Reply to Pre-E questions....anyone have experience?

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[quote=jindc]I haven't posted for a while...
I'm 36+ weeks pregnant and at my last appointment, my OB mentioned that she thinks I'm going to develop pre-e/high BP and therefore need to consider the reality that I could have to be induced.

The issue is this: I have had ONE occurance of high BP my entire pregnancy (it was taken after I walked from my bus stop to the office in the August heat, and when she took it again towards the end of the appointment, it was back to normal).  Additionally, I went once for NST monitoring at the hospital where I had my BP checked the entire 4 hours I was there, and it was only on the higher (not pre-e high) end when I first got hooked up and was nervous.

Secondly, I have never had excess protein in my urine (or glucose).  I don't think I have excessive swelling - my feet and hands have JUST this past week started to get a little bigger (can get my wedding ring on and off sometimes, but have just decided to keep it off).  I don't have chest pain, excessive headaches, etc.  The only horrible part of my pregnancy (other than the baby is bigger now and walking isn't much fun!) is that I have had reflux/heartburtn the entire 2nd and 3rd tri- it's caused me to throw up a number of time, which I know some of you have said can actually be a sign of pre-e.

I have a BP monitor at home (wrist one) and haven't had a high reading.

I'm worried - not that I'll get pre-e....I'm not a fool, I know how serious it is and trust me - if ever a patient wanted to know if something were an issue, it would be me (I didn't try to cheat the GD test, which I had to take in the first and second tri).  I'm very realistic about the fact that between a monday and a tuesday, pre-e can pop up and from a tuesday and a wednesday, it can skyrocket to HELLP.

However, I think my doctor is just assuming these things are going to happen to me because of my weight.  I get it - I'm overweight.  I talked to her about this at my first appointment (losing a lot of weight, then gaining back a bunch during fertility treatment and curbing a lot of my hardcore physical activity like kickboxing and step while pregnant, but I gain weight fast when I'm not as active).  I get the impression she is dooming me to induction because of a misconception about weight and pregnancy vs doing what is best based on legitimate health concerns.

Does anyone have experience with this?  I know pre-e can develop at the end of pregnancy and there really is nothing you can do about it.  But if I don't have signs, other than I've gained more weight than she wanted me to, what actions should I be taking?  Should I ask for more monitoring before we go the route of just assuming I need an induction? Anyone with a similar situation make it to going in to labor naturally?  I'm OK with extra monitoring before and during labor/delivery, but I don't want to enter the post-induction slippery slope of interventions (I have planned for a natural birth).[/quote]

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