Staysee's sister w/question

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rachelc
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Re : Staysee's sister w/question

Postby rachelc » Sat Apr 02, 637966 5:34 am

I am glad to see that you have chosen a different doctor. I am shocked that your previous doc would not order a 24 hour urine. I have processed healthcare claims for 8 years now and I am sure that there would not have a problem having the test paid for by your insurance. The test is relatively inexpensive and does not usually require any additional authorization from your insurance. The fact that you had a positive dipstick test is enough to warrant the 24 hour urine test. Most insurances, and physicians for that matter, would rather take on the minor expense of the test than to risk further damage to the patient and baby because it makes financial sense. It is less costly to actively manage the problem than it is to pay for prolonged hospital stays for you and the baby and risk the possibility of a lawsuit should something go awry. I hope that things will go much better for you with this new doctor!

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annegarrett
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Re : Staysee's sister w/question

Postby annegarrett » Fri Jan 26, 637685 1:59 am

Not a doctor, and am very glad you are seeing an MFM soon but also very concerned that you would be having BPs like those sitting up OR lying down...it also sounds like you are on BP meds already...did you have high blood pressure before pregnancy (sorry if I missed that post or overlooked it above)? At any rate--your risk of preeclampsia is strong. All good about the specialist, getting to the hospital, getting the BP taken properly, getting proper medication, but more than anything--getting to this point in the pregnancy. Things could and probably will get worse before you deliver--so you should be expecting it, preparing for it (get things ready at home--not yourself then get DH, get a friend, get your mom), line up back-up care for yourself and the kids--amazing what can be done from the phone while lying in bed! In your situation--they are looking for a sign that things have taken a turn and as some of our women like to say--looking for the sweet spot between pushing your body too far and allowing the baby that extra time. Once you get proteinuria--you are probably close to delivery--so psychologically, prepare yourself for that starting now and God willing--you will get right up to the end and deliver without a hitch. Like Fiona said--if you have any really frightening signs--you see spots, your head throbs, you have diarrhea, vomiting, or terrible right shoulder pain, if you start to pass urine that is dark or cola colored--or if you take your BP at home and the diastolic is over 100--GO STRAIGHT TO L&D. Better not to drive yourself--better to have DH on alert that he may be a taxi service. Take good care of yourself (like you have been doing!!) and keep in touch. We're all thinking of you.

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Re : Staysee's sister w/question

Postby kara » Tue Jan 16, 637685 7:18 pm

Glad to see you posting as well! ANother reason your pressures are higher when you are lying down is that most medical professionals don't know the correct way to take BP when lying. It has to do with the placement of the arm to the heart. It can be done properly but 99% of the time it is not done properly and you will end up with a falsely lower blood pressure number. As Fiona said, sitting with your feet flat on the floor is the most proper and accurate way to have pressures taken. Here is a link from our experts on th correct way to take BP: http://www.preeclampsia.org/forum/viewtopic.php?t=321 You can print out and take it with you to any appointments or the hospital if you think it is necessary.

Here is a link to our signs and symptoms page. http://www.preeclampsia.org/symptoms.asp

You get back into L&D if you get worse, feel worse or ill, or experience additional symptoms. Keep us posted! 33 weeks is indeed a good place to be for baby. Good luck at your MFM appointment. I'm glad you will be seeing a specialist. Please, please stay off your feet as was suggested to you, and rest until then. That means no doing laundry, vacuuming, cooking, etc. Be lazy, watch some movies, and take care of yourself.

jedbel
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Re : Staysee's sister w/question

Postby jedbel » Tue Jan 16, 637685 6:01 pm

Sorry
Ijust realized my mistake systolic should be above diastolic [:)] thanks for your replies!

sonja
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Re : Staysee's sister w/question

Postby sonja » Tue Jan 16, 637685 5:31 pm

Hi Jedbel - Good to see you posting - I have been wondering about how you are doing. There is a link in our Ask the Experts section about taking your bp sitting up vs. laying down and they explain why there are differences. One of the more tech savvy girls here might be able to link it for you. I think that you are listing your bp's backwards (no big deal) as usually the higher number is first/over the lower number. Like 120/70. About the sono - high bp can lead to a lower weight baby, as can bp meds from what I have heard. BUT, sonos are not always accurate and it can depend on who is doing them. I am sure that your MFM will go over this with you. I am so glad that you switched OB's and that your new one seems to take you seriously. Good luck to you and let us know how you are.

