Pregnant again- High Risk

This section is for discussions with other women who have probably been through the same signs/symptoms that you may be experiencing. Please note, we cannot offer medical advice and encourage members to discuss their concerns with their doctors. New members, come on in and introduce yourself!
paljane8
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Re : Pregnant again- High Risk

Postby paljane8 » Sat Jan 03, 2004 12:04 am

Unbelievable!!!!!!

Nancy-35
dh-34
ds-8yrs
dd-7yrs
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)
http://www.babiesonline.com/babies/4/4lbs/

laura
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Posts: 5139
Joined: Tue Jan 28, 2003 12:17 am
Location: Anchorage, AK

Re : Pregnant again- High Risk

Postby laura » Sat Jan 03, 2004 00:06 am

Oh, Nance- that baby is wild and wool-y. I'll post on your board, because I'm nosey about how our dearest Janie's doing[:D]

Laura-28
DH Jack-30
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/

paljane8
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Posts: 1416
Joined: Fri Apr 04, 2003 02:17 pm

Re : Pregnant again- High Risk

Postby paljane8 » Fri Jan 02, 2004 08:27 pm

Amanda,

Hey, I just had to get in on this. It is so scarey to face another preg with htn already. You can do this. There are a lot of miracles that happen here. Keep us updated. Even though my htn didn't start until 22 wks but, I remember being really scared. Hang in there and those of us who have travelled that road are on the sidelines cheering you on.

Laura-Camille is WHAT?!...crawling!!!!!!

Nancy-35
dh-34
ds-8yrs
dd-7yrs
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)
http://www.babiesonline.com/babies/4/4lbs/

laura
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Location: Anchorage, AK

Re : Pregnant again- High Risk

Postby laura » Fri Jan 02, 2004 10:44 am

SueAnn- I absolutely anticipated that if I'd had DD at 33 weeks she'd have been on a respirator.

But, by that point- she'd almost entirely stopped moving, she was starting have non-reactive NST's, cord compressions and decels with every movement and we did near hourly kick counts out of fear of cord accidents.

You see, we thought the possible alternative to prematurity was stillbirth. We weren't ignorant of the potential complications of prematurity, we just preferred them to death.

If my manner suggests flippancy, I would submit that it's in the interests of keeping the chatter of the boards upbeat and not unduly scaring our pregnant members- rather than any implications that what we went through to get Camille here was anything other than a nightmare.



Laura-28
DH Jack-30
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/

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catherine
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Re : Pregnant again- High Risk

Postby catherine » Fri Jan 02, 2004 08:54 am

SueAnn is dead right! My pediatrician friend always says that by 32 weeks you can expect a good longterm outcome... HOWEVER.. that comes at the end of a protracted and scary time in NICU, lots of heartache and money.

It is kind of ironic don't you think. Bedresting mommies fall into two categories, the preterm labor/cerclage ladies, crossing their legs and praying to keep their babies in, and then the folks like Laura/Nancy/Catherine, dying to get their babies out because they'd rather trust an incubator than their uterus to take care of their kids.

If I haven't mentioned it before... preeclampsia is cruel!

Catherine (37)
DH, Dave (40)
Finn (6)
Lucy (2)Preeclampsia & HELLP
Chloe (7/2/03)

season
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Re : Pregnant again- High Risk

Postby season » Fri Jan 02, 2004 07:56 am

Oligo can be due to things other than Hypertension, as well. I have a friend who had low fluid in both her pregnancies, but all else was fine. Her first was also worse than her second. She had a scheduled c-section because due to the low fluid her daughter remained breech the whole time.

Also, a warning to all of you who I've noticed saying (not just in this thread either) that oh by 33 or 34 weeks the baby will be fine. While some babies do great, and breathe on their own, not all are ready for this. My son was not fine at 34 weeks. He was put on a repsirator, and as a result transferred to a different hospital. Fortunately 2 years later he's doing great, but his start was far from easy. If your child is still doing well inside then it IS best that the doctors choose to keep waiting, even though the waiting is hard.

