FAQ - Placental Insufficiency
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What happens when you have a placental aburption?


What happens when you have a placental abruption at 42+ weeks and the baby is stillborn due to this? How long would you stay in the hospital and be on leave from work? Would you be able to sign yourself out of the hospital within 10 to 12 hrs of this happening?
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I had a placenta abruption, although luckily my baby was okay. The baby can die if it's bad enough and they dont get him/her out in time. They do a c-section when this happens, so I cant imagine someone leaving 10-12 hours later, but they have the right to sign themselves out if they want.  (+ info)

What do you need to be aware of when diagnosed with adrenal insufficiency?


I was told I have adrenal insufficiency and looked on line about what this means as far as how it will affect the rest of my life. I have read you need to wear an alert bracelet (for what?) and other things.
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Well if you read up on it you know that improperly treated, it could become a life or death situation if you were in an accident and unable to speak. Your medic alert will tell them of your condition, then they can in tern, contact your Dr and they will be able to find out what they need to do for you. I know, I wear a medic alert. If I didn't and I was in that situation, the first med they would give me for pain would kill me. It's a common pain medication and used at accident sites. For me, it's a death sentence. So you have your Dr. phone # on there as well as your physical problem. They can save your life. So get one. Adrenal insufficiency is a serious problem. Good luck  (+ info)

Could you please tell me the difference between Chronic Venous Insufficiency and Peripheral Vascular Disease?


I was told yesterday by my doctor that I have Chronic Venous Insufficiency which I think I understand. However, I also came across PVD and then became confused. Are they the same?
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chronic venous insufficiency is when your veins cant pump the blood back to your heart (so it pools in your legs).

peripheral vascular disease (which common in diabetics or people with high cholesterol) is a problem with the arteries (not veins) that are clogged up (from atherosclerosis) and thus cannot deliver enough blood to the peripheral limbs (such as legs) resulting in symptoms of the pain (intermittent claudication or pain in calves after exertion) or ulcers.  (+ info)

What significance do placental lakes have in early pregnancy?


I am an ultrasound tech, and I scanned my sister in law who is Rh -, her placenta looked thickened, and she also had a placental lake. She is only 15 wk 5 d. Should I be worried, or is this insignificant?
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I am an ob/gyn and can help you out a little on your question.

A thickened placenta and placenta lakes USUALLY don't mean anything at all. Sometimes, in early pregnancy, the placenta isn't fully grown so it can look misleadingly odd.

But sometimes, it can be a sign of either hydrops, which can occur in Rh negative woman or a sign of a chromosomal abnormality.

First of all, has your sister-in-law had an antibody screen this pregnancy? It is a blood test that is routinely done as part of all of the pregnancy bloodwork to see if there are any unusual antibodies. If that is negative, then you don't need to worry about hydrops (which is fetal anemia due to maternal antibodies that attack the baby).

In terms of chromosomal abnormalities, there are many ways to assess for these, including various blood tests and amniocentesis. What I would recommend --- have your sister-in-law get an official level 2 ultrasound with a high-risk ob specialist and if that physician agrees that the placenta appears abnormal, it probably would be wise to get the amniocentesis.

Best of luck to your sister-in-law and hopefully, everything will turn out completely NORMAL...  (+ info)

What are the common symptoms of Placental abruption?


What are some of the risks that may cause placental abruption? I do know that abdominal tenderness is one, I was wondering if anyone could clarify what that means exactly? How much would be a concern and how much tenderness might be normal?
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bleeding, clots, pain.
minor, moderate, severe abruption/seperation.
I had a moderate separation @ 17 weeks and had a heavy bleed and clots for 2 weeks and just a nagging pain. I was on bedrest at home and I think the next step is hospital bed rest.
If it were severe enough then I would say they would deliver. They called mine @17 weeks a threatened miscarraige.
I believe having problems with bleeding and the placenta in the 2nd and 3rd trimesters raises the risk significantly of a premature delivery. My membranes ruptured at 31weeks.  (+ info)

What can I do to decrease the pain caused by Venous Insufficiency?


My grandpa is having painfull legs because of Venous Insufficiency.
I'm looking for some kind of remedy to help him cure from Venous Insufficiency.Please help me out.
Thank you.
Robin
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taking an NSAID like Indocin or Naproxyn help the inflammed vein. Loose fitting clothing. Taking an anticoagulant (heparin will help from getting clots) elevating the legs above the heart. If you have to put him compression stockings (talk to doctor about this). Keep an eye out for any sores that start on his affected leg. This is more than likely the start of an ulcer that he needs to see a doctor for. Applying warm moist heat to the affected area helps. It opens up the vessel letting the leg drain better too. Get him to lie down to get the legs to drain. Changing positions frequently. Walk frequently but avoid sitting and standing for long time periods.  (+ info)

Past placental abruption what are the chances for anouther?


