how worried should i be help please

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Re : how worried should i be help please

Post by blythe » Sun Apr 29, 2007 02:40 pm

I've been away for awhile but wanted to see if Mom and Baby are healthy? Come back and share your birth story!

Re : how worried should i be help please

Post by rerskine » Wed Apr 18, 2007 03:29 am

Hello Fishologist,
My wife and I are going through our second pregnancy and your situation sounds very similar to our first except you are already past 37 and in full term land. Our daughter was induced at 35 3/7. Five days prior to that my wife's BP shot up from 105-110/65-70 to 130's/high 80's. We had just done a 24 hour with negative protein (like as in 0-5 low) she was not swollen (edema), no pain, no headache, baby was a bit small, but was tracking the same growth patter she had for the entire pregnancy. All good. Over the next four days BP up but would go down when she rested, 24 hour came back in the mid 300's, she gained about 6 pounds, and when they did another ultrasound amniotic fluid was ok but she had not grown at all. They induced immediately, and by the time she was born my wife protein was really high and the delivery was rough because they lost the fetal heart rate and had to attach the internal one. It all turned out fine and Isabel spent all of twenty minutes in the NICU, but it progressed really fast. Currently, she is 37 3/7 with our son and just has high BP. I don't want to scare anyone, but PE is spooky. I would suggest that you demand (in a kind forceful tone) that they measure Gavin's size. I would recommend that if he is falling off at all from his growth pattern, you may want to induce now when you can be in the driver's seat as much as possible.

One other note, the measurement with the ultrasound are really not that reliable +/-3 weeks or so, but if you wife has high BP 400 protein and edema, I think the +/-3 weeks becomes less speculative and more of an indicator that you need to seriously consider taking action. The other's on this forum may correct me if I am wrong, as I am not a medical doctor, but this was our experience,so I hope it helps.

On another note, have they said that your wife will have magnesium IV during labor. It is usually standard to reduce the chances of seizures from PE. My wife, and I kid you not, still says to this day that the IV's were worse than the delivery. She was truly miserable. By the way hand massages and foot massages did wonders and still do to help my wife relax.

We are going in to the Doctor's tomorrow and even though my wife's BP was 114/80 tonight, I can almost guarentee you that she will have a high reading tomorrow and we will be at Labor and delivery tomorrow afternoon. Best of luck to you adn your wife and son.

Ohh yeah, ask the doctor's to explain the delivery room team and procedure, because it can be pretty weird if the NICU people come in probably 3 or 4 people you may not have ever seen before and they wisk in with a crazy array of equipment, poke and prod etc. They are great but it can be pretty fast paced. Also talk with your wife about what you should do if, and I emphasize a BIG IF because you are past 37 weeks, but if they have to take Gavin out of the room for observation, does she want you to go with Gavin stay with her, etc. Regardless, have a camera when you go or stay, That first family photo on Mom's chest is a great bonding moment, but it screams by. Try to stay as calm as you can and ask them to explain the monitor so you can help your wife as she goes through contractions. Tell her the Fetal heart rate, distance between contractions, severity of contractions. I stared at the monitor for almost 20 hours and started to see patterns that when I told her the patterns helped her relax.

Re : how worried should i be help please

Post by deerhart » Sun Apr 15, 2007 01:12 pm

I am sorry but you CANNOT worry yourself into hypertension and PE. Yes stress can cause you to have problems, but the really that is consistent long term extreme stress (we are talking years here not days). Usually there is an underlying problem that stress just exaggerates (ie like hypertension).

If your doctor is having your wife lay down to lower her BP, she is therefore getting false low readings. Since 99% of people spend 2/3rds to 3/4 of the day NOT laying down, her BP is the 140/90 2/3rds of the day and only low when she's laying down (probably asleep on her side). Even sitting with your legs out will keep your BP elevated to the higher number. So regardless of the fact that is does eventually drop, your wife's BP IS going up upon activity, sitting up etc.. and therefore it will go up when she does these things around the house. I remember tracking my BP on bedrest. One 2 minute trip to the bathroom meant I had 17-22 minutes of elevated BP, thus 2 trips every hour pretty much meant the benefit I was getting from resting was being counteracted by the time it took to get my BP to drop below danger levels.

If her BP is up that high, the damage is being done. Even if its just a 15 minutes a day, it IS doing damage. And with a 400 protein count, she already has some damage to her kidneys done and typically its likely to get worse before it gets better (though PE can stall, reverse itself and then come on with a vengeance.. thats pretty much what it did with me my first week of bedrest!)

Re : how worried should i be help please

Post by annegarrett » Sun Apr 15, 2007 01:31 am

For my part, and forgive me because I am going to be very blunt, there is no such thing as mild preeclampsia. From what you say her numbers are--she has preeclampsia. Once she has any proteinuria--it means her kidneys are damaged.

With preeclampsia, you can have bad, very bad, really really bad and catastropic. And it can go from bad to catastrophic faster than you can get her to the hospital. That's why most doctors (at least the ones I would go to) prefer to deliver when the patient is at least 36 weeks and has the diagnosis. Their thought (and mine) is why wait--why risk the worst case scenario.

My job, as I see it, is to be sure you know what's on the line. Chances are good everything will be fine--but the only things that can go wrong now are very important things--your baby's health and safety and your wife's.

