by JB (57 Posts), Wed May 30, 2012 10:43 pm
Yesterday I made it to 37 weeks PE free! This is the first time I have made it full term in a pregnancy, so I really don't know what to expect over the next two weeks (my c-section is scheduled for the 14th, they won't let me go past that), and yesterday I had a bit of a scare that I have a question about. Maybe you ladies can help me.
First some background: my home blood pressures have been good for the entire pregnancy (averaging around 129/79), although my pressures in the doctor's office have always been a little higher (varies, but on average around 135/85). The past two weeks or so my blood pressures in the doctor's office have been a little lower, closer to those I get at home. I was on non-pregnancy-safe BP meds when I got pregnant but was able to go off them and stay off them without replacing them with pregnancy-safe meds. Around 28 weeks I developed gestational diabetes and have since been controlling it well with diet alone. My baby is big (at high end of normal - 88th percentile at 36th week) and I have plenty of fluid. My twice-weekly NSTs and weekly fluid checks have all been good.
On Sunday I had a headache and my blood pressure was higher than normal (144/89). It was not as strong of a headache as I was having when I had PE and I thought it was related to a BBQ I attended the previous day (it was really hot out, it tired me out, and I totally blew my diet) so I took some tylenol and drank a lot of water. An hour later my headache was gone and my BP was lower (128/81). Monday I had to go into the birth center to have my AFI and NST because my doctor's office was closed. Everything was great, including my BP (128/79). That afternoon, I had another headache and my blood pressure was 133/87. Once again, I took tylenol and drank some water and my headache went away and my BP went back down (122/80).
So Tuesday arrived and my afternoon BP was good (121/80). After dinner I took my daughter to the park for a walk, and after about 20 minutes, right when I was ready to turn around to head back to my car, I simply started peeing my pants and could not stop. Previously I didn't feel like I had to go to the bathroom, so it really just came out of nowhere. I thought for a minute that maybe my water broke, because I have never had that experience before and really don't know what it feels like, but then I thought that it felt like urinating so much that I must have simply lost control of my bladder. I turned around and walked back to my car, and as I was packing my daughter into the car seat it happened again. I just started urinating and couldn't stop. Both times it was enough urine to make a puddle at my feet (it was really embarrassing but luckily I had pants on that didn't show it and nobody was really close by me when it happened anyway). I really don't know where all that urine came from, because I had gone to the bathroom before I left and hadn't drunk any of the water I brought with me because it was a cool evening. I drove home and called my mom to ask her what she thought. She said I should call my doctor and ask, because even if it wasn't my water breaking I could have a urinary tract infection or something wrong with my kidney (I only have one) and I should get it checked out. So I call the birth center (it was after office hours for my doctor's office, and that's their protocol) and they told me it could be my water breaking so I should come in.
At the birth center they hooked me up to the monitor and the baby was fine. They did not do an ultrasound to check my fluid or a pelvic exam, but the doctor on call thought that my water had not broken because I did not have a continuous leak after it happened. However, my blood pressures lying down on my back were very high (averaging 144/99), and came down some when I was put on my side (averaging 144/79). My OB was called in and she stopped by for a brief visit (her mother had a stroke the day before and she needed to get back to her). She said she wasn't as concerned about my blood pressures being high because they were usually higher in the doctor's office (toward the beginning of the pregnancy when I was more stressed they were sometimes in the 140/90 range), and she knew I was good about monitoring it at home. Also, my blood draw was good and my urine sample only had trace protein, probably due to the fact that it also had a little blood in it. They said that was normal toward the end of pregnancy when your cervix starts to get ready for delivery you can have some bleeding from that. She thought I could go home and if I got high readings there I could come back. This morning my BP was back down to 121/85.
Is it normal to lose your bladder control that much toward the end of pregnancy? I didn't get a chance to ask the on-call doctor or my OB about it. I do I see my OB again tomorrow for another NST and I plan to ask her then, but I thought I'd throw this out there and ask if anybody else had something like this happen. The nurse said it does sometimes happen, and based on my description of how my pelvis was feeling earlier (like I had been riding a bicycle or horse all day) that maybe the baby had dropped and was putting more pressure on my bladder. I'm just concerned about it because my pressures were pretty high when I was in the birth center, and I was just in the birth center the day before and my blood pressure then was fine. I'm just wondering if somehow the loss of bladder control could be connected to the high blood pressure readings, other than the fact that thinking I might be in labor stressed me out a bit.
1st - miscarried at 11 weeks in Dec. 2009
2nd - baby girl born Mar. 2011 at 29 weeks 6 days due to severe PE
3rd - baby boy due June 19th, 2012