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I had a stillbirth 2 1/2 months ago on Jan 11 at 37 weeks.

I had a stillbirth 2 1/2 months ago on Jan 11 at 37 weeks. My water broke but was not clear. it looked almost greenish/brown. When i spoke to my obgyn she told me it was meconium & to arrive at the hospital in 3 hours. When i arrived they had checked for the baby's heartbeat but to our dismay therewas no heartbeat. I went through 30 hours of labor before delivering the most beautiful little boy in this world. When the baby came out the cord was twisted like a telephone cord. They call this a hyper coiled cord. My obgyn could not understand why the cord was this way and said the cord would be sent for pathology results. I opted not to do an autopsy. I was kept in the hospital for 2 more days due to an infection. The pathology came back that there was ecoli in the placenta but they also saw thrombosis in one of the arteries in the umbilical cord. I was on lovenox once a day 40mg because of thrombophilia. Also on a baby aspirin & fish oil my entire pregnancy. I am so heartbroken over this loss, i am trying to put things together. Can an infection affect & cause a blood clot in the cord ? or can the infection cause the cord to coil and cause a blood clot ? or are the situations completely separate ? I went for blood work on Wednesday morning and my WBC was normal .. my water broke on Sunday morning. how fast can these things happen? Thank you

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Dr Ted Manos

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MD

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I had a stillbirth 2 1/2 months ago on Jan 11 at 37 weeks.

I had a stillbirth 2 1/2 months ago on Jan 11 at 37 weeks. My water broke but was not clear. it looked almost greenish/brown. When i spoke to my obgyn she told me it was meconium & to arrive at the hospital in 3 hours. When i arrived they had checked for the baby's heartbeat but to our dismay there was no heartbeat. I went through 30 hours of labor before delivering the most beautiful little boy in this world. When the baby came out the cord was twisted like a telephone cord. They call this a hyper coiled cord. My obgyn could not understand why the cord was this way and said the cord would be sent for pathology results. I opted not to do an autopsy. I was kept in the hospital for 2 more days due to an infection. The pathology came back that there was ecoli in the placenta but they also saw thrombosis in one of the arteries in the umbilical cord. I was on lovenox once a day 40mg because of thrombophilia. Also on a baby aspirin & fish oil my entire pregnancy. I am so heartbroken over this loss, i am trying to put things together. Can an infection affect & cause a blood clot in the cord ? or can the infection cause the cord to coil and cause a blood clot ? or are the situations completely separate ? I went for blood work on Wednesday morning and my WBC was normal .. my water broke on Sunday morning. how fast can these things happen? Thank you

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khagihara

Post-Doctoral Degree

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Past story during pregnancy: final in 2005 miscarriage lead

Past history during pregnancy: final in 2005 miscarriage lead to dnc. No heart beat at 12 weeks. Positive anticardiolipin antibody igm 20, negative ana.April 2006, positive anticardiolipin antibody igm 19. A full term pregnancy induced labor. Lead to HELLP syndrome. My non text book low blood pressure probably helped assist in misdiagnosed preeclampsia diagnosis. Had to have a drip of some sort to keep liver functioning. Winged off after baby was born. Couldn't breast feed.Feb 2007, pregnant yet again Due in March 23. Rashes on and off starting in October 2006. Nose bleeds, feeling just yuck, more rashes in Feb. By February 9th blood transfusion by unknown anemia. Platelet clumping. Antiphospholipid syndrome. Induced labor March 5th to refrain from more complications.Tubes tied. 2 beautiful miracle babies. Flash forward, general fatigue next couple years. 2014 couple rounds of steroids when sick with antibiotics. Started steroid shot occasionally. 2015, January every month until june, antibiotics, steriods, steriods shot, one month we skipped shot just did oral to change it up. Recurrent fever blisters, recurrent facial rash. Immense fatigue. July was good. August ok. Mid September fatigued again, steriodshot& antibiotic. Switched to different antibiotic bc first round didn't work in september. Trjed bacteria antibiotic for facial rash. Went away again. New hand rash on both hands. Never had before. Steriod shot. Decided to do lab work. No insurance since after pregnancy prevented it. Low positive of 19 anticardiolipin antibody igm. Negative ana still. Platlet 146,000. Ast 33. Alt 39. On flecanide for atrial tachycardia for 2 years, was on atenenol for past 10. Could maybe make those elevated? Mchc low of 31. Feeling unwell, very fatigued still. Now Oct 31, hand rash after 6 weeks finally disappearing. Steriod shot was mid Oct. And Oct 31, another fever blister. Doctor doesn't refer me to rhemotologist bc says my ana was negative still. And my positive anticardiolipin antibody igm was low positive. So i looked up my old labs, made copies for doc too. Found out my positive anticardiolipin antibody igm is normally around 20 since 2005, 2006, 2007 episodes. Always hoped with no pregnancies would go away but I've never had this many rashes, nor antibiotics and steriods and fever blisters, rashes, fatigue keeps reoccurring. I had transfusion, no bleed out in 2007, and rashes then, same anticardiolipin antibody igm range of 20. Should I be concerned? I feel worse some days than in the past. With transfusion and past not bleeding out. Doctors almost didn't listen then. Had I not been pregnant I probably wouldn't have made it HINCE they kept me for observation bc of baby. I was asleep when transfusion happen woke up in haze.Opinions on now correlation. I read recurrent positive anticardiolipin antibody for 12 weeks is significant. Going on 10 years low positive of 19, 20. Afraid of going down. No health insurance.

