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Acute Fatty Liver of Pregnancy
News

Tuesday, 10th June 2008

Richard's story is featuring in this week's "Reveal" magazine. Please find below a copy of the article.




Tuesday, 13th May 2008

Sorry for the delay, but it wasn't easy to get my hands on this article.
 
This article was published in the April issue of the British Journal of Midwifery. I hope that a lot of midwives read it and will remember the symptoms. If anyone else, especially families outside the UK find another way to get the information accross to the midwives, Obstetricians and GPs (family doctors...), please do so. If these people recognise the symptoms they can get it treated before anything serious happens: they are the first line of defense for pregnant mothers and their unborn babies.



Monday, 12th May 2008

One of our Forum members, Richard, had his story featured in the Daily Mirror today. Richard has lost his partner, Jan, few hours after she gave birth to their twin daughters. All seems to indicate AFLP. But Richard is still waiting for the official diagnosis.
 
Thank you to Richard for sharing this very personal story, and we hope it will help raise awareness. Maybe someone will recognise the symptoms and spare a family the same trauma as we have all been through....





Wednesday, 7th May 2008

The government put together a ‘scoping exercise’ some three years ago to see whether they thought liver disease was a problem. The scoping exercise suggested that it may well be and so they asked Professor Kaner to undertake a review. Her review (available on British Liver Trust website) really did highlight that it is a problem. So far so good…

However, they are very cash-strapped indeed and unless a lot of patient voices are heard this will be an issue that they kick into the long grass. So I would add my personal plea to you all to spend a few minutes – as many of you from each group as are able to – letting your local MP know what it’s like to live with liver disease and what you are lacking. One of the interesting statistics that came out of the questionnaire kindly filled at the support group conference was that it takes liver patients, on average, over 500 days to be diagnosed. This certainly backs up our anecdotal evidence. There are loads more personal stories and snippets that were kindly given to the BLT which got fed into the review process. What matters now is that the political willpower backs up Professor Kaner’s review. If your MP doesn’t know that people in his constituency are not getting the diagnosis and treatment they should be, we will never collectively exert that willpower.

 

So, please do help if you can and please do e-mail the BLT a copy of your letter so that they can present them as representative of your views.





Friday, 2nd May 2008

I am really excited by this. I spoke to one of our new members Andy Dyche who was interested in setting up a charity for AFLP. He told me he spoke to the British Liver Trust about it who suggested a support group would be more appropriate. It reminded me that after our TV appearance, the BLT had said they would list this website on theirs. So, I checked afetr speaking to Andy and it wasn't listed.
 
I contacted the BLT again and they apologized and added my website. The surprise was that they consider my website as being a support group, though there is nothing official about it.
 
So, I have been invited to the 2nd Support Group Conference that will take place in the Midlands (Leicestershire), on 1st and 2nd September 2008. This will be the perfect occasion to meet people who can advise me on raising awareness for liver disorders in pregnancy, either from other support groups or professionals.
 
It is going to be hard to leave my youngest one (guess it will be the first time), but I am genuily excited by the opportunity. And it might be that I get to meet some of you northeners (sorry, anything north of the Thames is "up north"!!!).


Friday, 18th January 2008

Congratulations to Jody and her family on the arrival of their new baby daughter, conceived after an AFLP pregnancy.
 
Mira Elizabeth (short for miracle)
Arrived 1/18/08 1:11pm via scheduled c-section at 37 weeks
7lbs 9ozs 19 1/2in

 

Mira is sister to James Robert born sleeping January 17th 2007




Saturday, 23rd September 2007

It has been confirmed, Sasha and I are going to be on TV! We will be talking about AFLP to help raise awareness of Liver Disorders in Pregnancy. We will be on set with an expert in Gyne and Obs.
 
Monday 15th October 2007, 11.15 am, on "This Morning" on ITV1. For our friends from abroad, you can watch the program live at
 
www.itv.com. Click on watch now and ITV1 (under the small screen on your right hand-side)
 
I will try to record it and put it on my website, but I am not sure how it works.... Wish me luck!!



Saturday, 1st September 2007

paper this week-end? Us! An article was published in the Daily Mirror. I am trying to find out how to get a link so you can all see the PDF file... If you are interested in the article I can e-mail it to you while I am fidling with the internet!!!




Wednesday, 25th July 2007

Well done to Melissa who contributed to an article about AFLP in the Toronto Star:
 
Liver Quick Facts


- The liver performs nearly 500 functions in the body, including the production of energy, the elimination of toxins from the blood, infection control and the storage and transportation of iron.

- Hepatitis B and C affect more than half a million Canadians and more than 500 million worldwide. That compares with 50 million who have contracted HIV globally.

