Q. My blood pressure is slightly elevated. I'm concerned that if I got pregnant that it would affect the baby negatively. If there are any health professionals out there who can give me sound advice on this please respond to how high blood pressure would affect a pregnancy and should I be concerned and what are the problems that could/would occur. I hav no knowledge so any information would be helpful Thanks.
A. That all really depends on exactly how high sightly elevated blood pressure you are talking about. Is this a diagnosis you got from the doctor, or just something you believe is a problem? The first thing you need to do, regardless of your pregnancy plans, is to get the blood pressure taken care of. Your doctor is the best one to advise you on that, but for starters, they usually begin with recommending a low salt diet, getting your weight to a normal level, and exercises. If those don't lower it, then you are talking medication, usually starting with a diuretic type medication. And if that still won't lower it enough, you look at stuff like beta blockers. As far as the effect on a pregnancy, that all depends again on how high you are talking, and what is controlling it. If you are controlled with diet and exercise, it should still maintain the control during pregnancy. They don't particularly like to have expectant ladies on medications, but with monitoring it can still be done safely for you and the baby. The first place to start is with your doctor though, for a full workup to determine if you actually have a problem. High blood pressure during pregancy does pose a few risks, yes. For you, the high blood pressure puts you at risk for pre-eclampsia, kidney failure, and gestational diabetes. It raises your later risk for kidney disease, diabetes and heart disease. High blood pressure puts stress on the placenta, and therefore the baby, because not enough oxygen and nutrients can be delivered. That may result in a low birth weight, premature delivery, and developmental problems. The high blood pressure also puts you at risk for a condition called placental abruption, where the placenta is separated from the uterine wall before delivery can occur. That condition causes you and the baby to bleed, sometimes it can be fatal for both of you. You are further at risk during delivery, when blood pressure naturally rises, for a stroke. Immediately following delivery, your chances for bleeding are increased as well. Although you can and would be monitored closely during the entire pregnancy, and likely would be delivered via c-section, it's worth your time to do what you can to lower your blood pressure before you actually get pregnant. Then of course, you would still want to advise your OB about your past history of hypertension, as you would still be considered higher risk because of it. How likely the complications would be is really dependant on how bad your hypertension is, and how well controlled it is, and how it is controlled. If it is only borderline, then it should be easy enough to control with diet and exercise- not actually a bad idea for anyone really- pregnant, hypertensive or not. And the diet would be good for pregnancy as well. So start with visiting your doctor for the workup, and then go from there once you have advice tailored to your particular situation and needs. Don't get scared by all the stuff I wrote, as I gave you the fullest picture and worst case scenarios. It doesn't mean it will happen to you, but you asked for the truth and I felt you deserved the fullest picture I could give you. Don't let it scare you out of motherhood, let it motivate you to get into control and be a healthy mother. Good luck, and may you be a healthy mom to one cute and healthy baby.
What's the average timeframe that a stillborn can stay in the womb before she naturally goes into labor?
Q. I'm trying to write a report but I'm having a tough time finding some of the information I need. Such as when a baby is stillborn, how long can it stay in the mother before her body naturally goes into labor? and when she does go into labor, without being induced, does the labor happen normally as if the baby were alive? I need answers that don't involve modern medicines and practices.
A. When a baby dies in utero and is considered stillborn, it is often "missed" meaning a woman doesn't bleed, feel pain, or cramping. The only outward sign might be that she doesn't feel her baby move one day and wonders if something is wrong. It is almost always confirmed by a doctor with a fetal heart rate monitor or an ultrasound showing lack of a heartbeat. In early pregnancy, the body begins the motions of expelling a deceased fetus between 2days and 2 weeks, but as pregnancy continues, the woman's body is much less likely to go into labor once a baby has passed away. Between 10 and 15 or so weeks, the body might go into labor on it's own after a week or two, but often it does not. And after 16 or 17 weeks, the body often doesn't go into labor on it's own. A woman must be induced. History shows that before modern medicine, many babies that died late in utero stayed in their mother's bodies for months, years, and often indefinitely.
what is the percentage of deaths caused by vonwillebrands desease?
