Infections in pregnancy present a particular problem. The pregnant
woman's immune system has to adapt to what is essentially a foreign
substance in her midst: her fetus. Because of this, exactly how she
responds to invading viruses, bacteria and parasites may not be the same
as how she responds when not pregnant. Generally we think of our responses to infection in pregnancy as still pretty good so they say that this is one of the "paradoxes of pregnancy." But, it may not always be so, and iinfections, that are so mild
as to not be on anyone's radar may suddenly become very interesting when
they occur in a pregnant woman. We heard about this with swine flu, and infections like malaria. With malaria even women who are supposed to be immune because of prior infections can suddenly become susceptible again if they get pregnant! So it is with the infection from a food born bacteria called listeria is one such
disease that can be quite important if you are a pregnant woman.
Fortunately it's so rare! And so hard to diagnose! And more common in
Pregnant patients that in the general population! A 2008 MediReview
artical said about 20 times more common. The actual disease is
Listeriosis. It is due to the bacteria Listeria monocytogenes. We
fight this bacteria off with so called cell mediated immunity, which is
a bit less functional in the pregnant patient. When you get sick, most
only seem to be "sort of flu-like", but severe illnesses that progress
all the way to seizures, brain infections and heart infections have been
reported. The fetus could get infected, and only blood cultures from
the mom or amniotic cultures from the uterus can really prove a case.
Most outbreaks are from contaminated foods such as deli meats or
non-pasteurized cheeses. And so this is where it is very important not to over eat these sorts of foods. Always wash your counters well if you've been
preparing those sorts of foods on them, and if youdevelop odd symptoms or have a persistent
fever, call your gyno!
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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