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Body started swelling after foetus death at 38 week pregnancy. What could be the reason?

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Practicing since : 1983
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Hi, we lost out child at 38th week of pragnancy. My wife had severe swelling through out the body. we dont know the reason for the fetus death. one day she had got lot of swetting and we gave her salt water and sugar and an XXXXXXX she got normal after that. from that night she didn't find fetus movements. beore pregnency her weight was 87 kg later now she is 83 kg. the baby was almost 4kg weight. but we dont know the reason why her weight is not dcreesed. we did urnie and thyroid test, her TSH is 5.02mlu/mL and pus cells4-6/HPF, R.B.c: 15-15/HPF, Epithelial cells : 2-3/HPF. please let me know how to take care of her.
Posted Wed, 17 Oct 2012 in Abortion and Stillbirth
Answered by Dr. Minoo Bhagia 2 hours later

Thanks for writing to us

Swelling all over the body at 38 weeks is usually due to PET or pre-eclamptic toxaemia of pregnancy.If two signs out of these three are present , wetake it as a case of toxaemia.These signs are :

1) swelling all over body especially on feet
2) albumin in urine
3) High blood pressure.
In PET there can be placental insufficiency and Intrauterine death.Other cause of fetal death can be cephalopelvic disproportion as you have mentioned the weight of baby was 4 kg so C-section should have been done earlier with regular follow ups.

Other cause of big baby with IUD can be gestational diabetes.I hope doctors did GTT for that.

Third cause can be hypoprotinemia with anemia but in that case the weight of baby is usually less and it is a growth retarded baby or IUGR baby so chances of third cause seem less to me.

Taking salt water with sugar and XXXXXXX will not cause death in one day , there must be an underlying cause which was not detected.

Now get her regular BP check up done as well as blood sugar levels and VDRL tests done.Retina check up should also be done.
Salt restricted diet is always good for the weight control.
As she has lost her baby so try to keep her happy and plan for the next after 6 months with proper evaluation and diagnosis.I would like to know the mode of delivery , whether it was vaginal delivery or LSCS.

Best wishes and take care

If you want to ask anything else you are most welcome.
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