300 in 24 hours is considered diagnostic for preeclampsia (along with blood pressure over 140/90). So 600 may sound low in comparison to people with protein in the thousands, but it is still preeclampsia, and well over the diagnostic level. "Severe" vs "mild" is not always a useful distinction but p...

Not the OP, but my experience has been that medicated hypertension is frequently risked out to OB, though occasionally, a CNM may continue care in cooperation with an OB. In my first pregnancy, I was on the NHS and was under consultant (OB) care and booked for consultant unit (hospital L&D) delivery...

Congratulations!!

I had that as well. In my case they were concerned because I am a medicated chronic and I was throwing up some pretty serious spikes, like over 160/100 (also, the swelling was really pretty awful, like can't walk awful). They had me come into the office. I don't think there's any harm in calling in ...

Yeah, discharge can cause a false positive--it's partly why they have the clean catch instructions. However, if you had 250 by 24 hour, then you could've had a 1+ anyway. In addition, the dipstick is related to concentration, so a concentrated sample will give you a higher dip than you'd expect. The...

Hypertension prior to 20 weeks is generally considered to be chronic hypertension (which may be unmasked by pregnancy--I believe we have posters here who see their BP rise in every pregnancy, but have normal pressures outside of it). As a chronic, my experience has been that while it does not get yo...

My chronic HTN was unmasked during my first pregnancy. It never normalized. In that pregnancy I never used antihypertensives (from what I gather, practice where I gave birth seems to be not to give them for mild hypertension). No bed rest. My BP rose very slowly from around 32 weeks (I had a baselin...

Congrats!!

I just report it. I also have migraines, they never respond to Tylenol (NSAIDs help if I get them down when the aura hits). I use my BP as more of a guide (if my systolic is over 160 or my diastolic over 105, I'm almost certain to have a dull throb). I do know someone who had such bad migraines that...

Yes, if you simply stop meds altogether (notably beta-blockers) then you can get rebound. However (IME with med-switching) they don't worry about that if you're just being switched to another med. (I have been switched a couple of times; I did see some higher pressures, but this was due to titrating...