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juliaoceania -> RE: they want ANOTHER baby? (8/15/2010 12:46:00 PM)
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quote:
ORIGINAL: sirsholly
quote:
Women have high risk pregnancies every day. It is very common for women in their late 40s to have kids, if it is okay for older women to take on this increased risk to themselves and their unborn, why is it wrong for her? Only because she has so many kids she will leave behind? As a mom...my first obligation is to the kids i already have.
The odds of a healthy pregnancy are not in her favor, considering her age (women over 40 have a 10 or 15% increased risk of an eclamptic pregnancy) and the fact that she already had one eclamptic pregnancy increases her risk by another 25%. She has nearly a 40% chance of eclampsia. Those are not winning odds.
So, if a woman in her 40s with a health condition gets pregnant and she had one preexisting child, would that make the decision better?
Here if the thing, I looked up eclampsia, and if a woman is predisposed to this condition it is treatable.
quote:
Prevention
Detection and management of preeclampsia is critical to reduce the risk of eclampsia. Appropriate management of patients with preeclampsia generally involves the use of magnesium sulfate as an agent to prevent convulsions, and thus preventing eclampsia.
[edit]Treatment
The treatment of eclampsia requires prompt intervention and aims to prevent further convulsions, control the elevated blood pressure and deliver the fetus.
[edit]Prevention of convulsions
Prevention of seizure convulsion is usually done using magnesium sulfate.[11] The idea to use Mg2+ for the management of eclamptogenic toxemia dates from before 1955 when it was tested and published—the serum Mg2+ therapeutic range for the prevention of the eclampsic uterine contractions is still considered: 4.0-7.0 mEq/L[12]. As per Lu and Nightingale [13], serum Mg2+ concentrations associated with maternal toxicity (also neonate depression or hypotonia and low Apgar scores) are:
7.0–10.0 mEq/L - loss of patellar reflex
10.0–13.0 mEq/L - respiratory depression
15.0–25.0 mEq/L - altered atrioventricular conduction and (further) complete heart block
>25.0 mEq/L - cardiac arrest
Even with therapeutic serum Mg2+ concentrations, recurrent convulsions and seizures may occur—patients would receive additional MgSO4 but under close monitoring for respiratory, cardiac and neurological depression: 4–6 g loading dose in 100 mL IV fluid over 15–20 min., then 2 g/hr as a continuous infusion[3]. If high Mg2+ concentrations fail to take effect, IV anticonvulsants will ease patient intubation and mechanical ventilation as adjuvants against the eclamptic convulsions (plus the hypermagnesemic thoracic muscle paralysis). Recently the long-term implications of the magnesium sulfate therapies were evaluated by the international MAGPIE study.[14]
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