Olivias_mum
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hi im 21 and i have chronic high BP (secondary), stable on bp meds outside of pregnancy but tends to go crazy during pregnancy. I had my little girl last year at 28 weeks by emergency section due to high bp and pathological CTG's. Im now 27 weeks and on labetalol 800mg TDS and 400mg once in the evening, Methyldopa 1g TDS, Nifedipine 30mg QDS, Doxazosin 16mg OD, Aspirin 75mg OD and oral hydralazine 50mg BD. the midwife did my BP yesterday at home and it was 180/115, she phoned my consultant who increased my meds over the phone (added the extra 400mg of labetalol in the evening and increased hydralazine from 25mg to 50mg). I am getting terrible headaches and visual disturbances but my bloods are fine and protein is usually either just a trace or 1+, I have had IV labetalol and IV hydralazine 4 times in this pregnancy so far and had steroids at 24 weeks. Im wondering if just continually increasing my meds is the right thing to do and how long it can continue before delivery will be necessary if my blood tests all stay normal?and also what bp meds could be used next? I was on spironolactone until about 3 weeks ago when it was determined it wasnt having an effect and to stop it. Outside of pregnanacy i take Amplodipine, Bisoprolol, Bendraflumethiazide, Candasarten, Ramipril and Doxasozin. Thanks in advance
Ooo also i had a CTG in hospital the other day where babies heart rate was dropping and the midwife put it down to baby still being small and moving away from the monitor and said it was picking up my heart rate instead even though the decels were dropping in a continuous line away from the baseline and then back to the baseline (surely if it was because she had moved and it had picked up my heartrate the line would have broken if that makes sense?)This is exactly what happened with my daughter and has me worried!
hi im 21 and i have chronic high BP (secondary), stable on bp meds outside of pregnancy but tends to go crazy during pregnancy. I had my little girl last year at 28 weeks by emergency section due to high bp and pathological CTG's. Im now 27 weeks and on labetalol 800mg TDS and 400mg once in the evening, Methyldopa 1g TDS, Nifedipine 30mg QDS, Doxazosin 16mg OD, Aspirin 75mg OD and oral hydralazine 50mg BD. the midwife did my BP yesterday at home and it was 180/115, she phoned my consultant who increased my meds over the phone (added the extra 400mg of labetalol in the evening and increased hydralazine from 25mg to 50mg). I am getting terrible headaches and visual disturbances but my bloods are fine and protein is usually either just a trace or 1+, I have had IV labetalol and IV hydralazine 4 times in this pregnancy so far and had steroids at 24 weeks. Im wondering if just continually increasing my meds is the right thing to do and how long it can continue before delivery will be necessary if my blood tests all stay normal?and also what bp meds could be used next? I was on spironolactone until about 3 weeks ago when it was determined it wasnt having an effect and to stop it. Outside of pregnanacy i take Amplodipine, Bisoprolol, Bendraflumethiazide, Candasarten, Ramipril and Doxasozin. Thanks in advance
Ooo also i had a CTG in hospital the other day where babies heart rate was dropping and the midwife put it down to baby still being small and moving away from the monitor and said it was picking up my heart rate instead even though the decels were dropping in a continuous line away from the baseline and then back to the baseline (surely if it was because she had moved and it had picked up my heartrate the line would have broken if that makes sense?)This is exactly what happened with my daughter and has me worried!
i also had pre e with my son i delivered @ 25 weeks
