by laura (5139 Posts), Sun Jan 04, 2004 11:49 am
Hi Melissa, and welcome! The fluctuating BP's you describe are consistent with what the docs like to call labile blood pressures.
Pregnant and nonpregnant people go through a stage of labile pressures in early hypertension. (I nicked that statement from one of the Expert's posts[:)] URL available upon request) During the second trimester, the BP tends to drop below your baseline, and will rise again during the third trimester. You're at the period where you'd expect your BP to rise back to your baseline.
The whole fluctuating thing could mean a few different things: you could be developing PIH/gestational/transient hypertension, you could end up finding out you have chronic hypertension (as I did [;)]) you could end up with PE again, or it could stay labile, and never develop into frank hypertension. I hope it stays that way! And there's really no way to tell what's going to happen. Some people go from labile to high very quickly, some never do develop anything hugely out of the ordinary.
Hang in there- the only thing to do at this point, is wait and watch. Alert your provider to any new or worsening symptoms. You've done this before, you probably know what to watch for! Check out the main preeclampsia.org page for symptoms to be alert to.
Another thing that may be helpful in watching is getting home BP cuff to take your pressures yourself. Log them daily, and watch the trend. If you find that you're increasing, make sure to bring your log to your doc to show them the trend yourself.
Check out this post our executive director wrote recently:
she discusses how stress, anxiety, etc don't cause hypertension. It's really reassuring to me, because it reiterates that nothing we DO causes this.
Best wishes for a healthy pregnancy!! And please, let us know how you're doing.
Allie 5-13-98 (35 weeks-pre-e)
Baby Camille 4-17-03 (36 weeks- htn and oligo)