Sunday, February 23, 2014

Do you have or know of someone who has an infant with confirmed hypertension?




Tired_Of_S


My son is 3 months old with GERD w/ a recent Nissen Fundoplication and Gastric Button Placement, Dysphagia, Laryngomalacia, DGE, Enlarged Heart with chamber wall thickening, and Hypertension. Nephrologist said the kidney problem will surface later, but it hasn't shown up in the lab tests yet. He is on HBP medication, and it's controlled. Do you know of anyone who has had a baby born with hypertension? If so, what is there home routine like? Do they monitor on a regular basis or go only to routine doctor visits for checkups? Just curious


Answer
Routine home monitoring may not be easy, given the difficulty of measuring blood pressure in infants.

Healthy pregnancy after stillborn?




shokoladni


i had a miscarriage at 24wks.
2nd pregnancy my baby died inside of me at 30wks-because of preeclampsia.did anyone experience same and went on to have a healthy pregnancy.i am very worried



Answer
First off ~ I would like to say how sorry I am to hear of your precious losses. It is surely the most devastating situation to have to endure and there are no words to ease the pain. According to Dr. Jason Collins of The Pregnancy Institute in New Roads, LA, stillbirth mothers are 5 - 10 more likely to have a recurrent stillbirth ~ so you will be considered a high risk pregnancy (if you are not considered high risk ~ find a new healthcare team). My daughter in law was monitored during her second pregnancy from 28 weeks onward by Dr. Collins using daily home fetal heart rate monitoring in conjunction with their own OB. All went very well and our "rainbow" baby Jacks was born on June 14th, 2010 at 37 weeks as his lungs were not mature for birth at 36 weeks after an amniocentesis. He was born 2 weeks before his sister's first birthday. Although Dr. Collins is not monitoring at the present, there are companies which will work with your health care team and provide this service if you so desire.

I think how you are feeling is very normal. When our own doctors, the experts, cannot predict a stillbirth - how are we to? You will need to be very open and honest with your health care team and you may want to be followed by a Maternal Fetal Specialist or Perinatologist during your next pregnancy. Many women do have healthy pregnancies with the same losses as you have had. I would like to offer some guidelines for you to help based on the latest research. Please discuss these with your health care team and see if they can implemented into your health care plan for your next pegnancy.

Become your expected baby's guardian. Donât ever hesitate to call your health care team with any questions and concerns you may have or comments you don't understand. Your team is there to educate and inform you, thatâs their job! And always, trust your gut.

The latest research suggests you start to sleep on your left side!!! At 10 and 18 weeks, have your baby's estimated placental volume (EPV) measured, this will let you know how the placenta is functioning in relation to your baby (there is an app for your IPhone). At 20 weeks on the anatomy scan, make sure the baby's heart, umbilical cord and placenta are visualized for normal construction and placement; begin a daily journal of baby's moments at this time.

Insist on an additional ultrasound (an ultrasound is the only way your baby's umbilical cord and placenta can be seen) around 28 weeks to check the umbilical cord and placenta as I have mentioned above. If there is a problem, work with your health care team for a close monitoring solution such as ultrasounds, daily home fetal rate heart home monitoring, Biophysical Profiles (BPP) and Fetal Non Stress Tests (NST), etc. Begin kick counting now three times a day and remember a change in baby's movements such as speeding up or slowing down or changes in sleep-wake cycles could be the sign of a compromised baby. Don't ever hesitate to voice your questions and concerns to your healthcare team, and request additional testing and ultrasounds during this pregnancy.

Your baby may experience âhiccupsâ which will first be noticed as soft, regular, rhythmic movements in the same place. As your pregnancy progresses, they will feel stronger and will eventually feel like hiccups except in your abdomen!!! Your babyâs hiccups should decrease as your pregnancy advances. Many babies have hiccups and have no problems but according to Dr. Collins, past 30 weeks your baby should not have hiccups every day. If your baby has daily hiccups, hiccups lasting longer than 15 minutes, or hiccups occurring more than 3 â 4 times in 24 hours, your baby should be evaluated for umbilical cord issues.

Also, check out the websites for Group B Strep (GBS), CMV, Toxoplasmosis, etc. Most health care professionals don't mention these viral/bacterial infections to moms which may be asymptomatic. You can go to the March of Dimes or the CDC websites for some great info. Awareness, a proactive attitude and vigilance for the duration of your pregnancy will be both reassuring and empowering.

Getting to know your baby's movements is imperative. Empowering moms to ask simple questions and become their baby's guardian will help to ensure a happy, healthy and hearty delivery day for all. And I must say, rainbow babies ROCK!!! xo




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