20 weeks- Blood Pressure of 145/80

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20 weeks- Blood Pressure of 145/80

Postby alisonlbewley » Thu Apr 22, 2010 09:33 pm

I posted not too long ago. I've been having some constant head aches, dizziness, rapid heart beat (enough to wake me up once or twice), and some visual disturbances.

I went to my doctors appointment today and my blood pressure is 145/80. The last time I was there it was 150/80 (this was at 16 weeks).

I've never had a blood pressure issue before pregnancy and only in this last week did these bad symptoms come along. I am now almost exactly 20 weeks.

My doctor doesn't care. I explained everything and he seems very light and fine with everything.

I was wondering if this is how pre-eclampsia can begin, or if this kind of thing precedes it?

I would appreciate any input, opinions and experiences you can share with me as I've really nervous.

Thanks for reading!

Alison
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Re : 20 weeks- Blood Pressure of 145/80

Postby sarah0381 » Thu Apr 22, 2010 10:04 pm

Hi Alison, my situation is very similar to yours. I began feeling terrible about week 12 and noticed my bp was high 130/80's. By week 16 I had my vision go black on me and I fell...bp that time was 145/99. The next day my ob put me on labetelol 100mg 2x's a day. My symptoms are headache that doesn't go away with med, dizzy, vision disturbances, and in general just sluggish. The meds stabalized my bp for a while and until about last week it's slowly increasing. My ob and mfm didn't want to diagnose me with pe because it was too early. I am finally at my 24 wk and go in the morning for another check up. I hope by now she will tell me why I still feel so bad!! I have also had up and down protien levels in my past urine dips. It's very frustrating because you can feel something is going on but docs don't really seem to do much until after 20 wks. I don't know why, maybe it's because it doesn't normally become severe until after 20...I really hope that at your next appt your doc will pay more attn!!! Be sure to call if you begin to feel any worse or have more symptoms. Good luck and I hope it gets better for you!! :)
~Sarah
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Re : 20 weeks- Blood Pressure of 145/80

Postby l412angel » Thu Apr 22, 2010 11:04 pm

Hello! It seems to me like you are cronic hypertensive. Which can be controlled with medication. There are a ton of different BP meds out there. 20 weeks is early for PE but not un heard of.

The fact that you are pregnant "unmasks" the fact that you may have cronic hypertension. So you may not have PE...or ever get PE... your headaches and such could be due to your high BP's. The top number is concerning. I would ask your OB if you can be seen by an MFM!
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Re : 20 weeks- Blood Pressure of 145/80

Postby katznkt » Thu Apr 22, 2010 11:43 pm

Yes. It is def high blood pressure, but not terrible. It could turn into PE or not. I had high blood pressure in my first trimester (before pregnancy I had perfect bp) then it dipped normal in the second and it increased again in the third trimester. My doctor didn't even give me meds, he just put me on bed rest when I was getting fun symptoms. The bed rest helped control my bp for a while. By the time I was getting consistent readings of 160/100 on bed rest, I was 37 weeks and he induced me to be safe.

So you can feel terrible and have high blood pressure, but it doesn't mean you can't go to term, and doesn't mean you will get PE
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Re : 20 weeks- Blood Pressure of 145/80

Postby caryn » Sat Apr 24, 2010 05:52 pm

Alison, that sounds like chronic hypertension unmasked by pregnancy, as the other posters above have said!

When pressures go up before 20 weeks gestation, they almost always call that chronic hypertension. Chronics have a 25% chance of developing what they call "superimposed" preeclampsia, which just means that it's stacked on top of the underlying chronic hypertension. Because the placenta implants into an environment where the chemical signalling "tells" it to expect chronic hypertension, docs are often reluctant to use much bp medication, but this depends very much on the practice and I know that some of our Experts treat women with chronic hypertension quite aggressively.

Have you had a consult with a maternal-fetal medicine specialist? You can find one near to you at [url="http://www.smfm.org"]this link[/url]; search by state.
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Re : 20 weeks- Blood Pressure of 145/80

Postby atvlady » Tue Apr 27, 2010 06:01 am

I had pre-e and HELLP at 20 weeks.
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Re : 20 weeks- Blood Pressure of 145/80

Postby hillary8l8 » Wed Apr 28, 2010 11:47 am

I agree with Laura and Caryn...my blood pressure started to go up at 20 weeks, and my doctor told me it was probably chronic hypertension unmasked by the pregnancy. I was diagnosed with PIH, but never developed preeclampsia. On the other hand, my doctor took this very seriously and I was hospitalized for the last week and a half of my pregnancy and was induced at 37 weeks 2 days.
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