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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Dead In Womb. Found Multiple Calculi In Gall Bladder. Further?

Sir, With clement and candid I want to elaborate a critical problem.The problem is as follows A lady aged 30 years was in a pregnancy stage.But the child inside the belly was dead.The baby was dead 3 days ago.She is now in Guwahati Medical College(Assam,India).The doctors found multiple calculli in the Gold bladder lumen.Both the Kidneys are mild swollen and echogenic.No calculus or hydronephrosis is seen in both the kidneys.The baby is still inside the belly.Due to these reasons they are not been able for doing operation. So sir kindly give me a suitable advice and help me.Kindly tell me what should I do now?Is it curable?
Thu, 8 May 2014
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OBGYN 's  Response
Hello and welcome,

I completely understand your problem.

Please do not worry.

The gall stones are not an issue in this case as they are very common and are not related to the procedure. Everything depends upon how big the pregnancy is, what is the obstetric history of the patients [ does she have previous normal deliveries or cesarean sections] and how is the kidney function test and coagulation profile [ blood clotting tests] report.
If the reports are normal and she had previous normal deliveries then there is no need to operate as a trial of labor can be given [ if the pregnancy is big], if it is less than 12 weeks a small procedure called D and C is done.

It is better that she is in a well equipped hospital where there are facilities for blood transfusion and platelets as well as other blood products are available as she may have bleeding problems. So please discuss these with your doctors there and they will guide you through the procedure.

I am always here if there are any more queries. Take care and all my good wishes are with you.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Child Dead In Womb. Found Multiple Calculi In Gall Bladder. Further?

Hello and welcome, I completely understand your problem. Please do not worry. The gall stones are not an issue in this case as they are very common and are not related to the procedure. Everything depends upon how big the pregnancy is, what is the obstetric history of the patients [ does she have previous normal deliveries or cesarean sections] and how is the kidney function test and coagulation profile [ blood clotting tests] report. If the reports are normal and she had previous normal deliveries then there is no need to operate as a trial of labor can be given [ if the pregnancy is big], if it is less than 12 weeks a small procedure called D and C is done. It is better that she is in a well equipped hospital where there are facilities for blood transfusion and platelets as well as other blood products are available as she may have bleeding problems. So please discuss these with your doctors there and they will guide you through the procedure. I am always here if there are any more queries. Take care and all my good wishes are with you. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist