Gossamer and OTF, thank you! I am sure you said it better than I will, but just for the record, count me in as someone else who did "all the right things" and had preeclampsia TWICE. My first pg ended in an emergency cs at 30w. Were there things than could have been done better? Sure, but I did the high protein diet, salt to taste, exercise, etc. I will never forget the moment, as my bp was 220/170, my baby was in distress, I was barely conscious and I was going into renal failure, that I signed the consent forms for the cs. I asked my dr what would happen if I didn't sign. She looked me in the eye and said you will die. As it was, my bp continued to go higher before it came down, and my dr said they had never had someone as sick as me not have a heart attack or stroke.
Fast forward to 2nd pg, again I developed PE at around 28-29 weeks. I did EVERYTHING right this time, paranoid that I had somehow missed something the first time. I had heard so many stories of how it could be prevented, that I believed for a long time that I had done something "wrong" with ds. My second child was stillborn, although ironically her death was unrelated to the preeclampsia. However, until she was born we did not know that, and I labored believing that "it was my fault". As it stands, I will not be having any more children by birth unless and until a cure is found, as I have a virtually 100% chance of developing PE necessitating delivery by 36w, 50% chance 28-32w, and 5-10% chance at 24-28w.
For those of you who advocate Brewer/Bradley diets as prevention or a cure,
Please remember that nothing ever treats or cures anything, not allopathic or natural treatments, 100% of the time. I am sure you don't intend it this way, but how you come across to those of us who have had this condition (I am presuming for Gossamer and OTF, so correct me please if I am wrong) is that if we had only done this or that, everything would be okay--which translates to IT IS YOUR FAULT. Good nutrition helps to statistically decrease the likelihood of developing PE and often makes for more resilient babies in those who have it (both of my babies were large for age), but it is not the cure all that it is sometimes made out to be. Research shows there are multiple causes for PE, related to genetic tendencies, clotting disorders, kidney defects/diseases, nutritional deficiencies, as well as unknown causes. It is the leading cause of maternal death worldwide and in developed countries. In pg where PE is present, the babies are often IUGR.
To answer your questions, cs for PE are done when the life of the mother is in grave danger regardless of gest age or when the baby is in true distress due to the hostile conditions in the mother's body. If a woman is 2nd trimester or early 3rd, they will wait as long as they can, but it is a progressive disease that only gets worse with time (if they are 34w or so they will often deliver unless it is very mild). Looking at it another way, the baby is at risk in an unhealthy body and outside the womb. Sometimes remaining in the womb is more dangerous than being delivered early, and when that happens delivery is indicated. Usually by that point the mother is also very ill. If you want more info on PE, http://www.preclampsia.org
has good information.