Concerns - paranoia or intuition?

Are you pregnant again after having preeclampsia once already in a previous pregnancy? Post your thoughts/concerns here - there are others who share your feelings. This is also the home of our Bedrest Buddies Support group.
karoliina
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Re : Concerns - paranoia or intuition?

Postby karoliina » Tue Feb 03, 2009 03:49 pm

Well, I ended up booking an appointment for tomorrow for a peri that specialises in high-risk pregnancies. I don't even know what to tell him! :D

I've had a lot of painless contractions tonight and a tender lower abdomen. I wonder if it's the bacterial vaginose that's causing this.

Karoliina

karoliina
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Re : Concerns - paranoia or intuition?

Postby karoliina » Tue Feb 03, 2009 12:18 am

Thanks for the reply, SueAnn. :)

What makes me not to worry about the back pain so much is that it's not constant, even though it won't go away with meds. It comes and goes. But you're right having my cervix checked might be a good idea with this prolonged vaginose that can cause pre-term labour and contractions. So far I've had only B/H's, not painful contractions.

I might call the private clinic tomorrow.

Karoliina

PS. Another thing I forgot to mention in the previous post was that I was to a U/S around week 12 to check the blood flows, and they said that accoring to the findings I have a somewhat elevated risk of getting PE again, but I was not in the highest risk group. Don't really know what it meant, though. :)

season
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Re : Concerns - paranoia or intuition?

Postby season » Tue Feb 03, 2009 11:37 am

Karoliina,

One thing the pre-e takes away form us is the "care-free" pregnancy that many experience. Of course every symptom makes you nervous - you know what can happen.

Some of your other concerns have been addressed above. I will say that you should at least keep the phone appt. and bring up the low urine output, swelling and weight gain.

The thing I am most concerned with right now (note I'm not a doctor) is the lower back pain. That can be a sign of pre-term labor. For some women it's the only sign. I would call or go in to L&D with that one - esp as you say that pain meds are not helping.

karoliina
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Re : Concerns - paranoia or intuition?

Postby karoliina » Tue Feb 03, 2009 10:55 am

Alice,

So you've been diagnosed with PE for the second time? I'm sorry to hear that. :(

That's just it - I know all of my "symptoms" can be either normal pregnancy symptoms or not even that... I know I shouldn't worry about them, but at the same time I'm positive I'm going to get PE -and observe all the possible symptoms. It's a bit ridiculous, but I can't help myself. It's a good thing there are at least many other things (such as work and Stella) to keep me busy, too. :)

No, I'm not seeing a high-risk doctor. It works a little differently here, and I don't know anybody who would "see a doctor" when they're pregnant. We have very good prenatal clinic services that are free to everybody. It means we see a nurse regularly throughout the pregnancy and a doctor (not a specialist) for a couple of times, if there aren't any problems. I don't even know if there are doctors that specialise in high-risk pregnancies here... (LOL) At least they don't advertise. There is a private clinic that specialises in gynecology (where we have been to 4D ultrasound scan as it's not offered at the regular prenatal clinic), and I'm tempted to call there for an appointment. On the other hand I don't have any serious concerns, so it would feel like a waste of my money, as I get good care for free, too.

Here, if you do have problems during pregnancy, you are sent to a hospital's L&D. I think they are the ones that would do a 24-hour urine collection, not the prenatal clinic, and I know L&D won't see me with only 1+ in the dipstick, as my BP is so low. So said the nurse. I think I should go to that private clinic for that, if I saw it necessary. I don't know yet what to do.

Thanks for your reply, Alice! It's so good to talk to people who've been or are going through the same thing. Family and friends care, but they don't know how it really is, and it's frustrating that I seem to know a lot more about PE than the nurses and doctors at the prenatal clinic, hehe!

Karoliina

aundapenner
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Re : Concerns - paranoia or intuition?

Postby aundapenner » Tue Feb 03, 2009 08:28 am

Wow. There's a lot to cover.

First off, are you seeing a high-risk doctor (known as either a maternal fetal specialist or perinatologist)? And has your doctor done a 24-hour urine collection. Dipstick measurements are notorious for being sensitive to so many additional factors - including your hydration levels. The real measurement of protein (and hence, kidney functionality in regards to spilling protein) is a 24-hour urine test.

In my opinion, lots of your symptoms are normal for pregnancy - including snoring and mild heartburn. The floaters can be an indicator of something else. Then again, so can heartburn. The problem with so many symptoms is that they "can" be normal or they can be indicating something else is going on.

Me personally, I adore my peri here in Germany. It's very hard not to freak out, especially when one already feels fortunate and blessed - at some point it could all just go wrong, couldn't it?

And no, you can not bring about PE or HELLP just by thinking about it! If the mind could work such wonders, then almost none of us would even think those words or thoughts simply to get rid of it! :)

Hope the little bit of advice (from a non-medical but a been there and going through it a second time standpoint) helps at least a bit.


karoliina
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Re : Concerns - paranoia or intuition?

Postby karoliina » Tue Feb 03, 2009 05:57 am

I talked to the nurse now, and she told me there was just vaginose found in the labs, plus some normal bacteria growth that may or may not show up as protein in the urine samples.

So I'm getting another round of meds for the vaginose now and we'll see how the urine samples and labs seem after that.

She couldn't give me a referral to blood tests. She offered me a doctor's appointment for Thursday, but it's a tricky day for me as I have Stella home then (other days she's in daycare or with her grandparents, I'm a free writer working from home). I called the local health clinic for a phone appointment with a doctor, but could get one only for Monday.

