Reply to Evelyn Muhlhan - another homebirth midwife bites the dust?

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[quote=Anonymous][quote=Anonymous]How do you get "preeclampsia is overdiagnosed"? There are clear diagnostic criteria: BP over 140/90 and 24hr protein over 300. This is not subjective. Every obstetrician I have ever met (and as a 2x PE survivor, I've met a lot) has used these criteria. Meanwhile, the PE forums have multiple stories from midwives who FAILED to diagnose. Please tell me, what is "true" preeclampsia, according to midwives? Do they only believe it's real when you're on the verge of stroke or seizure? 140/90 with a 2+ dip and followup of 300+ on 24hr collection IS preeclampsia. Period. Preeclampsia can progress rapidly to HELLP or eclampsia and put baby in distress. [/quote]

NP here so I don't know what the PP you quote meant, but I had to transfer during labor from a birth center to the hospital for borderline BP. My CNMs are very conservative about this, and it was absolutely the right call, because as you say PE can progress very rapidly. For me during labor at the birth center BP was right at 140 and there was protein in my urine, although it was only one sample and I had a lot of bloody show at that point so no way for the birth center to really know for sure. BP continued to rise during labor, and at one point, according to my medical records from the hospital, I was diagnosed with PE based solely on continually rising BP. There remains some debate among my care providers as to whether I really had PIH or PE since my BP came down into normal range fairly soon after getting an epidural.[/quote]

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