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

Forum Index » Expectant and Postpartum Moms

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

Subject:

Emoticons





More smilies

Text Color: Font: Close Marks

[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]OP, I think you should go read the HYPITAT study (available for free here: http://obgyn.med.umich.edu/sites/obgyn.med.umich.edu/files/Hypitat.pdf), because it doesn't say anything remotely close to what the PP said it did. The women in the study all had SUSTAINED readings of &gt;95 diastolic, which you have not had, so you would not even have qualified to take part in it. There is a study currently being conducted about the merits of treating mild hypertension in pregnancy, but it won't be completed until the spring and the results won't be published until sometime after that.

I just researched this issue because my systolic BP is slightly elevated at 32 weeks, and what I found is that the primary concern about mildly elevated BP in late pregnancy is that it could turn into preeclampsia. You are obviously being monitored for that. Beyond that, there isn't much they're going to do for you because they generally don't consider giving meds until BP is sustained 160/110 (some docs probably do, but standard of care is not to intervene until BP gets very high, because meds can bring it down too much and that can be bad for the baby). According to the studies I read, the risks to baby from hypertension that is *NOT* preeclampsia only kick in at high levels -- mild hypertension does not increase negative outcomes for baby in the absence of preeclampsia. There is more concern about negative cardiovascular effects for mom but given that you are already nearing the end I don't think that's a concern for you.

It sounds to me like you are a victim of size discrimination by your doctor and I would be very concerned about delivering with this practice. They are clearly setting you up for induction for reasons that are not based on actual evidence of a medical indication for such.  Two random high blood pressure readings in the presence of otherwise normal ones and the absence of any clinical indications of preeclampsia is just a tempest in a teapot. It's good to be vigilant just in case you were to develop pre-e, but telling you they think that you will get it is totally unethical and out of line IMO. [/quote]

The point of inducing for high BPs is to avoid preeclampsia and the inherent danger of elevated BPs alone. You are really minimizing. And the spikes are always a concern - the common practice of having you lie on your left side, "relax", whatever, actually produce false readings.

OP may not yet meet the definition of hypertension in the HYPITAT study but that is obviously the standard of care her OB has in mind, so she should know about it, especially if her BP starts to increase.

If you really distrust your doc that much you should change practices.[/quote]

What I stated above is that there is no inherent danger in mildly elevated BP. Inducing to avoid preeclampsia is ridiculous at 37 weeks. Not everyone who has elevated BP is going to develop it, so that's a lot of unnecessary inductions that have their own risks and side effects. I am not minimizing and you are just wrong about having an occasional high reading and about relaxing. Those readings are not false, they are closer to normal. Everyone's blood pressure rises in a threatening situation. I don't need to switch practices because I am with a provider who follows the conventional standard of care and isn't chomping at the bit to induce at the first reason she can trump up.[/quote]

Go ahead with your bad self and your google md, then. The gist of OP's q is whether it is normal for doc to be concerned about high bp short of pre eclampsia. My answer is yes, my notably crunchy MIDWIVES were concerned and monitored for the eventual problem that did develop.[/quote]

Not PP, but you really cannot read, eh? The gist of OP's question is not whether it is normal for doc to be "concerned about high bp short of pre eclampsia." OP clearly states that her doctor is talking about induction, and presuming that OP will GET pre eclampsia based on a few isolated high readings that have never even broached the 140/90 level that is the diagnostic threshhold for "mild" pregnancy induced hypertension. Which, I might add, is quite different from Pre-E. So, your crunchy assed midwives (whatever) are out of their minds if they put you on bedrest at 130/80. But I bet they didn't, because for whatever reason, you're just on here to cause trouble and make people feel fearful.

[/quote]

Options

	Disable HTML in this message
	Disable BB Code in this message
	Disable smilies in this message

Review message

Search Recent Topics Hottest Topics