Q. what are the %'s and risks during labor and delivery caused by vonwillebrands desease? is there a percent amount of like 1 out of 10 women with vonwillebrands will die during delivery and stuff. is the risk higher if her family has a history of hemoriaging?
A. Hi,
I am a doctor..
von Willebrand Disease (vWD) is an inherited disorder(not infectious, as you have classified!) of a clotting factor that affects platelets; it interferes with the blood's ability to clot. About one percent of Americans have vWD. There are several subtypes of this disorder that have somewhat different risks and require different treatment in pregnancy.
vWD is divided into 3 major categories: (1) partial quantitative deficiency (type I), (2) qualitative deficiency (type II), and (3) total deficiency (type III). Qualitative vWD type II is further divided into 4 variants, ie, IIA, IIB, IIN, and IIM, based on the characteristics of the dysfunctional vWF. These categories correspond to distinct molecular mechanisms, with corresponding clinical features and therapeutic requirements
Most women with vWD experience some improvement in their condition during gestation, since the hormones of pregnancy increase many clotting factors. As for childbirth, the bleeding that occurs after the placenta is expelled is normally controlled by uterine contractions, which squeeze the blood vessels and stop the blood from flowing out of the uterus. This mechanism is fully functional in women with clotting disorders. There are times though that vWD does lead to hemorrhaging at childbirth, either immediately while in the delivery room, or at a later time within the next few weeks. Since there are different types of vWD, which respond to different treatments, your hematologist should advise your obstetrician about what to do if you have excess bleeding at birth. Sometimes in severe vWD, medications are given preventatively during labor. Since vWD is hereditary, it also is important to make sure your pediatrician knows about your condition and assesses your baby after delivery.
During pregnancy, the vWF level increases in most patients with non�type III disease. Thus, in patients with functionally normal vWF, labor and delivery usually proceed normally. However, patients with type II disease may experience hemorrhagic problems. In particular, patients with type IIB may experience thrombocytopenia due to the increased plasma levels associated with abnormal vWF. All patients should be monitored for excessive bleeding, particularly during the first week postpartum.
While you need to be aware of potential complications, it's generally considered safe to get pregnant with von Willebrand Disease, and most women do quite well through pregnancy and childbirth. Again, I think you should talk to your OB and your hematologist about your own particular situation.
If you want more info, feel free to write to me or visit
www.medicguide.org
This is a free site done by me and other doctors to answer health querries for free.
I am a doctor..
von Willebrand Disease (vWD) is an inherited disorder(not infectious, as you have classified!) of a clotting factor that affects platelets; it interferes with the blood's ability to clot. About one percent of Americans have vWD. There are several subtypes of this disorder that have somewhat different risks and require different treatment in pregnancy.
vWD is divided into 3 major categories: (1) partial quantitative deficiency (type I), (2) qualitative deficiency (type II), and (3) total deficiency (type III). Qualitative vWD type II is further divided into 4 variants, ie, IIA, IIB, IIN, and IIM, based on the characteristics of the dysfunctional vWF. These categories correspond to distinct molecular mechanisms, with corresponding clinical features and therapeutic requirements
Most women with vWD experience some improvement in their condition during gestation, since the hormones of pregnancy increase many clotting factors. As for childbirth, the bleeding that occurs after the placenta is expelled is normally controlled by uterine contractions, which squeeze the blood vessels and stop the blood from flowing out of the uterus. This mechanism is fully functional in women with clotting disorders. There are times though that vWD does lead to hemorrhaging at childbirth, either immediately while in the delivery room, or at a later time within the next few weeks. Since there are different types of vWD, which respond to different treatments, your hematologist should advise your obstetrician about what to do if you have excess bleeding at birth. Sometimes in severe vWD, medications are given preventatively during labor. Since vWD is hereditary, it also is important to make sure your pediatrician knows about your condition and assesses your baby after delivery.
During pregnancy, the vWF level increases in most patients with non�type III disease. Thus, in patients with functionally normal vWF, labor and delivery usually proceed normally. However, patients with type II disease may experience hemorrhagic problems. In particular, patients with type IIB may experience thrombocytopenia due to the increased plasma levels associated with abnormal vWF. All patients should be monitored for excessive bleeding, particularly during the first week postpartum.
