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Discussion Starter · #1 ·
What constitutes PIH?<br><br>
Can anyone name this shot? It was given near the end of an induced labor when the mom was flying from 6-10 in about 20 minutes. It was intended to slow down the contractions since baby was in distress. I believe it started with a "d".<br><br>
Thanks!
 

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This is a definition from the report of the working Group on high blood pressure in pregnancy 2001---<br><br>
"Gestational hypertension is defined as a blood pressure elevation detected for the first time after midpregnancy, and is distinguished from preeclampsia by the absence of proteinuria." ----- skipping a few words adding my own- it is a temporary diagnosis until other evidence makes the diagnosis clear or not the other things it could be - --- "women who will proceed to satisfy diagnostic criteria for preeclampsia, as well as those who never develop proteinuria and whose blood pressure returns to baseline following pregnancy and women with increased blood pressure prior to pregnancy masked by the tendency of blood pressure to decrease in early pregnancy. Gestational hypertension is a working diagnosis only during pregnancy. If proteinuria develops and the hypertension resolves after the pregnancy, the diagnosis is changed to preeclampsia. If elevated blood pressure persists, chronic hypertension is diagnosed. In the absence of other factors, the diagnosis is termed transient hypertension of pregnancy"<br><br>
you can download the complete report free as a GIF at this address:<br><br><a href="http://www.nhlbi.nih.gov/health/prof/heart/hbp/hbp_preg.htm" target="_blank">http://www.nhlbi.nih.gov/health/prof...p/hbp_preg.htm</a><br><br><br>
or you can read a short summary of the 38 page report it has a list of definitions :<br><br><a href="http://www.nhlbi.nih.gov/resources/hyperten_preg/index.html" target="_blank">http://www.nhlbi.nih.gov/resources/h...reg/index.html</a><br><br>
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I will let someone else bring up what drug that might be demerol is the first thing that comes to mind but is probably wrong...
 

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Discussion Starter · #4 ·
Thanks.<br>
She had protein in the urine, but was told she had to induce because of PIH, not preeclampsia. Strange. <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">:<br>
I think we were playing ring around the rosy with the medical staff.
 

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one of the things the working group was trying to do is establish a common language/define terms--- they reviewed the evidence and came up with the report- but I still see all sorts of references to swelling and suspicion of pre eclampsia, or simple BP defined as PE- sort of all hypertension lumped into the same words ---- that they did not put into the record something that shows PE during birth doesn't surprise me- but if the gal in question had BP 140/90 or greater and had PE liver labs come back positive she had PE.
 

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Discussion Starter · #6 ·
That's what I thought. She did have protein in urine and the BP you mentioned.<br><br>
I'm learning as I go here. She was induced with Cervadil. She labored really well until her water broke in the shower at 6. Within the next 30 minutes, he was born. It was very intense. Baby's heart rate kept dropping and dipped into the 60s. He was limp at birth but revived with vigorous massage. She feels so very glad that she didn't HB. But, I keep wondering how differently the entire situation would have been handled by a noninvasive midwife.
 

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In Canada we are being encouraged to discontinue the use of the word "pre-eclampsia" in favour of "gestational hypertension" and "gestational hypertension with proteinuria"", depending on what fits. Some people use it, some people use it sometimes (like me), and some people stick to the 'older' terms.
 

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wow- so interesting how it goes in different countries- we are moving away or have been attempting to move away from calling everything pre eclampsia and recognize hypertension in it's many different presentations but PE is still a dx- how will this work as far as studies and national stats?
 
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