by annegarrett (2525 Posts), Mon Dec 29, 2003 01:23 pm
(Someone on the forum help me find the link--please!) There is a discussion on the forum with our medical experts on how to take a BP properly. When we get that posted--please print it out and take it to your doctors (tomorrow!) and tell them that your nurse suggested you put your arm over your head. You need at LEAST an OB and probably a perinatologist. You need a second opinion if you don't get satisfaction tomorrow. (TOMORROW). The biggest risk factor for repeat preeclampsia is having had it before. PIH (what you clearly have) is Pregnancy Induced Hypertension. That just means your blood pressure has risen to hypertensive during pregnancy. About half of such women will develop preeclampsia but even PIH impacts a pregnancy.
I am not trying to frighten you but women die from this. Babies die. We have lost two women in the past month. You need to go in and insist on a 24 hour urine, and REMIND them that your BP has gone up. Please share with them the following paragraph from our main website:
In 1990 the National Institutes of Health, National High Blood Pressure Education Program: Working Group Report on High Blood Pressure in Pregnancy issued the following research guidelines:
In the past it has been recommended that an increase of 30 mm Hg systolic or 15 mm Hg diastolic blood pressure be used as a diagnostic criterion, even when absolute values are below 140/90 mm Hg. This definition has not been included in our criteria because the only available evidence shows that women in this group are not likely to suffer increased adverse outcomes. Nonetheless, it is the collective clinical opinion of this panel that women who have a rise of 30 mm Hg systolic or 15 mm Hg diastolic blood pressure warrant close observation, especially if proteinuria and hyperuricemia (uric acid [UA] greater than or equal to 6 mg/dL) are also present.
It should also be noted that 4 members of the Preeclampsia Foundation Medical Board and our Executive Director participated in this working group. There was significant debate over removing baseline BP as diagnostic which is why the final sentence was included. The Preeclampsia Foundation continues to encourage its women, particularly those with low baseline BPs, to know their baseline and to be aware of significant changes and to make any concerns about those changes known to their health care provider.
Good luck and let us know how everything goes.