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Old Feb 28th, 2012, 15:59 PM   1
tinkerbellkj
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High Blood Pressure and early delivery


Hi Ladies,

My BP is creeping up averaging around 140/102, sometimes a little better, and sometimes higher. I have done the 24 hour urine screen and I believe it came back normal (I think it was 187) because no one has said anything about it. I have done blood work, which also was normal, other than my platelets were slightly low but the hospital was not concerned.

I saw my doctor yesterday and have to go back Friday as he wants to watch 2x a week from now on. He's reordering the blood work so he can compare the two sets. He doesn't think it's preclampsia, but it needs to be ruled out I guess, he thinks I just have gestational hypertension. I should mention that this is my 2nd pregnancy and I did not have it in my first.

Anyway, he told me to monitor my BP at home and said that he could take me out of work but I told him that I didn't want that as we need my income and I work 90% from home and do not have a stressful job. He said I could keep working for now, but that I may need to stop. I am scheduled for a c-section at 39 weeks but he said I probably will not make it that far. Is this common? To be delivered early for high BP but NOT preclampsia?

Sorry it's so long, but does anyone have any experience with gestational hypertension that isn't preclampsia? I really doubt I have PC because I didn't have it in my first pregnancy so I think it's pretty uncommon for me to get it the 2nd time around, though I'm sure stranger things have happened!

Thanks!

ETA: My baby is growing fine she was 4.2 pounds at 30 weeks.



 
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Old Feb 28th, 2012, 16:11 PM   2
..katie..
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I have no experience, but I just want to wish you good luck!



 
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Old Feb 28th, 2012, 23:54 PM   3
rory83coyotes
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Im not sure about the hypertension but it sounds like you are on the way to full blown pree if he said you wouldn't make it that far then is seems like he thinks so to. For just HTN (hyperstension) they would just put you on meds. The classic definition is bp and protein. For diagnostic purposed it has to be 300 in a 24 hour urine I belive so you aren't that far. As far as not having it in the first pregnancy it doesn't mean that you will never get it. It is more common in first pregnancies but does not eliminate all future pregnancies from becoming preeclamptic. Hope you get to make it a little farther. You might want to ask about steroid shots and such. Also because you are early, you might have to go to a different hospital. Mine is only a level 2 and when I had my baby I had to be at a level 3. The cutoff between the two is usually 33 to 34 weeks. Good luck. And if you get any of the syptoms-headache, vision changes, sudden weight gain, excessive swelling or right upper quadrant pain do not hesitiate to go the hospital. and BTW any diastolic readings above 90 are considered in the preeclampsia range.



 
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Old Feb 29th, 2012, 00:11 AM   4
JessPape
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I have high blood pressure and my doctor hasnt said anything, hows ur blood pressure when ur at home, when you take it at home are u taking it three times (within 1 minute apart) and documenting all three numbers. I'm worried about my blood pressure elevating when I go in to labour, was i was thinking about seeing if a section would be a better option, but unless my doctor is concerned of it, I wouldnt want an elective section for that reason. My bp has been around what urs has been, normally im 120/80 when ever i have mine checked..

So i think its just pregnancy induce, though I;'m only 27 weeks, so got a while yet



 
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Old Feb 29th, 2012, 03:33 AM   5
Poppiebug
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Sending lower BP vibes to you love, I've pretty much got the same thing happening at the moment too.


I was admitted 2 weeks ago after my BP was 150/100 at my Obs appointment. I do have a history of high BP and both my sister and mum had it in their pregnancies. Over the 5 days I was in hospital I did a 24hr urine collection which came back as not elevated protein (i dont know the numbers) but I was put on methyldopa (aldomet) and told to rest as much as possible and take my BP at home and email through every couple of days to the BP Dr who is looking after me. The growth scan showed he was still growing ok for his dates too. I'm still working, my job isnt too stressful, but will finish up earlier than I planned at 34 weeks. Just watching for signs of pre-e also, liver pain, dizziness, swelling etc.

My Obs has said that we just need to watch that it doesnt change to pre-e (she's calling it essential hypertension atm) and get through the next week so he doesnt have to be born at a special hospital. She thinks that I will most likely be induced around 37/38 weeks. My BP is averaging around 130/90 today, I did feel a bit crappy so came home from work early. I see her tomorrow, so hopefully she is happy with how we are doing.

I hope you can continue along as well as possible too.

All the best xo



 
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Old Feb 29th, 2012, 04:58 AM   6
Bernie16
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I have pre-existing hypertension, and have been having growth scans every 2 weeks since 20 weeks (I'm now 32). HIgh blood pressure can restrict blood flow throught the cord which can result in a smaller than average baby which is why they may be talking about delovering early. I have no signs of PE at the mo but blood pressure is monitored twice a week and is currently sitting at 150/60-85 which is just about ok. My doctor didn't think I'd get this far so I'm doing well. Just had another scan this morning and his growth appears to have slowed down (so far growth has been really good) so I've got to go next week for them to check the blood flow to my little bubba and another growth scan in 2 weeks. Hopefully his change in growth is ultrasound error otherwise he might be on his way in a couple of weeks. Also, because of the amount of meds I'm on it looks like I might not be able to breastfeed which is dissapointing but at the end of the day as long as he is healthy I don't care!

Try not to worry too much about the PE if it is just gestational hypertension I am told the risk of developing PE is only marginally higher than someone without hypertension.

xx



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Old Feb 29th, 2012, 08:36 AM   7
tinkerbellkj
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Thanks everyone. When I monitor at home it's still as high, if not higher than as in the office depending. The highest reading I have ever gotten was 160/104, but it seems like lately the top number is 146 or less but the bottom is always over 90.

I do the blood work tomorrow and see my doctor on Friday. I would really like to make it to my scheduled c-section at 39 weeks, but I know things don't always work out the way you planned.

Also, I was having a c-section anyway as this is my second baby and my first was a c-section and they are only going to be 12 months apart.



 
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Old Feb 29th, 2012, 11:21 AM   8
JessPape
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If u have a c-section planned, they may just leave it and monitor u instead, so maybe two appointments a week, and if ur blood pressure spikes or u go in to early labor move ur section closer.



 
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Old Feb 29th, 2012, 11:33 AM   9
DaisyBee
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I have lots to say about this but don't have time to comment right now... So saying this so I can find this thread later today and let you know my experience.



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Old Feb 29th, 2012, 11:41 AM   10
tinkerbellkj
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Quote:
Originally Posted by DaisyBee View Post
I have lots to say about this but don't have time to comment right now... So saying this so I can find this thread later today and let you know my experience.
Thanks, would love to hear your experience...

Does anyone know what they are looking for in blood work?? I have the paperwork, but I have no clue what any of it means. Sorry, I'm so confused, I just figured you have high BP you have high BP I had no clue they had to draw your blood for it? I know that at the hospital my platelets were considered to be lower, but he said that can also be a normal finding in some women.



 
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