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Hypertensive? Really?

post #1 of 7
Thread Starter 
Yesterday, after my afternoon nap, I woke up with my right eye being completely blurry. After waiting for 2hrs for it to get better and it not doing so, I called L&D. Since I had mild, term pre-eclampsia in my last pregnancy and my BP was 130/70, they just wanted to 'check me out'.

3 hours later, I have had blood draws (everything fine), cathed for a sterile urine sample (fine, and OUCH!!). And my BP was everywhere from 140/85 to 120/68. Mind you, a couple of the high numbers were due to being stuck for two blood draws (they couldn't find a vein in my right arm, so by the time everything was switched over, it was time for another BP check and needle poke).

I am doing another 24hr urine test and they want me to go in for a growth scan and an NST on Friday. I'm going to be 33 weeks on Friday.

And I just noticed, on my chart that I have to give the technician, the OB wrote 'chronic hypertension' on it. Now, I understand that my higher numbers were hypertensive. But the lower ones, the 120s/70s, isn't that normal???

Why would she label me chronic hypertensive? Is there anything I can do to counteract that? I'm afraid that all of this is going to add needless stress, and stress=high BP for me. I also don't want to have them have hair trigger reactions. I'm stressing out about this 24hr urine, because I'm afraid if it shows an increase in protein, even if in normal range, I'll be labeled pre-eclamptic when I'm NOT.

Anyone have any advice? I am not liking this path that is forming, but I feel helpless really to do anything. I can't switch providers either, since I am on state Medical for pregnancy.

Ami
post #2 of 7
120/70 is textbook perfect for an adult. If those are normal numbers for you, you are definitely not hypertensive. Mention it, at least, maybe in a, "Hey, 'm confused" kind of way.
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post #3 of 7
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post #4 of 7
no advice just good luck!
post #5 of 7
I was labeled similarly. I have big time anxiety around getting bp taken and the whole preeclampsia scene since I have btdt. One doc wanted me on meds. Had I done that, I would have been absolutely crashing at home, because my bp was normal otherwise. The label was really maddening, especially when it's obvious that these 'hypertensive' numbers come out in high stress situations. Lots of empathy for you there...

It's a tough situation. Providers are so nervous about bp's. Preeclampsia can happen fast, so I undertand the caution, but I *personally* feel like it is a bit of CYA going on.

I'm not sure what will be helpful in your specific situation, but I can tell you what I did. I took my bp 2x a day at home to get a really good idea of my baseline. The docs said, yeah 120/70 = great, but if you are running at 140/90 half the time, because of anxiety, that's hypertensive. Makes sense to me. So I took it upon myself to see just want I was running at home. I also did the 24 hour urine and blood tests and growth scan as you are doing. I figured what the heck. If I am really not sick, the tests will show that, and they did. I took that information (tests + home bp readings) and looked for a new provider who was comfortable with my health status and understood that my bp responds to stress.

I definitely have to watch my stress on a day to day basis so I know I am maintaining a healthy bp. I also have been getting acupuncture, which has further lowered my bp. But I think the big kicker for me was finding a provider who wasn't going ape because they thought I was going to get preeclampsia in the next hour. At 33 weeks I don't know if you are up for a change of provider or not. I do know that acupuncture is amazing for kidney/liver function and that it certainly wouldn't hurt. Neither would having a chat with the doc about how stressed out you are about this and that it could easily turn into a self feeding cycle, so they can remember to settle down a bit.
post #6 of 7
Thread Starter 
Quote:
Originally Posted by babyjelly View Post
120/70 is textbook perfect for an adult. If those are normal numbers for you, you are definitely not hypertensive. Mention it, at least, maybe in a, "Hey, 'm confused" kind of way.
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I'm going to see my OB on Wednesday, so I will definitely bring this up. My BP is normally somewhere around 120s/70s or 80s.

Quote:
Originally Posted by MaerynPearl View Post
no advice just good luck!
Thanks.

