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Re: Post Traumatic Stress Disorder - Dr Marchbein

From: 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

**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints, consequently no private emails will receive a response.

**Thank you for your understanding ;-)




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