Gestational Hypertension - No Induction Option?

[Anonymous]

OP are you thin and on the younger side? I wonder if the doctor is assuming you’re fine because you don’t look high risk.

I had a cavalier midwife and even she sent me to L&D for pressure readings like that. My sense is that once you get into triage, they are not gonna send you home.

[Anonymous]

Hope you are OK OP.

[Anonymous]

Hope OP is ok too and eventually posts an update.

[Anonymous]

At a minimum you need to be admitted and monitored until that BP comes down. No way should pressures that high be brushed off…

[Anonymous]

Anonymous wrote:OP are you thin and on the younger side? I wonder if the doctor is assuming you’re fine because you don’t look high risk.

I had a cavalier midwife and even she sent me to L&D for pressure readings like that. My sense is that once you get into triage, they are not gonna send you home.

Yeah, I would go to L&D triage in this case.

I was 26 and really fit when I had my baby and they still took this stuff very seriously. I ended up with pre-e.

[Anonymous]

Go to L&D now. Any doctor can deliver for you. Share your relevant health info.

Just today a study came out that 4 in 5 maternal deaths are preventable…. You and your baby don’t need to be in those statistics.

I can almost guarantee you won’t be turned away or sent home… unless they don’t have beds.

Find a new OB, perhaps the one that delivers your baby.
Good luck Mama and happy baby day!!!!!

[Anonymous]

OP here with an update, two weeks later (baby's original due date)!

THANK YOU so much to everyone who posted their advice and the well wishes! Your words helped me advocate for myself and ensure a good outcome for both myself and baby girl.

The afternoon I went into the office, I kept emphasizing my high blood pressure readings from the past week along with swelling of extremities and slight headaches. I also played up the fact that both my sister and mom had GH. All signs pointed to being induced. And so I was, just 3 hours later. Everything went well and was fairly quick, within the same nursing shift, which is rare when going from 1 to 10 cm dilated. Oddly enough, BP was not that high at the hospital (120s-130s systolic). Maybe because I wasn't that stressed out anymore about when the baby would come out. After less than 15 minutes of pushing, baby girl made her appearance, as healthy as can be at 38 weeks!

Although the L&D floor was quiet, the hospital was definitely short staffed. I could see how maybe they wanted to hold out on beds for the most emergent patients. In the end, mother and daughter went home on day two and are doing well

[Anonymous]

I'm so glad OP

[Anonymous]

YAY!!! I’m so glad to read this follow up. Best to both of you.

[Anonymous]

Great news, OP! I’m glad you advocated for yourself and your baby. A former coworker of mine was in a similar situation, was repeatedly ignored by her OB, and ended up with severe pre-eclampsia and an emergency c- section at 39w.
Congratulations on the birth of your baby girl!

[Anonymous]

Yay!!

[Anonymous]

Yay!

[Anonymous]

Anonymous wrote:OP here with an update, two weeks later (baby's original due date)!

THANK YOU so much to everyone who posted their advice and the well wishes! Your words helped me advocate for myself and ensure a good outcome for both myself and baby girl.

The afternoon I went into the office, I kept emphasizing my high blood pressure readings from the past week along with swelling of extremities and slight headaches. I also played up the fact that both my sister and mom had GH. All signs pointed to being induced. And so I was, just 3 hours later. Everything went well and was fairly quick, within the same nursing shift, which is rare when going from 1 to 10 cm dilated. Oddly enough, BP was not that high at the hospital (120s-130s systolic). Maybe because I wasn't that stressed out anymore about when the baby would come out. After less than 15 minutes of pushing, baby girl made her appearance, as healthy as can be at 38 weeks!

Although the L&D floor was quiet, the hospital was definitely short staffed. I could see how maybe they wanted to hold out on beds for the most emergent patients. In the end, mother and daughter went home on day two and are doing well

great news!! my BP was also low in the hospital, but lying down gives artificially low readings. I also gave birth extremely quickly! Not in the same nursing shift but maybe 12 hrs after induction started. did you need pitocin?

my guess is the dr office knew they were going to induce you but not quite yet.

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP here with an update, two weeks later (baby's original due date)!

THANK YOU so much to everyone who posted their advice and the well wishes! Your words helped me advocate for myself and ensure a good outcome for both myself and baby girl.

The afternoon I went into the office, I kept emphasizing my high blood pressure readings from the past week along with swelling of extremities and slight headaches. I also played up the fact that both my sister and mom had GH. All signs pointed to being induced. And so I was, just 3 hours later. Everything went well and was fairly quick, within the same nursing shift, which is rare when going from 1 to 10 cm dilated. Oddly enough, BP was not that high at the hospital (120s-130s systolic). Maybe because I wasn't that stressed out anymore about when the baby would come out. After less than 15 minutes of pushing, baby girl made her appearance, as healthy as can be at 38 weeks!

Although the L&D floor was quiet, the hospital was definitely short staffed. I could see how maybe they wanted to hold out on beds for the most emergent patients. In the end, mother and daughter went home on day two and are doing well

great news!! my BP was also low in the hospital, but lying down gives artificially low readings. I also gave birth extremely quickly! Not in the same nursing shift but maybe 12 hrs after induction started. did you need pitocin?

my guess is the dr office knew they were going to induce you but not quite yet.

This is interesting, my BP was also lower while giving birth but quite high at other appointments. I walked around and did not stay lying down the whole time but did lie down for a lot of it.

[Anonymous]

Anonymous wrote:

great news!! my BP was also low in the hospital, but lying down gives artificially low readings. I also gave birth extremely quickly! Not in the same nursing shift but maybe 12 hrs after induction started. did you need pitocin?

my guess is the dr office knew they were going to induce you but not quite yet.

They gave me the cervadil insert which brought on very strong contractions and needing an epidural sooner than expected. It hadn't fully set in yet when they had me start pushing, but the upside was that I was more in control. Did not need pitocin since things progressed so quickly, and differently than with my first born. They did put it in my IV after to help shrink the uterus. My reaction to cervadil was so strong, I'd almost recommend having the nurses on alert to call for the epidural.