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    Born from Kidney Transplant Mother
    Born from Kidney Transplant Mother
    Born from Kidney Transplant Mother
    Ebook169 pages1 hour

    Born from Kidney Transplant Mother

    By Kesorn Pechrach

    ()

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    About this ebook

    This Born from Kidney Transplant Mother book is written from the author's experience as kidney transplant. She was in the end stage kidney failure and received a live kidney transplant from her sister. Afterward, she had gone to have three experienced pregnancy with miscarriage, stillbirth and prematurity. It is based on some theory and 12 years of data collections about the condition of the kidney transplant mother before pregnancy, during pregnancy and after giving birth including the development and growth of her premature baby. This book would be useful for the kidney transplant woman who wants to have a baby, medical staffs and people who interest in kidney transplant.

    LanguageEnglish
    PublisherPechrach Publishing
    Release dateMay 15, 2016
    ISBN9781533753182
    Born from Kidney Transplant Mother

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      Book preview

      Born from Kidney Transplant Mother - Kesorn Pechrach

      Introduction

      When I was pregnant as a kidney transplant mother, I try to research and find out information about the pregnancy and kidney transplant mother. Unfortunately, I found nothing much and nothing is answer my questions. After I lost my first pregnancy, I have no concerned because I had been reassured it is common for general woman.

      However, when I lost the second pregnancy with stillbirth at 23 weeks and 5 days, I know it is not common anymore. I started to find out more about my immunisation medicine that I took during my pregnancy, what are they affect to the baby in the womb, how damage of my kidney transplant during pregnancy and outcome of the baby after birth. Again, I was disappointed and nobody can answer those questions.

      With my third pregnancy, I started to keep records of documents, keep close eyes on my health, my kidney transplant and my pregnancy. As we have known, only one kidney transplant has to work for myself and for the baby inside my womb. It has to work harder for two people than only one. The bigger the baby, the harder it works.

      The delivery time is set when the health of the kidney transplant alarm with the high blood pressure, which could damage her internal organ and lost her transplant kidney function forever. Therefore, it would be on the safe side to deliver the baby while the health of the kidney transplant mother still has no too much harm done. It is in the win-win situation.

      Although the baby was born premature, the consultants and doctors would make sure it can survive with the help of the premature baby unit, SCABU and NICU. At the beginning the premature baby would look so small compared to the full term baby. However, by the time when they are two years old, they would look the same and could not see the difference between them.

      I hope this book will shed some light to the kidney transplant women who wish to have her own baby to prepare her mind and her body. To learn from my experience about what process she will go through and what is the outcome could be happening. I wish I had this book when I started my family and got pregnant.

      Dr. Kesorn Pechrach Weaver

      15 January 2016

      England, UK

      Acknowledgments

      I would like to thank my beautiful son, Neran J. Pechrach Weaver and my amazing husband, Dr. P. M. Weaver for enthusiasm, advice, suggestion and non-stop supporter while I was writing this book. 

      Many Thanks to my awesome family in Thailand for their continuous support, understanding and encouragement.

      Special thanks to my kidney donor sister: Miss Somjan Pechrach for giving me a new life and opportunity to distribute this knowledge to mankind.

      My best friends Rajiya Sultana, Anna Wlodarczyk and Kanae Jinkerson for their cheerfully support.

      Thanks to Prof. J.W. McBride, Prof. J. Swingler, Prof. Suleiman M Sharkh, Peter Wheeler and Peter Wilkes for their support while I was in the end stage kidney failure.

      Thank you to Mr Christoph Lees, Dr Kate Farrer, Miss Fatemeh Hoveyda, Dr Peter Yeh, Dr Amanda Ogilvy-Stuart, Dr H Wong, Lynne Radbone, Tina Pollard, Miss Charlotte Patient, Dr Lisa Willcocks, Dr David Jayne, Mr G A Hackett, Dr John Bradley, Dr Edile Murdoch, Dr J S Ahluwalia, Dr A Curley, Dr A D D’Amore, Dr A W Kelsall, Dr G Ng,  Dr N Yeaney, Dr Jagjit Takhar, Dr Pritpal Takhar, Sisi Oo, Jan Graves, Jill Wisbey, and Michelle Ford.

      Finally, I would like to thank the professional, specialists, medical staffs in Rosie hospitals, Addenbrook hospitals, Portsmouth hospitals and Parsonage Lane Surgery.

      ––––––––

      Table of Contents

      Chapter 1: Transplant Mother

      End stage kidney failure

      Dialysis

      Kidney Transplant

      Matching Process

      Transplant

      Change of Medication

      Chapter 2:  1st Pregnancy: Miscarriage

      First Month

      Second Month

      Third Month

      Miscarriage

      At Home

      At the Hospital

      Induce Procedure

      Chapter 3: 2nd Pregnancy: Stillbirth

      12 Weeks

      At Perinatal Clinic

      16 Weeks

      20 Weeks

      23 Weeks and 5 days

      Post Mortem

      Chapter 4: 3rd Pregnancy: Premature

      4 Weeks

      8 Weeks

      9 Weeks

      12 Weeks

      Scan 12 Weeks and 1 day

      14 Weeks

      Scan 16 Weeks and 3 days

      Scan 16 Weeks and 6 days

      19 Weeks

      20 Weeks

      20 Weeks and 3 days

      21 Weeks

      22 Weeks and 4 days

      24 Weeks

      26 Weeks

      27 Weeks

      28 Weeks

      30 Weeks

      31 Weeks

      32 Weeks

      Chapter 5: Giving Birth

      Giving Birth

      Caesarean Section

      Before the Procedure

      Pre-operative Assessment

      During the Procedure

      After the Procedure

      Chapter 6: Neonatal Equipment

      Transferring Mothers and Babies

      Special Care 

      Neonatal intensive care unit (NICU)

