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June 2011 Moms
ilovebabyblue
member
BP High, Might Be Admitted Tomorrow
ilovebabyblue
member
I was put on strict bedrest at 30weeks when BP was 155/87. I have never had protein in my urine or any swelling but they are still treating me as if i have pre-e because they said the term PIH is hardly used anymore. The plan has been to try to keep my BP in check and induce around 37/38 weeks unless things get bad (ie: protein or bad blood work
Today BP was 128/96. Dr freaked out about the 96. said i have to come in again tomorrow and if it hasnt gone down he's admitting me and i might be induced!! he said now that baby is "out of the woods" they want to get him out before things get worse. but i don't feel that 34w4d is out of any woods. Especially when I've seen 2 people on this board today getting amnios to check lungs at 37 weeks!
It confuses me how many different ways there are to treat the same condition. There are several bumpies with high BP and/or Pre-e and a lot of them are getting NSTs and BPPs and weekly ultrasounds and some get medication to lower their BP. My drs haven''t mentioned any of that!
I know i need to trust my drs, especially since it is the only obgyn office within 100 miles of my home. and of course i'd rather have a baby in the NICU for a few weeks than no baby at all. so if they say they need to induce me tomorrow I won't argue with them. i just have to wonder if this is the right thing to do...
Hopefully I'll be back tomorrow to report that BP is satisfactory and we're still planning on 37 weeks! If anyone has extra T&Ps please send them over. Thanks!
This discussion has been closed.
Re: BP High, Might Be Admitted Tomorrow
Thats really odd since all the specialists I've seen (since I'm high risk for Pre-E and HELLP Syndrome since I had it in my first pregnancy) stress the difference between PIH and Pre-E!
My DS was delivered by emergency c-section at 34w 5d. He was completly able to breath on his own. He did have a feeding tube for 2 days because he didnt have the suck, swallow, breath thing down...but he learned it quickly. He spent 2 weeks in the NICU and came home on an Apnea monitor....which he never set off. When he was about 6 months they sent us for an MRI which came back normal and he did recieve Early Intervention for some developmental delays which cleared up within 2 months of starting Physical and Occupational therapy.
DS is now a very happy healthy 20 month old. With no complications and completly caught up and impressivly to his therapists ahead of other children his actual age developmentally. He also has such a large vocabulary that his doctor isnt at all concerned about any speech delays!
So thats my 34 weeker success story and I hope it eases some of your fears. Good luck tomorrow! I will be thinking of you and your little one and looking for your update! Thoughts and prayers coming your way.
Hmm... weird... I'm surprised they would induce so early with no protein and good lab work. I'm on twice weekly NST's and doctor has no plans on inducing before 41 weeks unless there is a change for the worse in my blood work. As long as my labs are good we are just going to continue monitoring with NST's.
But, I'm sure your doctor knows best... I'm just really shocked that they would even think of inducing before 37 weeks with no complications other than the high BP.
ME TOO! the dr who put me on bedrest said there was no point in giving me medication to lower my BP because the BP was just a symptom of the pre-e and lowering the BP would not change the fact that I had pre-e.
But if there's no protein or swelling or liver problems then I don't technically have pre-e, right? so why can't they give me medication to lower the BP until week 37? I'm going to ask tomorrow.
i'm thinking the dr meant, when he said I might be induced tomorrow, that perhaps my blood work would reveal a problem or perhaps my BP would go nuts overnight. He did say several times how quickly this can go from bad to worse. it was my understanding that they would monitor my BP for a little while and induce if they couldn't get it controlled. i have a cuff at home and as long as i'm lying down it's fine. if they do admit me then surely they will see that and let me go home. i'm probably worried for no reason.
Thanks for the Ts, Ps and success story!!!
Absolutly correct. If there is no protein in your urine then IT IS NOT Pre-E! And liver problems would be a sign of HELLP Syndrome. So you dont have that either!
I think that you might need to look into getting a second opinion or ask to see a high risk OB who knows these conditions better before you let them talk you into delivering your baby early. They don't seem to have done all the testing they need to have been doing.
In my first pregnancy when I did have Pre-E before it developed further into HELLP Syndrome my doctors had me on BP meds to try to control my BP...in my case they didnt work. But there are plenty of women who have been able to manage an extra week or two out of pregnancy by lowering their BP with the help of medications....including those with Pre-E!
The more I read your post the more I think your doctor has no clue what he/she is talking about when it comes to these conditions! You need to be seen by someone who does!
I have had high BP since 26 weeks. No protein=No pre-e. If protein shows up that is when it causes a bigger problem. For now I am just being monitored. If your BP is reading OK at home you may just be getting nervous in office. I would not let them deliver this soon with no protein and a BP of those numbers. My MFM specialist says to call when mine gets to 140/90...anything else I am fine. Even if it did get to 140/90 it would have to be for three consecutive readings to even concern them.
Good luck tomorrow!
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Every dr treats PIH differently. I suffered from it from 24 weeks on in my first pg, and I was treated with BP meds until 38 weeks when pre-e developed. BP meds can't mask or hide protein in urine or poor liver function(detected by bloodwork) Also when my pre-e set in, the BP meds also stopped working.
I was only on bedrest for about a week before DS was delivered as well and my pressures were 150/100 at the time. My dr would not induce or deliver until PIH turned into Pre-e. I would definately question what your dr is telling you and inquire about a 24 hour urine catch and bloodwork if they haven't already run those.
Also is the baby being checked for growth via u/s? I had to go every 2 weeks, and at the end when I developed pre-e baby had not grown at all.
I guess my point it, PIH and Pre-E are 2 very different issues, and are treated differently, so I am surprised by what your doctor is suggesting.
This. My doctors had me consult with a high risk doctor and he is the one who made the plan that my doctors are now following. I also have high BP with no signs of pre-e, so they are waiting until his lungs are definitely developed enough to be induced. They said they wouldn't go any earlier since my BP is under control right now on meds and bed rest, but there was also no point on not delivering me if he was ready next week so that I don't get "sicker." I hope you get some more answers soon!
I am currently being treated or PIH (and as PPs said there is a difference). I am on BP meds, go for a weekly U/S and I track my BPs at home. I do the 24 hour urine test and blood work every other week. So far, my protein has been creeping up over the past few weeks and is now in the upper 200's, so not quite pre-e, but getting there.
There is no way that I would let my Dr. induce me at this stage unless my protein levels came back horribly high or my blood work showed similar signs of distress. Get a second opinion, get a blood pressure cuff to use at home, and get some labs done.
I agree with PP's about getting a 2nd opinion. I have chronic hypertension, had pre-e with my son & have been struggling to control my BP since about 18 weeks during this pregnancy; they have been watching me like a hawk (monitoring at home, twice weekly NST's, growth ultrasounds, bloodwork & 24 hour catches)
I started having a few pre-e symptoms this week and I'm waiting to hear back today with test results to figure out what's going on. BUT, the dr already said that even if it comes back as mild pre-e today (at 36 weeks) they would try full bedrest for a week and try to get me to 37 weeks before inducing right away. So, I would definitely get a 2nd opinion before being induced at this stage & see if there are other things you can do to try and control it at this point. Good luck!
Photos from Libby Hilf Photography
Jake - 1.15.08
Liam - 5.17.11