Pre-eclampsia Help

Updated on June 25, 2011
V.S. asks from Lima, OH
4 answers

I am pregnant for the 3rd time (31 weeks currently). I didn't have pre-eclampsia with my first and I ended up with severe pre-eclampsia at 37 weeks 6 days with my second. I was induced with both but I ended up having my first at 39 weeks and my second right at 38 weeks. I have now developed mild pre-eclampsia at 26 weeks pregnant with this one. I believe I now have severe pre-eclampsia because my protein count was 548 (24 hour urine results). I am on Labetalol 100mg once per day and as long as I keep it cool and rest my BP stays good (115/76).

I already know how bad pre-eclampsia can get. I've read everything on it and spoken to the doctor so please don't post anything on here to scare me more!!!!! My question is more about the BP and pre-eclampsia together. Last time I had it with my 2nd, I had 150/88 BP and my protein was over 1,000. Since I am on BP meds, it is keeping the BP more normal. I think we all know that with pre-eclampsia the only solution is to get the baby out. But how do you know how severe it is when your protein is high but your BP is stabilized? I know with my 2nd, they tried everything to bring down my BP and it just wouldn't go down at all. Even the magnesium they gave me at the hospital didn't help much.

I am only 31 weeks pregnant and our son is definitely not ready to come out yet. I'm actually surprised I haven't been given a steriod shot yet, but that doesn't mean that when I go to the doctor on Monday it won't happen. I guess what I'm wanting to know is if there are any moms out there that had something similar happen?

When I was admitted to L&D at 26 weeks due to my BP being high, I did a 24 hour urine and it came back at 300. Then I did it again a few weeks go and it came back at 270. I haven't really done anything more than usual and now the protein is at 548. As far as I know, there is really nothing you can do. Now, when I did have my protein checked and it came back at 270, I did limit my salt intake and was getting more help from relatives. Now that we haven't needed the help, I have slaked more on the bed rest but now that I know my protein is very high, I am definitely taking it very easy.

If anybody can tell me their experiences, I would appreciate it. Oh and also the best hospital close here is only a Level 2 nursery but I cannot get into any of the OBGYN's that deliver there (they are not accepting new patients). The hospital I am delivering at doesn't have a special nursery (basically just a Level 1) and I know they told me the earliest they can deliver is 35 weeks, but if the baby is ok and is doing good, they can deliver earlier. I was hoping to make it to 37 weeks, but I don't know if my body can survive another 6 weeks.

What can I do next?

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So What Happened?

My doctor has me on bed rest until I deliver. She is hoping to get me to 37 weeks, but I think it's going to be earlier. They are also going to start giving me steroid injections soon to help mature his lungs.

More Answers

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T.N.

answers from Boston on

My story: developed PE at 32 weeks with my first and was induced at 36and 6. Delivered vaginally a 6lb baby.

Second baby, PE at 26 weeks. Baby was breech. Became very sick at 35 and 2. Was given the option of a version then induction, or C/S. I chose the C/S because being on the magnesium was horrible. My baby was born tiny 4lbs 3 oz but required no breathing assistance or glucose. I did not receive a steroid shot.

My understanding is they look at the whole picture...BP, protein in urine, your reflexes and how the baby is doing. In my case, when they checked my reflexes on my knee...Normal response would be one quick jerk....my leg started jerking and wouldn't stop. Also, I had been kinda twitching in the weeks before.

Please try to relax. That's all you can do. Drink lots of water and relax. Your body is going to do what it is going to do. (((hugs)))

2 moms found this helpful
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S.C.

answers from Dallas on

My blood pressure started creeping up when I was around 27 weeks along. At first, my OB attributed it to her a-hole sonographer for scaring me s---less, by saying my kiddo had a huge head and I should address those concerns with my OB. But the next week it was still elevated. We did watchful waiting for that week. I went to work on my next scheduled shift (I'm a nurse) and I had an atrocious headache. I went to employee health and asked them to take my BP - it was 160/110. So I called my OB & set up an appointment for that afternoon. (My work wouldn't let me leave any sooner.)