      Incubators

      Vital sign monitors

      Blood Gas Monitors

      Intravenous Line

      Long Lines

      Larger Tube

      Gentle Breathing Support

      Ventilators and Surfactant

      Apnoea Alarms

      Chapter 7: Premature Medical Procedure

      Pain Relief

      Blood Test

      Blood Test - Sugar Levels

      Blood Test - Gases

      Blood Test - Platelets

      Blood Test - Haemoglobin

      Blood Test - White Blood Cells

      Lumbar Puncture

      Phototherapy for Jaundice

      Eye Tests

      Hearing Test

      Head Ultrasound Scan

      Endotracheal Tubes

      Medical Procedures Requiring Consent

      MRI Scan

      Special Blood Tests

      Intravenous Lines

      Long Lines

      Umbilical Catheters

      Pneumothorax and Chest Drains

      Immunisations

      Infection

      Significant Medical Problems

      Brain Haemorrhage

      Patent Ductus

      Heart defects

      Chapter 8: Neonatal Care

      Baby Arrive Early

      Care Levels

      Transferring from Unit to Unit

      Transition Care

      Quiet Times

      Doctor’s Round

      Carers

      Take Part in Baby Care

      Alarming Noises

      Baby Appearance

      See Baby for the First Time

      Containment Holding

      Caring Touch

      Kangaroo Care

      Nappy Changing

      Feeding

      Bathing

      New Daddy

      Chapter 9: Premature Feeding

      Artificial feeding Total Parenteral Nutrition (TPN)

      Tube –Feeding

      Supplemented Feeds

      Fortification

      Neonatal Vitamins

      Bottle Feeding

      Going Home

      Travelling Home

      Respiratory Syncytial Virus (RSV)

      Long term Medical Problems

      Checking Baby’s Health

      Travel Abroad

      Chapter 10: Immunisation for Premature

      Immunisation at Home

      DtaP/IPV/Hib vaccine At 2, 3 4 Month

      Pneumococcal (PCV) vaccine at 2 and 4 Months

      MenC vaccine at 3 and 4 Months

      Hib/MenC vaccine at 12 Months

      MMR vaccine at 13 Months

      Pneumococcal Vaccine (PCV) at 13 Months

      Meningitis and Septicaemia Observation

      Chapter 11: Screening for Premature

      Blood Spot Screening

      Phenylketonuria (PKU)

      Congenital Hypothyroidism (Thyroid)

      Sickle Cell Disorders

      Cystic Fibrosis

      Screening Results

      Thalassaemia Disorders

      Newborn Hearing Screen

      Oto-Acoustic Emissions (OAEs)

      Automated Auditory Brainstem Response (AABR)

      Checklist for Reaction to Sounds

      Checklist for Making Sounds

      Chapter 12: Growth at Home

      Milk for Premature Baby

      Weaning for Premature Baby

      Solid Food

      Self Feeding

      Fingers Foods

      Water Cup

      Baby’s Teeth

      Chapter 13: Premature Growth

      Weight

      Infant Length

      Routine Reviews

      Health Visitor

      6-8 Weeks Review

      Review at Neonatal Intensive Care Unit (NICU)

      Ultrasound Kidneys

      40 Weeks Old Review

      2 years old Review

      Pre-School Review

      Chapter 14: Mother Condition After

      Learn from 2nd Pregnancy

      Mother Plan for 3rd Pregnancy

      Doctors Plan for 3rd Pregnancy

      3rd Pregnancy Mother Condition

      The Risk of Future Pregnancy

      Chapter 15: Summary

      Kidney Transplant Mother Summary

      Mother Past Medical History

      Previous Pregnancies

      History of 3rd Pregnancy

      Antenatal Screening

      Drugs during Pregnancy

      Premature Baby Summary

      Diagnosis during stay in Neonatal Unit

      Other Procedures

      Delivery

      Resuscitation

      Levels of Care

      Drugs given during stay

      Respiratory System

      Neurology and Cranial Ultrasounds

      Sepsis and Microbiology

      Metabolic

      Gastrointestinal, Nutrition, and Fluid Balance

      Details at Discharge

      Drugs at Discharge

      Immunisations

      Follow Up

      ––––––––

      Table of Figures

      Chapter 3: 2nd Pregnancy: Stillbirth

      Figure 3.1: First scan at 12 weeks

      Figure 3.2: Private scan for checking Down

      Figure 3.3: Scan at 20 weeks

      Chapter 4: 3rd Pregnancy: Premature

      Figure 4.1: Scan at 9 weeks

      Figure

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