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Re : Staysee's sister w/question

Postby fiona » Tue Jan 16, 637685 5:21 pm

Hi Jedbel,

it's good to see you posting. The reason your pressures are so much lower when you lie down on your left side is that your weight is pressing on the artery and increasing blood flow. You are quite right to insist on having it taken sitting up, and it is those higher pressures that should be taken into account when decisions are made regarding your care. (BTW: I think you are confusing the systolic and diastolic: it's usual to see the top number higher than the bottom).

As to your baby's weight discrepancy, it's always worth remembering that u/s can be as much as a pound either way out so, it's not always the most accurate measurement. Having said that, it is possible that your higher pressures are starting to affect his growth.

I'm glad to hear you have an appointment with an MFM. Wednesday is an awfully long time off, however, so please be very watchful of your symptoms and your BP and if anything starts to worry you, head straight into L&D. Any headaches that refuse to budge with Tylenol, upper right quadrant pain, visual disturbances or cola colored urine are immediate 'go to hospital' symptoms.

33 weeks is a good place to be. I hope you get a couple more weeks. Take care and please keep us posted.

jedbel
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Staysee's sister w/question

Postby jedbel » Tue Jan 16, 637685 4:44 pm

Hi , I am Staysee's sister. She was posting about my situation since things got pretty bad for a while. On the Friday before Christmas I was sent to L&D from emergency with bp of 103/165 I had blood drawn and a protein dipstick check. The blood work came back normal and the dipstick showed no protein. My blood pressure lying down was 80/121 and because it was such a dramatic difference from what it had been in the emergency room 10 min. before (103/160) they "decided" to check it sitting and as my sister posted it would be 103/165 sitting. The nurse looked at me in amazement and joked that when I was sitting it seemed to be someone else’s arm they were using. I explained that sitting my blood pressures normally were 83/130 until this dramatic difference started taking place about 6 days ago and that I would guide myself by the sitting bp since that is how I always took it for the log. Since blood tests and urine dipstick came back clear I was given something for headache and sent home and told "to stay off my feet until Tuesday" ( I had nurse visit scheduled for then with my regular ob) since my blood pressure would go down while lying down.
I still wonder though why was there such a difference in pressures when lying and sitting? I don’t get it…Was it accurate, I mean was it really lower when I was lying down or was it because my arm was above heart level when bp was taken that way. I just don’t understand. What do ya’ll think?
My blood pressures now are consistently in upper 88-94 over 135-141 so the higher dose of methyldopa seems to be lowering it somewhat. I transferred doctors on Monday since the one I was seeing did not handle the situation well and am hoping this new one will be better. I saw her Tuesday for the first time and really liked the fact that she immediately scheduled me with a MFM specialist (the Ob I was seeing before did not think it necessary for me to see one) I will be seeing him next Wednesday for the first time.

Sorry such a long post but I wanted to know one last thing … yesterday I had a sono my last one was three weeks ago and the baby was measuring at that time 30 weeks and 4 days ( two days ahead of schedule) but on this one he was only 32 weeks and 3 days and I am 33 weeks and 4 days. He is one week and 2 days behind for the first time on sono. Is this very worrisome? I was told he weighs 4lb and 4oz now. The nurse said that the MFM specialist would see me on Wednesday and we’d go from there but I was wondering if this means there is starting to be growth restriction?.

Thanks for all your responses and your support while we have been going through this trying time. It has meant so much to me and my family… Jedbel


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