by kay (5 Posts), Mon Apr 21, 2003 09:20 am
by annegarrett (2525 Posts), Mon Apr 21, 2003 12:05 am
by kay (5 Posts), Mon Apr 21, 2003 11:10 pm
Originally posted by annegarrett
I will send your questions onto our experts on call. I am not a doctor but know a few things about preeclampsia. First--preeclampsia is a disease of the placenta--so it would make sense that there is a problem with her placenta. It causes blood clots in the placenta which can restrict the flow to the baby and so slow down the baby's growth. The swelling will not subside until she delivers the baby. What the doctors are doing now is a delicate balancing act between letting the baby stay inside as long as possible so it can grow as much as possible, and letting the baby stay inside too long and have it either fail to thrive or die due to a placental abruption, or your sister's health be endangered.
I wish we knew the cause of preeclampsia--but it is like that--very sudden and frightening. Many healthy women are struck down by it. The air conditioning might make her more comfortable but I don't know that it will do anything for her BP. The best thing for her is probably the medicines they are giving her--particularly, as you say, they are only giving her mild doses.
The goal,as I said, is to get the baby as old as possible without risking your sister's health. Some doctors will push a mother too far in this--so I would advise you be your sister's advocate and make sure they don't. Also, she should be watched CLOSELY after the baby is delivered to make sure she is losing all the swelling. Postpartum (particularly in places like India) is when mothers die.
I will find out what the minimum weight of the baby would need--I suppose it would depend on the facilities you have. In the US a 3.5 # baby has about a 90% chance of survival. In India--it may be much less--however, you should focus on all the positives here: she is in the hospital, the baby is being constantly watched and appears healthy, everyone seems to be very aware that your sister is sick, she is receiving medication and the baby seems to be a healthy size so if the baby had to be delivered--he or she would have a fighting chance regardless of where you lived.
I know this is a very scary time for you. Please feel free to write regularly. If you need the name of another doctor for a second opinion, let me know, I know some doctors in India I can contact. Where in India are you?
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