Newly diagnosed at 36 wka..lot of questions

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milesymommy
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Re: Newly diagnosed at 36 wka..lot of questions

Postby milesymommy » Wed Jun 04, 638949 6:01 am

Good luck and keep us updated!
I had high BP and labs were fine up until 36 weeks. At my 36 week appt, my BP was astronomical and they did more labs. Turned out I had HELLP - with NO other symptoms than high BP. So go get check. In your shoes, I would demand to have the baby immediately. Baby should be absolutely fine - some consider 36 weeks full term. My 36 weeker had absolutely no issues beyond not feeding well.
Good luck!

eichic72
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Re: Newly diagnosed at 36 wka..lot of questions

Postby eichic72 » Tue Jun 03, 638949 6:55 pm

Thanks. It does sound lke your situation. I think I am going to need to call the dr today. I have such discomfort in my upper right side that I can't even sit up straight...feels like something will burst. I am breech but this feels weird to me.

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aajatwins
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Re: Newly diagnosed at 36 wka..lot of questions

Postby aajatwins » Sat May 24, 638949 4:35 pm

I am praying for the best for you!
Your story scares me because of how similar it is to mine. Only I was never diagnosed with anything until I seized. But my twin boys never showed any signs of distress or restricted growth or movement - they were always perfectly healthy, even through a traumatic delivery. I, on the other hand, had creeping BPs (what I feel like was PIH) until I finally gained 8lbs in 5 days, got a headache that wouldn't go away and saw stars. It was the morning after I saw stars that I seized, and I thank God that I was in the hospital being induced. My BP was 150/105 when that happened and for a lot of people, that's not astronomically high. Please let us know how you are and push your doctors to take of YOU and baby!!
Anna (28) - endometriosis
Hubby (27)
Aidan & Jordan - 7.2.09 at 36 weeks. Induction turned emergency c-section due to eclampsia. big healthy toddlers today!
Asa - 10.23.11 at 39 weeks. NO hypertensive issues!! successful VBAC :)

blythe
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Re: Newly diagnosed at 36 wka..lot of questions

Postby blythe » Thu May 22, 638949 11:39 pm

In your shoes I'd go back to L&D with the decreased fetal movement. In general, babies move *more* when you are still - it's when you're up and moving around that they feel rocked and go to sleep. I'm glad you have a high-risk doc to consult - when you go back in, I'd ask for another visit from them.
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

eichic72
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Re: Newly diagnosed at 36 wka..lot of questions

Postby eichic72 » Thu May 22, 638949 5:35 pm

Yes my OB is high risk but the drs at the hospital are basically whoever is on call at the practice. I did have a MFM consult but they only focused on the baby, not really on me. I have now gained 11 lbs in the past 10 days...this fluid is awful. My legs are so stretched out and I am just miserable.

I am going to hopefully get this baby kicking some today. I felt like yesterday she was not moving as much but I also I was VERY still yesterday. I barely moved so as to not bring on that horrible headache. I will just feel better when I feel her move more.

jenmatt1
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Re: Newly diagnosed at 36 wka..lot of questions

Postby jenmatt1 » Mon May 12, 638949 10:18 am

Please do not wait until Monday to go back to doc if you continue to feel that way. All of us on this website know how quickly things can change and you do not want you or your baby to start feeling sick at this point.

I agree with the other women- at 36 weeks I would have the amnio and if lungs mature then I would deliver. I am one of those woman who went from fine to horrible in 2 days time. At 36 weeks there is probably no real reason to not deliver except for the maturity of the lungs issue. I would make sure you understand exactly what your doctors thoughts are.
Mom to Olivia 4/4/2008 born at 34 1/2 weeks due to class I HELLP
Declan born 1/4/2011- no HELLP or PE- YEAH

blythe
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Re: Newly diagnosed at 36 wka..lot of questions

Postby blythe » Mon May 12, 638949 6:50 am

Amy, are you seeing an MFM or an OB? I'd feel better if I knew a high-risk specialist let you go home.

Did they check your reflexes and flex your ankles to check for clonus when you were reporting your headaches in the hospital?

I'm glad your labs are okay, but that only means that you don't have HELLP. I'm also not terribly reassured that you are not spilling protein - some women just seem to have kidneys of steel. It's also great that your baby is doing well, but 36-37 weeks is such a great place to be, gestationally, that I really hope you get that c-section soon.

