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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Did anyone develop PE earlier in second pregnancy?

9 replies

SneezySnatcher · 28/12/2012 10:03

Hello. When pg with DD (now 2.8) my BP shot up at 35 weeks. I was induced on my due date due to pre eclampsia.

I'm now 26 weeks and at the last two appointments my BP has been high (MW did extra check today due to my history). She told me that developing PiH this early means it can be more serious and I need to keep a close eye on symptoms. I've got six weeks left at work before ML (I'm a teacher).

I'm disappointed as I was told that PE was less common in subsequent pgs (same father) and if it did develop it would be later.

Any experiences or advice?

OP posts:
lotsofcheese · 28/12/2012 11:40

What you've been told is generally correct, however PE can be unpredictable & sets it's own course - apparently it comes on average 2 weeks later in subsequent pregnancies. But it can occur earlier.

Have you started on 75mg aspirin? Had dopplers? Referred for consultant opinion? Starting medication eg labetalol? These things should be considered.

I'm also on my 2nd pregnancy, after PE at 28 weeks 1st time & crossing my fingers!

Hope it all goes well for you x

lotsofcheese · 28/12/2012 11:42

I should have mentioned growth scans too!

SneezySnatcher · 28/12/2012 11:49

I've been referred to a consultant so I'll see what s/he says the next steps are. MW was a bit vague and just said she'll see me in two weeks. I did have labetalol last time but not for long as PE started much later.

OP posts:
fairimum · 28/12/2012 12:13

i have had pet in all of my pregnancies - lost due to it at 28 weeks (very small for dates and i hadnt been warned of how fast it can happen so didnt go straight in), 35 weeks (on methyldopa and labetalol and admitted for last 3 weeks - this time bp crept up from 24 weeks), 36 weeks (up up a bit from 20 weeks and on labetalol, but not loads - then shot up from ok to dangerous/organ failure within 40 mins, had crash section - they had tried to send my home an hour before) and then had DD2 at 33 weeks in october (bp started going up at 18 weeks and got higher adn higher, but had been maanged by meds).

huni1701 · 29/12/2012 14:24

Can I please ask your advice.
I lost my daughter in June, the diagnosis was pregnancy induced hypertension. But I did and still do believe it was preeclampsia abd they covered because they missed it.
Here is the reason (please bare with me this is a long post)
I had the perfect pregnancy until around 28 weeks, my feet swelled so badly that even in rain I was wearing a pair of sandals as they were all I could fit into. This is normal I know, but it turned into pitting oedema, it would take atleast a minute for a dent to rise.
I had what I thought was heartburn, it was bad from about 12 weeks, but by 28 nothing was helping, gaviscon, milk, water all made it worse! I couldn't eat, I couldn't drink, and I couldn't sleep because of it. It was so painful I would cry often.
I told my midwife of both of these and she didn't even look away from her computer, she just said it's normal!!!
Of course me and my partner didn't know any of this was so bad as we'd trusted our carers, and you dont find out your pregnant and instantly start lookin what can go wrong - although I wish I had now.
Anyway, at 35wk I went to hospital with extreme pains, they came every 2 minutes abd lasted 1.5mins, id had them for hours, first thinking they were Braxton hicks, and going to hospital wen they got regular and more intense.
They put me on a monitor and everytime the pain increased the babies heart rate dropped. They also found protein abd red abd white blood cells in my urine. Which they sent off for testing. (I didnt get the results back for 4 weeks!!!)
An hr later they put me back on the machine and the pains stopped and so did the dipping heartrate. So they sent me home.
At 36 I was sent for a presentation scan as the midwife said she was still breach and had been for weeks. Wen I went the Dr called me into his office and told me he was extremely concerned as the baby has gone from the top of the centile chart to the bottom, she is now very small for her gestational age. This was the same Dr I saw at the hospital the previous week, I reminded him of this hoping it would shed some light on the problem and asked if there was a problem and what can be done.
He changed his tone completely, all of a sudden he was saying he wasn't worried, it could be nothing, I was to just go back for another scan in 2 weeks.
My girl died the next day.
My bp was so high I was at risk of a stroke.
Throughout the pg the midwife always did my bp twice. Saying she didn't like the first reading but only ever recording the 2nd.

They said my baby dies from pih, that it was all to do with my blood pressure that day, so I asked if that was true how come she had stopped growing? Her skin was seethrough, she had no fat deposits at all, she was perfectly formed in every other way but she had no fat at all and wen I delivered her at 36+5 she weighed only 4lb 6oz, they said there was no cause.

