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Re: Introducing Myself

Posted: Thu Feb 23, 2012 11:18 pm
by kerisue
I'm so very sorry about your loss of Peyton. I lost my daughter to preeclampsia too. On the other hand, I want to congratulate you on this pregnancy. I hope that there is a much different story this time around and baby two arrives safely.

Re: Introducing Myself

Posted: Wed Feb 22, 2012 11:41 pm
by laura
Hi Allison- I'm sorry that you had to find us, and I'm sorry about the loss of Peyton. The others have covered the bases and given you a nice welcome, but I thought it might do your peace of mind to hear that like you, my baseline for protein during my post-preeclampsia pregnancies started out around 100 and then rose as high as 199, but never developed into anything exciting.

I was a garden variety preeclamptic with my first, and am happy to report that it never did show up again-- but what we did see is that even when I don't get the 'disease' of preeclampsia, I think the technical term is "maker of really crappy placentas", so with #2 I never got sick but we had low amniotic fluid from 28 weeks on (fluid being an indicator of fetal well being). #3 was the charm- I made it all the way to 37 weeks before the placenta puttered out!

I hope that your mfm was right that the PE didn't cause the loss of Peyton, but on the other hand, it can help inform your approach to this pregnancy. I interviewed docs the 2nd time around and found one that was comfortable erring on the side of over-monitoring rather than under "expectant management" is what he called it. Not because it was strictly medically necessary, but because if I didn't get those updates, I would think the worst.

Don't be afraid to figure out what kind of management *you* need during this pregnancy to help keep you sane and talk with your doc about if they're comfortable with that approach.

Re: Introducing Myself

Posted: Wed Feb 22, 2012 11:30 am
by Petunia
Yes, we saw an MFM in the hospital last time, he actually cleared me to go home. We will be seeing him in conjunction with the OB throughout the whole pregnancy. They have spent a lot of time talking about me and what the plan is with this pregnancy. The MFM actually believes that his death was unrelated to the PE, while the OB feels otherwise. They did testing for everything that can typically cause stillbirth with preeclampisa and couldn't find anything...which is why the MFM doesn't think it's related. All the same they are not taking this pregnancy lightly, I will have very consistent monitoring and benchmark testing done throughout the pregnancy and if I'm at a point where delivery is a viable option, we will induce if PE shows up again.

Re: Introducing Myself

Posted: Wed Feb 22, 2012 10:08 am
by caryn
We are here to try to help keep you sane. These subsequent pregnancies are utterly nervewracking.

I'm so sorry you lost Peyton to this stupid disease. Stories like yours are why I hate to see preeclamptics treated as if they have a "mild" form of the disease. Our Experts say that there is no such thing, and the "severe" classification is only meant to help pick out subtypes for further research. It's a research definition, not a clinical guideline.

Did you ever have a consult with a maternal-fetal medicine specialist? They might have some ideas about management of this pregnancy, and a lot of them will work with your OB and get involved if things do go downhill...

Re: Introducing Myself

Posted: Tue Feb 21, 2012 10:01 pm
by blythe
If your doctor finds you to be salt-sensitive and recommends low sodium, definitely follow your doc's advice, but... I may not be current with my reading on this, but as far as I remember even low sodium for pregnant women doesn't have much empirical support. This is what our Experts have said
viewtopic.php?f=19&t=1826&p=58189&hilit ... ium#p58189
none of the texts I pulled stipulated the amount of "normal" sodium for a generic pregnant patient.
Low sodium diets have not been advocated for pregnant women--diet quality is poor, and no dramatic impact on blood pressure has been shown. Salting to taste only and avoidance of processed food is recommended. If your diet meets these criteria, it should be OK. Best to discuss this with an experienced nutritionist conversant with pregnancy diets. "


Cochrane reviews agree http://summaries.cochrane.org/CD005548/ ... plications
or http://summaries.cochrane.org/CD001687/ ... -pregnancy#
"the review found just two trials that did not show any evidence of benefit for the mother or baby. Salt intake in pregnancy should be a matter of personal preference."

Welcome, by the way :D. I'm glad you found us but sorry you had to.

Re: Introducing Myself

Posted: Tue Feb 21, 2012 09:24 pm
by libby123
Welcome to the boards! You will find a lot of support here. I am so sorry to hear about your son. I hope that this pregnancy will have a better outcome for you.

I agree to follow your gut instincts and not to follow a specific diet as there is no research that a specific diet can make any difference in whether you get pre-e or not. It has to do with how the placenta attaches to the uterine wall, not a diet. However you can avoid excess salt and also avoid diet soda, both of which can raise blood pressure.

Perhaps your kidneys were damaged during your first pregnancy. I know many women on this board have some baseline protein in the beginning of their pregnancies due to a previous episode of pre-e. At 6 weeks, 6 days, your baby is not big enough or demanding enough to develop pre-e. In fact, pre-e rarely occurs before 20 weeks, because baby is not big enough to cause issues at this point. As hard as it is, try to enjoy this time with your little growing baby and rest assured that you don't need to worry about pre-e just yet.

Re: Introducing Myself

Posted: Tue Feb 21, 2012 07:03 pm
by Petunia
Wow, thank you for pointing me towards that. I have to say it's somewhat of a relief... the Brewer diet is very restrictive and I am a healthy eater, so I'd much prefer to trust my instincts on what food to eat. I guess it's also a let down because like so many moms before me I'd do anything to prevent it, to make sure this baby gets to come home safely with me. Thank you for the information... I hope this site can help me maintain my sanity as I try to get through this pregnancy.

Re: Introducing Myself

Posted: Tue Feb 21, 2012 05:11 pm
by alexis
I am so sorry to read about your son.

You might be interested in this long thread (with links to more threads!) about the Brewer Diet:
http://www.preeclampsia.org/forum/viewt ... =12&t=9742

The short version (the thread has much, much more detail) is that the diet has not been demonstrated to prevent preeclampsia and does not fit with our current understanding of how preeclampsia develops.

Introducing Myself

Posted: Tue Feb 21, 2012 10:53 am
by Petunia
Hello Ladies,

My name is Allison, I am currently 6w 6d pregnant with my second baby. My first, Peyton, was born sleeping at 33 weeks on October 25th. On October 19th I was diagnosed with PE, I went to the hospital for monitoring and stayed the weekend... on Sunday night they sent me home on bed rest because it looked like the PE was under control and baby and I were doing well. Peyton died in my sleep the very night they sent me home. I was induced and had a vaginal delivery with Peyton. I had to stay in the hospital for about a week after his birth due to high BP. I had a baseline test done in December where my blood work and kidney function looked great, but I had 97mg of protein in my 24h urine. We just repeated the testing about a week ago and again the blood work looks great but my protein is 117mg. My OB said the slight increase could be because I'm eating more protein now that I'm pregnant again. All the same he's not thrilled that I still have it and we have our 1st u/s tomorrow and after that we'll schedule an appointment with the MFM. We'll be seeing both of them throughout the pregnancy.

I'm doing a few things differently this time around in hopes of avoiding PE all together, eating the Brewer Diet (some days are tough with the morning sickness, but I'm doing the best I can!), acupuncture and also taking baby aspirin. I just wanted to introduce myself, hopefully I'll be here for a nice uneventful 8 more months!