Very frustrated....and long.....UPDATE at bottom!

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Re : Very frustrated....and long.....UPDATE at bottom!

Postby canserb3 » Fri Mar 28, 2008 10:05 am

They want me to wait until a couple of weeks before they will send me back to the peri. In the meantime, I will see the peri indirectly for my 20 week U/S. Additionally I had an moment of clarity! My brother has a good friend that is an OB in my former home town. I have sent my brother all my details (logs, meds and other details) and he is going to ask his friends opinion. Not to diagnose me, but to let me know if he would have made a different decision with all of the same information.

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Re : Very frustrated....and long.....UPDATE at bottom!

Postby jeanel70 » Thu Mar 27, 2008 12:16 am

Hi, I have chronic hypertension and my BP is always in the 85/140. According to my perinatologist that it's still considered OK , I guess for ladies with Hypertension prior pregnancy? he did not increase me BP meds yet, however my cardiologist told me I should take an extra med to bring it lower, so I am waiting for my peri to send me another med since Aldomet is not working for me anymore, I am taking 500mg every 6 hours. I also get the low ones at morning 135/80, that's low for me I guess and the high ones at night 145/90 when I just sit down and 140/85 after 5 minutes. Thanks God I am walking into my 26 weeks, I think my baby has a little more chance of survival now if something develops real quick ( I think ). I am also not swollen at all, which is different from my previous pregnancy when I was hospitalized at 29 weeks. I am praying everything keeps going smooth fo me, other than a fast heartbeat that I am getting sometimes at mornigns and sometimes at night, everything else is fine... I guess I am just trying to keep a positive mind adn trust what my peri is saying, since he is supposed to be an excellent perinatoligst here in the area..[:)]

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Re : Very frustrated....and long.....UPDATE at bottom!

Postby julie f » Thu Mar 27, 2008 11:55 am


Ugh, I know how frustrating this all can be...

I think you're right in that it's hard to say if the numbers you're getting are ok. Like you said, chronics are able to run higher - if the meds brought your bp down too much, it can be just as troublesome to the baby. It seems that your readings are relatively consistent though, which is good. As far as the placenta goes - if I remember correctly, with chronics - bringing your bp down too much, can cause the placenta to not recieve as much as much nutrients/blood flow. It's used to functioning with higher pressures.

If in your shoes, I wouldn't hesitate at all to have another doc review them. And like Sonja said, I too would take them up on the offer to see the peri agan.

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Re : Very frustrated....and long.....UPDATE at bottom!

Postby canserb3 » Thu Mar 27, 2008 10:29 am

Would you be concerned with the readings that I am getting if it were you? Maybe that is a question for some of the chronic ladies.

My concerns are 2 fold.....What is it doing to the placenta (I believe I read the high readings makes the placenta deteriorate that right?)? The other question is what is it doing to my veins for post pregnancy. That can't be good for it.

I have tested my home monitor and it seems to be calibrated properly.

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Re : Very frustrated....and long.....UPDATE at bottom!

Postby sonja » Thu Mar 27, 2008 10:12 am

I would think that it is totally appropriate to bring your bp logs with you and ask questions and raise your concerns. One thing that I have noted on here is that many women get different answers from different OB's within the same practice. Also, if they are offering up another appointment with a Peri I would take them up on it. I always like to go to the most qualified doctor available.

I know that this is a scarey/long journey. Take care of yourself and continue to let us know how you are doing.


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Very frustrated....and long.....UPDATE at bottom!

Postby canserb3 » Thu Mar 27, 2008 09:01 am

For those that haven't seen my previous posts, I have been diagnosed chronic since my HBP started well before 20 weeks (it will be 20 weeks tomorrow). I was put on 30 mg of Procardia (I take the generic though) which was upped to 60 mg after 2 weeks of no difference in my readings.

I was kept on 60 mg for a month to give it a chance to work and had an OB appointment yesterday. Had a reading of 148/93 in the morning. Went to my appointment and the nurse took it at 130/80. Went to an additional appointment (GI doc for my colitis) 1.5 hours later and the reading was 140/100. In the evening I was getting a reading of 158/99 (but I was also really upset about my appointment!) I would think that the issue is with the readings I am getting done at the OB's office...wouldn't you?

I have been tracking my pressures since the beginning of February. I honestly don't feel as though there is much difference. I may have the occasional morning reading that is low (for me, still high for others) but it always occurs on mornings that I get out of bed too quickly. I find I need to sit up in bed for 15 to 20 mins before walking around or else I have a temporay plummet and go lightheaded (see 3/24 and 3/25).

Here is a sample from the last week(Date, Time, Systolic, Diastolic, Pulse):
3/27/2008 6:33 AM 130 90 98
3/26/2008 8:09 PM 158 99 105
3/26/2008 6:37 AM 148 93 90
3/25/2008 8:34 PM 150 101 85
3/25/2008 7:23 AM 120 90 94
3/24/2008 6:54 PM 142 90 100
3/24/2008 6:54 AM 127 77 105
3/23/2008 8:29 PM 149 90 86
3/23/2008 7:54 AM 135 89 86
3/22/2008 9:05 PM 148 100 87
3/22/2008 7:49 AM 138 86 98
3/21/2008 6:25 PM 142 99 93
3/21/2008 7:20 AM 144 93 100
3/20/2008 7:49 PM 159 96 89
3/20/2008 6:57 AM 156 100 94

So my OB (actually I see a practice of doctor's not just one) says we are going to stay with the current medication. I expressed my concern over the numbers and he indicated that if I still have spikes (I don't see it as spikes...I think it is more up then down!) maybe I should have an additional appointment with the perinatologist(sp?).

My question after this long rambling vent.....
I have my 20 week U/S on Monday. The doctor's that review the U/S is the same practice that I consulted with. Would it be improper to bring my logs with me to ask if I should be concerned? I do realize that us chronics are allowed to go a little higher but I am still concerned.

Other facts.....87mg for my 24-hour one month ago. Dipped trace once at the office. Not sure if I missed any other details.

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