A question about Blood Pressure

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lennoxlm1
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Re: A question about Blood Pressure

Postby lennoxlm1 » Thu Apr 27, 639262 9:51 pm

During the first 24 weeks of pregnancy I am about 116/72, I just cant believe how high it is this time and honestly I dont know what the doctor is going to do, I remember with my son they had me flopping like a fish from one side to the other so they could get a low reading at 32 weeks. Thank you all for giving me insight on the medications. I hate going into a doctors appointment not knowing what to expect.
Lee and Melissa,
Delilah 4 years old, born at 38 weeks. Isaac 3 years old born at 36 weeks due to pre-e. Shiloh 2 years old born at 37 weeks due to high b/p.

libby123
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Re: A question about Blood Pressure

Postby libby123 » Thu Apr 27, 639262 4:16 pm

Well, 134/80 is not bad at all. In fact, for me that would be considered very normal, as mine has always run about that normally. However SOME women run low, like 90/60 and so 130s/80s would be a huge jump for them. I had labetalol during my pregnancy, very large doses of it, and ehhhh it helped maybe a little but not like bedrest did. Laying on my left side lowered my BP greatly.
Mommy to Sailor Ann, born on February 17th 2011 at 36 weeks by c-section due to PIH that slowly turned into preeclampsia.

blythe
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Re: A question about Blood Pressure

Postby blythe » Sat Jan 03, 639260 8:38 pm

I really like this article
http://hyper.ahajournals.org/content/51/4/960.full
written by one of our medical board about antihypertensives in pregnancy. It adds to a lot of the great information you're already hearing in this thread.
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

alexis
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Re: A question about Blood Pressure

Postby alexis » Sat Jan 03, 639260 10:00 am

I did metoprolol. My internist had me on it because he knew I was planning a pregnancy; this way I didn't need to switch from an ACE inhibitor. MFM felt that since it was controlling my BP well there was no benefit to switching.

Labetalol and methyldopa are the best tested in pregnant women. Atenolol is used but is category D--some research suggests it has a higher likelihood of IUGR than the other beta blockers.

Methyldopa isn't particularly effective and isn't much used outside of pregnancy any more (I was prepared to stomp my feet if anyone even suggested it). Labetalol is also not so popular outside of pregnancy but does a better job. I had really good control with metoprolol. My BP was very steady, with very few spikes or dips, whereas I seem to hear about more fluctuation with labetalol because it's metabolized much more quickly. Meds don't seem to affect whether or not you develop superimposed PE (which makes sense, from what we know about how PE develops) but HTN on its own isn't good for you or baby, and I wonder if keeping it controlled and steady is an additional help.

There isn't a consensus on when to medicate high BP in pregnancy. There's a definite benefit for severe hypertension (>160/110 is the usual cutoff, but I've seen a lower diastolic used). Some research indicates no benefit to medicating mild HTN, and some OBs don't medicate it--I believe the UK guidance is not to medicate. In my first pregnancy I started at 140/95 and went up and was never medicated. I had a baseline of 165/105 unmedicated pre-pregnancy and the universal consensus seemed to be that I should stay on. It definitely seems to have been the right choice for me but hindsight is 20/20!
Chronic hypertension
Aliza - 01/05/2007 - Severe preeclampsia, emergency CS 37 weeks
Isaac - 09/26/2011 - controlled on 150mg Toprol, NO PE, 39 weeks!

z1ggy23
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Re: A question about Blood Pressure

Postby z1ggy23 » Sat Jan 03, 639260 2:45 am

Labetalol and Aldomet (Methyldopa) are the 2 medications I hear most for pregnant women. (I have been on both at one time or another)

Sometimes I will hear about Metoprolol as well, but I was actually taken OFF of that one and put on Aldomet instead when I became pregnant this time.
Last edited by z1ggy23 on Tue Apr 04, 639262 9:28 am, edited 1 time in total.
Brandilyn, loving wife and mom to three PIH/CHT/PE babies
M (8/07) 38w1d
L (9/09) 37w3d
E (9/11) 37w

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lennoxlm1
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Re: A question about Blood Pressure

Postby lennoxlm1 » Fri Jan 02, 639260 6:15 pm

Thank you for your help, I will be meeting with my doctor the 18'th, I just want to be prepared for whatever they might give me.
Lee and Melissa,
Delilah 4 years old, born at 38 weeks. Isaac 3 years old born at 36 weeks due to pre-e. Shiloh 2 years old born at 37 weeks due to high b/p.

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kerisue
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Re: A question about Blood Pressure

Postby kerisue » Fri Jan 02, 639260 2:19 pm

When I was midway through my pregnancy and my blood pressure started to rise I was prescribed Labetalol which is a beta blocker. My doctor told me that Atenolol is another beta blocker sometimes prescribed to pregnant women. One thing they do is slow your heart rate so there is less pressure through the arteries and veins. I hae been told that some women are given calcium channel blockers like Nifedipine which work to relax the vessels. I only had the labetalol myself. I would ask your doctor which, if any, is appropriate for you. Though your 134/80 isn't super alarming I do suggest you talk to the doc about it given your reported history of previous pregnancy induced hypertension.
Last edited by kerisue on Sat Jan 03, 639260 7:22 am, edited 1 time in total.
Mama to Millie
born June 2010 @ 24 wks. gestation due to my severe PE and CHF
lived 25 days, loved and missed

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lennoxlm1
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A question about Blood Pressure

Postby lennoxlm1 » Fri Jan 02, 639260 12:42 pm

I normally dont get high blood pressure until later into the pregnancy, but this time it's been about 134/80 daily, I am only 13 weeks pregnant and I am wondering what types of blood pressure medication do they put pregnant women on? I normally get to about 34 weeks without it rising this high so this is all new to me!
Lee and Melissa,
Delilah 4 years old, born at 38 weeks. Isaac 3 years old born at 36 weeks due to pre-e. Shiloh 2 years old born at 37 weeks due to high b/p.


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