Reply to Gestational Hypertension - No Induction Option?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]OP here: Anyone been in the same position where their OB acted like it wasn't an issue and continued with business as usual? Is this OB blatantly ignoring ACOG guidelines? I'm with one of the big practices in the area, Capital Women's Care.

My next appointment is not for another week at 39w. Seems like a long time to have to wait.[/quote]

I did not have hypertension but I did have a diagnosis where I should have been induced by 37 weeks. I am a physician (not OBGYN) and read the current clinical practice guidelines myself. My docs also a CWC practice said it wasn’t necessary. At my 38 week appointment, my OB and Maternal-Fetal Medicine doctor were insistent it was not necessary. My labs were fine and the ultrasounds and NSTs were reassuring. I refused to leave until I had an induction scheduled. Went to the hospital that night and left with a healthy child.  Pretty sure they labeled me as a hysterical first time mom but I didn’t care. With my next pregnancy, I ended up mostly seeing other OBs in the practice. Not because I was upset, my schedule had changed and therefore the docs I saw changed. Towards the end of my next pregnancy, I ended up seeing my main OB from my first pregnancy. She apologized to me and told me I was correct. Another mother with my same diagnosis did not end up leaving the hospital with her baby. No specifics were given but reading between the lines, I deduced that that mother was either not induced until way past 37 weeks or was not induced at all. My diagnosis came with a high risk of still birth past 37 weeks.

[b]Never be afraid to advocate for your child.[/b] [/quote]

I absolutely agree with the above. I had similar readings to your first readings (145/90), and my doc sent me straight from the routine appt to L&D where they monitored me for 3 hours. The pressure didn't go up or down, but as I was term and the doc wanted to avoid me having to get magnesium and/or having things progress to pre-eclampsia, I got induced, and everything was fine.

IME, the DC area is a place that attracts what I call "phoney doctors"--people who want the prestige of being a doctor, who have gone to all the right schools, etc. but in their hearts, have zero calling to help patients. This results in substandard care like sending you, [b]a term pregnant woman with severe blood pressure readings[/b], to her home instead of admitting/monitoring and inducing.

As others said, you can go to L&D triage straightaway and tell them you've had high readings and have them monitor you. Dollars to donuts, you're having this baby today or tomorrow! [/quote]

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