Pregnancy Bliss | Reproductive Health Hub
Question: I went for a ultrascan and my AFI was measured as 22.1 and the reports say its Polyhydramnios. What should be the normal AFI at this week. Please clarify. K (India)
Question: My daughter is 12 weeks pregnant. After 4 visits to her GP in the past week with of severe pain, redness and swelling in her thigh,(the thigh is now black). She has now been diagnosed with a DVT. She had a DVT after her last caesarean delivery and was diagnosed with congenital thrombophilia. She is now in hospital in chronic pain and is only being given Paracetamol as pain relief. What else can she be given? What are the risks of ulceration? H. (Spain)
Answer: Are you sure you have the full story here? Sorry to have to question you but it is clearly inconceivable that anybody pregnant, with known thrombophilia and a case of on-going DVT will not be on full-blown anticoagulation. It simply does not make sense to me. For one thing, it is standard practise to put any woman with known congenital thrombophilia on prophylatic (preventative) heparin, usually given as a daily injection as soon as pregnancy is confirmed. If, despite that, the woman goes on to develop DVT, she is then switched onto a much higher therapeutic dose of the same injection. There are various types of these low-molecular weight heparins including Clexane (Enoxaparin), Fragmin (Dalteparin), Innohep (Tinzaparin) etc. They are all similarly effective. I really cannot understand, if the picture is as you put it, why she is not being given this. Untreated DVT in pregnancy is dangerous and I would want to think that everything is being done to deal with this as aggressively as the situation demands. Ulceration would be the least of my concerns.
Question: Could you please explain to me how to read a ctg recording at a glance. Thank you. P.H. (UK)