What is excessive pushing and who is to say that she will have
to do it? Is the downside of excessive pushing worse than the
downside of post CS infection, which I have seen some nasty
cases of.
Cheers
Judy
--- Katrina Flora [EMAIL PROTECTED] wrote:
Hi All, has anyone had any experience with caring for a woman
with primary lymphedema?
A friend of mine has this condition and is 24/40 at the
moment. Her symptoms haven't worsened through the pregnancy up
to this point. I have had a look at a few databases and texts
and it seems there hasn't been any research done in this area
and there aren't any guidelines for management of
pregnancy/birth for these women.
So I'm looking for any anecdotal evidence in this area. It
seems that the real risk in this situation is with postpartum
infection, so logic would say avoid acquiring a caesarean
wound. But she has been told that excessive pushing during 2nd
stage could be problematic for her in that most of the lymph
nodes she's missing are in her groin and her edema is in her
legs.
What do you think?
Many thanks,
Katrina Flora
Student Midwife, 2nd year ACU
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