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

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[quote=Anonymous]OP, the good news is that if you had to induce today, your baby would likely be really healthy - you're almost to 37 weeks! - and might not even need a NICU stay.  That's awesome.  Breathe.  You're ok.

Secondly, I echo those who urge you to push back on the idea of early induction for pre-e.  The PP above with the studies about high bp may have a point about bp, if that's your OB's concern, but then the idea of pre-eclampsia should not be mentioned.  Pre-e does not mean "high bp and fatness combined".  There are specific diagnostic criteria that have to be met.  If you've never had protein in your urine and have only had one elevated bp, I can't imagine why it has even come up.  I share your concern that your doc may be just making assumptions about your health because of your body shape.

My story -- I am a fat FTM in her 40's, so I was hypervigilant about pre-e.  Happily, I had an OB who did not have automatic assumptions about my health based on my weight, and he fully expected I could do a full-term natural labor, since I am pretty active, my sugars are great, and my BP had never been high.  I had a pretty smooth pregnancy (aside from a lot of medical anxiety) until a high BP reading at 33 weeks at the doc office.  Urine was +1, so I did a blood panel and 24 hour urine collection (OMG, what a pain that was) and they both came back fine, and my BP came down after resting 20 mins, so OB dismissed it and said it was probably just exertion and to come back in a week and take it easier at work.

Just because I was hypervigilant, I got a portable BP monitor (with a large size cuff) and started monitoring my own BP at work.  Four days later, I didn't feel right, took it, and it was 200/100.  Got put on bed rest, did another 24 hour urine collection, got a giant headache during that 24 hours, called the doc at 3AM, rushed to the hospital, and was in full blown pre-e at 34w 1d.  It can happen that fast.

(My happy ending -- my sweet son who seems ok and healthy at 5 months, but it was hard going -- v scary birth, separated from him for 20 hours afterward, NICU stay, v tough first 6 weeks, fears of delays now...but he's a lovely, sweet child and seems ok.)

So, my advice would be, push back very strongly (do not agree to induction unless you've at least done a 24 hour urine to confirm pre-e), but also monitor yourself very closely, as everything can go from good to bad very quickly.  [/quote]

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