chal3oye wrote:My blood pressure has been steady. Lower when I lay down. A second blood lab showed everything was normal again and so I want to repeat the 24 hour urine this week to see if it got worse or better.
I see my OB on Wed and I will be 36 weeks. I told my Dr. that I am going to decline the induction because 37 weeks is too early. I will wait till 39 weeks. However, if my blood pressure goes up then I will call them.
I think it is encouraging that my blood tests are normal.
Hi and welcome to the forums. I'm assuming you have been diagnosed with preeclampsia?
The blood tests are mainly to check for HELLP syndrome, a rare and dangerous variant of preeclampsia. It is possible to have severe preeclampsia or eclampsia, including stroke or seizure, without having bad blood tests. Unfortunately it is impossible to predict how quickly preeclampsia will progress, and delivery is the only cure.
With my first pregnancy I went from slightly high blood pressure to severe preeclampsia in under 24 hours (narrowly avoiding an emergency c-section) at 38 weeks. It was a very frightening experience. So when preeclampsia struck again I chose induction at 37 weeks. I never got as sick plus my babies didn't require any extra hospital time. My pressures weren't that bad during delivery and I didn't require a magnesium sulfate IV. (unlike with my first).
At lot of docs are reccomending induction at 37 weeks in part because of the large HYPITAT study
("Hypertension and Pre-eclampsia Intervention Trial At Term") which found an improvement in maternal outcomes with induction at 37 weeks for hypertension or preeclampsia without a difference in fetal outcomes. The recent ACOG Task Force report on Hypertension in Pregnancy
also says "For women with mild gestational hypertension or preeclampsia without severe features at or beyond 37 0/7 weeks of gestation, delivery rather than continued observation is suggested" .
Are you checking your blood pressure at home? Please take a look at our signs and symptoms page if you haven't already:https://www.preeclampsia.org/health-inf ... d-symptoms