by paljane8 (1416 Posts), Thu Nov 06, 2003 10:31 am
I know that this must be very frightening for you because of all of the possibilities that could happen. But, hang in there. You can do this. Most likely you will be watched more closely and the baby will be monitored more often. For the mother they will check bp and protein every visit. Your dr may or may not put you on antihypertensive meds. (Drs' oppinions vary on this). They can put you on bedrest. You will probably go in more often. The most important thing is to be aware of PE and HELLP symptoms (i.e. headaces, visual changes, severe pain under your ribs etc) and report any changes to the dr. Are you monitoring your bp at home?
For the baby; high bp can reduce the blood flow to the baby so, they will check the baby more often too. Some of the tests they do are called the non-stress test (NST) which checks the baby's heart rate in relation to his/her movements. The bio-physical profile (BPP) is another one they do. The bpp (done through ultra sound) tests 4 things-baby's breathing, amniotic fluid, baby's movement (rolling) and baby's arm and leg movements (muscel tone). It is very difficult to get an accurate NST reading until 32 wks but, sometimes drs order them as early as 28 wks. These tests monitor the baby's well-being. One of the other concerns in PIH is low amniotic fluid which they watch through ultra sound (AFI-amniotic fluid index). I know this all can seem really scarey and I don't want to alarm you. I think knowing what to expect helps. And just to let you know, I developed PIH at 22 weeks and I made it to 37 wks. There are others on this forum who went a lot further in their pregs than anyone expected. This is my story if you are interested. I liked knowing there were others who started PIH early like I did and had a positive outcome.
Best of luck to you and keep us updated. Hang in there-we are with you all the way.
Scott-born 05-14-99 @38 weeks-PE
Janie-born 05-12-03 @37 weeks-PIH, small for gestational age (oligo and low blood flow)