- Symptoms of liver disease include jaundiced skin and eyes, dark urine, abdominal swelling and pain, incessant itchiness and nausea, loss of appetite and fatigue

Jul 24, 2007 02:03 PM
Joseph Hall
medical Reporter
It's been given the chopped liver treatment for far too long now.

The liver, one of the body's most important and vulnerable organs, has languished in relative medical obscurity as hearts, lungs, breasts, bones and a host of viral and genetic diseases have crowded it out for recognition and funding.

But almost one in 10 Canadians will suffer from ailments of the blood-cleansing, energy-producing organ during their lifetimes, according to the Canadian Liver Foundation.

And a new foundation campaign to promote liver health and awareness - through television beer commercial spoofs, among other things - is aiming to bring a growing number of liver problems into the medical and public spotlight.

"Liver disease is poorly understood and receives woefully inadequate public and financial support," said foundation president Gary Fagan.

"We hope that we can make this a top of mind issue for Canadians," he said.

Cancer and heart disease currently receive 10 to 15 times more money each year for research, Fagan estimated.

Yet nearly one in 10 Canadians will face a liver ailment in their lifetimes, he said - a number in keeping with some of the country's most common diseases.

Part of the reason for this, he said, is that liver disease has suffered from the widespread and unsympathetic notion that it is often self-inflicted, with alcohol-induced cirrhosis being the most well-known organ ailment.

But there are more than 100 types of liver disease, only one of which is caused by alcohol abuse, said Fagan.

"There is a stigma and often-times a joke about liver disease. Everybody (including many doctors) who talks about liver disease . . . starts talking about how much you drink," Fagan said.

Yet the most common and fastest growing form of liver ailment - affecting more than 1.4 million Canadians - is related to the growing obesity crisis, Fagan said.

Known as fatty liver disease, it is marked by a buildup of fat in the organ and can be caused by both poor nutrition and exercise habits and by drinking. It is often a precursor to cirrhosis.

But Fagan said the percentage of fatty liver disease caused by obesity has now surpassed the proportion due to alcohol abuse.

"Fatty liver due to obesity has become the number one (liver) health issue," he said.

And liver ailments can strike people of all ages, including infants, with few current available cures outside of transplantation.

Melissa Harris, of Napanee, was 35 weeks pregnant with her first child when she began to suffer from nausia, heartburn, fatigue and swelling back in November, 2006.

Assured, however, that these were commonplace symptoms of a third trimester, she made due with an antacid to take care of her stomach upheavals.

Within a week, she had lost her baby and slipped into a coma - after being diagnosed with a rare ailment known as acute fatty liver pregnancy. The disease, which resembles cirrhosis, affects about one if 15,000 pregnant women and can completely destroy the organ function.

"The doctors asked me did I do drugs or drink and a I said 'of course not'," the 31-year-old schoolteacher now says. "It's just not always related to alcohol."

Harris also said the campaign's goal of prompting doctors to think "liver" in the face of more obvious diagnoses is crucial.

"I would just like to say to people in the medical field . . . if there are these symptoms, do a liver function test," she said.

Harris, who came out of the comma after two weeks, was on the brink of having a liver transplant - with her compatible husband as the scheduled donor. Prior to that early 2007 surgery, however, she began to experience a regeneration of her own organ.

A major problem with liver diseases - one the campaign hopes to address - is that they rarely present themselves symptomatically until huge damage has already been done.

"The heart of the issue is that a lot of people who have liver disease have not been diagnosed with it," Fagan said."The liver is an amazing organ that doesn't always tell someone that they've got a problem."

Fagan said doctors must learn to investigate liver function in a routine way with their patients.

And early intervention can play a crucial role in reducing mortality, as the organ's capacity to regenerate itself is almost miraculous, Fagan said.


Friday, 6th July 2007

Congratulations to Nikki who had a healthy baby daughter, Beth Abbie. Beth was born through C section at Nikki's request, at 37+3 weeks. We wish you all the best with your little bundle of joy!
 
Beth is our first baby born "on the site", so she is all the most special to us. And she is proof that we can have more babies and more pregnancies after AFLP.


Sunday, 4th June 2007

Big cheering for Melissa and her family, who have participated  to the Stroll for Liver (Canadian Liver Foundation)!!! Her team has raised $2000 to help with the research in liver disorders especially in children and women.
 
Melissa shared her AFLP experience with the researchers participation in the "Stroll" and also with newspaper and radio people.
 
So well done Melissa (and family!).
 
Family to baby Audrey, born asleep.


