Pregnancy Concerns and Questions

Pregnancy concerns and questions

I want an iron infusion

Posted by Dr Gary Sykes on - Latest Posts, Medical Conditions in Pregnancy

It is becoming more popular for pregnant women to request an iron infusion because of tiredness in pregnancy. The iron infusion will only benefit if there is an iron deficiency, which can be checked by a blood test. Most tiredness in pregnancy is not due to iron deficiency. There is routine checking for anaemia and […]

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Eight pregnancies, two babies

Posted by Dr Gary Sykes on - Latest Posts, Miscarriage
Eight Pregnancies, Two Babies

I first met Laura in 2013. She saw me for management of her third pregnancy. Her first two pregnancies had been unsuccessful. She had had two early first trimester miscarriages. She was not aware of a reason why she miscarried. Her third pregnancy was also not successful. There was foetal demise at nine weeks. I […]

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Caesarean section by choice

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy Concerns and Questions, Caesarean Section
Caesarean Section By Choice

When asked: “Can I have a Caesarean section?” I always answer: “YES”. There is an increasing number of women who choose to have an elective Caesarean section as the mode of delivery, rather than a vaginal delivery. The request is usually made at the first antenatal visit and usually of the first pregnancy. It is […]

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Severe diabetes and pregnancy

Posted by Dr Gary Sykes on - Latest Posts, Medical Conditions in Pregnancy
Blog

Desiree saw me initially for management of her first pregnancy in 2015. She had been an insulin dependent diabetic since she was five years old and was requiring 30 units of insulin per day when I saw her for her first antenatal visit. She also had a history of hypertension since 2011, though was not […]

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A sudden turn of events

Posted by Dr Gary Sykes on - Latest Posts, Medical Conditions in Pregnancy
Location of Veins in Leg

A patient booked with me for management of her 4th pregnancy management. The pregnancy progressed well until 38 weeks and 3 days gestation. That evening she became aware of painful vein swelling in her left thigh. Her GP arranged a doppler ultrasound scan the next morning. The ultrasound scan found there was extensive thrombus (blood […]

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Do I look ok?

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy Concerns and Questions
Change of Appearance During Pregnancy

Physical appearance is an important matter to many women and being pregnant can cause major concern because of the associated changes in body shape. There are some pregnant women who enjoy the physical appearance changes that come with being pregnant, while others struggle with it and want to get their old body shape back. Common comments […]

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Differences between Braxton Hicks and Labour Contractions

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy Concerns and Questions
Difference between Braxton Hicks and Labour Contractions

Braxton Hicks contractions are named after the English doctor John Braxton Hicks who first described them in 1872. He reported many women felt contractions without being near confinement. He said this process was usually painless, but caused women confusion as to whether they were going into actual labour. Braxton Hicks contractions are usually due to […]

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When do I need my diabetes check in pregnancy?

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy Concerns and Questions
pregnancy

I am often asked early in the pregnancy about when to have gestational diabetes mellitus (GDM) screening, with the patient under the impression that is should be done as soon as possible. This is not the case. GDM screening is usually done at 26 to 28 weeks pregnant. Sometimes, because of indications that a pregnant […]

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“I have itchy hands and itchy feet”

Posted by Dr Gary Sykes on - Latest Posts, Medical Conditions in Pregnancy
itchy hands

Bronwyn presented at 10 weeks pregnancy for management of her second ongoing pregnancy. Her first ongoing pregnancy had been complicated by preeclampsia (requiring medication to control her blood pressure) and intrauterine foetal growth retardation. She had a successful outcome of a little girl at 38 weeks with a birth weight of 2494gms. This pregnancy progressed […]

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Breast cancer in pregnancy

Posted by Dr Gary Sykes on - Latest Posts, Medical Conditions in Pregnancy
Survivors of Breast Cancer

It was Monday afternoon last week. Rebecca attended with her husband Russell for her antenatal visit at 38 weeks 6 days gestation. She had had a right breast biopsy the previous Thursday and was anxious to find out the result. The result had just come through. I had to tell her the very sad news that […]

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