by annegarrett (2525 Posts), Sun Dec 07, 2003 09:57 am
That is very concerning levels of proteinuria. I would call the doctor before your next visit--tomorrow--and ask for a 24 hour urine. You also want to monitor the baby's kicks. The problem with preeclampsia is that it causes blood clots in the placenta and eventually the placenta will separate from the uterus. Before the happens your placenta may be allowing less nutrients and oxygen to the baby so the concern is that the preeclampsia is compromising the baby's health. To determine whether or not this is the case in places like the US or the UK--they do an ultrasound and/or a non-stress test. You can do a "lay version" by counting kicks. Particularly given how close to term you are--the goal is to just buy you and the baby time. Since you have no blood pressure problems--they cannot give you antihypertensives (though what is your BP normally--if you are smaller--or younger--your normal BP might be actually elevated and you only have a 140/80 BP.) At this point--all they can do is deliver the baby and while 36 weeks is fine in the US--you probably want to get the baby more time in Thailand. I am not trying to frighten you but you will need to be very diligent. Check for baby kicks every hour, ask for a 24 hour urine, ask your doctor when he might plan on inducing and stay in bed. Someone else will need to take care of the house...lie on your left side and stay down. You should not be doing any cooking, shopping, cleaning or child care--you should be in bed all day except when at the doctor's.
Please let us know how you are doing.