Question about hbp/pre-e

lawyer707

Hi. I'm 20 weeks with twins and went in for my appointment today. I have pre-existing hypertension and am on both labetalol (600 mgs per day) and nifidipine (10 mgs). I was also diagnosed with GD and take insulin overnight and with meals if eating extra carbs. I'm still mostly diet controlled except for fasting.

I've had a trace of protein in my urine since day 1 as my kidney function is somewhat off and was so before pregnancy. My bp has been stable and even low for me (121/72ish). Well I went in today and during my urine dip they found +2 protein. My bp at the appointment was 148/80 which was weird as this morning it was literally 123/74. I was sent home with a jug to do a 24 hour urine. I shouldn't worry yet because the 24 hour urine collection will be much more informative right? Is there anything else that this could be or has anyone gone a long period of time while showing some signs of developing pre-e before actually developing it? I need some positive stories because I'm terrified of developing pre-e very early and losing my twins.

ericalee27

Hang in there!!!  The 24 hour collection will definitely be more informative in terms of protein levels, as opposed to the dip.   Try to relax as much as you can; feet up, lay on your left side as much as you can.  How do you feel otherwise?  Are you exhibiting any other symptoms?  (Blurry vision, headaches, etc?)

I developed pre-e with both of my boys.  With DS1, it came on quickly at 34w; it was slower with DS2 and I wasn't officially diagnosed until 30w, but I was definitely moving in that direction before 30w.  I ended up carrying DS2 to 37w.

lawyer707

Otherwise I feel totally fine. No headaches, swelling, blurry vision or anything. I take my bp twice a day at random, and it's always been fine. That's why I'm worried as it seemed to happen so fast. I don't know if it's possible for the dip to show +2, but the 24 hour to be ok.

mrsmullins11

I just went through something similar. I had been a +1 for a few months, BP controlled on Aldomet, hit +2 and BP was 160ish/80ish a couple weeks ago, did the 24 hour urine and passed. I just knew I was going to fail. My protein hasn't even been +1 since then, which has me a little baffled since I haven't made any changes. Try not to stress! You could easily have the same outcome as I had. I'm currently 32 weeks pregnant and have a history of pre-e and currently have gestational hypertension.

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flerlgirl

Don't worry! I am on my fifth 24 hour urine collection for this pregnancy (try not to be too jealous of my sexy life) and they are all just to double-check that everything is okay. So far so good! Hang in there. 

Sam0905

I was sooo happy to be done with my 24 hr urine test, it never occurred to me that they might want to do another one, or even several! I'm a nurse and have emptied out hundreds of hats full of urine, but handling my own was so gross! For some reason I gagged every time. Blah.

@lawyer707‌ - Good luck with your testing!