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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, 130s/80s is really not a big deal. This is the conclusion I came to when I checked out the literature. See, e.g., these links:

http://www.ncbi.nlm.nih.gov/pubmed/17253478

http://www.hindawi.com/journals/jp/2012/105918/ (this is the full article, see in particular sections 8, 9 & 10)

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3746761/

http://www.ncbi.nlm.nih.gov/pubmed/19250798

http://ncbi.nlm.nih.gov/pubmed/15842284

In all of these, *mild* gestational hypertension is defined as 140/90 and above. The conclusion in the literature is that mildly elevated BP in the absence of proteinuria and/or other symptoms of preeclampsia/HELLP does not pose a risk to the fetus, and in fact that treatment is riskier than expectant management (and does not affect the risk of developing preeclampsia in any event). If your doctor wants to induce at 40 weeks, it is simply because she doesn't think there is any benefit to the baby staying in past your due date, not because you *need* an induction for very slightly elevated BP. Hopefully you will go into labor on your own and this will all be moot, but I personally would not consent to an induction (particularly not as a FTM since they are far less likely to be successful) in the absence of a specific clinical indication that one is medically necessary, i.e. signs that preeclampsia is developing. Good luck![/quote]

OP listen to your doctor. The worry is that your BP is borderline hypertensive and could develop into pre eclampsia. There is plenty of evidence that induction after 37 weeks if your BP continues to creep up a bit further is the safest option. Induction may be over used, but it is also medically indicated sometimes. Of course you should get all the second opinions you need, but your OBs concerns are warranted and very much in line with the standard of care. [/quote]

Hyperconservative PP, just STOP trying to scare the OP. You are wrong. The literature does not support your opinion. That's why I posted the above links. If you are happy with having been induced unnecessarily, bully for you. Not all of us are okay with that. I have had three babies, had an occasional high blood pressure reading during all three pregnancies, and it was NOTHING. The studies say that about 45% of women who present BEFORE 36 weeks with elevated BP will go on to develop preeclampsia. You know what that means? 55% won't develop it. So the reasonable course is to continue to monitor for pre-e but otherwise just fucking relax. [/quote]

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