I went in yesterday for a growth scan, just as a precaution for some earlier hypertension. I wasn't concerned about the hypertension, because in my first two pregnancies ( no issues in my third) I had HBP the first 24 weeks or so, then it went down. I had extremely normal, healthy pregnancies, and normal sized, similarly sized babies for 38 weeks gestation ( all spontaneous births). interestingly, all of the my u/s predicted smaller babies than they turned out to be( grossly so in the case of my 2nd).
As a precaution, they ordered a 24 hour urine, and again, I wasn't too concerned. just as I suspected, at my 24 week check up, the midwife noted my BP was normal and said my labs were fine. I didn't ask to see the results, because if they were fine, I knew it would be an issue trying to get them to let me have them ( military midwives).
Anyhow, the growth scan was already scheduled and since I have been curious about fetal position ( because of an anterior placenta), feeling like this baby was bigger than my others, I was actually excited to see if the u/s would confirm my intuition about those things.
However, the doctor that reviews the ultrasounds noted proteinuria ( news to me, since the midwife said labs were fine), and ordered another growth scan in 6 weeks and to also begin twice weekly biophysical profiles. Also interesting, as the tech put it, ' either the bp isn't affecting the baby, or it's a good thing it is, otherwise you would be in trouble" because apparently, the baby measures over the 90th %.
Another interesting point is that despite my scheduled appointment, I went in last Friday because I was feeling kidney pain and nausea. I have a history of kidney infections ( though not during pregnancy), and while I didn't feel like it was an infection, I *know* that particular pain. I was sent up to labor and delivery ( because the midwives were in training that day...) and was told it was just a back ache ( no bacteria in the ua) and that I needed a belly support....
So here is where I am confused. If my file shows that I have proteinuria and am presenting with kidney pain....is it normal to just do a ua and send me home? Why would the midwife not saying anything? were the protein levels not so elevated that it seemed an issue, in light of the drop in bp? and finally....without his knowing anything about the kidney pain or anything else ( besides that my bp was fine yesterday) would the doctor order twice weekly bpp? Does that seem prudent or alarmist to you ?
This is all just so new to me. other than the rise, and subsequent fall, of the bp...I've never had any of these other things going on. I am in pain from the kidney, but it fluctuates. I guess, I just can't tell if I am being ignored here by one part of the providing team, or mistakenly alarmed by the other.How I miss the attentive care of having one single provider who handle everything that is going on...why oh why did my midwife have to marry and retire :D
As as added note, I have had a higher weight gain than my typical with this baby, but other than this last week where I had a big spike, it still falls within the normal range...and I do exercise and eat well.
Thank you for any insight.