Late term/post partum preeclampsia ?

Are you worried about your partners pregnancy? Has your partner already had preeclampsia? Do you have advice for other dads who could be going through similar experiences as yourself? Post here!
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caryn
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Re : Late term/post partum preeclampsia ?

Postby caryn » Thu Sep 14, 2006 08:40 am

Welcome to the forums.

Many of us are also avid believers in breastfeeding -- my son is still nursing at the age of almost four, and I know we have a moderator who is an Internationally Board-Certified Lactation Consultant (IBCLC.)

During my first four to five months postpartum my high bp was treated with labetalol. That drug was chosen because it is considered safe for breastfeeding, despite the package insert.

Dr. Thomas Hale's _Medications and Mother's Milk_ says labetalol is safe even in preemies. Here's two links to his forum (locked so only health professionals can post) discussing the use of labetalol:

http://66.230.33.248/discus/messages/45/499.html?1106947197
http://66.230.33.248/discus/messages/45/3754.html?1128003617

(You will note that the only time they suggest to "pump and dump" is when they are concerned about the small amount of labetalol that might pass through the milk to a severely cardiac-compromised premature baby, because it might cause hypotension in the baby, and that in all the other questions labetalol is considered safe -- in fact, there is some speculation that it might increase supply at the bottom of the second link.)

There are also Pubmed citations available for this, but Pubmed appears to be hanging today... I will try to pull them up later.

PE does indicate a raised risk for future chronic hypertension; the fact that your wife has developed it in her fourth pregnancy suggests that she may have developed some sort of underlying disorder (like an autoimmune disease) that would have predisposed her to develop it in this pregnancy. Here's a link to our Experts discussing postpartum PE:

http://www.preeclampsia.org/forum/viewtopic.php?t=224

Welcome again.

angelkat
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Re : Late term/post partum preeclampsia ?

Postby angelkat » Thu Sep 14, 2006 07:03 am

Hi and welcome. I would speak to the doctor about your concerns. I was on Labetalol the whole time I breastfed my son. And today he is a healthy growing 2 year old.

Good luck in your decisions...

gordon k
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Re : Late term/post partum preeclampsia ?

Postby gordon k » Thu Sep 14, 2006 01:54 am

Congratulations on the birth of your son

My wife's preeclampsia bouts were both post-partum (one and five weeks after childbirth).

If I were you, I would continue to watch out for your wife's blood pressure, and look out for any signs & symptoms. What to look out for can be found on our signs and symptoms page: http://www.preeclampsia.org/symptoms.asp


I am not a doctor, but post-partum preeclampsia can be diagosed up to six weeks post-partum. The pregnancy may have unmasked chronic hypertension, should she have problems with it longer than six weeks post-partum--this is something that your wife and you should discuss with a physician you trust.

My wife was on many meds (atenolol, lisinopril, lasix, and nifedipine) while breastfeeding, and the twins were and are fine. If I were you, I would discuss the pros and cons of being on labetalol during breastfeeding with a physician. Our perinatologist told us straight up that although we were told by others that the meds might not be good for breastfeeding, if my wife got so sick that she was deathly ill ~ that would not be good for breastfeeding either. Her wonderful perinatologist, and the medications he put her on, saved my wife's life.

Having a knowledgeable physician who you and your wife truly trust with not only her life, but the life of your son, is priceless.

Wishing you the best,

fiona
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Re : Late term/post partum preeclampsia ?

Postby fiona » Thu Sep 14, 2006 01:52 am

Hello and welcome,

pe can occur up to 6 weeks post partum, but as there is no baby to be taken into consideration, treatment should be easily managed. I am, however very concerned that your wife has chosen to not take her meds - and from what you have said - without discussing this with her doctor. As far as I understand it, labetalol is considered compatible with breast-feeding, but if your wife is not happy with the drug, I would urge her to discuss alternatives asap. Headaches accompanied by visual disturbances are very serious as is very high BP - if she does have pp pe, unmanaged it is possible that she might develop eclampsia and have a seizure.

In the long term, high BP that continues past 6 weeks post partum is considered essential or chronic hypertension.

Please let us know how the labs go, and be sure to get your wife seen immediately if any of her symptoms worsen.


fatherof4
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Late term/post partum preeclampsia ?

Postby fatherof4 » Thu Sep 14, 2006 00:20 am

Good day everyone,
My wife carried our fourth child full term and delivered him,
all 11 lbs. 4 oz, on September 5, 2006. The last few weeks of the pregnancy, her BP was elevated slightly, and no excessive protiens in the urine. During labor, she was closely monitored by our midwife. After delivery, her BP did not settle back to her traditional 120's/80's. It remained 150ish/90's.Six days after delivery, she went back for a 1 week check up. The night before, she had been up all night with a severe headache and had noticed vision alterations. At the check up, her BP was measured and recorded as 190/160. The midwife referred us to a physician, who measured my wife an hour later at 160/90. The physician prescribed Labetalol....My wife is an avid believer in breastfeeding and after reading the prescrition insert, has chosen not to take it. (It states that Labetalol is transferred into breastmilk and can cause adverse reactions to an infant) We have been monitoring her BP at home and combatting this new ailment with rest, and calcium/magnesium supplements. Her BP is
holding steady at 135-150/80-90....She has not "officially" been diagnosed with post partum preeclampsia(we are awaiting lab work results), but after reading on this forum, it sure sounds like it to me....My question is, can this condition be expected to be a long term
problem? If not, what is an average recovery time? Preeclampsia is something I'm just learning about. What are some of the things I, as an uneducated husband, should be on the look out for?


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