Thursday, 24th May 2007

Today I had an e-mail from the head of a medical research team at Oxford University (UK). The research is about AFLP. I had contacted them hoping that we could have an insight on the research and here is what the e-mail said:
 
Thank you for your email which I received via Ian Sargent. I have attached a brief summary for your website about the study of acute fatty liver which we have been undertaking. We are still in the process of completing the analysis of the results which will be posted on our website when they are published - I have included a reference to the website address.

Good luck with your website initiative. It is particularly valuable with rare conditions that groups such as yours exist where women can share their experiences.

Best wishes,

Dr Marian Knight
UKOSS Clinical Coordinator
 
And here is what the document's contents (if you ant a copy of the original let me know and I will e-mail it to you):
 

Acute fatty liver of pregnancy is a rare and potentially lethal condition of late pregnancy which may cause severe illness and even death of a mother and her unborn child. The condition may be one of several linked disorders related to preeclampsia (high blood pressure during pregnancy). Deaths of women during pregnancy are very infrequent in the UK, but acute fatty liver of pregnancy has been identified as one of the more common causes of the few deaths that do occur. Nevertheless, despite the severity of the condition, very little research into acute fatty liver has been carried out because the condition itself is very uncommon. Investigations of uncommon conditions such as this require large groups of researchers to work together to study enough women to be able to make useful conclusions about what happens to women and their babies who suffer from the disease.

The UK Obstetric Surveillance System (UKOSS) includes participants from all hospital consultant maternity units in the UK. The aim of UKOSS is to study important rare conditions of pregnancy such as acute fatty liver through collecting anonymous information about the number of women who suffer from the disorder, how they are treated and what happens to them and their babies. This information is then used to help develop guidelines for doctors and midwives about treatment of affected women and to plan hospital services.

The UKOSS study of acute fatty liver collected information between February 2005 and August 2006. The analysis of this information is currently being completed. Preliminary results suggest that over this time period one woman suffered from acute fatty liver in every 22,000 women giving birth, highlighting the rarity of the condition.

For further information about UKOSS and study results when they are available please see the study website:

http://www.npeu.ox.ac.uk/ukoss




Wednesday, 18th April 2007

We made the News on Channel Five at 11.30 and 17.30. It was really emotional for my family, but I hope it has helped someone. I am a little bit disapointed the website was not mentioned.... but hey, we can't have everything! It has however given me more determination in trying for more media coverage, bring awareness, and rally more people who experienced AFLP to join us...


Tuesday, 13th March 2007

 
I have contacted the British Liver Trust and ask them if they could add information on their website about AFLP, and this is their reply:
"Thank you very much for telling us about your website.  I am sorry that you had problems when you were pregnant because of AFLP.  As you quite rightly say there is very little information about this disease.  We are in the process of reviewing our website and I have forwarded your email to our press and pr department who are dealing with the website for them to consider. However before anything of a scientific nature is added it has to be peer reviewed by several medical experts.  I have also forwarded it to the other departments as I am sure it will be of interest to them."


Thursday, 9th March 2007

My husband thought I was joking when I said that I had sent e-mails to GMTV and Richard and Judy... I wasn't. I want to help families who have already experienced AFLP, but my ultimate goal is to prevent this from happening. But I am only a little woman living in London, I don't know anybody famous to promote my work. So I sent e-mails to various London papers, TV Newsgroups and programs like GMTV and Richard & Judy... I am open to any suggestions. I am waiting to see if it sparks some interest or not.


Wednesday, 7th March 2007

Pregnancy after AFLP? AT least 2 of the Forum members (including me) are planning on a new pregnancy. That gave me the idea for a new page for this site: "Pregnant Again after AFLP" or "Pregnancy Diaries - Ater AFLP"... All ideas welcome!
 
But this could maybe put at rest women who want more children after AFLP but are worried things might go wrong again...
 
I'll Keep you posted!


Thursday, 26th October 2006

We've met with a firm of lawyers regarding a compensation claim on behalf of Sasha. This was a hard decision to make but Sasha might need founds in the future to cope with his disability: Extra tuition, special pieces of equipment, private medical care (extra physiotherapy, extra Speech & Language Therapy, tests not covered by the NHS, private assessments, etc.)


Monday, 3rd April 2006

We had been told that we could go to the Patient Advise Liaison Service and ask for an internal inquiry. So we put down all the questions and concerned we had regarding my post natal care. And we recieved a honest answer. We were told how, why and where it went wrong, how things could have been avoided and what steps the hospital had taken to avoid a repeat.


Saturday, 10th February 2007


At last, this is the final draft of my website. Though I am still working on it I am quite happy of the results. Please leave me some feedback in the guestbook to tell me how I am doing!!!