As soon as I got there, my BP was still in the 160's, and I had 3+ protein in my urine, so I got admitted - I was 30 weeks at that point. My 24 hour urine ended up around 500. But I begged and pleaded after two days on bedrest in the hospital to go home. So they sent me home on bedrest. At my next appointment, though, my BP was back up in the 160s and I was spilling protein again, so I did another 24 hour urine collection at home, and had another BPP on the baby. Since my 24 hour urine wasn't any different (still around 500) and all my labs were the same, and baby looked good, I got to stay at home on strict bedrest. I had to monitor my BP at home.

Then my liver started acting goofy. I got all itchy and started vomiting and vomiting, and my BP spiked up AGAIN, so I got admitted again, this time with plans to do an emergency c-section (32 weeks at this point) if my liver didn't settle down and I progressed to HELLP. But my liver settled down and my bp settled down once I was able to quit puking constantly. (Phenergan was my friend)

But my ob finally said she had had enough worrying and wanted to give me an expiration date, so we scheduled an induction for 37 weeks and 5 days. And then I was on the strictest of bedrest for the remainder of my pregnancy, and I still had a hell of a time keeping my bp under control.

After my delivery (ended up with a c-section, because dear kiddo wouldn't descend) my BP went through the roof - 190/120 and I got all twitchy, so I did not get to go to post-partum. I had to get put on magnesium for 24 hours (made me feel horrible, like I had the flu) and I had to go back to labor & delivery, which was awful. They do not know what to do for a post-partum person.

My BP came down out of stroke range, but stayed high enough to require labetalol - I took a huge dosethree times a day and it was still in the 150/95 range the whole time I was in the hospital. I still went home on day 3 though. But after 21 hours at home, I did not feel well and I thought it was from the labetalol, so I went back to my OB. They took my BP and foudn it was 220/150 - and they FREAKED. They thought I was going to stroke out right there.

I had swelled horribly after kiddo was born, and I kept saying as much to everyone, but everyone kept saying it was normal, normal, normal. I couldn't bend my ankles or wrists because I was so swollen. So I immediately got re-admitted to labor and delivery, which was werid, because I didn't have a baby inside anymore, where I got more magnesium, and a HUGE dose of lasix. Once I started peeing off some of that fluid, my BP started coming down. I got sent to post-partum and stayed there for 2 more days adn went home on an even bigger dose of labetalol and orders for strict bed rest.

So me moved kiddo's bed into my room and he & I camped out in there together. Luckily for me, he was absolutely the perfect baby and didn't cry too much.

At my 6 weeks check up, my OB said she didn't think I'm designed to have babies. Which is fine - I don't intend to have anymore. I'm so thankful, though, that my body held out to get kiddo to 37 5/7 and that he was healthy, in spite of everything. When they pulled the placenta out, it was all calcified and everything, from my high blood pressure - but amazingly, kiddo was big and vigorous. It's miraculous he wasn't compromised at all.

1 mom found this helpful
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Y.Y.

answers from New York on

at 32 weeks my bp was 140/90... my ob-gyne said i should come to the hospital and deliver via cs.. i refused because i had colds then and i know my baby isnt ready to come out... i went home because i am a nurse and i know what to do... we waited until 40 weeks i delivered via cs and my baby was onto antibiotics and she was so small and had poor sucking reflex...

can you wait til 34 or 36 weeks? bed rest aVOID salty foods and high in protein food... do not tire yourself... 36 weeks is safe enough for the baby...

1 mom found this helpful
Smallavatar-fefd015f3e6a23a79637b7ec8e9ddaa6

L.C.

answers from Cleveland on

I developed PE at 28 weeks with my first one. And went in bed rest at 30 At 34 weeks they did an induction that went bad and I delivered my son by emergency C section. They tried magnesium and stuff but nothing helped. He he scored a 2, 4 and 7 on the apgar score and failed his cat seat challenge. He had to come home in a car like a bassinet. Today is he doing great! Second I did ok but went on bed rest at 32 weeks because my doctor noticed on the days I had appointments after work everything was much higher than if I was off. I delivered my daughter at 38 weeks by scheduled C section and she did great. However after the delivery I developed clampsia and my bp went to 200/150 and I was put on meds. I still am on meds 11 months later. Good luck and just try to take it easy and watch salt intake and drink lots of water.

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