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Got to 35 weeks....

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Got to 35 weeks....

Postby biokatie » Sun Jun 10, 2012 09:21 pm

by biokatie (17 Posts), Sun Jun 10, 2012 09:21 pm

In my last pregnancy I had severe pre-e at 33 weeks and delivered at 36. I had steroids at 33 and he only had hrs in nicu. I hated being on magnesium sulfate for so many reasons (slowwww induction, hallucination, loss of bonding time, difficulty or impossibility of initiating latch, a total of about 72 hrs in bed). With gestational diabetes And chronic hypertension the docs are just talking about inducing at 39 if no severe symptoms. My bps have been around 140/90-100 give or take the past couple weeks with one bad headache that resolved I am on 200 x 2 labatelol a day. I just feel that I might be able to avoid magnesium at 37-38 but will start spilling protein any longer and without steroids baby might not be as strong as my ds was at 36. I guess time will tell. Any input or advice?
Edward IV born 12-2-09 4 1/2 lbs at 36 weeks due to severe preeclampsia and IUGR.
Expecting a BOY in July.
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Re: Got to 35 weeks....

Postby caryn » Wed Jun 13, 2012 09:24 am

by caryn (10111 Posts), Wed Jun 13, 2012 09:24 am

I would ask your docs about the HYPITAT study which found that induction at 37 weeks posed no harm to the neonate and improved maternal outcomes *if* the mother had hypertension or preeclampsia: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950708/

http://www.thelancet.com/journals/lance ... 40-6736(09)60736-4/abstract
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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Re: Got to 35 weeks....

Postby kkinnell » Wed Jun 13, 2012 10:46 am

by kkinnell (13 Posts), Wed Jun 13, 2012 10:46 am

For whatever it's worth, I wanted to add that my midwife *just* learned about this study at a conference last week and told me about it yesterday. I, thanks to this board, already knew about it. My point is: I don't know how this information is disseminated, but I wouldn't assume that your doctors have seen it or, if they have, that they've really thought about it. I always feel weird bringing up this kind of study with a doctor (they're the experts after all), but I won't hesitate anymore! Best of luck to you!
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Re: Got to 35 weeks....

Postby caryn » Wed Jun 13, 2012 01:03 pm

by caryn (10111 Posts), Wed Jun 13, 2012 01:03 pm

Medical peeps call this "the problem of knowledge transfer" - just because research has been conducted doesn't mean it's trickled down to care providers across the board! Part of the reason we exist is to facilitate it. :)
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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Re: Got to 35 weeks....

Postby kkinnell » Wed Jun 13, 2012 07:06 pm

by kkinnell (13 Posts), Wed Jun 13, 2012 07:06 pm

And thank God that you do. Lots of us would be lost without it.
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Re: Got to 35 weeks....

Postby biokatie » Sat Jun 16, 2012 08:57 am

by biokatie (17 Posts), Sat Jun 16, 2012 08:57 am

Thanks for the info. I don't think I'll make it to 39. Pressure is up to 160/110 ish on about 1200 mg labatelol daily. Lower with rest. Dr appt tues. have had a mild but constant headache that turned pretty bad last night but subsided with coffee and tylenol. Bpp and nst were good this week. I see my very favorite MFm this week.
Edward IV born 12-2-09 4 1/2 lbs at 36 weeks due to severe preeclampsia and IUGR.
Expecting a BOY in July.
biokatie
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Joined: Fri Dec 11, 2009 09:43 pm


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