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Pregnancy Bliss | Reproductive Health Hub

Contact Answers In the News Hot Topics

Flying in early pregnancy

Question:  I’ve just found out im pregnant I’m supposed to fly to Turkey next Friday for a holiday it was booked month ago.  Is it ok to go? I will be 5 weeks pregnant its a four hour flight. D. (Ireland)

Answer: There is no problem for you to fly at that time as it is safe for both yourself and the baby. It is also well within the allowed gestation by virtually all airlines. Just check your travel insurance provision to ensure pregnancy ‘issues’ are covered. Have a good one!

Fluctuating hCG levels whilst on treatment for a trophoblastic tumour

Question: If you are undergoing chemotheraphy for a Trophoblastic Tumor and the HGC levels fall and then rise and then fall what does that mean.Do you need a strong dose of chemotheraphy.Can you please let me know. Thank you. Z.R. (UK)

Answer:  It is difficult to give you a clear answer with such brief details. It really depends on a number of factors.

If yours is classified as high risk then that pattern is not entirely unusual.

If the rise was only modest and then you had a steady and marked fall of the hCG levels, it is most probably not anything to worry about.

As a general rule, hCG levels should fall continually whilst on chemotherapy. If you are on MTX and this does not happen, you may be one of the 1 in 5 patients who are found to develop resistance to this drug. If that happens, a patient is moved to the second line therapy which is a combination of two drugs. These almost always work.

In any case you should seek clarification of your situation from the specialist centre where you are being treated. They are always happy to help.

Using Co-Amoxiclav (Augmentin) in pregnancy

Question:  I’m 25 weeks pregnant and a month ago it started.ive had a peri-anal abscess, which I had one lot of antibiotics then an operation as they didn’t work and were worried about septicaemia.Had to have epidural for operation then after taking 10 days of stronger antibiotics cleared. It then came back and took a third lot.Im now on 3 more days of Co-amoxicalv.then if not cleared will be referred to hospital surgeon again.Do these have harmful affects on my baby  .My doctor is worried about my liver and am starting to get stomach ache. I don’t care about me I just want to know if these are affecting the baby. Obviously I’ve had no choice of taking them as I cant risk getting septicaemia. Worried mother. P.D. (UK)

Answer: Co-amoxiclav, also called Augmentin, is regarded as being largely safe for the fetCo-Amoxiclav (Augmentin) in pregnancyus. There is, however, a slight word of caution. Even though this antibiotic has and still is used extensively during pregnancy (where indicated) without any reports of adverse effects, there were reported cases of increased rates of a serious complication known as ‘necrotising enterocolitis’   among newborns when Co-amoxiclav was used by mothers with pre-term rupture of membranes in one large international study. This means whenever contemplating its use in pregnancy, there is reason for a little caution.  Remember Co-amoxiclav is really a combination of two drugs which are the well-known penicillin Amoxicillin and Clavulanic acid. The latter component is meant to deal with bacteria resistant to Amoxicillin. Both constituents are known to be safe and Co-amoxiclav is licensed for use in pregnancy. You did not give me the names of the other antibiotics you have used but I would tend to believe that your doctors have almost certainly ensured they are giving you medication that is safe to use during pregnancy.

Sciatica pain in late pregnancy

Question:  I have severe pain in my hips and my lower back, I am 34 weeks +3 days pregnant, walking and even lying down in bed is crippling me, the pain also runs down my legs. What can this pain be? G.O. (UK)

Answer: Your description of the problem is suggestive of sciatica. Even though bilateral sciatica is not common, it can happen. You need to arrange an appointment with your hospital consultant for assessment and it is possible you might benefit from physiotherapy. However, if indeed it turns out to be sciatica, the pain cannot be completely controlled but should resolve soon after delivery.

Have Cystic Fibrosis (CF). Planning to conceive

Question:  i am a 22 yr. old female patient with Cystic Fibrosis.  I am looking into trying to start getting pregnant.  i wanted to know if because i have frequent hemoptysis (coughing up blood) if this condition would worsen if i was pregnant?  My fev1 pfts in the nineties, and my lungs usually always sound clear. Although the doctors say my lung x-rays show pretty severe C.F.  Can you give me any advice as to whether pregnancy would be a good option? My weight is right where it needs to be.  I want a baby more than anything in this world, but i am trying to be wise at the same time about my health. i am confused on the information about how pregnancy can interfere with the heart too? can you further explain? The website is very informative and answered many of my other questions. Thanks so much. M. (USA)

Answer: Thank you for your well detailed question.

I am afraid I am going to disappoint you. It is absolutely crucial for a woman with CF to be examined both by an obstetrician and more importantly by a specialist chest physician before embarking upon a pregnancy.

The important question that needs to be answered before one can give objective informed advice is whether the vital organs will be able to cope with the additional demand that is going to be placed on them by the pregnancy. These include mainly the heart and lungs but also the kidneys, pancreas and liver. you will appreciate that I am not in a position to give such advice remotely.

Any obstetrician who has had to deal with similar situations in their career would be acutely aware of the importance of getting this decision right. Don't let any doctor fob you off with generalities. Make sure you are assessed properly so that the advice given applies specifically to yourself. I do sincerely hope it turns out alright for you in your quest for a baby. However, if the advice turns out to be against attempting a pregnancy, I hope you will heed that.

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