It's different when you know what could be coming

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Expand view Topic review: It's different when you know what could be coming

Re: It's different when you know what could be coming

Post by ebonymama » Wed Feb 19, 2014 08:59 am

hello liz and to the rest of you all,

how r you? i think i could relate to your situation cause i am in the same boat.....i am jus about a week behind ya......i suffer with hypertension and went into pregnancy with it......

my numbers jus a notch where yours are....but holding steady......

i am,though, on 2000mg methyldopa and 20mg nifedipine and 81mg lose does aspirin daily.......

i have a growth scan 2morrow at 32 weeks.....so yeah wow....its good that u were able to see a MFM....i live in the southern caribbean and i don't think there are any of the such....just regular OB's that have experience in the disease....and well the public hospitals who don't give a **** really.....so i rely on websites like these to get by.......

fingers cross for both of us at this time...i just want to get 2 35 weeks and i will feel good....mostly i would be induce or c-section at 36 or 37 weeks....

Re: It's different when you know what could be coming

Post by caryn » Tue Feb 18, 2014 10:06 am

So glad you have an MFM consulting. 32 weeks feels so early, but the odds are really good at that point. I always tell people 34 weeks is gravy and it's all bonus from there in our pregnancies. :D

Re: It's different when you know what could be coming

Post by lizzellen » Fri Feb 14, 2014 11:22 am

Quick update: I did see a maternal-fetal specialist, who is consulting with my regular OB. I'm 32 weeks, and so far PE is not full blown. I did a 24-hour urine last weekend, and it came back about 250, which is under the 300 threshold. BPs still high but holding steady. Mild swelling. Mildly anemic despite iron supplements.

I'm doing weekly OB visits with ultrasounds and fetal monitoring. My little girl is measuring small, seems like she's between 15 percent and 30 percent consistently.

My doc wants to get me to 36 or 37 weeks, which I'm hoping for, too. For now, still working and hoping for the best! So thankful to have made it this far.

Re: It's different when you know what could be coming

Post by sam10 » Wed Dec 11, 2013 07:44 am

Glad to hear that your doctor is following the new guidelines and that you feel comfortable in his care. Has your doctor a specialist whom he can consult with? If not, perhaps you might want to consider doing the 2-hour trek to see one, especially since you are hypertensive and on medication.
I also worked until PE hit me at 33 weeks. It helped to stay focused and I was less panicked.
Let us know how it goes. Fingers crossed.

Re: It's different when you know what could be coming

Post by lizzellen » Wed Dec 11, 2013 02:59 am

Wanted to give an update. I saw the new guidelines that just came out on preeclampsia treatment and was relieved to see my doc has pretty much been following them to a T. I talked with him extensively during my last appointment, and he had seen them and is following them. So, I'm feeling a little better even though he's not super experienced in dealing with this disease.

It looks like bed rest is no longer recommended in most cases, which surprised me. I really thought I would get yanked out of work soon and, frankly, I'm the bread winner in our family, so I'm glad I'll be able to keep working.

The good news is I'm at 23 weeks now. Had the big ultrasound and baby is measuring small but apparently my due date is the same (April 9). I just passed by GD test but did find out I'm anemic. So, I'm taking iron supplements in addition to the prenatal. Don't know if it's psychosomatic, but I'm already feeling like I have more energy since starting the iron just yesterday. Blood pressure was a little better than it's been, 145/90. So, I work, and we wait. Please send along all the good vibes you got. Another two months and we'll be getting pretty close.

Oh, and it's a girl! Our daughter, Amelia, will have a little sister.

Re: It's different when you know what could be coming

Post by bsherricca » Wed Nov 27, 2013 10:05 am

i think at a minimum a consult with a high risk doc will give you some peace of mind ...2 hrs is a long drive but if it puts you at ease in terms of your numbers and where you are in your pregnancy that alone will be worth it ...

Re: It's different when you know what could be coming

Post by kaxy » Tue Nov 26, 2013 11:32 am

I think it's worth getting a high-risk consult, maybe someone who can work over the phone with your hometown doc? Going to a specialist for EVERY appointment might be a bit much given the distance (I don't know though). I do think getting a specialist's opinion in on the matter and how to handle your case would be worthwhile.

does hometown doc want you to get to a certain point and induce? Or a certain level of bad BP/other symptoms or something?

I *think* chronic hypertensives such as yourselves fare a little better but I could be mistaken. I forget the thread on here about that.

Re: It's different when you know what could be coming

Post by whereowhere » Tue Nov 26, 2013 09:43 am

Well I can't say I have similar numbers to you, but I was also an older mom (40) and I think it's important to see high risk docs having had pre-e. I would definitely drive the 2 hours to see a specialist if I were you. But this is coming from me who was given a 60% chance of recurrence. I never got pre-e, but I am from a small town five hours from a NICU. I relocated to the city for the last 3 months of my pregnancy to be near high risk docs and NICU because when I delivered and lost my twins the plan was to fly me to the city for the best care, and could not get out due to a freak snowstorm. They would not have made it even in a big city hospital being born at 21 weeks, but I knew I was taking no chances the next time. Your risk of recurrence is probably less than mine since yours was at 36 weeks, but I think with your BP I would at least make a trip to a specialist to get checked out. You may not have it at all or you may have a mild case of it, but I would NOT put things in the hands of a hometown doc if I were you. I believe in better safe than sorry. Let us know how it goes for you...

It's different when you know what could be coming

Post by lizzellen » Mon Nov 25, 2013 10:15 am

Returning here after a long hiatus and looking for some support/advice. I'm the mom of a healthy 5-year-old girl, induced at 36 weeks due to PE. We're pregnant again and I'm at 21 weeks. Excited to be this far along but also waiting for the other shoe to drop. I was living in a large city when I had my daughter and was seeing a high-risk specialist who took a very cautious approach and monitored me very closely (BP soared early on and BMI at 32). This time, we're living in a very small town, two hour drive to specialists and even a NICU. I am now of advanced material age (36) and BMI is higher this time at 36 (sigh).

So in many ways, it's a different ballgame. My doctor seems unconcerned about everything. My BP has been about 145/95 consistently, even on 750 mg of methyldopa daily (I was hypertensive before getting pregnant so not sure if this is due to baby or not). In the first trimester, I did a 24-hour protein, and it was 300 (already!). The lab sheet said normal is below 200. I called in tears and in a panic, and the doc basically said that it's not uncommon for pregnant women to have protein in their urine and that this is normal for me.

I'm so torn. A part of me feels like what's going to happen is going to happen. Can our doctors really do anything to slow down this disease process, or are they just really good at measuring everything and telling you it's coming or is here? Do you think I should be driving two hours to see a specialist? Or do you think I should just put things in the hands of the hometown doc?

As an aside, several of my friends are pregnant right now, some for the first time, others on two or three, but none with complicated pregnancies. I feel so out of place when I talk to them. I don't want to scare anyone, and while I am super excited to be expecting, I'm also so worried about all of the things that can go wrong. I keep thinking that if I can at least make it nine more weeks, this kiddo will be able to make it (even if we have to make the haul to a NICU).

Oh, well. I know many have much worse burdens to carry.

I'd like to hear from anyone who has similar numbers to me at this point and how things turned out. Also, I should note all the genetic tests have been coming back great. I have my big anatomy scan on Dec. 5 and should have a sense then of how baby is growing and the sex.

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