Won't induce yet, though I'm 37w+

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
kaxy
Registered User
Posts: 98
Joined: Mon Jun 27, 2011 10:56 pm

Re: Won't induce yet, though I'm 37w+

Postby kaxy » Mon Sep 23, 2013 04:22 pm

I just got some fantastic resources from Caryn via Twitter, and I thought I'd post them here for archive's sake. This could be some other mama later!

- ACOG recommendation from April 2013: http://www.acog.org/Resources%20And%20P ... eries.aspx or
http://www.acog.org/~/media/Committee%2 ... 1639583723

- http://www.cdph.ca.gov/programs/mcah/Do ... veries.pdf

- http://www.obgmanagement.com/index.php? ... da03e20e36

- of course HYPITAT http://www.thelancet.com/journals/lance ... 40-6736(09)60736-4/abstract

- and for chronic hypertensives http://www.ncbi.nlm.nih.gov/pubmed/21054760

I plan to print this stuff out and just make my case for inducing already. Though of course if anything changes with me in the slightest, I'm getting my rear to labor & delivery without second thought. And hopefully I'll just go into labor asap anyway. UGHGHG.
DS born Dec. 2008 at 38.5w gestation. Mild PE diagnosed 3 hours before he was born
DD born Dec. 2010 at 40w1d. BP was slightly elevated since 37w, and climbed while in labor (started on my own). Severe PE diagnosed hours after DD born.
DD born Sept. 2013 at 38w. Induced (and I had to fight for it!) due to high blood pressure. No protein, but had brisk reflexes and clonus after delivery. Doc gave me a mild preeclampsia diagnosis anyway and said I'm likely to be a chronic hypertensive later in life.

kaxy
Registered User
Posts: 98
Joined: Mon Jun 27, 2011 10:56 pm

Won't induce yet, though I'm 37w+

Postby kaxy » Mon Sep 23, 2013 02:18 pm

I mentioned this in another thread but I thought I'd start another here, too.

I'm 37w3d and my appointment today went well. Good BP at the OB (like 117/70s!) but this is on labetelol. No protein in the dip. Reassuring NST. No swelling. Just the dull headache.

I found out from the other OB that the hospital really is pushing against inductions prior to 39w unless mom or baby are seriously ill. So I guess I have to get really sick first? That part sucks hard. Maybe I *do* have some time yet before I get way sick, or before my baby starts to feel the effects. It just stinks that HYPITAT isn't swaying them. And heck this study suggests 38w should be a max point, right? http://www.ncbi.nlm.nih.gov/pubmed/21054760

Part of me doesn't want to induce yet, because I'm still early term. And of course, I don't want to push the baby out too soon and then have her develop problems because of that. But I'd rather have some NICU time than a stillborn baby, ya know? And at this point, I am not super ill. I'm fine on BP meds. My baby is fine. So...is this the right call, to just keep going?

I'm just frustrated and worried and I don't feel like there's anything I can really do about it.

I go back on Thursday for another NST and appointment. I will ask the OB to strip my membranes I think.

What else do I do with this?
DS born Dec. 2008 at 38.5w gestation. Mild PE diagnosed 3 hours before he was born
DD born Dec. 2010 at 40w1d. BP was slightly elevated since 37w, and climbed while in labor (started on my own). Severe PE diagnosed hours after DD born.
DD born Sept. 2013 at 38w. Induced (and I had to fight for it!) due to high blood pressure. No protein, but had brisk reflexes and clonus after delivery. Doc gave me a mild preeclampsia diagnosis anyway and said I'm likely to be a chronic hypertensive later in life.


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