Now I'm contemplating whether to wait until Monday (as there's no serious concerns really) or to go to a private doctor and lab. It's not common here to get private services when you're pregnant as the public services are considered so good (and according to statistics they really are). Hmmm.

BTW I forgot to mention in the previous post that in general this second pregnancy has been much harder than the first one. It could also be because I have a toddler now and it's winter, but I've been feeling generally weak and exhausted in much earlier weeks than the last time. It gets easily painful to walk for longer time, for example, whereas I really enjoyed it in these weeks the last time. I weight and measure around the same, so that's not it.

Karoliina

karoliina
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Concerns - paranoia or intuition?

Postby karoliina » Tue Feb 03, 2009 04:29 am

Okay, I'm continuing here from where I left off in my introduction thread. :)

So this is my second pregnancy, and I had PE in the first one. I know it's not inevitable to get it again, but for some reason I feel very strongly it will happen. Of course I'll be very happy if it doesn't, but it has also started to concern me I'm attracting the disease by thinking about it so much... So I feel a little guilty. Sometimes I also get this AWFUL feeling like I'm almost hoping for it to happen. I mean, of course I'm not, but you know how much you watch out for the symptoms, and then if something will come up you go almost exultantly "Aha! I knew it! There you go!" It feels terrible, because even though my PE experience wasn't really bad, I do realise how serious a disease it is, and how much harm it can done. So I feel very bad for these feelings I can't even describe very well. I hope you'll understand and won't judge me.

And I stress - the feelings are not even real, I'm just afraid they'd be, for wanting drama or something else stupid. Maybe also because I think being pregnant is a bit boring, so forgetting PE I was happy to deliver in week 37 instead of 42, and of course it's less scary to give birth to a little baby than a giant, but again I stress I would naturally take a healthy giant over a smaller baby who has had to suffer. :(

So no, I'm defintely NOT wanting it to happen again for all the risks to both me and the baby, and also the trouble you have to go through with urine collecting etc. I just hope this is a safe place to share and get even the ugliest feelings off my chest. :)

I'm usually not hypochondriac in any sense of the word (my hubby is and I think it's annoying, hehe) and not at all prone to negative thinking and whining. This is why I find these paranoid feelings that have come along with this pregnancy so very weird. So far I don't have any real, serious reasons to get worried about, but I thought I'd still list here my possible symptoms and concerns, which mught or very well might not be PE related (most importantly of all, my BP is perfect so far):

- Rapid weight gain that was my first symptom the last time has started again with me gaining more than 6,5 pounds in the last three weeks.

- I have had protein in my urine sample (+1) in the last two perinatal checkups, BUT apparently it's due to infections. A month ago they said it's a vaginose and thrush, and I got medication, but I guess they weren't effective enough, as last week there was protein again, and the labs showed bacteria. I'll find out today if it's just still the vaginose or also UTI.

- The urine sample I gave at the lab was actually clean of protein, and the nurse said that the samples I've given at the clinic have been so small, there could be protein because of that. That led me thinking how small amounts I'm peeing nowadays even though I drink a lot. I'm not sure of this observation, but it makes me think maybe my kidneys are not working properly - and that's also why I'm gaining so much weight right now.

- I have some swelling BUT it's not bad and I get it mostly in the evenings (ankles and fingers), so I'm not very worried about it.

- I see these black floaters, BUT I developed them right after Stella was born, and they haven't increased now. HOWEVER as I did get them right after my PE pregnancy, I'm afraid they might be a symptom of permanent damage to my kidneys. Just speculation, though.

- I have had bad lower back pain in the last weeks. It's not constant, so I'm not very worried about it, but it's something I haven't experienced before (in my first pregnancy and earlier in this one I've had sciatica pains, but they are different), and sometimes when it gets really bad I take pain killers, but they're not helping. Another possible kidney symptom?

- I have pain also in my upper LEFT side, but as it really is the left side, I'm not worried. Besides it's not constant or very bad, and it's more like the upper left side is tender and starts to hurt if I'm lying on my left side. I guess it could be from some "dislocated" internal organ (due uterus growing)?

- I have gotten a lot of spider angiomasin both pregnancies. I know they're considered a normal pregnancy thing, but as they're also linked to the functions of the liver, I have been wondering...

- I have never experienced heartburn being not pregnant, but in both pregnancied I've had it in the third trimester. It's not very bad , though, but an annoying burning sensation in my upper chest, close to my throat.

- I usually never snore, but the other night my hubby had slept restlessly and said I had been snoring to his surprise. I don't know how much this happens or has happened earlier in my pregnancies, because it's impossible to tell if I snore when we're both asleep. :) But I guess it can't be really bad, if we're not waking up because of it. DH occasionally sleeps restlessly, but I can't remember if he said anything about me snoring in my first pregnancy. This time around this was the first time he complained about it. I was surprised to read it could be related to PE.

- Recently I've become anemic (Hb 108), and I know it's normal in pregnancy, but it's the first time for me, and I guess could be related to HELLP - very far-fetchedly (is that a word?). I know HELLP is very rare, but with this bad gut feeling I'm having and still getting perfect BP readings I've also considered that option.

So there's nothing very alarming, but I'm sure there are others here who get a little paranoid over little things the second time around... Better safe than sorry, I guess! As I'll be calling the nurse today of my infection results, I thought I could maybe ask for another lab referral to blood tests just to give me a peace of mind. I'd like to check my HB, platelets (this sounds wacky, but I had a dream message of them and experience has taught me to listen to those messages), and liver and kidney functions. Just to make sure. :)

Karoliina & "Dani" 29+4


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