Hi Amanda- my (non-medical[:)])guess would be that if you were to develop protein at this point in your pregnancy, it would probably be more of a function of the chronic hypertension than necessarily developing PE- And it also seems that I remember that one of the docs mentioned that people with chronic hypertension often are sensitive to progesterone.
I found this interesting article about hypertension and sensitivity to progesterone here:
Hopefully soon, they'll be able to stop the supplemental progesterone and maybe your pressure will drop![:D]
I did have severe preeclampsia with my first pg, but with treatment for my hypertension I did not develop it again with #2, even though it looked pretty scary for a while.
Are you on antihypertensive medication? It's entirely possible and even likely that if you have chronic hypertension and you developed PE, it was especially severe- that is considered chronic hypertension with superimposed preeclampsia, an especially dangerous kind of PE.
PIH would be pregnancy induced hypertension- new onset pregnancy hypertension without proteinuria.
Chronic hypertension is preexistant hypertension and hypertension appearing before 20 weeks.
Preeclampsia would be new onset hypertension (140/90) after 20 weeks with 300 mg protein in a 24 hour urine.
Superimposed preeclampsia is preexisting hypertension and proteinuria- in one sense it's harder to diagnose, because the hypertension was already there. It's hard to tell if it's "just" chronic hypertension or actual preeclampsia until a person is already sick.
Hellp is a little different- it stands for the changes in liver function that often accompany this type of PE- Hemolysis, elevated liver enzymes, and low platelets. It is a more rare form of PE, and doesn't always follow the most common path of PE.
Hang in there- you're asking all the right questions, and I'm keeping my fingers crossed that you have a nice, long, uneventful pregnancy!
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
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