December 23 6:30 AM – OBGYN

Meeting with Dr. Mohan regarding Becky

• Swelling
  • This is normal
  • Can last up to a week
    • Condition is temporary and will go away on its own
  • Treatment: As much movement as can be tolerated with pain. Also patience.
• Pain
  • Pain is being managed and is normal
• Blood Pressure
  • This is the most active area of treatment for Becky
  • We are actively watching Becky’s BP and titrating medication appropriately to keep Becky’s BP out of severe ranges
  • This will continue beyond discharge, and will be managed outpatient by HVMA OBGYN
• Clotting
  • As a result of pre-eclampsia and a c-section, Becky is at higher risk for blood clots
    • This is normal and expected
• Peripartum Cardiomyopathy
  • We will call this PPCM to save time
  • This is remarkably rare, and very easy to spot
    • Dr. Mohan indicated that on average, they see one patient per year with this condition in Beth Israel
    • This would be accompanied by
      • Severe chest pain
      • Unexpected drops in heart rate
      • Other huge swings in vital signs would be accompanied
  • They are aware that Becky is at risk for this but are continuing to monitor and not concerned at this time about her having this.