Re: [ozmidwifery] Carpel Tunnell Syndrome

[Kirsten Blacker]

I think the reason why some women get MORE odema after birth before it resolves is the large amount of IV fluids given during the in-hospital labour experience, especially if epidurals or c/birth JMHO Kirsten Blacker ----- Original Message ----- From: Mary Doyle To: ACE Graphics Sent: Tuesday, February 03, 2004 5:45 PM Subject: [ozmidwifery] Carpel Tunnell Syndrome Dear List Readers,   I have had a number of pregnant women recently with severe carpel tunnell syndrome, especially in the hot weather. Some have had severe symptoms with constant pain and numbness to fingers, wrists and forearms, and subsequent sleeplessness. Some tried remedies have been wrist splints, massage and lymph drainage (as in those with post-mastectomy lymphodema) , diuretics, and sleeping tabs - all to no avail!  The only remedy it seems is to birth the baby. Even then I have known one woman with permanent numbness and hand/finger pain following the birth.   I am interested in the antenatal management of this if anyone has any information, and I am also generally interested in the physiology of a woman's diuresis after birth.  I am often surprised at the dramatic difference in facial appearance of a postpartum woman who has been been very puffy prior to birth.   eg:-          Why to some women get more oedema after birth before it starts to settle?                 What sort of volumes are we talking about in relation to postpartum diuresis?                 What happens to the balance of maternal electrolytes during this rapid postpartum diuresis?   Hope to hear some new info, Cheers to all.   Mary Doyle Community Midwife Bright, Victoria