SueAnn
dh Kwame
ds Ezekiel 1/2/02 (34wks due to pre-e)
#2 EDD 7/6/04

laura
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Joined: Tue Jan 28, 2003 12:17 am
Location: Anchorage, AK

Re : Pregnant again- High Risk

Postby laura » Thu Jan 01, 2004 11:25 pm

Yup, Catherine, I sure do understand the desire to quit while ahead with these little ones- I hit 33 weeks, and I was like- aren't we done yet? I KNOW she can get oxygen on the outside. The idea that I was chronically depriving my baby of oxygen really upset me. That oligo is not something I'd like to repeat.

It is especially distressing to me to consider how much trouble hypertension can cause our little ones.

Pregnant readers out there- don't let it spook you, though. Different people react differently to different levels of pressures, and the whole thing is influenced by all kinds of different things- like how the placenta forms, how much your blood volume increases, etc.

These are things that CAN happen, but doesn't necessarily mean that they will. True oligo, I think, is in less than 4% of pregnancies and oligo severe enough to deliver (less than 5cm) is less than 1%. Catherine, Nancy, and I are just plain lucky, I guess. I only wish that luck carried over to lotteries, raffle tickets, inheritances, etc...[:p]

Laura-28
DH Jack-30
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/

akemt
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Re : Pregnant again- High Risk

Postby akemt » Thu Jan 01, 2004 10:07 pm

Laura's definately right about that! Sorry, about the high BP affecting a baby more than simply giving it's mother preeclampsia. Not that preeclampsia is by any means simple! She and I both had to go through what is called Oligohydramnios. Basically, it is low amniotic fluid caused by poor perfusion in the placenta, caused by the high bp. For me, I already had this problem when I was diagnosed and my bp's were still fluctuating...not even a consistant high. They have to watch you very closely because it can mean the baby isn't getting enough nutrients, blood and oxygen. And also if your levels get low enough, the baby's own weight could collapse it's umbilical cord. I hated the oligo even more than the PIH, even though the PIH was the cause. lol They don't just take the baby to prevent any problems, they wait untill your levels are VERY, VERY low, the baby's heart rate is showing signs of distress, or untill the baby's weight falls (in my case 3 weeks) behind. It was awful waiting for something to go wrong. I knew my daughter was healthy and just wanted them to take her before anything happened. Many people couldn't understand why I would rather have a preemie than wait and wait. Laura understands though. Love ya Laura [;)] Don't get me wrong, I'm glad Emma was able to be safely delivered at 37 weeks and wasn't preemature at all. So, here's my bit about keeping your BP under close wraps and making sure they monitor you closely...and your baby!

Catherine (22)
DH Britton (27)
Emma Margaret (03/02/03) 37 weeks from PIH & oligo
Baby #2 due August 11, 2004

laura
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Location: Anchorage, AK

Re : Pregnant again- High Risk

Postby laura » Wed Dec 31, 2003 07:11 pm

No doctor[8D]-but you sound just like me when I first found this place- definitely under similar circumstances, though your hypertension's starting earlier than mine!

My pressures were rising through my second trimester, and by the time I was 24-8 weeks, I was swollen and starting to spill protein and had a rapid pulse! I was terrified, to say the least. Meds helped with all of that.

I think that's why you should definitely need to see a peri. It would probably be a good idea to keep a pretty tight reign on that Blood Pressure- hypertension can influence the baby in more ways than just developing preeclampsia, and a peri would probably be your best bet for finding the right treatment for that. Please let us know how you're doing!!!

Laura-28
DH Jack-30
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/

abell
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Re : Pregnant again- High Risk

Postby abell » Wed Dec 31, 2003 02:56 pm

My goodness- you are smart!!! Are you a Dr??? Man
I have Chronic Hypertension with this baby.
With my 1st I didn't have hypertension before I got prenant- so I guess I just had Pre E- b/c I did have the protein in my urine. My baby also had stopped moving (acidosis) so they had to induce.

You were so informative- keep the info coming. The fact that my BP got so high the other day while I was on BP meds scared me- b/c I'm only 7 weeks along. I'm thinking OH bOy= what is to come??

quote:


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:
http://www.hhmi.org/news/lifton2.html

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!

Laura-28
DH Jack-30
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)
http://www.babiesonline.com/babies/c/camilleandallie/



Amanda
Mommy to Madison- born 05/24/02 34 weeks gestation due to severe PE. 3 lbs. 7 oz. 16 inches.

Pregnant Again! EDD 08/20/04


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