Sites for pregnancy information,pregnancy facts at 24 weeks,why not getting pregnant when everything is normal values - Plans On 2016

Ectopic pregnancy (Greek ektopos, or out of place) refers to the implantation of a fertilized egg outside of the uterine cavity. Most ectopic pregnancies - 95-96% - occur in the fallopian tubes, with the majority of the rest being ovarian or cervical. The abnormally implanted blastocyst grows and draws its blood supply from the site of abnormal implantation.
Anything that hampers the migration of the embryo to the endometrial cavity can predispose to ectopic pregnancy.
Heterotopic pregnancy, where one embryo is ectopic and the other intrauterine, is on the rise due to increased rates of assisted reproductive technology.
However, over half of all cases of ectopic pregnancy occur in women with none of these risk factors. Transvaginal ultrasound (TVUS) is the preferred modality to identify extrauterine pregnancy. Damage to the cilia in Fallopian tubes is frequently responsible for ectopic pregnancy, caused by factors such as pelvic inflammatory disease (PID) or surgery. If surgery is warranted, laparascopy followed by salpingectomy or salpingostomy is the preferred approach. Aspirin intolerance manifested by exacerbation of bronchospasm and rhinitis may occur in patients with a history of nasal polyps, asthma, allergic skin reactions or rhinitis. The use of aspirin during pregnancy, especially chronic or intermittent high doses, may affect maternal and newborn blood clotting mechanisms, leading to an increased risk of bleeding. When you start to take low dose aspirin, moderation in taking the following foods is recommended: curry powder, paprika, licorice, prunes, raisins, gherkins, tea and other than the occasional use of non-absorbable antacids (Maalox, Rolaids).
Purified commercial preparations of heparin are nontoxic, and side effects from the drug are infrequent.
Heparin is a type of anticoagulant which can cause blood in the urine, blood in the stool, nose bleeding and easy bruising. Long term heparin therapy during pregnancy has been associated with osteoporosis (thinning of the bones) and spontaneous fractures in patients who have received 15,000 units or more of heparin daily for over 6 months (Ailo, 1975).
Even though our protocol uses low dose heparinization, we recommend supplementing calcium in your diet, i.e. If you have hypersensitivity to the drug, active bleeding, hemophilia, purpura (tissue hemorrhage), thrombocytopenia (low platelet count), bacterial active tuberculosis, ulcerative lesions of the gastrointestinal tract, diverticulitis, ulcerative colitis or severe hypertension, Heparin therapy is contraindicated. The heparin may be administered subcutaneously or via a small ambulatory infusion pump, depending on your physician's orders. Remove cap from needle and pull back on the plunger of the syringe to where it is equal to the amount you will be injecting. Insert the needle of the syringe into the center of the rubber stopper or the heparin vial.
While supporting both the heparin vial and syringe invert them so that the syringe is below the heparin vial.
Once you have removed all air bubbles and have obtained the exact amount of heparin needed for injection remove the syringe from the heparin vial. When all the heparin has been injected, slowly withdraw the needle at the same angle at which it entered, and also releasing the skin roll as you withdraw. In addition to conventional anticoagulation treatment with ASA and heparin or immunosupression with prednisone, a small percentage of patients may need additional treatment.