Hang in there, and if that headache gets any worse, in your shoes I'd be heading back to L&D. I would be more reassured if the doctor / midwife / nurses could tell you why they are not worried about eclampsia.
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

eichic72
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Re: Newly diagnosed at 36 wka..lot of questions

Postby eichic72 » Sun May 11, 638949 8:41 pm

Thanks for the abstracts. I appreciate them. I call Monday to get another dr appt for next week. Right now I am just trying to stay very still and very strict bed rest. Luckily I don't have other children but my poor hubby has so much to do. I just feel very discouraged that they don't seem to think this is a big deal. My thoughts (and I am sure not a dr) but I think that the fact that all my bloodwork and urines are coming out ok say to them that this is not serious. I know however my body and my history and really disagree. When I got sick with my gall bladder, all my tests and scans came out "normal". Lukily my surgeon listened to my symptoms and operated. When he opened me up, the gall bladder was extremely diseased and packed with tiny little stones. So much for the normal tests. Same thing with my appendix.

I just don't understand why 37 or 38 weeks - depending on which due date they are using is not good enough. Again, I certainly don't want anything to happen to the baby but I feel like she is in more jeopardy now inside me than out. I just want to cry.

Thanks again for listening!

Amy

blythe
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Re: Newly diagnosed at 36 wka..lot of questions

Postby blythe » Sun May 11, 638949 6:27 pm

Hi Amy, I'm glad you found us but sorry you had to. Your horrible headache and seeing spots are very scary to not-a-doc me. Visual disturbances and headache that doesn't go away with tylenol are two of our "go get checked out" red flags. I'm actually very surprised your doctor sent you home. Headaches and visual disturbances are correlated with eclampsia (seizures) that can be dangerous for you and baby. Here is an abstract that talks about symptoms preceding eclampsia:
http://www.ncbi.nlm.nih.gov/pubmed/18495165
"Headache preceded seizures by more than a day and was described as throbbing or pounding pain by most. The visual symptoms in decreasing frequency were blurring, blindness, scotoma and visual processing deficits. The most common finding during the neurological exam was memory deficits, followed by increased deep tendon reflexes (asymmetric in some), visual perception deficits, visual information processing deficits, altered mental status and cranial nerve deficits."

Again, I'm not a doctor, but I've read enough scary stories about eclampsia that in your shoes I would go back to the hospital.

Your question about the amnio confuses me a little, I would think there is little to be gained from an amnio at this point or in a week. If you were 100% healthy I could understand it, but with the risks of hypertension a very good recent study from the Netherlands was fairly conclusive that induction at 37 with *just* hypertension was preferable to expectant management. (The HYPITAT study)
http://www.ncbi.nlm.nih.gov/pubmed/19656558
When you factor in concerning maternal symptoms I would think there would be even more reason to simply have the baby.
In your shoes I would print out the abstract and ask your doctors perspective on the study.

Please ask us more questions - but as a woman who has been there, I would feel better knowing you're asking them from a hospital bed.
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

eichic72
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Newly diagnosed at 36 wka..lot of questions

Postby eichic72 » Thu May 01, 638949 3:37 pm

Hi There,
I was diagnosed with PIH at 33 weeks and put on modified bed rest and methyldopa. The meds made my lungs feel like they were filling up with fluid and there was not a decrease in BP. All NST and ultrasounds were good. Baby has been measuring 2-3 weeks ahead. Two days ago I developed the worst headache of my life - I get migraines and this was horribly worse. BP was up to 158/90. Dr sent me to hospital for monitoring. Fluid is great and baby is great. I am not however. They told me they could deliver next week if I had an amnio for lung maturity. I don't like the idea of an amnio, especally when I am this far along now almost 37 wks. I work with lots of preemies and it seems really unnecessary. So, the dr in the hospital gave me percocet for the headache and sent me home til today. Back and hospital for more tests. Bloodwork and 24 hr urine are perfect. Baby's NST perfect. I am still in major pain and feel awful. BP is 140/89 at lowest. Also was seeing spots and gained 7 lbs in five days.

I guess I just feel lost. I am thrilled my baby is ok and she is my main concern. But, my family is really worried about me and my health. I am not showing bad on labs but the physical symptoms of PE are all there according to my dr. I am just scared what another 2 weeks will do to me.

Any advice is appreciated. I am just scared and don't understand why we have to wait to deliver her when she is now measuring at 8lbs. Also, should mention she is breech so we know it will be c section.

Thanks much.

Amy


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