Is post-partum pitting edema normal?

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Re : Is post-partum pitting edema normal?

Postby adgirl » Tue Jun 19, 2007 11:58 am

The Peri that I spoke to about my complications post partum has a theory about the fluids during labor possibly contributing. It's a lot of strain on the kidneys and I guess somehow can affect blood pressure too -- he said that many women start to heal much better once all of those fluids have emptied out of their systems. He personally is kind of trying to train the anesthesiologists in his area to give less fluids for this reason. Apparently, epidurals come with a lot of extra fluids. I asked if I'd be better off not receiving an epidural, and he said no, but the key is to convince the anesthesiologists not to pump so much fluid into us. Especially important for the PE folks.

Anyone else heard anything like this? I am not too technical, so I don't understand how it works, and may be stating it incorrectly. It just jumped out at me after reading Laura's post that my doc had mentioned something similar.

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Re : Is post-partum pitting edema normal?

Postby laura » Tue Jun 19, 2007 00:29 am

Sorry to bump this one up, chickies, but I was watching this one closely before I delivered because I tend to swell pretty badly after I have my babies, and it prompted our question to the Experts about how normal pitting edema is.

Well- I'm almost one week post-partum with some pretty severe swelling, and ended up in the ER this morning with what turned out to be some pulmonary edema. As Bridget pointed out- IV fluids aren't always our friend, and if you're a sweller, watch what they're putting in when you deliver, so you can make sure it is coming back out!

The ER doc called the OB on call and she said "we always overload those preeclamptics with fluid and make them miserable" so apparently, it isn't too uncommon- and given the fact that I wasn't sick when I delivered, you don't even have to have severe disease- or mild!- for it to be a factor!

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Re : Is post-partum pitting edema normal?

Postby heather j » Thu Jun 07, 2007 05:12 pm

My bad delivery (#1) took a solid two weeks, and my good one (#2) took about a week. I started making VERY frequent trips to the bathroom to pee and waking up absolutely soaked from sweat, and the swelling quickly began to subside once I started moving it.

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Re : Is post-partum pitting edema normal?

Postby jana m » Thu Jun 07, 2007 02:23 pm

I too had lots of swelling after delivery. It just takes a while for your body to get rid of all of the extra fluid. My protein was still high post-partum, as was my blood pressure. My peri sent me to the internist about 10 weeks post partum for bp meds because it just wasn't coming down as much as he would have liked.

Beth has just experienced tremendous physical trauma. I'm sure it will take some time for her body to re-adjust to not being pregnant and for things to return to normal. In the meantime, it's good you took her to the ER. Better safe then sorry.

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Re : Is post-partum pitting edema normal?

Postby halo79rn » Thu Jun 07, 2007 02:09 pm

a couple of weeks. it went down a ton in the first week.. but took a couple to completely go down. It was at it's worst the first couple of days post partum... which I've heard from friends who did not have pe that they had bad swelling the day of and the day after delivery. All of that extra fluid throughout pg and then with iv fluids shift.
Hope it goes down soon.

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Re : Is post-partum pitting edema normal?

Postby bookworm » Thu Jun 07, 2007 11:03 am

I hope that Beth's swelling will get better quickly!

When I had my first child, the swelling in one leg went away very rapidly but the other one remained swollen much longer. It probably took 2 weeks for me to fit a normal shoe on that foot. My dr did prescribe Lasix while I was in the hospital and that helped some.

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Re : Is post-partum pitting edema normal?

Postby heather100 » Thu Jun 07, 2007 10:06 am

My feet and ankles took about 2 weeks to go back down to normal. I'm sorry Beth had another scare. Poor girl!!!

Ditto the advice on the NICU. I will only deliver at my preferred hospital as it has a LEVEL 4 NICU. It is farther away from my house but still my choice because of that.

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Re : Is post-partum pitting edema normal?

Postby miracle3 » Thu Jun 07, 2007 09:45 am

I was also swollen for more than a week after delivery!!! Mine was mostly my feet and ankles!

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Re : Is post-partum pitting edema normal?

Postby mnmom » Thu Jun 07, 2007 07:16 am

I was still really swollen for a few weeks after delivery. I think it was the second week I was home that I lost 20 pounds of fluid in a week. I was so glad to see the great update on Drake!

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Re : Is post-partum pitting edema normal?

Postby missgamecock » Thu Jun 07, 2007 06:36 am

I had pitting edema that lasted several weeks pp and my protein in the urine lasted for a year. For the last year, my urine has tested negative for protein. But up till Sara was one, I would have trace to 2+.

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