My name is Mia and I have chronic well controlled hypertension. Back in 2003 I conceived thru IVF and was induced at 35 wks because my BP was getting difficult to control from 32 wks on and I had trace amounts of protein in my urine (+1). The end result was a healthy baby boy weighing in at 5lb 14oz thanks to a fabulous MFS who didn't miss a beat. Before and during that pregnancy I was on Lopressor, that seemed to work to a certain degree.
Two years later I conceived spontaneously and that pregnancy ended in IFD at 34 wks just 1 day after my son scored 8/8 in a BPP. I had a different MFS who seemed to take the seriousness of my condition lightly. During that pregnancy I was also on Lopressor and towards the end he tried adding Nephedipine which didn't work. Around 32 wks as well, my pressure became more difficult to control but he kept playing around with the meds instead of inducing labor. I opted not to have an autopsy done but placental pathology revealed that several large infarcts had developed in the placenta due to pre-eclampsia and that is what they deemed the cause of death. My son weighed 4lbs 6 oz which again puzzles me because it seems like he was growing at a normal rate.
Two years have past and I am now considering trying to conceive again but obviously I have concerns. My first question to you is do placental infarcts developed as a result of hypertension/pre-eclampsia or was there most likely another cause of the infarcts? I wonder if I should have testing done to see if I have a clotting disorder but it puzzles me that I had no complications from that with my first pregnancy. I was able to locate my original MFS and I have met with him for a preconception consult and he doesn't think that any further testing is warranted but I will always wonder what the underlying cause of the infarcts was.
I would also like your opinion on my current drug regimen and how safe it will be during a pregnancy. I have been on Lopressor and Hydrochlorothiazide for the past 18 mos and my pressure is controlled the best it ever has been. My MFS tried switching me to Labetalol but I suffered every side effect listed and it did not control my pressure very well. My MFS is a little hesitant in keeping me on Hydrochlorothiazide but it is quite clear that I need the combination of Beta blocker and diuretic. What is your opinion on that combination of drugs during pregnancy.
I appreciate you donating your time to read my story and respond.