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Want to attempt HB again... Feasible?  

post #1 of 19
Thread Starter 
So here's the skinny (I'll try to keep it short -- but that's hard for me!). With my last little one, after I found out I was pregnant, I did a lot of research and decided, along with talking with a good friend who had done homebirth a couple of times, that HB was the best option for me. My labors have been too fast for pain medication (yes, I was a naive little mama!) and I really don't like all the poking, prodding and pushing that goes on in hospitals. My previous 4 children were perfect pregnancies -- no problems.

I found myself a great midwife who did my prenatal care. 4 weeks before my due date my blood pressure was rising and my midwife put me on modified bed rest (after all, I still had 4 other little ones to take care of). 2 weeks before my due date my blood pressure was so high that my midwife actually made an appointment with the high-risk OB in town and told me that I was possibly in the beginning stages of pre-e. (Yes, it was that bad, even after lying on my side for an hour). That night my water broke. Unfortunately, my BP was ridiculously high still so off to the hospital we went. My midwife and her apprentice acted as my doulas (oh they were so wonderful!) and I still had a natural, drug-free birth -- the absolute best hospital birth of all. Baby was teeny -- but strong as an ox, not needing any neo-natal care. I had my midwife do my after-care too, along with the baby's initial care. (I already paid for it!)

Now, I feel it is important to mention that 4 weeks before my due date my grandmother (who was quite young -- in her 60's -- and who I was close to) went to the hospital with a bad case of the flu and was immediately put in the ICU. 2 weeks before my due date, the doctors told my family that she had cancer, her lungs were pretty much shredded and there was nothing they could do but make her more comfortable as she dies. I got this news the same day that my water broke. I actually gave birth in the same hospital that she was dying in. She got to see the baby the day before she finally passed. I mention this because I think it's quite possible that this might have exacerbated my BP problems.

Now with all that information... I'm about 8 weeks along with baby number 6. This is quite possibly our last little one. Initially, I thought with the blood pressure problems with my last pregnancy that I might be risked out of HB already with this one.... but I also take into consideration the circumstances surrounding Reagan's birth as well. (I didn't mention that my mother had moved to a new town and that my cousin was planning her wedding -- the same day as my due date!).

Am I crazy to think that maybe I can still try for the homebirth I desperately want? I've moved to a new city and into a much bigger house -- so calling up my midwife is not an option. I'd love to hear what you think? I've also considered a UC, but haven't done enough research on that yet.

Thanks!
post #2 of 19
Every pregnancy is different. I don't know much about BP issues but I think just because you had pre-E in one pregnancy doesn't mean you're doomed to have it for each pregnancy in the future. I'd have your midwife pay close attention to it this time, but I see no reason not to go ahead and try for the homebirth until a reason arises that you shouldn't.
post #3 of 19
I had pre-e with my first. My bp was high throughout my pregnancy but no one though anything of it until protein was found in my urine at 39w3d. I was induced at 39w5d.

With my second I followed a Brewer diet and as I was not working, managed to get exercise and sleep. My father died when I was 5.5mo along. Then when I was home for the funeral I caught the Norovirus, then strep from my niece, then Pertussis from my son. My pregnancy was otherwise uneventful and dd was born at home at 40w1d.
post #4 of 19
Go for it! If high blood pressure develops, you can always switch to a hospital birth again.
post #5 of 19
Thread Starter 
Thanks. I should also add that I did not actually develop Pre-e -- although I was probably on my way to doing so. My urine was still fine as well as the lab draw that we did that same day (that my water broke). My midwife was actually surprised that I hadn't developed it since my BP was so high!

I am currently tracking my BP (totally healthy right now) as well as putting myself on a strict diet and walking daily. If I do develop HBP again, I want to be 100% sure that I did everything I could to prevent it. My last I don't know if it was me or the pregnancy or both.
post #6 of 19
i don't think you are crazy at all for considering hb for number 6! why not? they will just monitor you and if the problem comes up, then they'll take care of it and if it doesn't, then you get your HB!

win-win.
post #7 of 19
Quote:
Originally Posted by mykidsmom776 View Post
Thanks. I should also add that I did not actually develop Pre-e -- although I was probably on my way to doing so. My urine was still fine as well as the lab draw that we did that same day (that my water broke). My midwife was actually surprised that I hadn't developed it since my BP was so high!.

Having high blood pressure--no matter how high!--does NOT mean that you are 'on your way' to Pre-eclampsia. Well, sure there are b/p extremes that if chronic, can lead to problems for mom/baby. But, some women get a normal (for them) rise in blood pressure during the last weeks of pregnancy--if labs are normal, mom is having no other symptoms and baby is growing well enough, it is just not a concern.

