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Risk factor of my pregnancy induced hypertension.

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Risk factor of my pregnancy induced hypertension.

Postby arpita » Mon Aug 12, 2013 01:52 pm

by arpita (3 Posts), Mon Aug 12, 2013 01:52 pm

Hello,

I am arpita biswas from bangladesh . I am 30 weeks 3 day pregnant with PIH.
After 25 weeks suddenly i getting on weight ( on 26 week 4kg +). i went to Dr.
she checked my blood pressure it's was 70/100 . URE check pus cell 30-40 /hpf
and epitherial cells 15-20 /HPF albumin (++), blood test result ( HB 9.50 WBC 11)
then she give me cefixime tab(Cef-3) 200mg( 7 days course) after that on 27 weeks
my blood pressure was 80-90/130 -150. URE result (pus cell 4-8 /hpf but
epitherial cells 40-50 /HPF albumin (++)) , blood test result ( HB 8.50 WBC 11.9) .
she gave me methyldopa 250mg after 6 hours but my blood pressure remain
same 80-90/130 -150. Notice that there is 70.4x91.2x102.3 mm is noted along the
anterior myometrium of uterus [ 28 weeks ultrasound result and fluid AFI 18.90 cm
fetal weight 1257 gm +-184 gm, ci 77% fl/ac 22% hc/ac 1.07, FHR 157 bpm]. a few days
ago , i met with dr. she told me to take two methyldopa 250mg tab every eight
hours.my blood pressure still remain same 80-90/130 -150. but at 1-23 weeks
my blood pressure was 50-60/80-90. do u think, am i in any risk condition?

thanks,
Arpita
Last edited by arpita on Tue Aug 13, 2013 01:00 am, edited 3 times in total.
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Re: Need Help

Postby caryn » Mon Aug 12, 2013 02:40 pm

by caryn (10131 Posts), Mon Aug 12, 2013 02:40 pm

Welcome to the forums!

Yes, if your blood pressure is climbing that much even with medication, you are at risk of progressing to preeclampsia. Adding another blood pressure medication might help control your pressure, but will not affect the progress of the disease causing the hypertension - it will protect you from stroke, however. I am not certain about the abbreviations for this part: URE check pus cell 30-40 /hpf and epitherial cells 15-20 /HPF albumin (++) but if that is +2 on a dipstick urine test, you may already have preeclampsia.

Symptoms to watch for include bad headache, decreased fetal movement, spots or flashing in your vision, pain in your upper right abdomen. Are you being seen frequently? Has your doctor talked about early delivery, or steroid injections to mature the fetal lungs more rapidly?

Please keep us posted as you are able.
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: Risk factor of my pregnancy induced hypertension.

Postby arpita » Mon Aug 12, 2013 11:35 pm

by arpita (3 Posts), Mon Aug 12, 2013 11:35 pm

Hi caryn,

thanks for your reply.i don't have bad headache,but sometime seem less fetal movement,
my vision is clear, don't feel any pain in my upper right abdomen. Yes doctor told me that
i need early delivery.and steroid injections to mature the fetal lungs was taken Dexamethasone
(1 ml 2 dose) 12h interval on 28 weeks. i am also taking phenobarbitone tab 60mg .
she told me that i have a fibroid uterus.

thanks,
arpita
arpita
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Re: Risk factor of my pregnancy induced hypertension.

Postby caryn » Fri Aug 16, 2013 07:51 am

by caryn (10131 Posts), Fri Aug 16, 2013 07:51 am

Good; I am glad you have gotten the steroids.

Preeclampsia can happen without any symptoms except high blood pressure and protein in the urine. How close together are your appointments?
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
User avatar
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Re: Risk factor of my pregnancy induced hypertension.

Postby arpita » Mon Aug 19, 2013 01:47 pm

by arpita (3 Posts), Mon Aug 19, 2013 01:47 pm

Here is my clinical history ...............................:( my baby is now in NICU :(

After doing eco of my baby ...Dr. found a hole in his heart . i am worried .......................
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Re: Risk factor of my pregnancy induced hypertension.

Postby sam10 » Tue Aug 20, 2013 09:20 pm

by sam10 (1441 Posts), Tue Aug 20, 2013 09:20 pm

First of all, congratulations on the birth of your baby. How is the baby? How are you doing? Let us know how things go. Thinking of you and your family.
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
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