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Re: Post Traumatic Stress Disorder - Dr MarchbeinFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Wed, 29 Dec 1999 09:52:52 -0600 (CST)
At Tue, 28 Dec 1999, Olivia wrote: > >Dear Dr Marchbein > >I am currently 7.5 weeks pregnant and as I have posted before my last >baby was significantly asphyxiated at birth due to a nuchal cord and an >over stimulated induced uterus. >During that last pregnancy towards the end I began to have nightmares >which I suspect stemmed by a previous pregnancy which ended in a DTA and >nasty forceps manoevre. I dreamt the OB was chasing me with a giant >pair of Kielland forceps and although it entertained anyone I told it >was not overly pleasant. Of course the outcome for my baby was far >worse than the DTA of the previous labour. >The nightmares have started already with this pregnancy and the recall >of the circumstances around my last labour is vivid and distressing. Can >you please tell me the significance and emotional repercussions of a >pregnancy after an less than ideal previous labour. Is it time to call >the psychotherapist?? Quite obviously I would like to knock this on the >head as early as possible. >I would also appreciate an opinion on the therapeutic benefits for >everybody of using the same OB/midwife as for my previous pregnancy. Is >that likely to be a source of anxiety or a useful healing tool for >everyone. They are good people who have issues of their own to deal >with over the birth of my special baby 16 months ago. I would >appreciate your opinion. Thankyou very much for your time >Olivia You are very brave to present your story as you did and it shows great insight. That being said, a psychotherpist is what the next step should be. I believe you are correct. As for staying with the same OB/midwife, that is a personal decision. I've seen people stay and I've seen people switch. Good luck in your choices and with this pregnancy.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York
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