Otherwise, I do think that the stress in your life quite possibly played a large part in your high b/p last time. I would definitely plan for a hb this time if I were you. And I would not worry too much about following strict pre-e prevention protocols. I mean, yeah, do eat well and get those walks, that's just plain ol' ordinary good self care. But as a midwife--and of course, only from what I've heard from you about last pg--I do not read you as someone who 'flirted with pre-e' last time. I read you as someone who faced more stress than your pregnant self could well cope with. So I'd only want you to eat/exercise 'well', in the same terms as anyone else--NOT in a strict/special way as someone who needs to worry about 'repeat pre-e signs'. I'd be more concerned about watching your stress levels as we went along (whether helping by teaching you life-and-stress-mgmt stuff, giving you a place to vent/release, whatever seemed most useful).

all the best getting to your homebirth at last!
post #8 of 19
Quote:
Originally Posted by barefootpoetry View Post
Every pregnancy is different. ...just because you had pre-E in one pregnancy doesn't mean you're doomed to have it for each pregnancy in the future. I'd have your midwife pay close attention to it this time, but I see no reason not to go ahead and try for the homebirth until a reason arises that you shouldn't.
I completely agree.
post #9 of 19
I second what MsBlack said. It really just sounds like it was stress related, but because your water broke you weren't given a chance to prove it either way. I would especially watch the diet and exercise, but not try any preventatives unless you are showing signs of pre-e.
post #10 of 19
I have heard that eating protein can help keep blood pressure down. I have no hard evidence of this, but it's just something I heard thought I'd pass along.
post #11 of 19
YES! Eating a high protien diet DOES keep blood pressure in check. Also remember that it is NORMAL for your blood pressure to go up because your blood volume has to increase a LOT to support and grow that little one. Make sure you are salting your food because you need the salt to help that increased blood volume.

I'm sure that there are clearer ways of explaining this! haha! Find the Bradley diet and stick to it as closely as possible. Its a ton of food, I was never actually able to eat ALL of the stuff I was supposed to every day, but I ate those proportions. My blood pressure remained low for my entire 2nd pregnancy. I actually had some pre-e for my first. At least, that's what the docs said.

I would not rule out a homebirth. You are doing the right thing by thinking about this now and preparing for it!
post #12 of 19
Thread Starter 
Thank you so much everyone who responded. I've got pretty nasty morning sickness right now, so I'm living on what I can keep down. But I'll look into the Bradley diet (I've heard good things about that in the past).

I really appreciate the information and the words of encouragement. I spoke to my husband and he's totally fine with trying for a homebirth again (his response: "It's your decision, since it's your body." -- I love that man!). I'm also going to begin practicing some de-stress techniques, just in case stuff comes up during my pregnancy like it did the last.

Thanks again everyone!
post #13 of 19
In the last month of my last pregnancy my blood pressure went way up. I was really freaking out that it would risk me out of my homebirth, which of course didn't help bring it down any. I had a lot of stress going on at the time too. My husband had been out of work for months and we weren't getting along well among other things. My midwife did tell me at one point that if we couldn't bring it down or if it went up during labor I'd have to transfer care. Thankfully she helped me bring it down to a border line number with diet, exercise and suppliments. Since I never developed any other symptoms of Pre E she continued to monitor me and the baby closely. My blood pressure didn't go up during labor so I got to have my homebirth. I know that if I'd been with an OB I would have been induced or pressured into a repeat csection in those last weeks as my blood pressure started to climb. Luckily I am able to use the same midwife this time around so I know that if the same thing happens she will help me keep it under control and only transfer care if it is truely necessary. That was my 4th pregnancy and I never had any problems with my blood pressure before or since. Every pregnancy is different. I would definitely plan another homebirth if that's what you want!
post #14 of 19
I think you should go for it! Your first 4 were fine, and I bet your BP was from the stress.
post #15 of 19
I so highly recommend the Bradley diet (which is actually the work of a physician named Thomas Brewer) His website is www.blueribbonbaby.org

I had insanely high blood pressure with my third pregnancy, hospital induction, the whole nine yards. Fourth pregnancy I followed Brewer diet...blood pressure was perfect, no swelling in my hands or feet, and perfect dd was born at home four hours after my water broke. Best of luck to you!!!!!
post #16 of 19
I don' t think its crazy at all. As other posters mentioned, the Brewer diet is a great start for a nutritional approach to managing blood pressure, and you can just plan on having a home birth, and go from there.
post #17 of 19
Thread Starter 
Thanks so much for the information. I'm looking over the Brewer diet (wow -- that's a lot of food! LOL).

I really appreciate everyone's support. Now I've just got to find a midwife in my area!
post #18 of 19
Randi, just wanted to affirm that life-stress can increase blood pressure. This happened to a friend of mine who was moving overseas with two LOs under 3yo on her own (hubby already there) and living with his alcoholic sister prior to the move. She was pg at the time and ended up having an emergency c-section (in the new country) at 28 weeks! She had never had any concern about her bp prior to that. If you rest and eat well and take care of yourself mentally, you should be fine. If I were you, I'd plan on an uneventful homebirth - you can always go to the hospital if you need to. Good luck!
post #19 of 19
Quote:
Originally Posted by rockportmidwife View Post
I second what MsBlack said. It really just sounds like it was stress related, but because your water broke you weren't given a chance to prove it either way. I would especially watch the diet and exercise, but not try any preventatives unless you are showing signs of pre-e.
And these ladies know what they are talking about! Eating well and stay active is for all preggos, but it could also be a way for you to reduce your stress as well. getting the physical activities. I know personally, my BP is always fine, but my last visit, I was hot, my daughter was acting like a crazy toddler and my car payment people were hounding me, and my BP was high for me. So I wouldn't under estimate the power of stress. And even if it were Pre-e coming on, there is no guarantee you will get it again, so I wouldn't rule out a homebirth. should it come up, just cross that bridge when you get there
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