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Pregnancy Bliss | Reproductive Health Hub

Contact Answers In the News Hot Topics

A haematoma behind the placenta and risk to the pregnancy

Question:  I’m 17 weeks pregnant with my first baby. I’m from Hungary and I live in London. I have a big problem. 4 weeks ago I had a heavy abdominal pain and bleeding. I went to the hospital, they made a scan and said they don’t see a reason of pain and bleeding, my baby is well. After then I stayed at home in bed, I didn’t go to work because I had pain again if I walked or moved more then 2 or 3 hours in a day. On the last week I went to holiday to Hungary and after the flying and the long travelling I had a pain again, so I went to the hospital. They made scan again and the doctor found a big hematoma on the placenta. The size of hematoma is 60x20 mm. He said this is placental abruption and it’s very dangerous, because if the hematoma is growing I can lose the baby. I got some medicine, a lot of scan-picture about the hematoma and a report about my problem, which I’ve to show to somebody in the hospital in London. The doctor said I must not move anything, I’ve to lie all day and I need a scan every week to check the size of hematoma, while it disappears. So I came back to London and I went to hospital with the pictures and the report.

But nothing happened! The midwife looked at the pictures and the report, she said the professor isn’t in and sent me to the other department to make a scan. But they didn’t make, the assistant said my 20 weeks scan will be soon (4 weeks later), so I’ve to go home, they can’t make scan earlier, I can go back only if I have strong bleeding again. But I think if I’ve bleeding again that time will be too late for my baby.

Finally no scan, no doctor, no medicine, no relaxing, nothing! I’m very nervous and I don’t understand this. What is the true? I’m in a big risk as the Hungarian doctors said, or I don’t have any medical problem as they said in the London’s hospital? Thank you for the help! B.N. (UK)

Answer: I am fully sympathetic with the predicament you find yourself in. It is clearly a very anxious time for you which is understandable. Let me explain a few things if I may:

I sincerely hope everything works out for you.

Spirulina and Pregnancy

Question: can Spirulina be good for pregnancy? M.S. (France)

Answer: Spirulina which is a protein and vitamin-rich food supplement is a natural product. None of its components are known to have any potential harm to a developing fetus in the womb. Animal studies have also not shown any harmful effects in pregnancy. However, there is no sSpirulina in pregnancycientific human data to conclusively declare it safe to use in pregnancy. With that sort of situation, it may be prudent to avoid at least in the sensitive first trimester. Every individual needs to make their own judgement.

Having an epidural whilst on Enoxaparin (Levonox)

Question:  What about an epidural or other anesthesia in labor when you have a DVT in the femoral vein and are on Lovenox injections twice a day?  Is it save to have an epidural?  What do they use for pain management? K.C.A.(USA)

Answer: You can still have an epidural if you are on low molecular weight heparins such as Lovenox (Enoxaparin). However, it is advised that there is an interval of at least 10 hours after the last dose before inserting the epidural needle. This is to minimize the risk of a hematoma (blood clot) at the site of the epidural. It is possible to manipulate the timing of the administration of the Lovenox injections to allow for this. Of-course, this is not entirely in anybody’s control because labour can start shortly after you have had the injection. It can then progress within that necessary 10 hour safety cushion window making it impractical and unsafe to use. The anaesthetist makes the final judgement as to the safety of the treatment but in the majority of cases, it should be possible.

‘Fluid on the brain’ of the baby seen on an ultrasound scan

Question: My daughter just had 20 week  scan and they think there is fluid  in his  brain. As a precaution, she is having another. Why? J.G. (UK)

Answer: I would be quite reluctant to answer this question because I simply don't have anywhere near sufficient details to give you an individualized opinion. If your daughter feels the picture has left her confused, she can ask to see her obstetrician even before her planned repeat scan to discuss the findings, what they think and why she is having a repeat scan. If I try to give you an explanation with the brief details I have, I will have to make too many assumptions and I could end up misleading you and her quite badly. All I can say, purely as a general statement is that, they are probably planning to take a closer look to see whether, indeed, there is water on the baby’s brain and then do a detailed look to see if they can identify the possible cause for this development.

Fetal movements during labour

Question: when you are in labour is it common for you to feel the baby moving a lot? K. (UK)

Answer: There is little change in rate of movement of the baby during labour. In fact, the mother perceives the movements less because she is much more aware of contractions. This is so, unless she has a very effective epidural in place.

More questions and answers on the next page

Spirulina is most probably safe to use in pregnancy. However, in the absence of conclusive human data to that effect, prudence, especially in the first trimester, may be a wise precaution.