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HELLP syndrome patient today



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  #11  
Old Jul 26, 2006, 02:03 PM
SmilingBluEyes's Avatar
Temper-MENTAL Redhead
Join Date: Apr 2002
Re: HELLP syndrome patient today

yes if Mom is at all stable, we will wheel her in to see (and hold if possible) her baby. ANY time we can do that we make it a priority.

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  #12  
Old Jul 26, 2006, 03:31 PM
Registered User
Join Date: Feb 2005
Re: HELLP syndrome patient today

I can totally relate to the moms not getting to see their babies because of meds.
I delivered at 28wks due to preeclampsia and was on Mag. It was pure torture. I think I finally whinned enough the nurse took me down at about 22 hrs post op. I only lasted a few minutes but that's all I needed!
Pictures are not the same as touching and seeing. I had a lot of guilt. I got preg 3 yrs after having my tubes tied and hadn't come to the terms of having another child..I was done! That all change the moment I touched him. He has been a true blessing to our family!

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  #13  
Old Jul 28, 2006, 09:03 PM
?burntout (Female)
Registered User
Join Date: Sep 2002
Re: HELLP syndrome patient today

Originally Posted by Gompers
I have another question. We get a lot of babies from pre-eclamptic moms, as I stated before. The moms are usually on mag for 24 hours post delivery, and during this time they cannot come up to the NICU and visit. Is this because they need continuous monitoring or because they cannot sit up in a wheelchair? We've only had one or two come up in emergency situations and they're brought up on a gurnee. I'm just wondering about it because I don't remember learning too much about mag when I was in my OB rotation.
Gompers, when my DD was born last year at 32 weeks due to severe preeclampsia/HELLP Syndrome, I was on mag for the 24 hours post-delivery and I was allowed to go see my DD once the day after her birth, while I was still on mag, because I insisted. They didn't want me up OOB hardly at all because my reflexes were still very hyper and they were scared I would start seizing. My nurse wheeled me down to the NICU and I got to stay for 5-10 minutes which I was still pretty groggy from the mag and my PCA (repeat c-section) and then I was taken back to my room and put back to bed until the mag was d/c'd later that night.

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  #14  
Old Jul 29, 2006, 06:48 PM
Registered User
Join Date: Sep 2005
Re: HELLP syndrome patient today

Speaking of HELLP patients that go south quickly...today I had a mom who had come in a few days ago at 29+ weeks with some transient abdominal pain, but otherwise asymptomatic for PIH, pressures WNL, labs fine. they did gallbladder u/s which was fine, baby looked great, and so she was discharged home after a day or so. Yesterday she presented to the ER with severe RUQ pain, again asymptomatic otherwise and labs initially WNL. At noon her platelets were 126,000; I'm not sure why the physician ordered repeat labs so soon but at 1400 they were in the 90,000's and liver enzymes starting to climb and an urgent section was called; by 1700 platelets were around 40,000 and liver enzymes through the roof. that just doesn't seem like it should be physically possible!

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