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Internist

Diplomate American Board of Internal Medicine

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I'am a healthy 37 year old woman, well healthy except

Hello, I'am a healthy 37 year old woman, well healthy except my high blood pressure with which I was diagnosed when I was pregnant for the first time and my pregnancy ended with stillbirth in 7 month. I started to take pills for my high blood pressureand after a year I got pregnant again and this time all went smooth. I did develop a preeclampsia though but everything was under control and I gave birth to a healthy baby. After that I did loose a lot of weight but my blood pressure is still high and I musttake pills to control it. My question is, I still have a strong desire for another baby but I am terrified of another tragedy. I know the longer I wait , higher is the risk. Is there a chance that I might "avoid" preeclampsia this time or is too high of arisk ?

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Dr. K.

Staff physician

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Crazy question, but maybe just need ot hear it from someone

Crazy question, but maybe just need ot hear it from someone else. I'm 45 and just found out I'm preganant. We weren't trying at all. I understand that there is a less than 1% to get preganant at my age. Now throw in my history... I had 3 misscariages in 18 months, the last one was 2 years ago. It was particularly bad and I ended in the hospital twice with a hemoglobin of 4 and needing 3 blood transfusions. So my question is how dangerous is this for me? I'm freaking out, given what I went through the last time. I had given up any thought of having a baby. And now I'm just waiting for the other shoe to drop. I'm really afraid.

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Dr. C.

Medical Director

Doctoral Degree

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Hello. Im 32 weeks pregnant and have been having a nectarine

Hello. I'm 32 weeks pregnant and have been having a nectarine a day for the last week and now I see that the exact brand and batch number has been recalled for contamination with listeriosis. (Theres a nationwide recall on certain peaches, plums, and nectarines). Needless to say, now I'm very worried as I know this infection can cause stillbirth and other terrible things in pregnancy. I've put a call into my doctor but please advise of my next step and how dangerous this is.

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Dr. Owen

Ob/Gyn Doctor

Doctoral Degree

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I am current 35+ 3 days pregnant and have a diagnosis of gestational

I am current 35+ 3 days pregnant and have a diagnosis of gestational diabetes. I controlled the GD with diet and exercise up until 30 weeks. I commenced insulin from that time onwards.I have just been advised that in the hospital where I will be giving birth, that as it is routine with women with GD, they would like to induce me at approx. 38 weeks (39 at the latest) in fear of a prematurely ageing placenta.As my GD is well controlled and baby and placenta are showing as being happy and healthy in scan at 34 weeks, my preference is to go into labour naturally and avoid any unnecessary intervention / drugs however they have scared me with information about the possible risks of going to term or over such as still-birth etc.I am looking for some independent advice regarding induction in pregnancies involving GD, whether it is absolutely necessary and the links between GD and placental ageing.Thank you kindly.

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Dr. Owen

Ob/Gyn Doctor

Doctoral Degree

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Im a grand multigravida planning my 5th homebirth (had first

I'm a grand multigravida planning my 5th homebirth (had first baby in hospital so this is #6). I've had the usual late term pregnancy discomforts and have been hoping that labour would be imminent as the baby is engaged, my cervix is soft and forwards and I am about 3cm dilated. My past pregnancies have been 41 weeks (induced), 38 weeks (spontaneous), 36 weeks (spontaneous), 38 weeks (spontaneous) and 41 weeks (spontaneous). Am I likely to go into labor within the next week? I'm terrified of going to 42+ weeks and I will not consent to a routine induction for post dates. My bishop score is 7 if it is any help.

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Dr. Owen

Ob/Gyn Doctor

Doctoral Degree

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I was told I have bicornuate and it explains why I have

I was told I have bicornuate uterus and it explains why I have always had extremely painful periods with heavy blood (would even pass out sometimes but not anymore). I was wondering why bicornuate uterus causes such painful periods. Would like it explained please

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Monika Hearne, M.D.

Board Certified Ob/Gyn Physician

Doctoral Degree

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