Re: [ozmidwifery] vulval varices
I recently had a woman who I believe had a vulval varices that I felt on VE prior to birth although at the time I was not exactly aware that that was what I was feeling. After birth she had profuse bleeding from what appeared to be a laceration but I could not explain from the birth. Anyway it kept belleding profusely despite all measures to stop it until I finally insisted on suturing it because I was concerned about what could have been a fatal blood loss if left. It was enough to have me extremely concerned. So I could see how it could happen. Andrea On 06/06/2005, at 8:14 PM, Lindsay Kennedy wrote: x-tad-biggerHi/x-tad-bigger x-tad-biggerI am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. /x-tad-bigger x-tad-biggerCheers/x-tad-bigger x-tad-biggerLindsay/x-tad-bigger x-tad-bigger /x-tad-bigger No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
[ozmidwifery] vulval varices
Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
RE: [ozmidwifery] vulval varices
Lisa, I searched the MIDIRS data base for you. Not one mention of V,V out of about 165 entries in that area. I also searched some other data bases No luck. I have had a number of women with this condition and there have not been any problems at birth. Sorry, thats the best I can do. cheers, MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Lindsay Kennedy Sent: Monday, 6 June 2005 6:15 PM To: ozmidwifery@acegraphics.com.au Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay
Re: [ozmidwifery] vulval varices
Lindsay: I don't know if there is any evidence on this, I have only anecdotal info: I have seen vulval varices on several homebirth clients in the USA. First thoughts were in alignment with Foote. However at least 2 of the women stated they had them during previous births and all went well which in deed it did. What was also reassuring was the advice of other midwives who were attending homebirths who stated it was not uncommon to see vulval varices and they in fact were not a problem during birth. Midwifery Today archives might have some info. marilyn - Original Message - From: Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 3:14 AM Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
Re: [ozmidwifery] vulval varices
Lindsay: there are some articles and reviews on pubmed. I entered "vulval varicosities" AND birth and got nothing but I did get 3 articles whenI deleted "AND birth". If you then go to the related articles button you will get some interesting papers. I've pasted one below on vulval varicosities in pregnancy. It seems despite the appearance and discomfort of vulval varices they do not pose a threat or risk to the mother and if they bleed can be controlled with pressure. However, little research has been done. marilyn Rev Fr Gynecol Obstet. 1991 Feb 25;86(2 Pt 2):184-6. Related Articles, Links [Vulvar varicosity and pregnancy][Article in French]Marhic C.Poorly recognised, despite being common, in particular during pregnancy and above all in multipara, this familial condition falls within the context of venous disease in general. Slight during a first pregnancy, vulval varicosities develop all the earlier and are larger as the number of pregnancies increases. They cause discomfort, heaviness in the pubic region, sometimes pruritus or even pain, which is most often relieved by lying flat. Complications, which are uncommon, may give rise to exacerbation of the clinical symptoms described above in relation with a notable increase in size and, more rarely, traumatic ruptures which respond to compression. They disappear completely post-partum. Often poorly tolerated during successive pregnancies, the symptoms of vulval varicosities of pregnancy are significantly relieved by phlebotonic agents.PMID: 1767171 [PubMed - indexed for MEDLINE] - Original Message - From: Lindsay Kennedy To: ozmidwifery@acegraphics.com.au Sent: Monday, June 06, 2005 3:14 AM Subject: [ozmidwifery] vulval varices Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this outgoing message.Checked by AVG Anti-Virus.Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005
RE: [ozmidwifery] vulval varices
Hi Marilyn, I am always amazed that the same words entered into a search engine appear to bring up different results. Then again, searching late at night might just be the reason why I couldnt get any results specific to vulval varicosity. Thanks for including the search tips in your reply to Lindsay. It is helpful to us all. Cheers, MM From: owner-ozmidwifery@acegraphics.com.au [mailto:owner-ozmidwifery@acegraphics.com.au] On Behalf Of Marilyn Kleidon Sent: Tuesday, 7 June 2005 10:21 PM To: ozmidwifery@acegraphics.com.au Subject: Re: [ozmidwifery] vulval varices Lindsay: there are some articles and reviews on pubmed. I entered vulval varicosities AND birth and got nothing but I did get 3 articles whenI deleted AND birth. If you then go to the related articles button you will get some interesting papers. I've pasted one below on vulval varicosities in pregnancy. It seems despite the appearance and discomfort of vulval varices they do not pose a threat or risk to the mother and if they bleed can be controlled with pressure. However, little research has been done.
RE: [ozmidwifery] vulval varices
Just remembering a VBA2C. Her second C/S was recommended by her ob because of the VV. She had a beautiful VBA2C with no problems with the VV. She did a lot of grieving about her second C/S. Sally Westbury
Re: [ozmidwifery] vulval varices
Hi Lindsay, I worked with a woman throughout her pregnancy birth who had a vulval varicosity (the size of half of one of my fingers). Came up about 30 weeks of pregnancy (after a long car trip interstate), she was concerned that it would 'be a problem' during her birth. At the time (this was about a year ago) I looked everywhere for refs for her. What I found was not very helpful or numerous (sorry!). She had a great birth, but during the process of labour her vulva became so swollen that when the Dr. went to suture a 2nd deg tear, the stitches pulled right thru, she had to be sutured the next day after the swelling had subsided. Antenatally she used witchhazel tincture on it for a while it did subside slightly, but it only went away fairly completely postnatally. I believe that this oedema was directly related to the varicosity, as she didnt have a protracted labour or 2nd stage, or a lot of VE's etc... this hadnt happened in her other birth. Theoretically I can see that the possibility of rupture during labour could exist, but Im not sure how 'dangerous' this could be (ie 'fatal haemorrhage'), or how likely it would be to rupture. Sorry Im not more helpful! Jennifairy Lindsay Kennedy wrote: Hi I am doing some research into varicose veins for an assignment. According to Foote (1960), it is possible that extensive vulval varices could rupture during birth and cause fatal hemorrhage. Does anyone know anything about this subject? It is the only bit of research I found that said this. But there is very little info on vulval varices at all. Cheers Lindsay No virus found in this incoming message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- No virus found in this outgoing message. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.6.2 - Release Date: 4/06/2005 -- This mailing list is sponsored by ACE Graphics. Visit http://www.acegraphics.com.au to subscribe or unsubscribe.