These patients are at risk to develop intrauterine growth retardation, low amniotic fluid volume (oligohydramnios) toxemia, or severe side effects from steroids, or preexisting maternal disease. Immunoglobulin G is contraindicated in patients who have had a known anaphylactic or severe systemic response to human immune globulin. If you are found to be a candidate to receive immunoglobulin G infusion treatment, your physician may order the medication to be administered in your home following the first treatment being given at a medical facility. The information on this page has been taken from a brochure produced by Homedco Home Infusion Services for patients receiving immunotherapy. Abstract: The range of diseases in which intravenous immunoglobulin (IVIG) is effective has expanded significantly since its initial use in primary antibody deficiency. The more recent exclusion of all anti-hepatitis C virus positive individuals from the donor pool, and the introduction of specific antiviral steps in the manufacture of IVIGs, should prevent further outbreaks.
The human immunodeficiency virus (HIV) is effectively inactivated during the manufacturing process itself and HIV transmission has not been reported with IVIG. Haemolysis, due to passive transmission of blood group antibodies (anti-A, anti-D), may be prevented by selecting IVIG batches that give a negative cross-match between the recipient's red cells and IVIG. If you are used to exercising and have recently become pregnant it's very important to be aware of the DOs and DON'Ts of exercising during pregnancy. Ectopic pregnancies frequently rupture, leading to hemorrhage - the leading cause of first-trimester dealth due to pregnancy.
As the gestation enlarges, it creates the potential for rupture and hemorrhage - one of its most dangerous complications.
A gestational sac is typically visible, regardless of location, if beta-HCG is more than 1500 IU.
The reader should regularly consult a physician in matters relating to his or her health and particularly with respect to any symptoms that may require diagnosis or medical attention. If you have a past history of any of the above, please notify your physician before starting aspirin. High dose aspirin may be related to increased perinatal mortality intrauterine growth retardation, and congenital defects. Because heparin is obtained from animal tissue, you should be cautious when you start the injections, especially if you have any history of allergy.
One study found bone demineralization to be dose related, with more severe changes occurring after long-term therapy (>25 weeks) and in patients who had also received heparin in a previous pregnancy (De Swiet, 1983). Caution should be used when taking Heparin if you have mild hypertension, liver or kidney disease, or diabetes. It has been reported that heparin use during pregnancy has been associated with a 13 to 22% unfavorable pregnancy outcome including premature and still birth.
Guidelines for subcutaneous delivery follow, and should you have a pump, the instructions will be included in your patient training manual. Look for air bubbles If any air bubbles are in the syringe flick them to the top and push on the plunger to release them.
Do not remove needle once it is inserted and do not pull back on the plunger (this prevents damage to the small blood vessels which could lead to bleeding and bruising). Possible side effects include malaise, a feeling of faintness, fever, chills, headache, nausea and vomiting.
There are at present at least 17 preparations of IVIG in use worldwide with similar profiles of adverse effects.


Rarely, haematological (Coombs' test positive haemolysis), neurological (aseptic meningitis) or renal (transient rises in serum creatinine) adverse effects may be seen when high doses of IVIG are used for immunomodulatory purposes.
Sharing In Health cannot be held responsible for adverse events of any kind related to the contents of this website, of related websites, or of websites that are linked from this website. The information herein is a general guideline and may better prepare you to discuss this therapy with your physician.
Hypersensitivity reactions include chills, fever, skin eruptions, and in rare cases asthma, - rhinitis, excessive eye tearing, headache, nausea, vomiting, and anaphylactic shock. Previous studies of 117 patients on long term heparin treatment showed none developed fracture in patients receiving less than 10,000 IU daily for as long as 15 years (Griffith et al, 1965).
Please note that this incidence was in patients who had severe maternal disease necessitating high dose anticoagulant therapy. Shortness of breath (dyspnea), chest tightness, hip joint pain, and back pain also have been reported.
These side effects are nausea, heartburn, upset stomach, decreased appetite and microscopic amounts of blood in stools.
Adverse effects of platelet function in the nursing infants have not been reported, but are a potential risk.
Before a therapeutic dose is given, a trial dose of 1000 IU of heparin injection may be advisable as a skin test. If your physician recommends higher dosages, then blood clotting tests will be ordered at regular intervals.
If you need another area to give your heparin, you may use your thighs or buttocks, but this is only if there is no other place in your abdominal area. Mild adverse reactions (headache, flushing, low backache, nausea, wheezing) are often associated with a fast infusion rate, and respond rapidly on slowing the infusion.
Feel free to use and share this material as widely as possible, according to our Terms of Use. The above mentioned side effects were mainly experienced in patients taking a normal adult dose or high dose of aspirin therapy.
If you choose to breast feed your baby you will not be taking low dose aspirin at that time. Your physician will share with you all the up-to-date data he has on heparin therapy and pregnancy outcome and on any complications that other women like yourself have experienced during pregnancy. The most frequently recommended protocols involve giving IVIG intravenously either once monthly for three consecutive months or for 3 consecutive days monthly.
The only statistically significant fact that has surfaced to date is that mothers on heparin deliver their babies at an average of 37 weeks instead of 40 weeks.
Monitoring your immune status during your pregnancy may lead your physician to recommend additional treatments.
The 4 outbreaks of non-A non-B hepatitis (probably hepatitis C) in the 1980s were associated with the use of particular batches of IVIG.



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