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Please Help! Need advice to control gestational hypertension naturally! - Page 2

post #21 of 27
Thread Starter 

Thanks for the thoughts/suggestions Bobcat! The MD's now officially have me on bed rest (but can still do a few basic things) so I'm hardly on my feet at all anymore. It does seem to be helping with my bp. Even though things "seem" to be going a little better now, I still have this stupid pre-eclampsia diagnosis and they WILL be inducing me sometime between week 37 and 38 (I'm 34 weeks now), when I'm considered "full term". I can't get out of it or change their minds. They say that I'll have a better chance at having a more natural birth this way since I'll hopefully be avoiding complications with the pre-e. And they insist that once you develop pre-e in a pregnancy, it doesn't go away. Unfortunately, they found a lot of protein in my last 24 hr urine collection and are certain that things can only get worse, no matter how much my bp numbers improve. I think they're just being overly cautious to avoid any possible malpractice lawsuits, but then I've also heard that pre-e isn't something to mess with, so I guess I've resigned myself to the fact that this isn't going the be the best pregnancy and birth but that I should have a healthy baby girl in my arms soon!

I would like to hear more about your experience following WAPF. I have personally given up on trying to get that much fat in my diet. My focus has been protein lately, in a half-assed attempt at following the Brewers Diet. And thanks for the suggestion about the dairy, but we only drink raw goats milk here (since we have our own goats) and it doesn't seem to cause mucus problems for me. I could see how grocery store milk could, though, and could lead to those problems w/sleep and bp.

post #22 of 27

You can change their minds by getting that blood pressure down.  


I'm on my 4th pregnancy and I had gestational high blood pressure with the first baby one week before delivery.  The 2nd, 3rd, and 4th one I knew it was coming and when my BP started to rise to 130/80 in the 2nd trimester, I went on a strict low sodium diet (aimed for 1000mg/day), took a 500mg potassium supplement with each meal (ie, 3 times a day) in addition to eating foods high in potassium, took magnesium and calcium, and drank 64 oz of water a day.  This has worked every single time and I have never once been diagnosed pre-E.    Now, my BP on this diet and at 27 weeks pregnant is consistently at 115/75.   


Decreasing stress certainly can help but gestational high BP is a biological issue where your sodium ion pump is totally out of whack.   You’ve got to cut the sodium (adding protein to your diet doesn’t do this) and increase your other electrolytes.   All it means is eating a natural diet free of processed foods and fast food/restaurants and if you do eat processed, read the nutrition label.and don’t eat servings above 250mg of sodium.   It is really hard to do and takes a about a week to see results but this really will work if you can manage it. 

post #23 of 27

Pre-e is absolutely not something to mess around with, so I'm glad your doctors are on top of it.  When they don't take pre-e seriously, they don't just get sued, they get REAMED.  This is a known, relatively common, dangerous complication of pregnancy, and failure to respond to it adequately can call a doctor's hospital privileges, and license to practice, into question.  Women and babies do sometimes die of pre-eclampsia, and if their doctors are still in business, they had to be able to show the morbidity and mortality review clear, detailed evidence that they handled the situation appropriately. 


The dietary steps may be worth trying, but please keep in mind that we do not know for sure what causes eclampsia and pre-eclampsia.  The causes appear to be multifactorial, and to be related to pregnancy itself (one theory is that pre-e may be caused by an immune system response to the pregnancy).  If you try dietary changes and they don't work for you, it's not because you didn't do them hard enough.


The protein in your urine is not a good sign, and lower sodium is not going to change that, really.


Forgive me for sounding bleak.  During my own high risk pregnancy, the CNMs I was seeing consistently told me that my problem would clear up, and discouraged me from thinking through scenarios for c-section and other medical intervention, so when the emergency hit (I started hemorrhaging at home, and wound up delivering at a completely different hospital then planned), I was totally unprepared.  I'm still pretty pissed at them for this, and the resulting baby turns four this fall.  Planning for a natural delivery at term did me no favors.  Don't get me wrong:  it was what I wanted, and I still wish that things had worked out that way.  But I think there's a point where it becomes helpful to consider what happens if things go haywire.


