Re: PUPPS

[Bruce Ford]

Title: Re: PUPPS



Hi Sonya

I was a doula, recently,  for a woman who had PUPPS. Her symptoms were particularly bad in the last few weeks of pregnancy and she had the baby 10 days before "due date". Her rashes, blotches and itchiness diminished after the birth ( but she was taking medication too) and were almost gone at 3 weeks after birth. Not one week. This was her second child. 

Cheers Margie

From: "Barry MacGregor" <[EMAIL PROTECTED]>
Date: Fri, 31 May 2002 12:32:26 +1000
To: <[EMAIL PROTECTED]>
Subject: re: PUPPS


Thanks everyone for your replies.
All my lady's liver function tests have come back normal, however she had a haemoglobin test that went from 112 in one week to 90 the next.  Don't know if this is related or not.  I have asked all the senior midwives and doctors about PUPPS and all have said that it spontaneously resolves within a week after the birth and that it affects first time mothers only.  They have all been unable to direct me towards any literature on the subject like what is the cause.
Thanks again
Sonja
  

re: PUPPS

[Barry MacGregor]

Thanks everyone for your replies.
All my lady's liver function tests have come back normal, however she had a 
haemoglobin test that went from 112 in one week to 90 the next.  Don't know 
if this is related or not.  I have asked all the senior midwives and 
doctors about PUPPS and all have said that it spontaneously resolves within a 
week after the birth and that it affects first time mothers only.  They 
have all been unable to direct me towards any literature on the subject like 
what is the cause.
Thanks again
Sonja  

Re: PUPPS

[Kim Hunter]

Hi Sonja,

To find information previously send to list have
a look at the archives.

http://www.mail-archive.com/ozmidwifery%40acegraphics.com.au/maillist.html

The searching facility is very easy to use.  I did
a quick search myself, it brought up 11 messages that
seem to relate to your query.

Hope you find what you're after.

Regards
Kim


At 18:44 30/05/2002, you wrote:
>Dear all!
>I vaguely remember some information on this site previously on PUPPS.  As 
>a student midwife, I have a lady on which I am conducting a longitudinal 
>study - following her through her clinic visits, labour and post 
>partum.  However, now in her 37th week she has PUPPS.  The doctors want to 
>induce her, which she is happy about as it will stop the 
>itching.  However, I am wondering if anyone has any info this condition, 
>like remedies for the itches, and why it occurs.  Can't find anything in 
>the textbooks!!
>Thanks in anticipation
>Sonja
>
>Oh! I heard on the grapevine that Nepean's birth centre was stopped due to 
>lack of staff and clients.
>



-
Kim Hunter
Step Two Designs Pty Ltd
Knowledge Management Consultancy, SGML & XML

Content Management Requirements Toolkit
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[EMAIL PROTECTED]



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PUPPS

[Barry MacGregor]

Dear all!
I vaguely remember some information on this site previously on PUPPS.  
As a student midwife, I have a lady on which I am conducting a longitudinal 
study - following her through her clinic visits, labour and post partum.  
However, now in her 37th week she has PUPPS.  The doctors want to induce 
her, which she is happy about as it will stop the itching.  However, I am 
wondering if anyone has any info this condition, like remedies for the itches, 
and why it occurs.  Can't find anything in the textbooks!!
Thanks in anticipation
Sonja
 
Oh! I heard on the grapevine that Nepean's birth centre was stopped due to 
lack of staff and clients.  

Fw: Re: PUPPS

[Rhonda]

  
  

   
   
  Now just a strange thing I heard today that may be related and may be 
  a link - a guy I was talking to said that his wife during her second 
  pregnancy had a skin condition that made her itch and her skin peeled 
  badly - he said her teeth got bad and 'they' pulled them all out!  
  Bit drastic!  And 
  then they traced it to a problem with her spleen???
  It sounded strange to me but he said it almost killed her.  
  She must have been quite ill with it and the pregnancy triggered it in 
  some way.
  Hope this is of some help or interest!
   
  Rhonda.
   
  ---Original Message---
   
  
  From: Mary Murphy
  Date: Monday, 04 March 
  2002 08:40:37 PM
  To: Jo Slamen; [EMAIL PROTECTED]
  Subject: Re: 
  PUPPS
   
  Thanks.  I thought it must be that, but wasn't quite sure.  
  I have found chickweed ointmment etc. helpful for some but not all women. 
  MM
  
" As we trust the flowers 
to open to new 
life   
- So we can trust birth"Harriette Hartigan.--- 

   
  

  


  
  
    IncrediMail - Email has finally evolved - 
Click 
Here

Re: PUPPS

[trish]

Something like Puerperal Urticaria of Pregnancy...
In other words a symptom of Obstetric Cholestasis, I found a website that
would be useful, next time I'm at work! I'll post it if no-one else has.
trish
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PUPPs

