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Pregnancy

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

Pre-eclampsia in 2nd trimester?

33 replies

glimmer · 26/05/2009 18:17

I am currently 21 weeks pregnant and took my blood pressure today. It was 140/90 at 10am after a busy morning.
I had pre-eclampsia with my first child (diagnosed at 42 week pregnancy, so very late,
but it got "severe" within 12h), so am at increased risk for re-occurrence.

Obviously, I will go and see the doctor, if I have subsequent high blood pressure measures, but I would like to know what to expect. I have a "bit" of white collar fear, especially when it come to maternity issues and want as little intervention as possible.
Certainly won't put myself and my child at risk, but would like as much information as possible before going.

How do they treat high-blood pressure in the 2nd trimester? At this point, I do not know if I have protein in urine.

Thanks for any advice/info.

OP posts:
mspotatochip · 28/05/2009 20:19

How did today go glimmer?

glimmer · 29/05/2009 14:15

Hi everybody,
thanks for thinking of me. The doctor thinks that the protein and high BP are indeed "unrelated", although she based this partly on the fact how rare pre-eclampsia at this stage is [hmmm]. I am doing the 24h-urine now which hopefully will tell more. There is also a puzzle about blood measurement devices. Although my home measurement was confirmed by the GP (and had the same reading), it was much lower at the hospital. However, for my husband that home and hospital device read the same.
I know you have to be careful with the cuff size and shouldn't use electric, but mercury ones, but the whole details continue to be a puzzle. But hey - I take anything happily!!!!

The cons also said that obviously I can develop it any time and interestingly, that there is no evidence that it tends to develop later in the previous pregnancies... She said there is a 17% recurrence rate.

Will keep you posted about Monday's result.
I am so happy I am home and not in hospital.
Will take it easy.

WMMC - I totally understood how you meant it. I tried to be funny and sometimes that is dangerous in writing....

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whomovedmychocolate · 29/05/2009 17:15

Ah glad to hear things are going a bit better. I found electric BP machines always overreported on one side . I always used to offer my right arm which had a much lower reading than the left (what is that about? )

Are you sure you don't just have a bug that is forcing an immune response?

AlexanderPandasMum · 29/05/2009 23:22

Hi Glimmer,

I had my preeclampsia start as early as yours, but it was my 1st pregnancy and I had BP issues from the beginning of the 2nd Trimester. I would have had to deliver early anyway had my baby not died already, but that was because it was already so severe by 23+5 (left untreated, out of hours doc prescribed gaviscon and told me I had acid reflux ). I also had HELLP syndrome which another poster said was significant. And my BP was at one point 200/110. So hopfully different from your experience.

In my 2nd pregnancy I was all hopeful as BP all stable until 28 weeks but then it literally went up overnight and protein appeared. From then it was only 10 days that they managed to control it. But this sort of severe preeclampsia is apparently rare - my friend managed 6 weeks in hospital.

It is possibly the knowledge of your previous history might be what is making your hospital possibly be more erring on the safe side. Let's hope so eh? It sounds like they're on top of it anyway .

Keep us posted, won't you?

glimmer · 30/05/2009 18:55

Hmm - sorry for all the typos in my previous post. It was hardly readible. Must put verbs in sentences.

WMMC - you should offer the left arm, since this is where the heart is (at least for most people :-) ). It has something to do with how the blood is pumped through your body and I believe the left arm will always read higher.
You are also supposed not to talk and have sat down for 5 min. Actually, nursing right before the reading gets my BP down, but my midwife wasn't sure if that should make it go up or down, to test first before you try it out :-)
(Will hopefully ask you about tandem nursing in 5 months).

I do have allergies right now, which triggers an immune response. But could that explain the protein? But let's see how the 24h collection comes back. As you said, the dipstick one can be manipulated easily by how much fluid one drinks.

AlexanderPandasMum - I was a bit surprised how unconcerned the consultant was. I think she probably based her assessment on other aspects (I am well-fed, but not obese; I didn't have high BP at 9 weeks (although I thought this arguments would not be in my favour)). But she is running all the diagnoses to find out what's going on, so I feel well cared for.

I am really sorry to hear about your experience. I really think that there are two aspects: we obviously have to grief for what we have lost (on different levels: a child for you, a natural birth for somebody else (please do get me right - loosing a child is the saddest experience one can have, I am not trying to compare the two)).
But if in addition the medical care is faulty or negligent, we have additional reason to be angry and upset.

To their defense, I have read that gastric pain is often misdiagnosed as heart burn, but what is so upsetting is that their base their diagnoses on statistics. (It was the same for me - 1:10000 is such a rare occurrence of ERPC-related cervical stenosis, that they didn't scan me to save money).

My pre-eclampsia was similarly severe (240/140) and it's onset was also very fast. My BP went from normal (88/120) to severe within 12h. The big difference was that I was beyond 41 weeks, so immediate delivery was an straightforward and obvious cure at this point. If I would have delivered at 40 weeks, I would have never known/developed pre-eclampsia, which I find puzzling.

How far along are you in your current pregnancy? I hope everything goes well and there are several people on the pre-eclampsia forum that had two pregnancies with PET and a third one without. So there is hope.

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glimmer · 01/06/2009 18:11

The saga continues: my protein levels were 4800micro grams per 24 hours. The pre-eclampsia cutoff is anything more than 300micro grams per 24h. But: Serum creatinine level and Serum uric acid level and platelets were normal, so they think it might be a lab error. If it is not I am having kidney failure, but probably not pre-eclampsia, since my BP is now below the critical value.
I will redo the 24h urine and then give you a backup. I guess I prefer kidney problems over pre-eclampsia at 24 weeks, but hey, it's a difficult decision.

Thanks again and I wish you boring pregnancies, if appropiate.

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mspotatochip · 01/06/2009 19:37

oh dear! Heres hoping for a lab error!

glimmer · 04/06/2009 19:25

Here the promised update:
It was a lab error and I am now with 287mg below the critical value of 300mg, if only just. They will keep a close eye on me (weekly) and see if it stabilizes at this value or if it goes up, which would indicate a problem.

ERROR CORRECTION: the units in my last post were wrong that should be mg or milligrams and not micro grams. Sorry to put wrong info out here....

But: in the worst case I gained another week - am now 22 weeks...

Thanks again for your help.

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