by cjd1975 (10 Posts), Sat Sep 24, 2011 12:44 am
Here is my story!! I am a 36 yo mother of two beautiful little girls. I had a normal pregnancy with my first delivering naturally at 41 weeks (did have marginal previa/partial placenta accreta), baby was 7.15 lbs. Was normotensive ( I run 110s-120s/70-80s)) throughout the pregnancy and had no proteinuria. I may have had a few high normal BP readings at the end but I also have a hx of elevated BP reading in a healthcare setting (white coat hypertension) and when they were rechecked they were normal. I did have lower extremity swelling after the pregnancy but was told that was normal otherwise, I felt fine, no HA, visual changes, etc. My second pregnancy was the same as the first although I did have a c-section prophylactically due to the placenta issue with the first pregnancy. Baby was 8.1lbs at 39 weeks. I had twelve hours of severe nausea and vomiting due to the spinal but my BPs were normal. On day 4 (the day I was leaving) I had an elevated reading 150s/80s. It was supposed to be rechecked but wasn't. Again, had lower extremity swelling and I guess I wasn't voiding as much as I should but I had no other symptoms. Day 5 (the day I was diagnosed with postpartum preeclampsia) I rechecked my BP at home and it was 160/90. I reported it to my OB and was told to go to L&D. I was hysterical thinking I was going to have a stroke and die! My BP did go up to 180/100, I was very anxious and crying so I am sure that didn't help the situation. I had no other symptoms other than the high BP and the fact I wasn't voiding as much I should have been. My labs were normal aside from a mildly elevated creatinine 1.6 (likely related to the dehydration) and proteinuria. Liver, platelets were all normal. I received IV labetolol 120mg, no mag and was sent home the next morning. I did end up peeing out over 2 gallons of urine in the hospital and was having readings of 130/140 when I left. I did do the 24 hour urine and did have protein (not sure what the number was). I ended up being on oral labetolol and procardia for 3 weeks and then it was gone. My proteinuria resolved pretty quick and my creatinine was back to normal within a week. I had everything repeated about 18 months later and everything is normal including my BP.
So, I am now thinking of a 3rd baby but I am nervous/scared of this happening again, developing it earlier on during the pregnancy or having it worse. I am terrified that something will happen to me and I will leave my children motherless and that maybe I should just count my blessings. My OB says if I want another one to go for it, I will be monitored and can be started on BP meds if needed. I am just so nervous but have a huge desire for a 3rd child. I may go to see the MFM in my area to get her opinion as well. Also, I may have had this after my first pregnancy and was not diagnosed as I had no symptoms other than some swelling! Crazy to think there are women out there walking around with this and not knowing it!
Has anyone had an experience with this???