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#1
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how high of bp is too high?
Okay, so with my rising bps I am wondering how high is too high, and at
what level should I definitely just go deliver rather than arguing with anybody about waiting longer? I think I have both pre-existing hypertension that was helped with the aldomet, and then PIH which is making my bp creep higher and higher. My platelets have also dropped some, but I have a platelet disorder, so not necessarily a sign of pre-e. I do get hand and foot swelling, but no protein in urine or other laboratory signs of pre-e. Just now in the peace and quiet of my own home my bp was 150/100 at 35.5 weeks pg. It is a bit scary, so my initial desire not to be induced is wavering, and now I am not sure how much I would fight to not be induced after 37 weeks, and especially after 38 weeks, assuming that my bp will continue to rise before then. I'm also already taking a load of herbal bp remedies too. KC |
#2
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wrote in message oups.com... Okay, so with my rising bps I am wondering how high is too high, and at what level should I definitely just go deliver rather than arguing with anybody about waiting longer? I think I have both pre-existing hypertension that was helped with the aldomet, and then PIH which is making my bp creep higher and higher. My platelets have also dropped some, but I have a platelet disorder, so not necessarily a sign of pre-e. I do get hand and foot swelling, but no protein in urine or other laboratory signs of pre-e. Just now in the peace and quiet of my own home my bp was 150/100 at 35.5 weeks pg. It is a bit scary, so my initial desire not to be induced is wavering, and now I am not sure how much I would fight to not be induced after 37 weeks, and especially after 38 weeks, assuming that my bp will continue to rise before then. I'm also already taking a load of herbal bp remedies too. 150/100 isn't induction level for the perinatal center I went through, although if it's continually that high, more or different medication may be indicated. They only induce if there are other symptoms of damage in the mother or if the baby is showing signs of compromise. Have they done a BPP to check on fetal oxygen flow and growth? FWIW, when I went into L&D at 35 weeks in this last pregnancy, my BP was 180/105, and they still weren't talking induction, until they discovered that I was contracting every 5 minutes, at which point, it was decided the baby was telling us it was time. |
#3
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wrote in message
oups.com... Just now in the peace and quiet of my own home my bp was 150/100 at 35.5 weeks pg. It is a bit scary, so my initial desire not to be induced is wavering, and now I am not sure how much I would fight to not be induced after 37 weeks, and especially after 38 weeks, assuming that my bp will continue to rise before then. I ran in the 150s-160s/90s-100s pretty consistently from 35 weeks until I consented to induction (by AROM only) at 40w2d. After my son was born, the midwife examined my placenta and admitted that it showed no signs of hypertension and that I could have safely continued the pregnancy for quite a bit longer. I'm not really sorry I had the induction--it turned out well and I avoided pitocin and monitoring--but if I'd known then what I know now (I was at 5cm when I checked in and I think I'd have gone on my own within the next couple of days), I might have put it off a little longer. FWIW, it's diastolic numbers up into and over the 100s that start getting people freaked out. From what I understand, however, seizures and eclampsia aren't particularly common until you get up into the 110s. In your shoes, as long as there are no signs of pre-eclampsia and the baby's biophysical profiles are looking good, I'd hold off until spontaneous labor or until my BP was hitting the 160s/mid-100s consistently. At that point, I'd agree to induction, but I'd certainly try AROM alone first. In a multip like you, AROM has a good chance of being successful. (In my case, it put me into labor within 5 minutes.) Good luck and HTH! -- Be well, Barbara Mom to Mr. Congeniality (7), the Diva (5) and the Race Car Fanatic (3) I have PMS and ESP...I'm the bitch who knows everything! (T-shirt slogan) |
#4
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Donna Metler wrote: wrote in message oups.com... Okay, so with my rising bps I am wondering how high is too high, and at what level should I definitely just go deliver rather than arguing with anybody about waiting longer? I think I have both pre-existing hypertension that was helped with the aldomet, and then PIH which is making my bp creep higher and higher. My platelets have also dropped some, but I have a platelet disorder, so not necessarily a sign of pre-e. I do get hand and foot swelling, but no protein in urine or other laboratory signs of pre-e. So long as they continue to monitor you closely (and you continue to monitor *yourself* closely) for those other signs. :-) I admit to being a worrywart, though for good reason I think. The biggest concern in your situation, I would think, would be that if things go downhill rapidly, the standard solution is to get the baby out *now*, especially since the situation can continue to worsen postpartum for some time -- and the platelets make a C-section a difficulty. On the plus side, they'd have to be really serious about it to section you. :-) I would not be terribly comfortable waiting much past a sustained 160/110 but I am not a doctor and only play one when I read Medline. If your doctors are following along and aren't concerned, then unless *you* have reason to become concerned other than that you have been reading horror stories, like that your face is swelling and you haven't peed for 6 hours, I would guess that they are convinced you are falling within safe parameters. 150/100 isn't induction level for the perinatal center I went through, although if it's continually that high, more or different medication may be indicated. They only induce if there are other symptoms of damage in the mother or if the baby is showing signs of compromise. Have they done a BPP to check on fetal oxygen flow and growth? Also, for monitoring your own situation at home, I'd watch for bubbles after urinating (when you spill protein, the surface tension of your urine changes) and for general agitation (a sign of hyperreflexia, which can sometimes lead eclampsia.) Of course you should also do kick counts. FWIW, I was 220/116, which convinced OB triage people that they needed to go get some more bp monitors because that one must have been broken. But I did *not* just have high bp, but also just about every clinical symptom of PE, all of which had spiked in the past week. (I'd had an appointment with my midwife one week prior, at which point I'd a bp of 130/80 and trace protein on a dipstick and dependent swelling in the ankles.) -- C, mama to two year old nursling |
#6
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Thanks Larry. I did read your site before and have started alot of
things on it. I seem opposite of Monika though in that I find the hops and valerian to make more of a difference than the RRL tea. I don't think the under 80 is gonna happen until this pg is over, but my diastolic level does go down to 90 sometimes. The herbs definitely make a difference. I am pretty sure I would be over 160/100 now without them. KC |
#7
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Circe wrote: FWIW, it's diastolic numbers up into and over the 100s that start getting people freaked out. From what I understand, however, seizures and eclampsia aren't particularly common until you get up into the 110s. In your shoes, as long as there are no signs of pre-eclampsia and the baby's biophysical profiles are looking good, I'd hold off until spontaneous labor or until my BP was hitting the 160s/mid-100s consistently. At that point, I'd agree to induction, but I'd certainly try AROM alone first. In a multip like you, AROM has a good chance of being successful. (In my case, it put me into labor within 5 minutes.) Thanks that is very helpful advice. KC |
#8
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#9
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Donna Metler wrote: 150/100 isn't induction level for the perinatal center I went through, although if it's continually that high, more or different medication may be indicated. They only induce if there are other symptoms of damage in the mother or if the baby is showing signs of compromise. Have they done a BPP to check on fetal oxygen flow and growth? Yes, they have tested me and the baby alot. No signs of problems except swelling and bp. KC |
#10
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