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What precautions should be taken when the for low fetal heart beat during pregnancy? - Online Doctor Chats

Date : 12-Jan-2014
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor:She is not available at this time
Doctor:If you feel comfortable I can help you
User:This is regarding my wife
User:I want to share one report
User:How can I send you?
Doctor:You can send it YYYY@YYYY
Doctor:and address it to my name
User:One min
User:I have just sent you
User:You will be gettingin a XXXXXXX
User:Let me give you some backgriund
User:Wy wife is 6 weeks pregnant
User:Today she had an early pregnancy scan
User:Heart beat is 86bpmI
User:Way below normal
Doctor:whose heart beat is it?
User:Our hopes are diminishing
Doctor:It is the baby's heart beat
Doctor:What else came in the report?
User:I am sending the report
Doctor:Your wife needs adequate rest
Doctor:physical, mental and emotional rest
Doctor:Is there any bleeding?
User:Not yet
User:She had already one miscarriagein may 2013 during 6th week of pregnancyI
Doctor:I am sorry to hear that
Doctor:I will recommend that you repeat the test in a week
User:We are losing hopes again
Doctor:It is a little early
Doctor:Sometimes the changes are only for sometime and heart beat gets normal later
User:We dont know what to do
Doctor:You cannot do much apart from hoping that the pregnancy will continue
Doctor:You need to repeat the test to see where it is going
User:What precautions she should take
Doctor:Mostly the heart becomes normal
Doctor:She should take complete rest
User:Sheis taking test on 7th janI
Doctor:Not to pick heavy weights
Doctor:Let us see what shows up in that test
User:She does not pick up heavy weights
User:She vomits some times
User:Especially during night
Doctor:She should also avoid foods that may be abortifacient like papaya and other foods considered "hot" in ayurveda
Doctor:She should also continue her vitamins and drink milk
Doctor:Vomiting is a sign of pregnancy
Doctor:You need to re-assure her
Doctor:Her friends can also support her
User:Sheis taking only folic acidI
User:No other vitamins
User:And thyronorm 25mcg
Doctor:Though iron may be needed in some pregnant women who are anemic
Doctor:Did she get her thyroid status checked after pregnancy?
Doctor:It is slightly out of range
Doctor:Did she have any symptoms of hypothyroidism?
Doctor:Are you there?
User:U there?
Doctor:I wanted to know about T3 and T4 levels
User:Symptoms likes?
Doctor:weakness, fatigue, weight gain, etc
Doctor:Since when is she taking thyronorm?
User:Since last pregnancy
User:No weakness or weight gain
Doctor:Has she noticed any symptoms since taking thyronorm like anger, irrtability, etc
User:Angerirritability is always thereI
Doctor:Let me send you some more symptoms
User:Did u get my email
Doctor:not yet
Doctor:How about symptoms like racing of heart, heat intolerance, increased sweating, weight loss
User:It should be recevingit nowI
User:Can you please check
User:Nothing like this
Doctor:I got the results
Doctor:Give me a min to go through them
User:She gets angry very often and rritation also
User:Apart from thst nothing else
Doctor:I was thinking if she is taking thyronorm- high dose
Doctor:If the irritability is related to thyronorm, then symptoms happen after taking the dose
Doctor:In the report, babyhas fetal bradycardia
Doctor:It means that the fetal heart rate below 100 bpm
Doctor:It means that if in the next ultrasound also the heart rate is low, then she may need more tests
User:Hopes are less
Doctor:I would ask you to keep the spirits high, as low energy will bring wrong gesture to your wife
User:I wanted to share with you her blood test reports
Doctor:Other tests that she may need is to check for antibodies for a condition called as systemic lupus erythematosus
User:She is travelling to office by bus
Doctor:I would also recommend that you get her evaluated for thyroid status by an endocrinologist
Doctor:Buses can be bumpy
User:She should continue or work at home?
Doctor:Work from home is best
Doctor:In fact she may take a leave for some days if possible
Doctor:exertion is not recommended
User:But is there any chance pregnancy will continue?
Doctor:Yes there are high chances
User:Give me 2 mins
User:I will share her blood test report
Doctor:I would also recommend a fetal echocardiography test to detect any structural anomaly of the heart
Doctor:TPO-Antibody is a test to detect antibodies against thyroid
Doctor:Mostly two causes can cause bradycardia - auto-antibodies and cardiac defects
Doctor:These two factors can be checked by her treating gynecologist
Doctor:Did you send the blood test report?
User:Thereis some network issue
Doctor:if it is not a big report, you can manually type it here
User:I will send you later
User:Please reviw
User:And let me know
Doctor:Is it about thyroid?
Doctor:You can type the T3 and T4 levels here
Doctor:TSH I already know
User:One min
Doctor:Are you there?
Doctor:Are you there?
Doctor:It seems that you are not responding
Doctor:Please login again to chat with a doctor
Doctor:I am XXXXXXX from XXXXXXX medical support team. The doctor is busy with another patient on phone. Would you want me to arrange a call back from the doctor in next 10-15 minutes ?
Doctor:Ok, I shall arrange a phone call with a doctor within next 10 to 15 minutes. Can you please let me know your contact number ?
Doctor:Thank you for visiting XXXXXXX Bye for now.
User:Is dr. XXXXXXX available
Doctor:I am Dr. XXXXXXX
Doctor:how may I help you?
Doctor:hello area you there?
User:I need an reference for an endocronologist in bangalore
User:Near whitefield or marathalli area
Doctor:OH... I am sorry, I don't have that information, you can request for fixing an appointment
Doctor:from your dashboard
Doctor:if you have that option
User:I will do that
Doctor:okay, is there anything else I can help you with?
User:nothing else
User:Thanks for the help
User:Good night bye
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