chronic hypertension - what should I expect?

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Oh Dinah, so sorry I haven't been on before now (Reuben has been keeping me busy) so much to catch up on... Grace is tiny and so beautiful, glad she came out crying, that must have been music to your ears. You have done sooooooooooooo amazingly well to cope with everything and I'll be thinking of you over the next few days and weeks as your little one gets stronger all the time. If it helps to hear one of my good friends had her little girl very unexpectedly (due to incompetent cervix) at 26 weeks and whilst she was in the hospital for quite a while she is now a happy and perfectly healthy five year old!! I'm sure the future is bright for Grace too, after all her mum is definitely a complete trooper!!

As for BP meds I have now been switched onto Nifedipine Long acting 90mg once a day and Enalapril 20mg. This is basically what I was on pre ttc, although was on less nifedipine then. I'm aware that these medications do not advise breastfeeding on their info but I have taken the advice of my consultant that on balance they are the best medications for me at this time and the risks to Reuben are miniscule. I really hope they find something that works for you soon and you are able to bring your lovely little one home. Please keep us posted, lots of love xxxx
 
She is absolutely gorgeous. Hope you are both taken good care of and home safe and sound soon...
 
Oh Dinah! I just read your news! Congratulations on your beautiful tiny miracle!
I'm so sorry she came this early but am so glad to hear she is doing well. How scary, and what a rollercoaster :( My bp was so high after my csection I was on magnesium for 2 days and then nifedipine (also 90mg once a day) and stayed on it for 6 weeks PP, and now my bp is back to normal. Please keep us updated on sweet baby Grace, I will keep her in my prayers.
 
Thanks, I've been meaning to bump this thread because I've been wondering about everyone too...so far things are good here, BP readings at home are still good, so just waiting and hoping everything stays ok (at least for as long as possible)!

How is everyone else doing? :hugs:
 
Yeah I thought everyone has deserted me lol, thats good though hun. At my last gp appointment my bp was good and i've got my 24 week growth scan and consultant appointment on Friday x x Are you going to find out what you're having? x x
 
Yes, we're finding out for sure in about two weeks! We were already told probably a boy at 13 weeks, and I'm convinced it's a boy, very excited for confirmation :happydance: although if it's a girl we'll be very confused!

Glad to hear you are doing well. My BP has never been good at doctor appointments :wacko: always 140ish / 90ish and once even higher. But great at home, around 115/70.

I was wondering about people's experiences with bed rest, or even just reduced activity level, if you don't mind sharing? I was quite active before pregnancy and have definitely cut down since then, but I still exercise about 3-4 times a week and function normally otherwise. I assume as long as my resting BP readings are good there is no reason to change anything, right? (I always measure it at home when I'm sitting down so I don't know what it does when I exercise -- should probably check next time.) For those of you who are further along, are you or were you normally active up to a certain point, and at what point if at all were you put on bed rest?
 
Hey ladies,

Glad to hear all is going ok. I am being kept busy by baby Reuben- we're gradually settling in to life together as he is now over 4 weeks old!! I have been signed off by the hypertension team who were looking after me in pregnancy, still on quite a bit of medication (as I have chronic hypertension) but hopefully may be able to reduce this when i go to see my usual consultant in May.

Sounds like you guys have been getting some decent readings- great news. I'm not sure what other people found with bed rest/resting up but my BP doesn't seem to have a simple relationship with physical activity. Mine seems to be more connected to my mental state if anything i.e. if I'm getting stressed out about anything or even just working on a project of some kind (reports for work, organising stuff etc) it can go right up, but can be much lower when I'm up and about/racing around!! I suppose it's different for different people. My consultant signed me off work at 34 weeks to see if it made any difference and it did bring my BP down slightly, so I'd say finish when you can if you are working and just take it as easy- physically and mentally- as possible!

Let us know how you get on xxx
 
I have chronic high blood pressure but I am not on any mediciations. My level range 130's -140's/ 70's - 80's at the doctor's office but 120's/70's at home (sometimes at normal range and sometime higher range) I will be getting a non-stress test soon.

My blood pressure have been like this since the beginning of pregnancy. my glucose and 24 hr. urine collection are clear (meaning I do not have GD or protein in the kidney or anything like that)
 
Dinah93 said:
Also for anyone who has delivered and is still on meds, what are you on? In a whole hospital of doctors I don't seem to be able to find one who can give me something to not only control the bp, but which is safe for breast feeding.
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Hi Dinah. I've had a bad pre-eclampsia with my 1st son but he was delievered at 34 weeks. I was told that labetalol & Nifedipine are safe for breastfeeding. But labetalol in high doses can stop lactation and this happened to me after 11 weeks and to be honest it did not control my blood preasure that well and I was on meds for high bp since then. But everyone is different. Now I'm 28 weeks pregnant with another boy and I'm on Methyldopa. They started me 250mg 2xdaily before I got pregnant. But my GP had to reduce it to 125mg 2x daily as it took my BP too low. For example when I was on perindopril once I stopped breastfeedind my BP was still between 138-160/90-98, when I was put on methyldopa after 6 months my BP went down to 90-110/50-70 so my GP reduced it. Just to compare my BP at 34 weeks with my 1st son was 220/125. So I have to say that it works for me and tht every appintment I have with midfive BP is just perfect. I was told that it also safe for breastfeeding. But every medication works different for different women
 
seaweed - I was on bedrest with one of my pregnancies for several weeks - before I lost my little guy. But then my doctor wanted me to walk around a little bit each day b/c exercise does help lower BP too. So maybe something to explore.
 
At what measurement of bp do i need to go for medical assistance? I am signed off work so taking it easy but the lower number was 95 last time I checked it....thinking I should go back to doctor and maybe have my medication upped?
 
anne.hopeful said:
At what measurement of bp do i need to go for medical assistance? I am signed off work so taking it easy but the lower number was 95 last time I checked it....thinking I should go back to doctor and maybe have my medication upped?
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If your bottom number is over 100, thats what my dr told me. I hate dealing with this issue while preggo :nope:
 
Thanks akerie. It is so frustrating isn't it. I get worried and only end up making it worse!
 
If your diastolic (bottom number) is over 90, I would call to alert your doctor. That is high and edging up in a way you don't want it to. The higher the BP, the more risk that you are for problems for you and the baby.

I am not trying to worry you but BP is nothing to mess with. It can't hurt to call so you doctor can make the educated call about whether your meds should be increased. I had my meds adjusted multiple times during my previous pregnancies. But everyone is different and your doctor is the best person suited to make the decision. Can't hurt. Best of luck.
 
anne.hopeful said:
At what measurement of bp do i need to go for medical assistance? I am signed off work so taking it easy but the lower number was 95 last time I checked it....thinking I should go back to doctor and maybe have my medication upped?
Click to expand...
I would call at 95. Mine only got to /90 and she died, so definitely get it checked.
 
Off to the docs shortly.....will update on return. Thanks for ongoing advice ladies.
 
Doc upped my medication slightly. Said I didn't need to worry as there are many things we can do about my blood pressure as I am still on a very low dose, but going back on Monday for another check.
amjon - am sorry to hear about your loss
 
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