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My midwife doesn't seem worried, but I am... BP

BabyB00MBabyB00M
in High-Risk Pregnancy
Hi everyone.  I'm not high risk, but I thought you all would be the ones to ask about my situation.  I am seeing a midwife at a large practice that includes OBs and midwives.  For most of this pregnancy I have had elevated blood pressure, and at my 21 week appointment it even hit that "magical number" of 140/90.  The midwife didn't seem too concerned.  
 
About a month later it hit high again so she had me do a 24 hour urine capture.  At my follow-up she said I only had 200-some mg (or whatever measure they use) of protein in my urine, so I was in the clear for pre-e because it was under 300.
 
Fast forward to my appointment this past friday.  BP 141/86.  Not concerned.  I also told her that my swelling in my ankles has stopped going down all the way at night and I still have pitting edema in the mornings.  She told me to go buy support hose.

I find her lack of concern, well, concerning.  She hasn't even discussed trying to put me on anything to lower my blood pressure.  Many of you have dealt with high blood pressure or pre-e in pregnancy... please tell me if I'm just worrying too much, or if you think my midwife should be more concerned. 
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Re: My midwife doesn't seem worried, but I am... BP

  • pierogigirlpierogigirl
    I had pre-e with my first and was never put on medication.  I was on bedrest from week 30 until I delivered at 38 weeks.  If you are not comfortable with your care, ask to see another doctor at the practice.  Do you have a bp cuff so you can monitor your bp at home/work?  They are not that expensive.  I would also suggest resting on your left side as much as possible.  Swelling by itself is not necessarily anything to worry about and the fact that you had only trace protein is good.
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  • cuppacocuppaco member

    On BP meds since 8 weeks, for 130s/80s with a couple of 140s/90s readings.  I'm obese and apparently had high BP prior to my BFP.  I'm on 250 mg of Aldomet FOUR times a day.  I've been monitored once a week until they felt the medication was at the right dosage and was working well.  I am now at a visit once every 3 weeks.

    My Dr. is taking this very seriously - even though I have no other side effects (protein in urine, swelling, headaches, "floaters").

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  • F15WifeF15Wife member

    I have had Pre-E twice. The last one was severe. I have a BP monitor at home and I also order protein testing strips so I can do it at home.

    I would ask for a second opinion. The fact that your swelling doesn't go down anymore is concerning and I have NEVER been told you go buy support hose.

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  • stardust317stardust317 member
    I went to my ob a ppt at 28 weeks and my bp was greater than 140/90 so they sent me to l &d for monitoring and to start a 24 hour urine collection. My bp didn't stay high, and my protein came back normal, so I was sent on without meds or anything. My bp remained in the 130s/80s until 34 weeks when my bp went up above 140/90 again. I was hospitalized for about 36 hours, bp went back down, 24 hour urine came back at 313, so I was diagnosed with mild pre-e and sent home on bed rest with no meds. I started going to the ob 2x weekly for nsts and afi checks. At 36 weeks, my bp went up again and I'm now on hospital bed rest. I'm having a csection tomorrow at 37 weeks.
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  • stoeffaunniestoeffaunnie

    I definitely think your midwife is under reacting. But then again I over react to anything BP related.

    I think if you're uncomfortable with your healthcare provider..i would probably find someone new! I wish time and time again that I would have done that with my little girl..Not that that would have prevented the pre eclampsia-but to be just ignored when you have valid points...is irritating!

    I am currently 36 w 5 d and have had some pretty consistent not so great BP's (last night 148/88)..the swelling in my feet and ankles hasn't gone down. It sucks. My doctor always tells me to go to labor and delivery (have been there twice) and get checked out..the pre e panel has come back fine--protein fine thus far..but I feel like it's looming in the distance. I have an appt tomorrow and I wish that they would just induce me, but my BP isn't really high enough to do that I guess. The last time it happened with in a matter of hours--good to bad.

    Oh and my doctor says that swelling is no longer criteria just an indicator. Whatever that means.

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