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Reply to Dr. Marchbein:re: cervical polyp/blood clotsFrom: Kelly (http://anonymous@obgyn.net)Wed, 24 Sep 1997 09:05:21 -0500 (CDT)
At Tue, 23 Sep 1997, Harvey S. Marchbein, M.D. wrote: > >At Tue, 23 Sep 1997, Kelly wrote: >> >>Hello. >>In April of this year I had a miscarriage at 13 weeks. I had gotten >>very sick one night and then my water broke(didn't know what it was at >>the time). I went to my dr. and she admitted me to the hospital. I >>ended up having to stay for 2 weeks. I was told that I had developed >>blood clots in my pelvic region(pelvic thrombophlebits?). The blood >>clots then moved to my lungs, which is when I was moved to intensive >>care. They finally figured out I had blood clots and was put on Heparin >>and finally I started getting better. I obviously lost my baby during >>all of this. My question was, at first my doctors told me that I would >>probably never know what caused my infection. I have subsequently gone >>to my doctor(after being taken off Coumaden after 3 months) and we went >>over all my test(many)- from the hospital. He also ran some immune >>tests(for blood clotting problems-negative). Then, he saw that I had a >>cervical polyp during my pregnancy(he wasn't the dr. that diagnosed the >>polyp). When I went in at 10 1/2weeks, one of my dr.'s said that the >>reason I had bleeding was because of this polyp and that I didn't have >>anything to worry about- I wasn't going to have a miscarriage. Well, my >>other doctor thinks that possibly the polyp caused the infection to >>begin with and I was wondering anyone's thoughts on this. And also, >>will this affect my future pregnancies or concieving? I appreciate your >>help. Sorry this was so long. Kelly > >Keely, >I'm so sorry for your terrible loss. To be sick with a blood clot must >have made the situation even worse. > >Although nothing in this world is 100%, I would consider the polyp a >possible but very rare (and I mean *very* rare) and unusual possibility >for all your problems. Pelvic thrombophlebitis is a very unusual >complication (I know it doesn't help to hear that, but it's true). >Without a source for infection (septic thrombophlebitis) and without a >positive finding on the LAC (lupus anticoagulant) or ACA >(anti-cardiolipin antibody), I think the cause will probably be unknown. > >This should not affect conceiving but care should be taken due to prior >thrombophlebitis because there is a greater chance of recurrence than an >initial case. > >Some people might treat patients preventatively with low dose heparin. >Have your history and file reviewed by a MFM (maternal fetal medicine) >specialist to determine if other tests are necessary and if any >prophylactic (preventative) treatment will be to your benefit. > >-- >Harvey S. Marchbein, M.D. FACOG, FACS >OBGYN.net U.S. Representative, New York >Great Neck, New York >http://www.obgyn.net/states/bios/marchbein.htm >http://www.obgyn.net/women/advisors/harveym.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. > >**Private emails cannot be entertained due to time constraints, >consequently no private emails will receive a response. >**Thank you for your understanding ;-) Dear Dr. Marchbein, First, I wanted to thank you for taking the time to reply to my message- I know that you must be very busy and I think it is wonderful you take the time to answer questions. I also wanted to thank you for your kind words concerning my miscarriage. I did have one question: Should we be doing anything(as far as medication, etc.) before we get pregnant again or can these things be done when it actually happens? My doctor gave us the go-ahead to start trying again this past month. I also wanted to know if this(septic pelvic thrombophlebitis) is a pregnany-related problems or does the problem lie with me or my blood? My doctor found it strange that just less than 2 weeks before all of this happened all my tests that were good(as far as blood(white cells?)etc. and the baby was perfect. I am just very scared for this to happen again because I think that it was a touch and go situation there for awhile in the hospital and I cannot go through something like that again. I really appreciate your responding. Thank you, Dr. Marchbein. Kelly
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