at 39 weeks i lost my little girl to a placental abruption, now i'm pregnant again about 16 weeks and i'm very scared it will happen again. I haven't been put on bed rest yet but the doctor seems to be contemplating it, they won't tell me to much when ever i ask its always the same "high risk " thing but never any real details. On top of this fear i've been waking up with night mares thinking its happing again and all i can think of is the bloody sheets i woke up to before. Does any one have any ideas about the risks of it happing again? and also any ways to make me feel better and less afraid.
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I am so sorry for your loss. I am experiencing the same condition right now and have been since 22 weeks-I am now 25 weeks. I have been on bed rest ever since. 1/4 of my placenta is detached, but she is still growing good for her gestational age and her heartbeat is strong. Its rare that I find someone that is going through the same thing! Or has. At 24 weeks I received two steroid shots to help her brain and lungs develop faster. The risk is anywhere from 15-25% greater that you will have another Abruption. Your OB should be seeing you at least every two weeks and doing ultrasounds. Just take it easy and I would even put yourself on bed rest as a precaution. Also ask about those steroid shots that you can receive at 24 weeks. (Betamethasone.) Prepare yourself for a preemie!! Just be prepared for anything that comes/happens. I know that this will be my first and only pregnancy due to this as it has me terrified of it happening again.  (+ info)

Does anyone know anything about Fibromyalgia and Adrenal Insufficiency?


I have recently been diagnosed with Fibromyalgia and Adrenal Insufficiency. I am concerned about the Cortef that I am taking for the AI. My face is swelling and I have gained about 8 pounds in two weeks. Is this normal?
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Here is an excellent yahoo group for people with Adrenal Insufficiency:
NaturalThyroidHormonesADRENALS@yahoogroups.com
Here is one for Fibromyalgia:
Fibromyalgia_Support_Group@yahoogroups.com
I would join these groups to learn as much as I can. Just pose your question there and someone will be glad to help you.  (+ info)

Can adrenal insufficiency cause high blood pressure also?


I was reading that adrenal insufficiency can cause low blood pressure. but it makes sense to me that it could do just the opposite too! correct?
I have heard of charged water, but given in a different way by readings of Edgar Cayce. Thanks so much for your information.
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Primary adrenal insufficiency, also known as Addison's disease, occurs when the adrenal glands cannot produce an adequate amount of hormones despite a normal or increased ACTH (adrenocorticotropin hormone) level. Most patients with Addison's disease experience fatigue, generalized weakness, loss of appetite, weight loss and low blood pressure with lightheadedness after standing or sitting up.

Treatment of adrenal insufficiency involves the administration of adrenal hormones to mimic the normal output by the adrenal glands.
Underactivity of the adrenal glands is called hypoadrenalism. Many of the symptoms of hypoadrenalism are due to a deficiency of the steroid hormone cortisol, which is a potentially fatal deficiency if left uncorrected.

Other corticosteroids may be used to treat hypoadrenalism, including cortisone acetate, prednisolone (eg Deltacortril) and dexamethasone. However, it is difficult to judge the correct dose of prednisolone and dexamethasone. This may lead to the complications of long-term steroid treatment including avascular hip necrosis, osteoporosis, worsening of diabetes mellitus and HYPERTENSION(high blood pressure).
Cortisone acetate must be converted by the body into an active steroid, and the efficiency of conversion may vary between patients.

You should talk to your doctor for more details.
Take care as always!  (+ info)

What are my chances of a repeat placental abruption?


I was induced when already in active labor (6 cm dilated) and after being induced I developed placental abruption which required an immediated c-section. I am pregnant again and am wondering the chances of an abruption happenin again.
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What Causes Placental Abruption?
While doctors aren't sure what causes placental abruption, they are aware of some of the risk factors. Physical trauma to the stomach, for example, can cause the placenta to separate from the uterine wall. Alternately, if too much fluid surrounds the baby (polyhydramnios), the mother's water can break, causing her uterus to shrink rapidly from the loss of fluid. Because this change in size is so great, her body thinks that the baby has been delivered and gives the placenta the signal to begin separating.

Factors that increase a woman's risk for abruption include:

high blood pressure-Blood pressure problems may be unrelated to pregnancy (chronic hypertension) or directly related to pregnancy (toxemia or pre-eclampsia);
previous pregnancies-The more pregnancies a woman has had, the greater her risk for abruption;
previous placental abruptions-If a woman has experienced abruption in the past, she has a one in 10 chance of having one again. If she's had two or more abruptions, her chances increase to one in four;
smoking-Women who smoke are 40% more likely than non-smokers or former smokers to have placental abruption; and
street drugs, especially amphetamines (speed) and cocaine-One out of every 10 pregnant women who use cocaine has signs of an abruption. "Crack" cocaine poses the greatest risk.  (+ info)

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