[maxine hardinge]

sorry, should be plaques not pustules



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Re: PUPPS

[maxine hardinge]

My apologies to the list - PUPPs stands for Pruritic Urticarial Pustules and 
Papules of pregnancy.  From what I understand it is a skin condition only 
and not something more sinister (my friend has had liver function and 
biochemistry to exclude cholestasis and all results have come back normal).
It is however causing her unbearable itching and stress - lack of sleep 
compounding the discomfort and wearing her down.  She is 32 weeks but 
already asking for induction (the itching usually subsides once the baby is 
born).  I have a feeling that for her, it is related to her worries about 
being at home with two small children - feeling isolated and with no family 
support and few friends.  We have talked about hypnosis as a way of managing 
the itching and to help her get some sleep and she is keen to give it a go 
but neither of us know where to start looking.  She is in Melbourne.
I'm really hoping someone on the list can help.
Regards, Maxine


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Re: PUPPS

[Kleimar]

Yes, I agree with the previous definitions (but can never remember them all) 
I think the essential thing to remember is that the pruritis/severe itching 
can also be a symptom of choleostasis and so liver involvement should be 
ruled out. Once liver involvement is ruled out it appears that PUPPS is 
essentially a benign condition with extremely irritating symptoms. If 
antihistamines work, then the woman is lucky and she should get what relief 
she can, I personally haven't seen mum's get much releif until the the 
condition itself passes.  marilyn
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PUPPS

[Kirsten Blacker]

I can't remember exactly what the initials stand for,but it's essentially
severe itching in pregnancy - the U is for Urticaria it think.
The thing that bugs me here is that they give benadryl for it postpartum
which I don't like becaus it's an antihistamine and can affect early
lactation.
Also, anyone with severe itching in pregnancy should be also assess for
Intrahepatic Cholestasis of pregnancy because of the possible poor fetal
outcomes

Kirsten

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Re: PUPPS

[Mary Murphy]

Thanks.  I thought it must be that, but wasn't quite sure.  I 
have found chickweed ointmment etc. helpful for some but not all women. MM

  " As we trust the flowers to 
  open to new 
  life   
  - So we can trust birth"Harriette Hartigan.--- 
  

Re: PUPPS

[Jo Slamen]

From my limited understanding, it is an 
itching condition of pregnancy.  It stands for something like pruritic 
urticarial papules and plagues.  I knew I had heard of it and I've looked 
it up in one of my many books - found something about it in Deborah Cooper's 
book "Your Baby, Your Way".  
 
In it she recommends:
- applying 100% jojoba oil
- applying chickweed or nettle 
ointment
 dandelion beverages instead of 
coffee
- a glass of beetroot, celery and carrot juice per 
day
 
Jo
 

  - Original Message - 
  From: 
  [EMAIL PROTECTED] 
  To: [EMAIL PROTECTED] ; [EMAIL PROTECTED] ; [EMAIL PROTECTED] 
  
  Sent: Monday, March 04, 2002 5:50 
PM
  Subject: Re: PUPPS
  In a message dated 4/03/02 4:03:35 PM AUS Eastern Daylight 
  Time, [EMAIL PROTECTED] 
  writes:
  PLEASE, what is PUPPS? MMThank you 
  Mary for asking what I think many of us were wondering...Yours in 
  birth,Tina PettigrewBirthworksBachelor of Midwifery Student 
  Convenor, Aust B. Mid Student Collective.http://groups.yahoo.com/group/BMidStudentCollective[EMAIL PROTECTED]" 
  As we trust the flowers to open to new 
  life   
  - So we can trust birth"Harriette Hartigan.--- 
  

Re: PUPPS

[TinaPettigrew]

In a message dated 4/03/02 4:03:35 PM AUS Eastern Daylight Time, [EMAIL PROTECTED] writes:


PLEASE, what is PUPPS? MM



Thank you Mary for asking what I think many of us were wondering...
Yours in birth,

Tina Pettigrew
Birthworks
Bachelor of Midwifery Student 
Convenor, Aust B. Mid Student Collective.
http://groups.yahoo.com/group/BMidStudentCollective
[EMAIL PROTECTED]

" As we trust the flowers to open to new life
   - So we can trust birth"
Harriette Hartigan.
--- 

Re: PUPPS

[Mary Murphy]

PLEASE, what is PUPPS? MM

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PUPPS

[maxine hardinge]

Hi everyone,
I am asking for a friend of mine who is about 32 weeks (2nd baby, no probs 
first time) who has a severe case of PUPPS.  All blood tests have been 
normal but she is almost suicidal with itching/scratching especially at 
night - only getting a couple of hours sleep.  She hasn't had any relief 
from the medication ordered, and is wiling to try anything - I suggested 
hypnosis which she is keen to try but neither of us know anyone in Melb.  
She also thought of asking her TCM Dr about acupuncture.
Any suggestions would be great.
Maxine

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