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High blood pressure, no pre e...hoping to connect

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!

Re: High blood pressure, no pre e...hoping to connect

Postby aajatwins » Wed May 30, 2012 02:29 pm

by aajatwins (476 Posts), Wed May 30, 2012 02:29 pm

I absolutely agree, induction is preferable to being cut open and sections are definitely major surgery. And I've actually seen a couple of posters here who said they were able to deliver during/after having seizures - which is crazy to me! - but evidently it happens.
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 :)
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Re: High blood pressure, no pre e...hoping to connect

Postby caryn » Wed May 30, 2012 05:07 pm

by caryn (10177 Posts), Wed May 30, 2012 05:07 pm

The way to think about this is to remember that we don't get to choose between the no-risk scenario and something riskier. There are known statistical risks associated with all of these things, and if you ask your docs, they will be able to tell you (at least rough!) numbers. And you'll probably want the less-risky of the two options, whichever it is. After all, the reason for "choosing natural birth" is that arguably evidence says it's the less risky option given a normal pregnancy, all other things being equal.

Since these pregnancies aren't normal, the umbrella of options that constitute "natural birth" aren't necessarily the least risky options, any more. It's hard to wrap our heads around this, because we were generally low-risk for complications at the beginning of our first pregnancies, when we read popular pregnancy books and blogs. But on this board, women aren't at low risk for complications - they're *already having medically complicated pregnancies*. We already have hypertension, or a history of preeclampsia. And women in those populations have a different risk profile from normal pregnant women.

Induction with pitocin at 37 weeks is the lowest risk scenario in some cases. Emergent Caesarean with a NICU team in the room is the lowest risk scenario in some cases (raises hand). Amnio to check for fetal lung maturity followed by a scheduled Caesarean is the lowest-risk scenario in some cases.

Some women value some things more highly than choosing the lowest risk scenario, in which case they may choose the riskier of the available options. But sometimes there are no options, medically speaking - and that's probably okay with everyone who posts here, because we want to get to raise our babies.
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies? Lectures from researchers?
A chance to participate in research? For us on Facebook or Twitter?

Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy
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