Quote:
Originally Posted by chellebee View Post
I was labeled similarly. I have big time anxiety around getting bp taken and the whole preeclampsia scene since I have btdt. One doc wanted me on meds. Had I done that, I would have been absolutely crashing at home, because my bp was normal otherwise. The label was really maddening, especially when it's obvious that these 'hypertensive' numbers come out in high stress situations. Lots of empathy for you there...

It's a tough situation. Providers are so nervous about bp's. Preeclampsia can happen fast, so I undertand the caution, but I *personally* feel like it is a bit of CYA going on.

I'm not sure what will be helpful in your specific situation, but I can tell you what I did. I took my bp 2x a day at home to get a really good idea of my baseline. The docs said, yeah 120/70 = great, but if you are running at 140/90 half the time, because of anxiety, that's hypertensive. Makes sense to me. So I took it upon myself to see just want I was running at home. I also did the 24 hour urine and blood tests and growth scan as you are doing. I figured what the heck. If I am really not sick, the tests will show that, and they did. I took that information (tests + home bp readings) and looked for a new provider who was comfortable with my health status and understood that my bp responds to stress.

I definitely have to watch my stress on a day to day basis so I know I am maintaining a healthy bp. I also have been getting acupuncture, which has further lowered my bp. But I think the big kicker for me was finding a provider who wasn't going ape because they thought I was going to get preeclampsia in the next hour. At 33 weeks I don't know if you are up for a change of provider or not. I do know that acupuncture is amazing for kidney/liver function and that it certainly wouldn't hurt. Neither would having a chat with the doc about how stressed out you are about this and that it could easily turn into a self feeding cycle, so they can remember to settle down a bit.
Thanks for all the advice, chellebee.

All my 'high' numbers, so far, have been due to stressors, really. Like say, talking about getting cathed (I had to be cathed during the ENTIRE labor with ds--UGH), getting needle poked/swirled , or going in to see a doctor for lack of fetal movement. It's odd, but the on call doc was really dismissive when I brought that up. I mean, I'm glad she can remain cool and calm during stress, but that's so not me!

I am doing the tests because, as you said, if it's normal, they will show that. I will definitely start taking my BP 2x a day at home, on each arm, since one gets higher readings than the other.

I just really really don't want a pre-eclampsia label unless I do have it. Getting induced with ds was NOT fun. It ended up in a c/s. This time around, I don't have an option of inducement since that's too risky for a VBAC. I don't want another c/s. Part of me is freaking out just thinking about it. I'm also worried that all this 'extra' monitoring will give them ammunition to force me into a repeat c/s because things aren't 'perfect', kwim?

Maybe I'm just overreacting. I'll go see my OB Wednesday and if everything with her is fine, just pray I don't get super jumpy OB on call when I hopefully go in to labor naturally.

Ami
post #7 of 7
Quote:
Originally Posted by JTA Mom View Post
Thanks for all the advice, chellebee.

All my 'high' numbers, so far, have been due to stressors, really. Like say, talking about getting cathed (I had to be cathed during the ENTIRE labor with ds--UGH)

...I'm also worried that all this 'extra' monitoring will give them ammunition to force me into a repeat c/s because things aren't 'perfect', kwim?
I hope it is helpful in some way. Seriously, after the torture that it was to go through all that garbage, I hope I can at least help someone else out somehow!

About getting cathed...that sounds like a trigger waiting to happen. Totally understandable. I really hope you can find some way to talk to your providers and that they gain an understanding of where you are coming from. Maybe it would help to see someone (therapist/hypnotherapist,etc?) and get a trauma/anxiety/PTSD diagnosis if there is one to be had? I don't know what level the stress you are dealing with rates at, but if you can talk to someone who does and theycan give you a label perhaps they will back off on all the jumpy testing. I think providers can hear a different thing when you say "I am experiencing some PTSD from xyz vs. this really freaks/stresses me out."

I can see being worried about the u/s from that perspective. While I don't wish you to have a fight on your hands, you sound educated and I'm sure will know if they are playing games or just doing what they should and I'm sure that will give you some ammunition if you need it.

I sincerely hope your tests come back great and they can see it's situational and a non-issue.
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