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Chronic hypertension controlled on meds - why induce?

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Re: Chronic hypertension controlled on meds - why induce?

Postby hillary8l8 » Wed Jul 11, 2012 01:37 pm

by hillary8l8 (146 Posts), Wed Jul 11, 2012 01:37 pm

My situation is very similar, I'm a chronic hypertensive, but have been well controlled on meds for the past 4 weeks. I had some high readings before that, so they took me off of work, which seemed to be the culprit. During my NST today, I asked one of our veteran OB nurses what they routinely do with people like me at our facility. She told me as long as all testing with me and baby looks good that they will not induce. I was kind of surprised by this. My midwife was off this week, but I think I am going to question her about this next week at my appointment.
Miscarriage at 8 weeks- 5/09
Abby born 37 weeks 4 days on 3/25/10 due to PIH and IUGR- 5 lbs 0.5 oz
Chemical Pregnancy lost at 5.5 weeks- 3/11
Pregnant again due Sept. 3 (now chronic hypertensive and on Labetalol)
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Re: Chronic hypertension controlled on meds - why induce?

Postby veronica44 » Thu Jul 12, 2012 04:39 am

by veronica44 (136 Posts), Thu Jul 12, 2012 04:39 am

Wow, that is really just about the same situation, we're even on the same meds but they are handling it quite differently. Although - sometimes the nurses and doctors are not on the same page so definitely check with your main doctor what the plan is. They may not start discussing it until 35 weeks or so, although in my case I was chronic even before pregnancy and came in on the labetalol to begin with, so they mentioned that they'd be most likely inducing at 39 weeks even if no issues right when I came in for my first appointment.
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Re: Chronic hypertension controlled on meds - why induce?

Postby kat82 » Tue Jul 17, 2012 10:53 am

by kat82 (12 Posts), Tue Jul 17, 2012 10:53 am

Bumping this thread...both for an update from the OP (who was induced yesterday, I think?) and to see if anyone else has experiences to share.
I am fortunate enough to be wondering when my doctor will want to induce if my BPs stay well controlled, and I plan to ask when I see him next week, so I'll come back and update then, too.
First pregnancy, due September 2012. Chronic hypertension, no signs of PE yet...fingers crossed!
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Re: Chronic hypertension controlled on meds - why induce?

Postby hillary8l8 » Wed Jul 18, 2012 10:26 pm

by hillary8l8 (146 Posts), Wed Jul 18, 2012 10:26 pm

I saw my midwife today and questioned her about this. She also told me 39 weeks, and sooner if bp goes up. She did say that if my bp was still good at 39 she would consider going to 40, but not past 40.
Miscarriage at 8 weeks- 5/09
Abby born 37 weeks 4 days on 3/25/10 due to PIH and IUGR- 5 lbs 0.5 oz
Chemical Pregnancy lost at 5.5 weeks- 3/11
Pregnant again due Sept. 3 (now chronic hypertensive and on Labetalol)
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Re: Chronic hypertension controlled on meds - why induce?

Postby veronica44 » Fri Jul 20, 2012 03:02 am

by veronica44 (136 Posts), Fri Jul 20, 2012 03:02 am

I'm back! :D

We did induce at 39 weeks - those 140 BP readings were becoming more and more frequent. I think my body was almost ready anyway, since I went into labor with just the Cervidil. SO happy to have avoided Pitocin this time! This, along with having hired a birth doula and using her coping techniques, allowed me to have a fast, easy, and unmedicated childbirth. I went from 5.5 cm to fully dilated in one hour, and pushed for five minutes. It was just wonderful, everything was perfect. What a difference from the PE birth of my first daughter, magnesium/Pitocin/epidural/hours of pushing.

In any case, our daughter Lillian Maria is here. She was born at 9:30 on 7/16 and weighed a whopping 7 lbs 4 oz. :)
Here is a picture:
http://www.facebook.com/photo.php?fbid= ... t=1&ref=nf


I'll only have it public for a week or so, so sorry if anyone can't see it afterwards.
All the best to all of you on the boards!
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Re: Chronic hypertension controlled on meds - why induce?

Postby sam10 » Fri Jul 20, 2012 07:09 am

by sam10 (1441 Posts), Fri Jul 20, 2012 07:09 am

Congratulations! So happy to hear you had a good experience and all is well!
~Julija (40)
MC 3/2009 and 3/2011
Henry (1/1/2010-1/7/2010) - forever loved and missed; severe PE with Hellp; partial placental abruption, classical c-section at 25.6 weeks
Matilda (Nov. 2012, born at 35.4 weeks) - severe PE


Our pain has been put into words, placed into empty cradles, to remember that all our babies lived, that they mattered and always will. - Field of Cradles http://www.fieldofcradles.org/
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Re: Chronic hypertension controlled on meds - why induce?

Postby kat82 » Fri Jul 20, 2012 10:28 am

by kat82 (12 Posts), Fri Jul 20, 2012 10:28 am

That is such great news, Veronica. I am hoping to have the exact same experience (also working with a doula) so it is very heartening to read that that was possible for you even with the induction! Your girl is adorable...congrats! :D
First pregnancy, due September 2012. Chronic hypertension, no signs of PE yet...fingers crossed!
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Re: Chronic hypertension controlled on meds - why induce?

Postby hillary8l8 » Fri Jul 20, 2012 01:05 pm

by hillary8l8 (146 Posts), Fri Jul 20, 2012 01:05 pm

Congratulations! She is beautiful, so happy to hear that everything went so well:)
Miscarriage at 8 weeks- 5/09
Abby born 37 weeks 4 days on 3/25/10 due to PIH and IUGR- 5 lbs 0.5 oz
Chemical Pregnancy lost at 5.5 weeks- 3/11
Pregnant again due Sept. 3 (now chronic hypertensive and on Labetalol)
hillary8l8
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Posts: 146
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Re: Chronic hypertension controlled on meds - why induce?

Postby alexis » Fri Jul 20, 2012 04:44 pm

by alexis (305 Posts), Fri Jul 20, 2012 04:44 pm

Congratulations!
Chronic hypertension
Aliza - 01/05/2007 - Severe preeclampsia, emergency CS 37 weeks
Isaac - 09/26/2011 - controlled on 150mg Toprol, NO PE, 39 weeks!
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Re: Chronic hypertension controlled on meds - why induce?

Postby blythe » Sun Jul 22, 2012 09:46 pm

by blythe (3060 Posts), Sun Jul 22, 2012 09:46 pm

Wonderful news!! Congratulations, Lily is beautiful! I'm so glad you got the birth experience you wanted as well!

As I'm sure you know, please keep watching your bp and signs and symptoms, post-partum PE can hit up to 6 weeks pp. I hope you continued to stay PE- free!
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH
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