Tuesday, December 11, 2012

Pre-eclampsia or Pregnancy-induced Hypertension?

To begin, this has been the history of my blood pressure before getting pregnant and throughout my pregnancy:
10/18/11 - 138/82
12/12/11 - 138/96
3/7/12 - 126/83

16w - 134/76           Protein in Urine 220mg/dl (24hr)
20w - 144/90
24w - 118/80
28w - 120/78
30w - 125/80
32w - 155/88
33w - 136/85          Protein in Urine 304mg/dl (24hr)
34w - 126/85          Protein in Urine 400mg/dl (24hr)

So, by and large, my blood pressure measurements are in the "pre-hypertension" category with a couple of exceptions. The perinatologist said that if my blood pressure remained stable, that I could go to 40 weeks, with each day I am able to remain pregnant obviously lowering the possibility of having to be induced. This was before my protein came back high for a second week in a row. If my protein continues to increase, I know that they will push to induce me at 37 weeks.

However, I feel as though these numbers could be indicative of other issues besides pre-eclampsia, such as external stress and dehydration, both of which I experienced while taking my 34 week urine sample. When I am doing my 35 week sample, I am going to make a huge effort to avoid all outside stress, stay extremely hydrated, and increase the amount of fruits and vegetables I'm eating while decreasing protein intake. If I can show even a one week decrease in my protein levels, then that will help substantiate my case that I do not have pre-eclampsia, thus helping me avoid an induction. Because if I had true pre-eclampsia, environmental factors would not influence a 24hr urine test.

On 12/11/12, I had my first non-stress test and the baby was perfect. Her heart rate accellerations were on point and she had lots of movement.

So to recap, as of 12/11/12, the cord blood flow is perfect, non-stress test is perfect, baby's growth is in the 60th percentile (pretty much perfect), and my blood pressure is slightly high but is stable. The only issue we have now is protein in the urine. I go back to the perinatologist on Friday.

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