Ahh! Thanks Alexis! I loved those Punnet squares in bio too
. And really interesting with the everything going on with extra antigens, etc! My kiddos were jaundiced to almost 20 so the first had to stay in the NICU (since he was already in there they just kept him the extra days) and the second we had to put under the suitcase bili lights for a few days at home. The kiddos and I have the same blood type, though, (O+) so they let me keep breastfeeding. I had to pump for 9 weeks with my first for other reasons, though, so I have some sense of how stressful that is - but I had a lot more supportive docs. I'm so sorry you had such a hard time!! My guess is that your experience with this baby will be a lot smoother even if baby does have similar issues. You know so much more and can be clearer with what you want and don't want, and I'm guessing you have pediatricians lined up that are a better fit for you already.
Thanks Lemons/ Diana for the great info on creatinine! I've heard of the spot test as well, but don't have a good link for it yet. I had zero understanding about the biology behind creatinine clearance, I really appreciate the explanation!
As for the damage that the creatinine may be showing, it seems like we've had maybe a handful posters with continuing kidney issues - but the docs usually seem to assume that pregnancy unmasked pre-existing issues, not PE causing long-term damage. If I'm understanding right, the conventional understanding of PE is that all the damage resolves after delivery. One of our members even had to have dialysis and platelet transfusions and I don't even know what else, and she recovered within weeks and is fine now. I wonder if there is some lingering damage that won't show up until she (or some of the rest of us) are older, but in general our bodies heal remarkably well after PE.
We always link to the SMFM site, but I know there are lots of good docs who aren't on it, if there's an MFM who is covered by your insurance, definitely check them out. They may not get too worried about you just yet, but I hope they could give you an idea of what would be important for you specifically to be aware of. I'd want to know if they would be managing your care any differently if you were their patient, and at what point / what symptoms would make them concerned.
I can see how your asthma issues have definitely primed you for great awareness of your body, and great instincts for when things are just not right. Please do keep paying attention and trusting your instincts, I don't want to undermine that at all! It seems like many women here can look in retrospect and say that they were starting to experience symptoms long before they ever really got "sick". Retrospect isn't the best judge, since I'm sure there are plenty of women who have difficult and miserable pregnancies who just have miserable pregnancies, but I'm still willing to concede that we may be able to tell things about our bodies before the doctors can measure it. One of the articles in Caryn's (search her posts! she's awesome) signature says that some of the factors in our blood that seem to be related (possibly causal) in PE are elevated 5-6 weeks before we become diagnostic.
PE can stay relatively stable for weeks and weeks *or* get serious within hours, so please do keep taking your symptoms seriously, especially really high bps, horrific headaches, visual disturbances, URQ pain, and decreased baby movement. But if I was in your shoes, while I wouldn't be relaxed, I would take some comfort in realizing that you have a very good sense of your body and you may sense things going wrong long before your health goes off that cliff, if that makes any sense.
I'm not solid on what normal bp fluctuation is, but if it helps to hear, I've seen much wilder swings around here. Bp does fluctuate, so I would ask, for you specifically since you have such a low baseline, what kinds of numbers would make them think you were becoming "labile" and what numbers they would be concerned about. Ask what bps they want you to call in for, and what bps would mean "go directly to L&D".
Let us know about your lab results Monday, and keep asking questions!