I know they are covering somethin because wen I went to see the consultant at 6 weeks check he seemed to go over the top when saying it definitely wasn't pe, but he didn't know what caused it, he said there was a tear straight down the middle of the placenta, which on the form said 'can be caused by pe' he snatched it off me and said in a really funny way 'yeah it can be but it's not in this case'. I asked how he knows if he cant give me another reason, he said 'i just do'. The whole thing was ridicule and sounded scripted. We argued, I got upset, I told him I didn't believe a word of it and I think thier all covering something and lying to me. We argued big about 1 part, I asked how he could explain her being so small, he said unless he sees the 26 and 32 week scans he can't tell me anything, I argued because the NHS don't offer those now, and if this Dr is telling me that if he saw them it could have picked up a problem with my baby, and by doing so could have saved her life, then how can the NHS justify taking them away?
Later I got a solicitor to access my records. The same consultant had put a letter in my file - obviously thinking id never see it - saying how well the meeting went, how I accepted what he had told me, and that he was praised for giving me the answers I needed. ???? What the hell?
So, because the midwife didn't write any of my symptoms down, the urine test wasn't returned in time and the consultant letter was a load of crap, the solicitor can find no wrong doing on the medical staffs part.
Im devastated. I dont want money, I have told the solicitor this too, I want them to admit they did wrong, if they had just said 'look there is a chance u had preeclampsia but it was too late by the time it was picked up' or something like that then yes id still be devastated but id know, id accept it. I know these things can happen. But my daughter deserves the truth, she deserves to know why she died. I deserve to know the truth. And the person responsible needs to be kept away from pregnant women. By lying they are not just putting my health in danger (as pe sufferers you will know the health warnings for later in life) they are also putting my future children at risk if I develop it again.

Im so angry because I know theyr lying.
Im 10 weeks pregnant with my 2nd now and although I have changed drs and have a different midwife, if they don't admit it was preeclampsia what's to stop them missing it if I develop it again?
Im so sorry for the long post, but as pe sufferers urselves, u will have some insight into how things like this should be handled.
Thank you.
And good luck with your pregnancies. Xx

lotsofcheese · 29/12/2012 17:52

Was so sorry to read your story huni, it's just heartbreaking. I am so, sorry for your loss. It sounds like you've asked the right questions to the right people, but not had the answers. It's a difficult start to a 2nd pregnancy for you emotionally.

I'm no medical expert, so I can't comment on whether you had PE or not, although it sounds like you had some of the symptoms.

Have you asked or been offered an early appointment with your new consultant? I saw mine at 6 weeks to discuss a plan - it may help to reassure you.

Good luck for this pregnancy, I really, really hope everything works out for you, after all you've been through.

Rhubarb78 · 29/12/2012 18:46

Hi huni1701 I am so sorry to hear your story, I too lost a beautiful baby boy due to pre eclampsia, it is a truly horrible disease.

The way i understand it is that pre eclampsia is a collection of symptoms whereas pih is 'just' high blood pressure. I am very surprised that he is so confident in saying it definitely was not pre eclampsia but not surprised at all that he wont say it definitely was. I was told that my symptoms and placenta analysis was indicative of pre eclampsia but no one ever formally said i did have it for definite iyswim, it is down to the doctors interpretation of your symptoms to diagnose pe or not. if you never had high protein (past a certain level in a 24 hour sample) that might be why they wont diagnose you with pe.

I hope you dont take this the wrong way but please dont get hung up on the 'what ifs' it will only drive you mad. you cant change the past but you can affect the future. you should see a consultant for this pregnancy asap (if you havent already) and if i were you i would want to be on aspirin. you should have a doppler scan from 24 weeks and then regularly after that to assess blood flow to the baby and regular growth scans, you should be treated as high risk for pe. if you develop the same symptoms in this pregnancy then you need to be seen, dont take no for an answer though you may need to be quite assertive.

fwiw, i have since had a healthy baby boy at term, i developed slightly high bp and some protein at the end of my pg but it never developed into pe. i was on aspirin and had regular scans. Good luck with your pg, i hope you will get the care you deserve this time round

huni1701 · 29/12/2012 19:15

Thank you so much for your replys.

I am trying not to get hung up on the what ifs, I want to enjoy this pregnancy like I did with the 1st (until things went wrong) im just so scared.

I have had an early scan which shows baby is in the right place. I have had my book in app with the midwife, and told her all my worries, sometimes maybe sounding a bit off, but I needed her to know how I felt and that I won't just be 'taking peoples word for it's this time round. Il be watching and demanding more if I dont feel right.

I am waiting for my consultant appointment and know they will watch me very carefully this time.
My worry is that because they refuse to even acknowledge the preeclampsia and all the signs, that if I get them again they will tell me it's something else and get it wrong and my baby will suffer again.

I know it sounds like I am being negative, but im really not, and I know they will do thier best for me this time, im just scared they wont listen to me if I get it this time. Last time I took thier word for it even when I still didn't feel right. I didn't want them to think I was some silly girl complaining of normal symptoms (which after so many times of them sayin I was fine I felt like I was) If I have to offend and insult every Dr in England in order to be cared for properly this time I will, I need to, and am determined to bring this baby home.

Thank you to you all, and rhubarb it is very inspiring to know you had a happy ending the second time and I hope I will join you in that.
Xx

Rhubarb78 · 29/12/2012 21:53

huni1701 i know how scary it is, pregnancy after loss is not easy at all.

dont worry about them ignoring you if it happens again, you wont let that happen, like you say, who cares who you offend, you and your baby take priority. I know i was a nightmare patient with my 2nd baby but i dont care, he is here and arrived safe and well so, so what if i gave a few midwives a bit of earache, ha ha. On the whole they were great though and i went in twice a week towards the end for ctg's and bp/ urine checks, not because i needed to but purely to allay my fears. they even said i could go everyday if i wanted to. most midwives are very understanding re your psychological needs after a loss.

On another note, you can get a sticker put on the front of your notes to alert people that you have had a stillbirth, its really discreet and i felt it helped as, if nothing else, it prompted people to read your notes before calling you in. there is nothing worse than constantly being asked 'is this your first?'

Lots of luck in your pregnancy

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