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Expectant and Postpartum Moms
Reply to "Pre-E questions....anyone have experience?"
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[quote=Anonymous][quote=jindc]what do they look for if pre-e isn't based on protein in urine or the blood panel? Just slightly elevated BP? Even if it's below 140/90? isn't pre-e swelling pretty dramatic? how do you know the difference between mild pregnancy foot/hand swelling and pre-e? I thought pre-e swelling was more all over (legs and face not just feet and hands?)[/quote] J here with my unfortunate experience with pre-e to add to the discussion :) Diagnostically, pre-e requires the following: -Two separate readings of 140/90 or higher for BP on two occasions at least six hours apart. -Elevated protein in the urine (generally above 300 on the 24 hour urine collection) I find it very odd that your doctors are wanting to push a pre-e diagnosis - I had many elevated bp readings before my doctors were talking induction. In the end they had me stay at the hospital to do a 24 hour urine and to get recorded bps to finalize the diagnosis. Even after that because the readings were generally under 160 and the urine showed only mild protein elevation, they still wanted to hold off on induction for as long as possible. It was only when the BPs veered into the severe category that they moved to induce (above 160/100 - highest was 189/something and 150/110). I would absolutely not agree to an induction if these diagnostic criteria had not been met. Pre-e blood work requires no fasting - it is like four tests testing your kidney and liver function. I had these tests taken like 6 times over the course of 2 weeks to ensure that my pre-e was not worsening. Pre-e symptoms can vary wildly. I had no real swelling until the very end and even then it was not very noticeable to me - I only could tell because I suddenly gained five pounds in a few days after only having gained 4 lbs the entire pregnancy. The only pre-e symptom I ever had was a nagging slight headache that would not go away for about 2 weeks. My doctors, through the end, were never sure if this was actually related to the pre-e or just a symptom of a pulled muscle in the neck or something. Anyway good luck - your doctors sound a bit nutty to be honest. I would push back hard to get an official pre-e diagnosis before inducing. [/quote]
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