Conversation: The conversation between human and AI assistant.
[|Human|] Dear Dr. Jain Age is 36 years, female, and i want to discuss regarding my medical problem during the pregncncy specialy during the male child. In 1998 I gave birth to the baby boy in 7th month i.e. premature delivery due high BP and Albumin, then in 2001 I gave birth to the baby girl, BP was high but controlled also and everything went well. Then in 2005 I again gave birth to the baby boy in the beginning of the nineth month, but the baby swalloed the liquor and could not survive more than 4 days. Then in last year 2009, I again gave birth to the baby boy which was aborted in the 7th month as I had an eclimsia attack, but htis time my BP was in control, and suddenly I had a pain in my stomach and BP raised to 226/220. As all the parts had stopped working and only heart was working, According to PGI, Chandigarh doctors I was dead. Now the question is that last year my husband was having some BP problem, then we meet some cardiologist, he asked me that do You (I) have problem during the pregenecy, I said yes My BP is very high and whereas in my family history there is BP patient.Then he said sometimes it happens due to genetic problem and it can be because of my husband also. Is this a genetis problem? If yes, then I wish like to concieve again and then can I go for artificial insemination or is there any other solution. Hope to hear soon from you..... Ashima (India) YYYY@YYYY
[|AI|]  Dear AHIMA, its unfortunate you had to go through such a hard time through your pregnancies. Let me help you understand some things.1. High blood pressure during pregnancy with a seizure attack and from what looks like multi organ failure (according to your description)in your previous pregnancy, puts you under extremely high risk to manage your pregnancy safely. You must understand the consequences of future pregnancy on your own health and well-being (the functioning of all important organs like heart, brain, kidney, liver may be compromised and can be even fatal or life-threatening) before attempting one. So you must be fully aware and equipped for any potential consequences of it.2. There could be many reasons why high blood pressure happens in pregnancy. Some women who have a family history of hypertension, and have crossed 35 years are more susceptible to it. And a number of genes are suspected to cause it. Yes, as the baby shares genes of both mother and father, now you can think your body is temporarily handling your husbands' genes. Hypertension can develop if your husbands genes are not efficiently handled.(that's what your doctor explained). This can result in altered placental development and reduced blood supply to the baby. The baby may be thus may be growth restricted, and is prone for premature delivery, and its consequences.3. As even donor insemination may result in similar condition it is extremely hard to predict if that can be free of hypertensive complications.Hence, I suggest you to be rational and take a wise decision if you want to conceive again and obtain very good prenatal care when you attempt it. Hope this information helped. Good luck.