by Guest (), Sat Dec 05, 2009 03:14 am
Three days ago, 35w6d along, I fainted at work. After resting for thirty minutes, I was still feeling very, very dizzy with bad headache. I could barely walk. I was sent to L&D . The BP readings were around 150/105 then in two hours gradually went back to my baseline, 127/78. My OB thought it was only a random reading but still kept me in the hospital for 24 hour urine test and observation. Then 3 hours later my BP spiked again back to 150's/100's and wouldn't go down.24-hr urine test was normal according to my OB although I don't know the exact numbers.
I was diagnosed as GH and given labetalol (100mg x 2 per day). observed in the hospital for 4 dosages. My readings were like around 100/65 constantly(no swing) and NST's were fine.
I went home yesterday.My OB had no plan for early delivery at all unless there was any new evidence.
The first dosage caused some dizziness for a few minutes. The second one this morning was OK. I had the third one at 8pm tonight and 30 minutes later I had very bad dizziness and a little bit headache and had to lie down in the bed. It didn't go away in two hours. I kept measuring my bp at home for the past 24 hours, once every 4-8 hours, constantly 95/65 withing any swing. No obvious drop after medication.
I know labetalol could cause dizziness but this seems a bit too excessive. I called the on-call ob and he said I should not need the medication at all and should stop it immediately. I was surprised he was so quick reaching the conclusion without any hesitation. He is the most reputable OB in the group. I couldn't get into his service so I used a much less experienced one in the same group. I asked why my ob said nothing when my numbers were the same in the hospital. He didn't comment but emphasized now I have bad dizziness for long time which is not good for me or the baby. If my blood pressure goes up again, I should go to the hospital.
I will probably follow his instruction. But I wonder whether I should switch my primary OB. I can tell the big-name ob thought my primary OB made a mistake. I am also a bit uncomfortable he dismissed my high bp readings as emotional reaction to my fainting episode(he believed I fainted because of the lunch although I told him I never had problem with blood sugar when I had pre-e during last pregnancy). I am also uncomfortable that he refused to consider early delivery( I am talking about after 37 weeks which is only 4 days away). What is the point of risking my and baby's health to wait until 40 weeks or labor starts naturally?
I never really experienced or was treated for pre-e so I am not sure whether my primary OB knows what he is doing. During last pregnancy, my pre-e started suddenly on the day of labor and delivery and went away once I was given epidural.
What is your experience and advice?