Immune treatment past 29 weeks of (twin) pregnancy


1 Posts
Reply Posted on: Mar 31, 2015 at 4:03pm
Hi Dr Braverman

I'm nearly 26 weeks pregnant with twins and have been having IVIg infusions throughout the pregnancy (and neupogen until 12 weeks) but it's getting financially more difficult to continue with them. I just wondered what your thoughts are requiring immune treatment past 29 weeks of pregnancy and would you still be considering advising to have IVIg/intrallipids past that time or do you consider the babies (and placenta) are large ehough to cope with the overactive immune system? My current issues are my NK cells are still a bit high but my cytokines are just over borderline.

Look forward to your thoughts.

Thanks very much

Dr. Braverman

2026 Posts
RE: Immune treatment past 29 weeks of (twin) pregnancy Posted on: Apr 1, 2015 at 6:32am
There are so many points of data that need to be taken into account to give you advice on your case. The lab work as well as your past history. NK cells alone can not guide you on the use of IVIG this late in a pregnancy. cytokine levels (are they serum levels or intracellular ratios? ). Withoug all of the data points a decision on such long term IVIG is difficult.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.