HELLP and epidural.

Have you suffered from HELLP syndrome or had a pregnancy complicated by an underlying disorder? Discuss your concerns here
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heather j
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Re : HELLP and epidural.

Postby heather j » Tue Aug 31, 2010 10:41 pm

They drew stat labs in L&D the night I arrived with the abruption, and my labs were good enough to have a spinal and section at that time (and I arrived just in time in all respects). Within 12 hours of delivery, they'd dropped to 50K. With my next c-section (non-emergent and somewhat scheduled), I had discontinued ALL anticoagulants 48 hours prior, they drew labs to be certain I was in the clear, and we proceeded with the section with an epi. No complications either time from the spinal/epi.

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Re : HELLP and epidural.

Postby atvlady » Tue Aug 31, 2010 10:14 pm

Sorry to hear of your trouble but glad you had a good pregnancy outcome! I am deciding that IF I have to have a c-section, I will have general anesthesia. If I go naturaly, which is my goal, I will do it with no pain meds. The contractions wasn't bad last time but I dilated so fast but every pregnancy is different. I was just curious as to what other women done or their current plan. Thanks for sharing!

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Re : HELLP and epidural.

Postby jenmatt1 » Tue Aug 31, 2010 10:10 pm

I had same issue. The anestesiologist came in to talk to me. When I first went to hospital my platelet count was about 65K- which I guess is right on border. Within 2 hours it was 50K so they would not give it to me and they were going to induce me. At that point, my daughter's heart started racing in utero (probably because she sensed my panic) and they decided to do an emergency c-section. By time I was finished with delivery my platelets were about 30K and I had to have 2 platelet transfusions.

I have discussed this all with my doctor for this current pregnancy. I have decided to have c-section. For me the risks of vbac were not worth it. She said they would test my platelets and if low, they would need to put me under anestesia than the epidural. I am actually ok with that. I'd rather not take any chances with this pregnancy. I am also scheduling c-section for 37 weeks and not going beyond that point. My doc is ok with that plan for now, although she said we'll talk more as we get into the 3rd trimester. My hope is that I make it there to that point in this pregnancy, before HELLP or PE comes on.

atvlady
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HELLP and epidural.

Postby atvlady » Tue Aug 31, 2010 08:29 pm

For you ladies that have had HELLP and went on to have a HELLP free pregnancy and/or for you ladies that was diagnosed with HELLP, did you have a epidural? Did your dr advise you not to have a epidural? I know when I delivered with Darren, they wouldn't let me have a epidural cause my plateletes were low and the epi would have lowered them more and I would have hemoraged into the epi space and could have had bad consequences. Anybody have any experience to share?


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