I agree with your doctors that an induction at 37 weeks is more likely to lead to a vaginal delivery and a healthy baby then waiting for either the pre-e to get so bad that your induction is an emergency, or for you to go into labor on your own.  The reputation that inductions have (here and in many other places) is that they lead, inevitably, to c-section.  This isn't entirely true, but an emergency induction is a situation with a lot of potential to lead to a crash section.  Ideally, you'd arrange the induction to start early in the morning shift at the hospital, and they would have your delivery covered by the neonatology staff, so that they keep a team in hospital until you deliver and they are sure your baby doesn't need assistance. 


I hope that the rest of your pregnancy is uneventful, and your girl is safely in your arms soon.

post #24 of 27
What MeepyCat said!

To add a bit- the protein in your urine means your kidneys are not functioning like they should be. Increasing the protein in your diet is going to increase their work load. This is not going to be helpful!

I'm so sorry for this scary situation. Baby'll make it all worth it!
post #25 of 27

I had a very similar situation to yours with my pregnancy with DS.  Everything was perfect until about 34 weeks when my BP went up.  We decided to monitor, put me on bed rest, and try natural supplements (I'll have to look which, it included a magnesium that you made a drink from and a B-complex vitamin) as well as starting Evening Primrose Oil to ripen my cervix for a potential induction.  Ultimately I was induced fairly abruptly at 38 weeks, but the EPO had helped with my cervix enough to make my midwives' "gentle induction" process fairly successful.


I'll be blunt and honest--I did not have the birth I wanted, but I had more success than I feared.  Other than pitocin I had a natural birth, I suspect it would have gone better with a more supportive (read: less evil) nurse.


I was lucky to have very supportive midwives who worked with the hospital and a doctor who believes in natural birth as well.  He was 100% in my corner every time my nurse tried to "tattle" on me and force meds on me, he even came by after DS was born to tell me that I'd done great and the nurse was nuts.


As well as supplements, eating high protein can help since a protein deficiency is part of the problem if I recall correctly.  I also seem to remember that floating in a pool can be helpful (drape over a swim ring or other float) if your midwife will approve it while on bedrest (mine did, I just wasn't allowed to walk to it--had to drive).


I also had some success with visualizations (both in labor--cervix opening, etc. and of calming things to lower BP during checks).


Good luck!

post #26 of 27
Thread Starter 
post #27 of 27

Hi Morel-sorry you are going through this.  I second switching to magnesium citrate-it's very good for you.  The glycinate can actually interfere with nutrient absorbing.  Also, I'll throw it out there for you to look at, and it has been debated to death on mothering, but have you checked the brewer diet for pre eclampsia?  If you're following the wp diet, it's not much of a stretch.  


  Now for personal experience-our first I had high bp.  They made us get so many u/s and nst it stressed me out even more, and I swear made my bp higher.  Even right after he was born, my bp went crazy high and I swear it was because his whole delivery was nothing we wanted and super stressed me out.  Ds measured just fine when he was born-no one thought to look at us-we are not tall people.  They were concerned about his growth though.  They talked us into an induction at 40wks because they were afraid he wasn't doing well with my bp.  I had an okay diet, not the best.  I think being first time parents and all the stress just contributed, imo.   

  2nd time around-much better diet, no preterm problems, no bp problems, mw practice, not much stress.  

  We'll see about this time.  So far my bp is okay.  


 Do what you can to de stress as well.  Yoga, calm music, reading if you enjoy it etc.  The magnesium citrate is calming, or supposed to be.  My mw suggested this-http://www.calmnatural.com/magnesium-pregnancy  If it shoots up high though, you need to roll with it and what they recommend.  A friend of mine ended up on bed rest around 30wks till 36 when they did a csec and she was on bp meds till a few weeks after.  

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