I'm about 5.5 weeks here. I have struggled a lot with hypertension since my last child was born 2 years ago. It swings wildly right now. I had gotten it to a really good level for me but it just won't stay down long. My diastolic has ranged from 80 to 104 today alone. The 104 probably being that I was just reading about hypertension risks in pregnancy. :/ I feel extremely frustrated that despite all the diet and exercise I simply can't have a normal blood pressure consistently. I assume this means I should see the OB very soon and get put on something. I really am happy about the baby but feeling so discouraged tonight over my stupidly high blood pressure. My bp drops with weight loss but no matter how hard I try I have been unable to lose any more weight in the last 6 mo. It just bounces up and down. I really wanted to start off pregnancy thinner and in better control of my bp.
I was put on labetalol in my last pregnancy. But I have since heard that is a drug there is a shortage of? Is an OB likely to still prescribe that as a first resort or try others first? We tried some others and I didn't do well on them. They caused an irregular heart beat. I also really want to avoid one that causes weight gain since it's darn near impossible for me to lose weight. Am I at an even greater risk of preeclampsia this pregnancy starting off this hypertensive? I'm not entirely clear if I had preeclampsia the last pregnancy. I seem to recall coming to the understanding from previous conversations on here that I did. My BP had gotten very very high and I was starting to have some head aches and flashes of light. But one of the biggest deciding factors last time in my induction had been a rapid drop in amniotic fluid. I basically had a cluster of problems and they were waiting to see which one hit certain criteria's first.
I really don't want to be hypertensive for life. I know that weight loss and exercise and diet are all things that are supposed to lower BP. And I've heard of the idea of unmasking, that preeclampsia unmasks future hypertension. But since there are lifestyle factors that can prevent it is it ever a given though? Or is it possible though that you can have such damage from a preeclamptic pregnancy that you can never have a healthy BP without medication? Because I did not have high blood pressure before I had preeclampsia the first time 5 years. But I have had a huge struggle with it ever since.