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Re: abruption at 25 weeks

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 15 Apr 2000 23:23:34 -0500 (CDT)


At Sat, 15 Apr 2000, jennifer wrote: >
>I'm a very active, healthy 30 year old in her first preganancy. I had a
>minor abruption two weeks ago and have not stopped bleeding yet.

Continued bleeding weeks after a "minor" abruption cannot be taken lightly and deserves serious consideration.

>The
>bleeding ranges from spotting to soaking a pad overnight, sometimes. I
>am concerned about the ongoing bleeding, is it affecting my baby?

Impossible to say without testing. Testing normally indicated with recurrent or continuous bleeding might include biophysical profile and non-stress tests along with blood counts on you.

>What
>are my chances of carrying this baby to full term and having a regular
>delivery?

Depends upon the location of the abruption, the severity, whether it is expanding or stable (along withany associated clot) and whether or not the diagnosis remains "abruption" as opposed to other causes of bleeding.

>If the bleeding stops, id it safe to return to work(fairly
>physical work, but I am very accustomed to it)?

General safety precuations would say "No". Risk of increased bleeding or reinitiating bleeding is too great to not take all measures possible to reduce this chance.

> I know there are no
>magical yes/no answers to these questions but any information regarding
>this would be very appreciated. Jennifer

--
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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