WOMENS-HEALTH Messages for March, 1998: Re: Drinking water and pregnancy

Re: Drinking water and pregnancy

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Wed, 4 Mar 1998 22:33:26 -0600 (CST)

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At Wed, 4 Mar 1998, AMD wrote: >
>Why does dehydration cause contractions?

muscle contractions are dependent on the flux of calcium across cell membranes -- dehydration can cause alteration in calcium and other electrolyes which may increase contractions.

I had this happen after a car >accident when I was 6 mos. pregnant -- I couldn't feel the contractions
>but they showed up on the monitor. The on-call dr indicated that I had
>an "irritable uterus" and the contractions were probably caused by
>dehydration (even though I had been horribly thirsty and drinking like a
>fish since the wreck!). He put me on IV fluids and a couple of bags
>later, the contractions were practically gone. I'm thankful I had a doc
>who was alert to this possibility and didn't go directly to drugs.
>
>On a side note, I got quite a tongue-lashing from the doc for not going
>straight to the hospital after the accident. Is a trip to the hospital
>usually indicated when a pregnant women is in a car accident, even if
>there are no apparent signs of trouble?

I'm not sure a "tongue lashing" was in order, but yes, I would want to see my patients after an accident, especially after about 20 weeks.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered.

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