Re : how worried should i be help please

Post by fishologist » Sat Apr 14, 2007 08:33 pm

well a update
went in last wed and she said there was no reason to pull the baby except a comfort thing, so me and my wife talked it over and we will go until he comes naturaly, she is getting to the part where she wishes she could be induced

Re : how worried should i be help please

Post by fishologist » Sat Apr 07, 2007 10:22 am

i think she is 37 or 38 weeks

Re : how worried should i be help please

Post by fishologist » Sat Apr 07, 2007 09:44 am

thanks for the replys. i told my wife about this forum and she wanted to read the replys. she liked all the info i was recieving. so she replyied so dont worry about replying to me. but i tell ya i think she could worry herself to problem ( is this hypertension) next app is monday with the her dr.

Re : how worried should i be help please

Post by blythe » Sat Apr 07, 2007 00:02 am

(sorry for saying "you" when I'm answering questions that both of you have raised, especially since this is really the Dad's forum! "Mom", we'd be happy to "see" you with your own username, too! And "dad", some other dads should be along soon!)

I'm sorry you had another frustrating visit! 160/88 is *high*. I imagine it's very confusing, though, to have your bp come back to normal so quickly. It's my understanding that in pregnancy-induced hypertension (and even in normal hypertension), bp can bounce up and down a lot before staying consistently high. I'm just glad that for now, it's not *staying* high!

The practice I went to with #1 wasn't much on "second opinions" within the practice. I almost think that's good, though - PE treatment really becomes an art when it's not immediately life-threatening, so the decision to deliver and other choices can vary a lot from doc to doc, and to hear the differences among doctors in the same practice (in my opinion) can actually be more confusing and more upsetting.

That's possibly the wishy-washy-ness you're experiencing, too - that delicate balancing act between giving baby more time vs. getting the baby out to prevent complications is *so* hard. I can definitely understand, though, how you'd like to wait a few more days for the induction if at all possible so that "prior commitment" can be honored. The problem, and it sounds like you do understand this, is that those few days could send you over the edge into severe PE territory - or, you could hold steady like you have been. Personally, after reading all the stories on these boards, I chose to be induced as early as possible with #2.

I have no idea why they didn't measure the baby during the ultrasound. Babies in PE sometimes (often?) are intra-uterine growth restricted (IUGR), and that is another indication that baby is having trouble. On the other hand, since they're already planning to induce, they're just saving themselves some unnecessary work. Ultrasound measurements are also notoriously wrong, as I understand it - someone here recently said their ultrasound showed a 3-pound baby, and within days she gave birth to a 5-pound baby.

As far as I understand it, the stress doesn't affect the progression of the disease, even though it seems to when your /her bp spikes like it has been. I don't think you've said how many weeks you are... Have you gotten a "Bishop's Score" to see how likely an induction would be successful at this point? I hope you are able to talk to your doctor again soon, and hopefully get better answers from her so you can feel better about inducing or waiting to induce!

Keep asking questions! Some other dads should be around soon!

Re : how worried should i be help please

Post by fishologist » Fri Apr 06, 2007 08:41 pm

todays results

we go in and her bp is 160/88 she had a small headache, and her feet were swollen a little. they made her lye down and 15 minutes later her bp was back down to normal. ther urine test strip was normal and after all weve been through they .....sent us home.. i dont understand any of this now they wouldnt even let us talk to the dr we were gong in for a second opionion. my wife said today that the stress is getting to her. would it be better for everyone if we let the dr set a date to induce. less stress on the mom and the baby? just a question

Re : how worried should i be help please

Post by caryn » Fri Apr 06, 2007 01:23 pm

Nah, you're not troublemakers. [:)] All of us end up trying to figure out what the *heck* is going on when we get this, and doctors are very, very bad at explaining it because it is amazingly complicated, endemic to human pregnancy, and in severe cases they're afraid they're going to lose mom or baby if they don't get going right away, with no time for explanations.

Most preeclamptics had no prior trouble with their blood pressure before the end of their pregnancies (the exception is chronic hypertensives.) A rough sketch of what's going on is that your immune system is beginning to fight with the placenta (which is, after all, half foreign), and the placenta is retaliating. The increased bp is a sign of the activation of your innate immune system and has been shown to have very, very little to do with lifestyle and/or dietary choices.

What you're likely seeing is the tendency for symptoms to come and go during the earlier stages of PE. The current thinking is that the symptoms appear in response to placental hypoxia -- times when the placenta isn't getting enough oxygen, either because the baby's demanding more than the placenta can send, or because your body isn't supplying enough. Sometimes the placenta can grow a bit -- sometimes your undersupply of oxygen was temporary -- it's a very complex set of signals between your body and the baby.

But we know it's caused by the placenta; it won't go away until the placenta is removed and the factors produced by the placenta have a chance to work their way out of your system.

Here's a link to a thread with some much more thorough explanations of the underlying biological mechanisms:

Also, I have found that it is easiest to make sense of if you keep the idea of maternal-offspring conflict at the front of your head at all times. Some of our resident Experts (top researchers and clinicians working in hypertensive pregnancy) have been publishing on that aspect recently.

Feel free to ask questions; it's why we're here. And please keep us posted!