIC WOMAN!
I'll try to relax, I promise!
At Thu, 22 Oct 1998, Richard M. Chudacoff, MD wrote:
>
>At Thu, 22 Oct 1998, Sophie wrote:
>>
>>I tested positive 2 weeks ago with 4 Home tests and 1 urine test at the
>>doctor which makes me 6 weeks pregnant today.
>>
>>My worry is that my symptoms seem to be so different to everyone else
>>and I'm scared that my pregnancy is abnormal. How long does cramping
>>normally last for and how sore should they be? My cramps are low and
>>sore but not debilitating. No bleeding though. Also, other friends
>>said they were urinating frequently at this stage - I'm not. My only
>>symptoms are sore breasts and cramping. Is this normal?
>>
>>One more question, if you don't mind. I had a biopsy on my cervix 2
>>years ago following CIN III - does this mean I'm at risk of an
>>incompetent cervix? and if so what can I do about it to reduce the risk
>>of a miscarriage.
>>
>>Sorry to sound so neurotic, but I'm 34 and after 15 months of trying I
>>want this to work!!
>>
>>Thanks for your help.
>
>First, and easy for me to say, but relax. At this point there is
>nothing that worrying is going to solve. Every pregnancy is different,
>between people and even same woman and successive pregnancies.
>
>The uterus is not a smart organ. It knows only to contract, and those
>contractions feel like menstrual cramps. Anything that stimulates the
>uterus, like a healthy growing fetus that is expanding the size of a 34
>yo uterus that has not been expanded before, can cause this cramping. It
>should only last for another few weeks but I have had patients whom have
>felt cramping throughout their entire pregnancy. If there is no
>bleeding, I would not worry. Personally, iin my practice I do an
>ultrasounds to reassure my patients that the pregnancy is in the uterus.
>And if fetal heart motion is present there is about a 97% predictor of
>the pregnancy going to term.
>
>Sore breasts and cramping are the most common symptoms of an early,
>normal pregnancy. Frequency of urination can occur, but it is not
>textbook. You sound healthy, and an ultrasound may go a long way to
>reassuring you that so is your pregnancy.
>
>Depending on the extent of your cervical biopsy your risk of incompetent
>cervix increases. If a small biospy or a LEEP (loop electrocautery
>excision procedure) was performed the chances of cervical incompetence
>is small. If a CKC (cold knife cone) biospy was performed in the
>operating room, then the chances are greater, but most studies I am
>aware of state this risk is only about 1% or so. This is directly
>proportional to the amount of cervix that was removed during the
>procedure. Your OB can perform a digital exam at 14, 16, 18 and/or 20
>weeks to test for the integrity of the cervix, and make management plans
>based on these exams.
>
>Yes, I understand that you spent a lot of time to get to this position.
>But, now that you are pregnant there is not a lot you can do to assure
>this pregnancy goes to term other than eating well, exercises
>appropriately, and continuing your prenatal care. Let your OB worry
>about your pregnancy. After all, that is why they (used to) pay us the
>big bucks. :-)
>
>--
>Richard Chudacoff, MD
>Baylor College of Medicine
>BaylorMedCare
>Houston/Sugar Land, TX
>
>Advisory Board-OBGYN.net
>http://www.obgyn.net/board/chudacoff.htm
>
>*Note: Opinions expressed here are for educational purpose only.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options.
>
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