November 14, 2011
Oh, No! Michelle Duggar is Pregnant Again
OMG, Michelle Duggar is pregnant again. Is she competing with the wife of Feodor Vassilyev? Vassilyev was pregnant 27 times between 1725 and 1765 and gave birth to 16 pairs of twins, 7 sets of triplets and four sets of quadruplets. 67 children survived infancy making her the woman who had the most documented number of children in the world. Vassilyev had a history of multiple births. What’s Duggar’s excuse?
I’ve written about Duggar before out of genuine concern and received over 2,000 comments on the Basil and Spice website. Many were unkind. People like Duggar because of her affable personality but want to ignore the facts: with each subsequent pregnancy, her life becomes fraught with danger. Her last pregnancy was extremely high-risk, complicated by pre-eclampsia and the emergency premature delivery of her daughter who only weighed 1.3 pounds at birth. It was a very close call. According to Answers.com, the Duggar family gets paid an estimated $25,000 to $75,000 per episode on the reality television show on Channel TLC. So, is it perhaps the show’s ratings that have prompted this 45 year old mother of 19 children to have yet another child? Is it the Baby-Doll syndrome where women have multiple children because they like the baby doll effect of having a newborn? I’m still scratching my head. However, I would be remiss if I did not, as an obstetrician offer some advice (albeit unsolicited) regarding the dangers of extreme parity (aka a great number of pregnancies). It was the same advice I offered almost 2 years ago.
- Mrs. Duggar, you are 45 years old and have what’s known in obstetrics as Advanced Maternal Age. This condition predisposes you to several high-risk conditions including pre-eclampsia, preterm labor and a host of other issues.
- You’ve carried 19 children in your uterus and its muscles are stretched to the max. Post-partum hemorrhage lies high on the list as a future complication and is the most common cause of maternal death in the industrialized world.
- You’ve also had a cesarean section and now have the potential to have a placental abruption (early placenta separation from the uterus) as well as a placenta accreta (the placenta sticks to the uterine incision and is extremely difficult to remove).
The Bible says to go forth and multiply and you’ve followed directions well. Now pat yourself on the back and give your body a well deserved rest. You escaped serious harm because of Divine Intervention and a skilled medical staff. Please, do not push the envelope.
February 3, 2010
Three Tips the Duggars Needs to Know Before Becoming Pregnant Again
The Universe is speaking to Michelle Duggar and hopefully she’ll take a moment to listen. Duggar is a 43 y.o. housewife whose life is chronicled on TLC’s TV reality series, 19 Children and Counting. While it’s admirable to watch Duggar and her husband, Jim Bob, navigate life raising a plethora of children, pregnancy and giving birth is not an entirely benign act.
The February 8th issue of People Magazine (The Duggar Baby: Her Fight for life) gave an exclusive account of Duggar’s most recent delivery that was complicated by both preterm birth at 25-weeks and pre-eclampsia. If the truth be told, both mom and baby are lucky to be alive. Duggar had delivered her 18th child just six months prior to conceiving her 19th. Her body did not have ample time to heal. Profound changes occur in the heart, lungs and kidneys of pregnant women. The body has more fluid circulating and the lungs have less air present at the end of each breath. The gallbladder also does not process fat properly and some pregnant women develop gallstones which is exactly what happen to Duggar. She had a gallstone attack and developed pre-eclampsia that warranted an emergency cesarean section. Her premature baby weighed 1lb 6oz.
It is not clear whether Duggar has received properly counseling from her ob healthcare practitioner, so let me jump in.
- Ms. Duggar, you are 43 years old and have what’s known in obstetrics as Advanced Maternal Age. This condition predisposes you to several high-risk conditions including pre-eclampsia, preterm labor and a host of other issues.
- You’ve carried 19 children in your uterus and its muscles are stretched to the max. Post-partum hemorrhage lies high on the list as a future complication.
- You’ve also had a cesarean section and now have the potential to have a placental abruption (early placenta separation from the uterus) as well as a placenta accreta (the placenta sticks to the uterine incision and is extremely difficult to remove).
The Bible says to go forth and multiply and you’ve followed directions well. Now pat yourself on the back and give your body a well deserved rest. You escaped serious harm because of Divine Intervention and a skilled medical staff. Please, do not push the envelope.
