Case 49 – update 1

Partner testing reveals beta- thal trait.  How would you council this lady?

The patient was commenced on hydroxycarbamide two years ago due to recurrent acute chest crisis.   As suggested by one of our followers – advice would be to stop hydroxycarbamide pre- conception.  She is not currently on a transfusion regime.

Chronic disease assessment has included retinal screening (signs of proliferative retinopathy), echo (pulmonary hypertension), urine dip(proteinuria- should also check BP), bloods for basic renal function and liver function, and screening for red cell antibodies.

Folic acid medication has been suggested.  The patient is now 12 weeks pregnant- what further medications you would suggest?

What is the recommended USS screening programme?

 

when would you consider transfusion in pregnancy?

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