by akemt (4961 Posts), Fri Jul 15, 2005 12:22 am
My apologies for the abrupt ending to my previous post! DH came home last night and as he walked in the door (mid-post), said "We need to go to the ER." AH! LOL He had hit his eye with a pair of pliers (mechanic), but it appears that it just bruised the eye. So it was good news, he's had to have it literally drilled before! Okay, sorry for all that info about the events of last night.
Back to where I think I was...Though everything appeared to have started early and I even had symptoms in my second pregnancy that I didn't in my first (proteinuria -though no Oligo this time), some I'd had in both were worse (pitting edema to my knees), and I was sure this meant we were doomed to strict bedrest and early delivery, my body seemed to have hit a plateau and didn't budge. I had BP spikes every now and then, had symptoms come and go but pretty much stay the same, and I was able to be safely delivered via induction at 38 weeks. Whew! So I feel I was quite lucky. Still, even with my luck in my second pregnancy, I feel that I'm at risk for hypertension again in a third -better, worse, or the same kind of plateau, I don't know, but I'm one who would prefer to assume the worst than get caught off-guard.
To add to what Julie (pelote) said in regards to Anne's post regarding getting preeclampsia again, she had said that the majority of women who get preeclampsia again get it at the same gestation. And those who do get it again, tend to get it more severely. That is quite backwards from the general information floating around (and she was actually correcting my spreading of it at the time), but Anne knows her stuff and gets it from highly reputable sources.
My first was watched (well both, actually) closely for Intrauterine growth restriction (IUGR) via ultrasound. She was actually large for gestation on both weight and length (and still is to some degree), but her stomach was behind the other measurements. Because that pregnancy was also complicated by Oligohydramnios (low amniotic fluid), our doctor was paying very close attention to any signs of that affecting our daughter, mostly in the form of IUGR. He had told us at the time that if her stomach had fallen 3 weeks (maybe it was OVER 3 weeks -seems like we were already 3 wks behind?) her head and femur measurements, he'd diagnose IUGR and send us on our way to a larger hospital for the remainder of the pregnancy. What he had said was that when there is a compromise, blood and nutrient flow is automatically routed to the brain to sustain life and function there and the stomach size is usually the first visible sign of that change. So while it may end up being normal for this baby (my daughter ended up being just fine), it is probably something that should be watched closely should your wifes condition continue to progress towards hypertension (and maybe even if not).
I'm glad to hear that you've done some planning ahead and good for you for becoming as informed as you can be -that will help SO much in the months ahead. Best wishes!