Pregnancy

Pregnancy

Two good pregnancy outcomes despite an appalling obstetric history

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications

I first met Nicole in 2015. She had been admitted to hospital with hyperemesis gravidarum. It was her second pregnancy. Her first pregnancy had to be ended at 29 weeks by Caesarean section delivery after she developed HELLP syndrome. HELLP (Haemolysis, Elevated Liver enzymes, Low Platelets) syndrome is a very severe life-threatening form of preeclampsia. […]

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A very challenging pregnancy with a wonderful outcome

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
caesarean

Catherine saw me at eight weeks gestation for management of her 4th pregnancy. Her first three pregnancies had been unsuccessful. She told me in her first pregnancy she had a placental abruption with threatened preterm labour at 23 weeks. At 24 weeks her membranes ruptured and then there was foetal distress. That prompted a decision […]

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Vasa Praevia – An uncommon potentially fatal condition with an excellent outcome

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Vasa Praevia

Ashley saw me for her first antenatal visit for her first pregnancy at 9 weeks pregnant. Her pregnancy progressed well until the routine morphology ultrasound scan at 19 weeks when vasa praevia was suspected. The placenta was found on an ultrasound scan to be on the anterior uterus wall and was not low lying. The […]

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IVF twins, possible weak cervix, severe maternal heart racing sometimes to over 230 beats per minute

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Newborn IVF Twins

Sam saw me recently for her postnatal visit. She had had an extremely eventful pregnancy with an excellent outcome. Sam had two earlier pregnancies with me as her obstetrician. The first delivery was by Caesarean section because of the lack of progress in labour. The second delivery was by Caesarean section because of breech presentation […]

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Fantastic outcome despite a rare pregnancy complication and three previous pregnancy losses

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Adrianna

Adriana saw me with her husband for a pre-pregnancy consultation. She saw me for a second opinion. She wanted to discuss her obstetric history and my thoughts as to what could be done so she had a good pregnancy outcome next time. She had a history of three unsuccessful pregnancies and no successful pregnancies. She […]

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Two cases of suspected appendicitis in pregnancy with very different management

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Suspected Appendicitis - Pregnancy Discomfort

Acute appendicitis can be a very difficult diagnosis to make in pregnancy. Because of this, there can be a delay in making the diagnosis and surgically dealing with the inflamed appendix. With a delay, there is an increased morbidity risk. Appendiceal rupture occurs more frequently in pregnant women, especially in the third trimester, possibly because […]

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Reduced growth of baby with good pregnancy outcome

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Newborn Baby

Hannah saw me for management of her first ongoing pregnancy. She had two miscarriages in the past. There was no relevant history except she was hypothyroid and was taking thyroxine. The pregnancy started well. The first visit with me was at 10 weeks and there were no concerns. Her pregnancy was progressing well. She had […]

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Challenging pregnancy with a good outcome

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Newborn Baby

I was very excited to see a wonderful patient for the first antenatal visit of her second pregnancy. Sadly, her first pregnancy had not worked out as she had a mid-trimester loss. She has been diabetic since as she was five years old. She has an insulin pump and is under the care of a […]

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Baby had no heart beat at birth

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Newborn Stretching

It was Lydia’s first pregnancy. It had been totally uncomplicated. I saw her at 39 weeks and 0 days for a routine check and there were no concerns. During the early evening of the next day Lydia fainted at home whilst sitting on the couch. Her mother-in-law was with her. She was otherwise well. She […]

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Baby stopped growing

Posted by Dr Gary Sykes on - Latest Posts, Pregnancy complications
Newborn Baby

A 25-year-old patient attended at eight weeks pregnancy for her first antenatal visit of her first pregnancy. Initially, the pregnancy progressed normally and without any concerns. There started to be a slight fall-off in baby’s growth, first detected by ultrasound scan at 24 weeks of her pregnancy. There was less than one week’s discrepancy between […]

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