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Gestational Prehypertension  

post #1 of 3
Thread Starter 
I am trying to find the answer, and can't so far. Can anyone here help?

This is my third pregnancy. The first two (attended by OBs) were induced at 37 and 38 weeks for what they called pre eclampsia. The truth is, I had sudden onset high BP each time (diastolic over 100), a little edema with the first but no protein in either case that I know of.
Today at 34 weeks, my BP was 135/85 despite doing a high protein diet, baby aspirin, cal/mag supplements, yoga and massage. My MW said the term is Gestational Prehypertension b/c there is NO swelling or protein spilling. We will be doing weekly NST/AFI and monitor baby for growth. She says if all of that holds steady, there is no problem for me to go to term and beyond.

Finally to my question! What I want to know is, how realisitic is my expectation to hold continue to 40 weeks? Statistacally, do these cases turn pre-e at some point? I am not worried about the baby at this point, but all this monitoring will make me feel like a watched pot. Any suggestions?

FWIW, my midwife would usually refer to a perinatologist at this point, but she is holding off at my request. L and D will do the monitoring and my MW and I will make decisions as they come for now. Legally, if anything changes, I may have to see her back up or a peri.
post #2 of 3
The term I'm familiar with is Pregnancy Induced Hypertension (or PIH)...it's the hypertension without the protein in urine, liver failure, kidney failure, heart failure, etc.

You may still spill a little protein (because your body is working so hard pushing the blood through and such)...but as long as your 24 hour urine catch is less than 500 it is NOT preeclampsia (or if your blood work does NOT indicate kidney, liver, cardiac failure)...

You may naturally go into labor earlier...it is realistic that you can "make it" full term...

What was your bp when you were first pregnant?
post #3 of 3
Thread Starter 
PIH is what I would call it, too, but my MW said they keep changing the terminology as they find out more about how it works....

I will pick up the ook you recommended. She did say there are herbs andd things you can take after 36 weeks to help get ready for labor (and potentially start early) And the way she described induction is very different than my previous experiences.

First prenatal visit was 116/67 I think. The rest of the pregnancy has been around 120/76 or so.
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