postpartum labs - Mothering Forums

Forum Jump: 
 
Thread Tools
Old 08-16-2007, 01:01 AM - Thread Starter
 
mysticmomma's Avatar
 
Join Date: Feb 2005
Location: Baltimore
Posts: 5,516
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
What bloodwork do you find useful in a pp woman. I am having a physical in a few weeks and want to ask for what I need. My birth was in Feb and was a UCish type birth.

hh2.gif

mysticmomma is offline  
Sponsored Links
Advertisement
 
Old 08-16-2007, 12:51 PM
 
JunipersMom's Avatar
 
Join Date: May 2006
Posts: 796
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
From a birth that occurred 6 months ago - there wouldnt be anything in bloodwork that would be needed postpartum, no matter where or how the birth occurred. I would think it would just be a normal physical - nothing to do with the birth.
JunipersMom is offline  
Old 08-16-2007, 06:44 PM - Thread Starter
 
mysticmomma's Avatar
 
Join Date: Feb 2005
Location: Baltimore
Posts: 5,516
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
thyroid function, cbc... please list even if it seems standard for a physical.

hh2.gif

mysticmomma is offline  
Old 08-16-2007, 09:38 PM
 
Jane's Avatar
 
Join Date: May 2002
Location: Kenmore, Washington
Posts: 6,956
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Well, every year I get a Pap, complete CBC + thyroid (T3, T4, TSH) + cholesterol panel + fasting blood sugar. Because I work in heath care (), I get HIV, Hep B & C. I used to get tb skin tested occasionally (not the once a year suggested by the state), until I got exposed to tb...
That's somewhat customized for me b/c of my risk factors/family history. You could consider HSV testing, Chlamydia, Gonorrhea, Colon screening (occult blood or more invasive tests), breast screening, liver panel, or kidney panels, osteoporosis numbers, etc. The value of a health care provider is that you shouldn't have to come up with this stuff...and if you do, they'll help you figure out which ones are prudent for you.

Homebirth Midwife biggrinbounce.gif

After 4 m/c, our stillheart.gif is here!

Jane is offline  
Old 08-16-2007, 10:21 PM
 
bryonyvaughn's Avatar
 
Join Date: May 2007
Posts: 851
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by Apricot View Post
...I used to get tb skin tested occasionally (not the once a year suggested by the state), until I got exposed to tb...
FWIW I think *everyone* testing for TB should avoid the skin test. It is a human blood product (think of all the viruses for which they don't screen) *and* the more often you get them the more likely you'll get false positives which will require chest x-rays whenever TB testing time rolls around. A safe alternative is the QuantiFERON-TB Gold test. It's basically the same stuff except instead of injecting it into you, they draw your blood and mix in with the biological in a test tube and read the results there. You're not taking in anyone else's viruses or DNA/RNA and not increasing your chances for false positives and future chest x-rays.

~BV
bryonyvaughn is offline  
Old 08-17-2007, 01:21 AM
 
Charmie981's Avatar
 
Join Date: May 2002
Location: Louisiana
Posts: 4,368
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
Quote:
Originally Posted by bryonyvaughn View Post
A safe alternative is the QuantiFERON-TB Gold test. It's basically the same stuff except instead of injecting it into you, they draw your blood and mix in with the biological in a test tube and read the results there. You're not taking in anyone else's viruses or DNA/RNA and not increasing your chances for false positives and future chest x-rays.
Gee, if only I had read this yesterday morning . I had been avoiding a TB skin test for my Arkansas license because I was pregnant, but now that I'm not anymore, I went and got it yesterday with no research (because I was sure I didn't want to know...turns out I was right ). I have it read tomorrow, but I'll keep this in mind for future tests, should they be indicated.

Apricot, how did you get exposed to TB? I was worried that mine would be + because of my stint in the Philippines, but it seems to be negative so far (12 hours or so to go).

As for pp bloodwork (yeah, I'm going to get on topic!!), I wouldn't ask for anything in particular, except a TSH and T3 and T4, because sometimes pregnancy can effect thyroid function, and even that isn't standard unless there are symptoms. Otherwise, any problems would have shown themselves by now for sure.

Charlotte, midwife to some awesome women, wife to Jason, and no longer a mama to all boys S reading.gif('01), A nut.gif ('03) S lol.gif ('08) and L love.gif ('10).
Charmie981 is offline  
Old 08-17-2007, 01:41 AM
 
Jane's Avatar
 
Join Date: May 2002
Location: Kenmore, Washington
Posts: 6,956
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
As far as I can find out, the mantoux PPD (purified protein derivative) comes from cultured tb, not blood. After all, tb doesn't live in the bloodstream, but instead inside tissues. I used to do tissue culture, so I'm pretty familiar with the techniques and have a comfort level with being tested. But my personal physiology is such that I don't want to be tested every year.

Charmie, I'm not sure where I was exposed. It's been 5 years since my last negative test. It could have been overseas, or in clinic, or at the mall, or from a family member...now I have to decide when/if I want to do the prophylatic treatment.

Homebirth Midwife biggrinbounce.gif

After 4 m/c, our stillheart.gif is here!

Jane is offline  
Old 08-17-2007, 11:44 AM
 
blue_bug's Avatar
 
Join Date: Jun 2007
Posts: 136
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
you could also get a cmp (complete/comprehensive metabolic profile) done. it will tell you your liver enzymes, blood sugar...basically checks your liver, kidney functions as well as electrolytes, blood proteins...
blue_bug is offline  
 
User Tag List

Thread Tools


Forum Jump: 

Posting Rules  
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off