While you need to be aware of potential complications, it's generally considered safe to get pregnant with von Willebrand Disease, and most women do quite well through pregnancy and childbirth. Again, I think you should talk to your OB and your hematologist about your own particular situation.
If you want more info, feel free to write to me or visit
www.medicguide.org
This is a free site done by me and other doctors to answer health querries for free.
What are the hospital procedures for a pregnant woman from the time she enters to when she leaves the hospital
Q. I need to do a school project on pregnancy and babies. And part of it is to research exactly what has to happen for a woman to properly have her baby and leave the hospital. So anyone know the procedures and paperwork? I don't even have the slightest clue. Thanks
A. Hmm, it's been a while but here goes...
I had a planned c-section and here's what I remember...
*Register- fill out a general form about insurance, emeregency contacts, etc, give copy of insurance card and driver license (many hospitals allow you to preregister weeks before so you don't have to mess with all that while you are in labor)
*Fill out medical forms (allergies, medical history, etc) and consent forms for the surgery, anesthesia and other stuff
*Get prepped (monitors hooked up to monitor my vitals and the baby and contractions, get IV put in, get shaved at incision site, do an ultrasound to check baby's position)
*Sit and wait til surgeon is ready
*Go to OR
*Get prepped further (get epidural or spinal block, get urinary catheter inserted, lie down and wait to go numb)
*Drape is put up,Doc checks for numbness, and hubby is brought in
*Belly is cleaned/sterilized and surgery begins (they talk you through it, telling you what they are doing and what to expect to feel/experience....yes you do feel stuff)
*pull out baby and hand off to nurse, who rubs clean and puts on security device and bracelet
*pull uterus out to finish it up/sew it up, put it back in, and sew you up
*Let you see baby, let daddy hold him/her
*send baby off to get cleaned, pricked, diapered, etc
(I don't remember the next 30-45 minutes because I was in such pain I asked them to put me under)
*you get taken on your bed to your room (you are still paralyzed... IV and catheter get removed the next day)
*baby is brought in
*the usual hospital stay stuff... docs checking on you, checking on baby goes on for next few days
*someone comes to talk to you to fill out legal paperwork about birth certificate
*you (or hubby) will need to meet with hospital financial person to arrange payment/payment plan
*sign release papers
*put baby in car seat, get pushed out of hospital in wheelchair to go home
I had a planned c-section and here's what I remember...
*Register- fill out a general form about insurance, emeregency contacts, etc, give copy of insurance card and driver license (many hospitals allow you to preregister weeks before so you don't have to mess with all that while you are in labor)
*Fill out medical forms (allergies, medical history, etc) and consent forms for the surgery, anesthesia and other stuff
*Get prepped (monitors hooked up to monitor my vitals and the baby and contractions, get IV put in, get shaved at incision site, do an ultrasound to check baby's position)
*Sit and wait til surgeon is ready
*Go to OR
*Get prepped further (get epidural or spinal block, get urinary catheter inserted, lie down and wait to go numb)
*Drape is put up,Doc checks for numbness, and hubby is brought in
*Belly is cleaned/sterilized and surgery begins (they talk you through it, telling you what they are doing and what to expect to feel/experience....yes you do feel stuff)
*pull out baby and hand off to nurse, who rubs clean and puts on security device and bracelet
*pull uterus out to finish it up/sew it up, put it back in, and sew you up
*Let you see baby, let daddy hold him/her
*send baby off to get cleaned, pricked, diapered, etc
(I don't remember the next 30-45 minutes because I was in such pain I asked them to put me under)
*you get taken on your bed to your room (you are still paralyzed... IV and catheter get removed the next day)
*baby is brought in
*the usual hospital stay stuff... docs checking on you, checking on baby goes on for next few days
*someone comes to talk to you to fill out legal paperwork about birth certificate
*you (or hubby) will need to meet with hospital financial person to arrange payment/payment plan
*sign release papers
*put baby in car seat, get pushed out of hospital in wheelchair to go home
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Title Post: What concerns should I have if any about high blood pressure and pregnancy?
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Author: Unknown
Thanks For Coming To My Blog
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