I posted several weeks ago after my first trip to L&D to be checked out due to high blood pressure and a +1 dipstick. Sorry it's taken me so long to update. For a long time there it didn't seem like anything was happening! I'm 37 and now 29+3 with my fourth pregnancy. I have a 13 and a 9 year old and had an ectopic pregnancy in 2001.
After that last trip to L&D, I kept my bp journal and at my next midwife appointment requested a 24 hour urine. The midwife also told me that the hospital hadn't done a preeclampsia work up while I was there (this will always be a mystery to me), and so ordered that blood work as well. I ended up in L&D one more time before my next appointment and was checked out and sent home again, after six hours and a little speech from the attending OB about managing stress in my life
. At that next appointment, which was last Tuesday (5/22/12), my midwife said that my blood work had come back with my liver enzymes elevated, but that she hadn't been too concerned until she got my urine results which were not diagnostic but elevated (234). So she ordered more blood work and scheduled me to follow up the next week. The next morning I got a call from the midwife telling me I had an appointment with her overseeing OB and to pack a bag because he was going to admit me to the hospital. Long story short(ish), he was concerned I was developing HELLP and so told me to plan on staying in the hospital until I delivered.
They kept me in the hospital for a week, although the MFM felt that my liver enzymes were unrelated to what he eventually said is mild preeclampsia. While I was in the hospital, my blood pressures continued to be labile (107/55 to 161/84 and everything in between, but mostly high-130s/low-80s) and my protein went over 300, but stabilized around 350. They gave me the steroid shots the first and second day I was there, and they also put me on Synthroid for low-functioning thyroid. They also tested me for every kind of liver disfunction or disease under the sun, but most of that lab work hasn't come back yet. Finally yesterday the MFM decided that he felt comfortable monitoring me on an outpatient basis, as long as I felt comfortable with it. I thought of many of you here, and your stories of how doctors ignored your symptoms, etc., and really wished I could somehow share him with you all. I was grateful that he was willing to keep me if I felt safer in the hospital, but I do feel comfortable seeing him twice a week and think I have a good handle on the symptoms that should send me running to L&D again. He even encouraged me to be overly cautious, to call even if I wasn't sure I needed to worry, and to feel free to come in to L&D anytime day or night.
So, now I'm home. The MFM said I didn't need to be on bed rest, but that the more I rest, the better chance I have at staying out of the hospital, which feels very motivating to me right now.
I'm so very grateful that the baby has a little longer to cook--though I know this can move quickly, I'm glad we've already gotten a week more than it looked like we would.
So, here's my question: Since I'm in charge of my activity level for now, I wondered what you all think I should aim for? I'm in the enviable position of having older children and, if I decided that I needed to lay in bed all day, my husband and family would make it happen without complaint (I really do know how lucky I am). So, I really am free to make the best decisions for me and baby right now. Any input you have, I would be grateful for.
Thanks to you all and thanks for this forum. Though I haven't updated much, I've been so grateful to read others' stories and learn so much from you all!