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Pregnancy Bliss | Reproductive Health Hub

Contact Answers In the News Hot Topics

Polyhydramnios and its aftermath

Question: My son in now aged 14 and has dyspraxia and also craves certain foods could this have anything to do with me having Polyhydramnios whilst pregnant. Thank you. (UK)

Answer: It is exceedingly unlikely that your history of polyhydramnios has anything to do with your son's dyspraxia and food cravings. I am not even sure the cravings and the dyspraxia are related in your son's case. I am, however, not in a position to form an informed opinion on that. Dyspraxia (poor limb and hand co-ordination), as I am sure you know, is largely thought to result from problems in neurological development. I find it difficult to connect that with any known causes of polyhydramnios.

Vaginal bleeding at six weeks pregnant

Question: I'm six weeks pregnant and I've started to bleed for a couple of hours now..does this mean a miscarriage? L.(UK)

Answer: It is a case of threatened miscarriage. That is the clinical diagnosis until an ultrasound scan gives clarity as to what is happening. Regarding the measures to take, please refer to the answer given to a similar question asked earlier. It is found here:

Yolk sac on an early pregnancy scan

Question: Hi, i had an early scan and the report said 5+ weeks / yolk sac seen. Is the yolk sac only visible during the fifth week using transvaginal scan and would i have had to be five weeks or more to see the yolk sac? Thanks . V. (UK)

Answer: There is actually no ultrasound evidence of pregnancy before 5 weeks of gestation. A transvaginal scan will show a sac, fetal pole and yolk sac at about 5 weeks. Fetal heart pulsation is usually visible at 6 weeks.

Availability of emergency contraception in the UK

Question: Where can I get emergency contraception without prescription in London? S. (UK)

Answer: Emergency contraception can be purchased at any high street chemist in the UK. It is available free from Family Planning Clinics and any Brook Clinic if you are over 16 and under 25.

Pelvic discomfort in mid-pregnancy

Question: I’m 22 wks pregnant my baby is moving but  i feel really heavy in my pelvis and baby fells really low. J. (UK)

Answer: That sort of sensation is not uncommon in the second half of pregnancy. Admittedly, this tends to be somewhat later than where you are (22 weeks). However, if your detailed scan, which I would think was only within the last three weeks, was all normal; this sensation is unlikely to be significant. If you are very concerned about what you are feeling, it will be worthwhile to bring it to the attention of your community midwife promptly so an examination can be made.

Pernicious anaemia, B12 injections and pregnancy

Question:  I have been receiving treatment (B12 injection at three monthly periods)for pernicious anaemia, for three years. I'm considering having a child, would there be any problems? Pretty much every site I have looked at has been rather sketchy on this subject, please help! E.S. (UK)

Answer: I understand your frustration with the paucity of information about Vitamin B12 injections during pregnancy. The reason for this is valid: There is simply no evidence based informationVitamin B12 injection in pregnancy on which to base a recommendation. In fact, the drug companies that market these injections do advise that they should not be used in pregnancy. This is not because they are known to be harmful; rather, it is because they do not have reliable data to declare the products safe. In other words, they are playing it safe.

On a practical front for you, it is worthwhile bearing in mind that both injectable forms of Vitamin B12 (Hydroxocobalamin and Cyanocobalamin) are natural products found in unprocessed food. By that logic, it is safe to assume they are unlikely to be risky when the intake is maintained within the normal physiological range. Yours is the sort of situation where a risk-benefit assessment needs to be made to decide on how to proceed. However, if your plasma B12 levels are maintained within the normal range, the risk should be small to non-existent.

Suboxone detox in pregnancy

Question: I am 34 weeks pregnant and I am addicted to heroin . I just detoxed with Saboxen (unsure if spelled correctly). Is my baby going to be alright and will the heroin be out of his system by birth? A. (USA)

Answer: I think you are referring to Suboxone, also called Subutex.  Its generic name is Buprenorphine.

This is licensed as a heroin substitute. Information on its safety and therefore use in pregnancy is regarded as insufficient. On that basis, it is generally advised to avoid and use Methadone instead. However, it is not contra-indicated in the real sense. The prevailing stance is for all concerned to do a risk-benefit assessment. if the potential benefit outweighs the risk, then Suboxone can and should be used. If you stop using heroin at 34 weeks and use Suboxone instead, yes, heroin will be out of your system if you go all the way to Term. Mind you, the baby will still have to recover from the Suboxone exposure because Suboxone is itself an opiate, albeit a safer one.

Recurrent miscarriages and ectopic pregnancies

Question:  I have had 3 ectopic pregnancy's 2 miscarriages and 3 children. I am 5 weeks pregnant, had ultrasound scan there is no fetal heartbeat and i have just started to bleed slightly and feeling faint. Probably another miscarriage. Is there any hope for me to have another child? C.A. (UK)

Answer: Your obstetric history is really quite formidable. I am sorry to hear of your latest setback. However, therein lies a genuine ray of hope. The fact that your latest pregnancy was inside the womb rather than an ectopic, means your tube (I assume you have only one) is patent and functional. OK; this one appears to be a missed miscarriage, but chances are, next time around (there will be a next time) things will be different. However, once you have recovered from this, I would advise that you contact your GP to have this problem of frequent miscarriages properly investigated (unless this has already been done).

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