Patients get a lot of rashes in pregnancy. This one has to be the rash that is named essentially "a rash" for lack of a clearer description. So pruritic: "itchy" and urticarial : "allergic" reaction and papules: "bumps" and plaques: "flat red bumps". The Brits like PEP instead of PUPPP. Their PEP stands for poylmorphic: "lots of different types" eruption of pregnancy. Now you know almost as much as the experts know. It's common: every couple of hundred prego women with one babe will get it. It's usually a condition of the first baby, and a bit more common in twins (about one in 50) . Extra stretch on the stretch marks or extra stretch marks might be a partially inciting factor. Faces are spared, but we don't know why. Steroid creams work well to control the itch. And after months of itching the moms often find it's completely gone a few days after birth! Sweet relief just in time for diaper duty!
Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you
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