Chronic Hypertension

This section is for discussions with other women who have probably been through the same signs/symptoms that you may be experiencing. Please note, we cannot offer medical advice and encourage members to discuss their concerns with their doctors. New members, come on in and introduce yourself!
MaggieLu1
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Re: Chronic Hypertension

Postby MaggieLu1 » Wed Jan 19, 2011 08:47 am

I just wanted to mention that while 150/100 or 140/90 etc may be considered manageable, it seems like at those levels blood pressure can spin out of control very quickly, so I think that if you are managing those numbers, you should be checking you bp very frequently. Personally, at 37 weeks with mild preeclampsia I went from 130/90 to 180/120 in just a few hours.

glimmer
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Re: Chronic Hypertension

Postby glimmer » Tue Jan 18, 2011 11:20 pm

Thinking of you, Jamie. Hope you are still pregnant and stable!

brandib
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Re: Chronic Hypertension

Postby brandib » Sat Jan 15, 2011 08:34 pm

My call in numbers were 170/110 for more than an hour in my last pregnancy. I was on two meds also.

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caryn
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Re: Chronic Hypertension

Postby caryn » Thu Jan 13, 2011 01:56 pm

Jamie -- depends on the doc! Some chronics have call-in numbers at 140/90 and some have them at 160/100 and we've had a few posters where they've been discharged to followup in a few days with numbers higher than that routinely for weeks.

(Sorry to be so spotty -- I am on my phone a lot and just got a sec to grab a laptop.)
Science! The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
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Caryn, @carynjrogers, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE
DD Bridget born by C-section after water broke at 39 weeks after a healthy pregnancy

celina
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Re: Chronic Hypertension

Postby celina » Thu Jan 13, 2011 09:47 am

I wasn't chronic as far as I know but I kept on being treated like I was. I finally asked flat out because I've never been told I was chronic, *I* never saw more than one or two high BPs at clinic visits before my pregnancy that were high but they always retook them and we got better numbers. So apparently I was diagnosed chronic but never told thus. Grrr.

Anyhow, my call in numbers were 160/110 for more than 4 hours, non medicated. I was even told I needed to stop taking my BP at home because "clearly" I was taking them, freaking out, retaking and getting higher numbers. Umm, no. That was not what was happening. I was actually getting higher numbers in the clinic and L&D.

So I am not sure what is typically but it seems to me that if one is chronic, they are "allowed" higher pressures. Seems weird to me because my baseline pressures were never nearly that high. Maybe it is individual based on one's own baseline pressures?

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jamie w
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Re: Chronic Hypertension

Postby jamie w » Tue Jan 11, 2011 03:03 pm

Yes, Blythe, that was close. My question wasn't too clear but hey, neither are my thoughts. ;) My call in numbers are 150/90 now. I just wondered what was dangerous territory- not because I'm there but just because I want to know.
Jamie
DD Carly 7-1-04 PE at 37 weeks (6 lbs 9 oz)
DD Anna 12-3-07 PE at 24 weeks and delivered at 38 weeks after 13 weeks bedrest, gestational diabetes, and oligo. This sweet baby has cerebral palsy and epilepsy thanks to my dear friend PE (5 lbs 15 oz)
DS Gabe 2-24-11 at 35 weeks for chronic HTN with superimposed PIH (5 lb 13 oz) 18 NICU days
http://www.ourlifeinholland.blogspot.com

blythe
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Re: Chronic Hypertension

Postby blythe » Tue Jan 11, 2011 11:55 am

Hey Jamie, I just reread your question and I'm not sure if I answered exactly what you were asking - was I close?
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

blythe
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Re: Chronic Hypertension

Postby blythe » Tue Jan 11, 2011 11:52 am

Hi Jamie, fingers crossed for you and 32 weeks! As far as I've read there isn't another number for "more severe", while at the same time, they really don't want you to get much higher because of the hypertension complications (stroke, etc.) for you. I would guess that indications for delivery in your case would be based more on other maternal or fetal indicators, which would include completely out of control bps that they can't keep stable. If I remember right, a recent poster said she was put on IV labetalol in the hospital which got her a few more days(?) of staying pregnant.

What are your "call L&D / go in" numbers now?

I'm actually very curious about this question the more I think about it, what does your peri say?
Heather, mom to
#1 7-18-03 - 5#8oz 37 weeks PE/PIH
#2 8-11-06 - 6#14oz 37 weeks PE/PIH
#3 9-10-09 - 5#10oz 37 weeks PE/PIH

rosalinda
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Re: Chronic Hypertension

Postby rosalinda » Tue Jan 11, 2011 11:15 am

I'm chronic and my call in numbers to L&D were still 140/90, and I loved it. My blood pressure on meds outside of pregnancy runs 110's or lower/60-70's.
-Elissa, January 2007: stillborn at 25 weeks, severe PE, IUGR, reverse-end diastolic flow
- Chronic hypertension as of November 2007
-missed miscarriage Feb 2009
- Ismael Jaden, June 2010, 36 wks, oligohydramnios & rising BP's, my wonderful little man & the love of my life
- Janelle, September 2011, 24wks, 3days. complete placental abruption & DIC, stillborn

susheli
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Re: Chronic Hypertension

Postby susheli » Tue Jan 11, 2011 09:30 am

Hi Jamie,
I was so glad to read your recent update that your 24h came back fine!
I am a chronic too (since my first PE pregnancy) and was delivered when my bps reached 160s/100s in my second pregnancy - medicated. However, I was 38 weeks by then and had protein of over 1g. (I actually still wish my drs hadn't waited that long as I had to deal with PPP-issues after my baby was delivered.) My call in numbers were 140/90 throughout the pregnancy, when I reached over my meds were increased. I was on bedrest for the last trimester and never felt comfortable waiting it out when my pressures went over 140s/90s. I hope your bps stay down for as long as possible and am thinking of you,
xox Sush


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