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Ask the Nurse! » Ask the Nurse | General Questions

Preeclampsia...

Topics: 13   Posts: 67

Can anyone give me any good information about preeclampsia and what I can do about it.... My doctor put me on bedrest this morning and said that he thinks im developing preeclampsia because of all my swelling and my blood pressure was high and has been a few different times.  I also have to go twice a week now.

 

But I was just wondering if anyone had any good information on it..

 

 

 

Thanks!


Topics: 4   Posts: 916

Below is information about preeclampsia. There is much more on their website about this condition that affects pregnant women and goes away quickly after the birth of the baby. Since you have been diagnosed with preeclampsia, it is very important to follow your doctor's orders completely and call him right away if you experience an increase in any of the symptoms listed below. Please keep us posted as to how you are doing.

http://www.mayoclinic.com/health/preeclampsia/ds00583 (start here and click through for more information.)

"Definition

By Mayo Clinic staff

Preeclampsia is a condition of pregnancy marked by high blood pressure and excess protein in your urine after 20 weeks of pregnancy. Preeclampsia often causes only modest increases in blood pressure. Left untreated, however, preeclampsia can lead to serious — even fatal — complications for both you and your baby.

If you have preeclampsia, the only cure is delivery of your baby. If you're diagnosed with preeclampsia too early in your pregnancy for delivery to be an option, you and your doctor need to allow your baby more time to mature, without putting you or your baby at risk of serious complications.

Symptoms

By Mayo Clinic staff

Preeclampsia can develop gradually but often attacks suddenly, after 20 weeks of pregnancy. Preeclampsia may range from mild to severe. If your blood pressure was normal before your pregnancy, signs and symptoms of preeclampsia may include:

  • High blood pressure (hypertension) — 140/90 millimeters of mercury (mm Hg) or greater — documented on two occasions, at least six hours but no more than seven days apart
  • Excess protein in your urine (proteinuria)
  • Severe headaches
  • Changes in vision, including temporary loss of vision, blurred vision or light sensitivity
  • Upper abdominal pain, usually under your ribs on the right side
  • Nausea or vomiting
  • Dizziness
  • Decreased urine output
  • Sudden weight gain, typically more than 2 pounds (.9 kilograms) a week

Swelling (edema), particularly in your face and hands, often accompanies preeclampsia. Swelling isn't considered a reliable sign of preeclampsia, however, because it also occurs in many normal pregnancies.

When to see a doctor
Contact your doctor immediately or go to an emergency room if you have severe headaches, blurred vision or severe pain in your abdomen.

Because headaches, nausea, and aches and pains are common pregnancy complaints, it's difficult to know when new symptoms are simply part of being pregnant and when they may indicate a serious problem — especially if it's your first pregnancy. If you're concerned about your symptoms, contact your doctor.

. . . . . . . .

 

Bed rest
If you aren't near the end of your pregnancy and you have a mild case of preeclampsia, your doctor may recommend bed rest to lower your blood pressure and increase blood flow to your placenta, giving your baby time to mature. You may need to lie in bed, only sitting and standing when necessary. Or you may be able to sit on the couch or in bed and strictly limit your activities. Your doctor may want to see you a few times a week to check your blood pressure, urine protein levels and your baby's well-being.

If you have more severe preeclampsia, you may need bed rest in the hospital. In the hospital, you may have regular nonstress tests or biophysical profiles to monitor your baby's well-being and measure the volume of amniotic fluid. A lack of amniotic fluid is a sign of poor blood supply to the baby.

Delivery
If you're diagnosed with preeclampsia near the end of your pregnancy, your doctor may recommend inducing labor right away. The readiness of your cervix — whether it's beginning to open (dilate), thin (efface) and soften (ripen) — also may be a factor in determining whether or when labor will be induced.

In more severe cases, it may not be possible to consider your baby's gestational age or the readiness of your cervix. If it's not possible to wait, your doctor may induce labor or schedule a C-section earlier in your pregnancy. During delivery, you may be given magnesium sulfate intravenously to increase uterine blood flow and prevent seizures.

After delivery, expect your blood pressure to return to normal within a few weeks."


Topics: 61   Posts: 181
Sorry to hear. I will pray everything goes well and also glad to know this information myself.

Topics: 13   Posts: 67
Thank u! I go back on thursday so hopefully ill get better news then... Dr said that if it continues to get worse then i could end up being induced early which wont bother me really, I would just like it to be after 37 weeks.

Topics: 61   Posts: 181
Good luck and hope you don't need induced at all.

Topics: 0   Posts: 302
I'd just suggest that you work with your doctor, his/her decisions are made in you and your baby's best interests. It can be so easy to think "oh I'll just do this chore" but you really mustn't. good luck, you'll have your little one soon enough and hopefully after your 37week mark :~)

Topics: 13   Posts: 67
Yeah lol all i have done so far is just laid in bed all day long... Its not fun but atleast im getting rest. I go back to the dr in the moring so ill see what he says... but when i checked my blood pressure last night before bed it was higher then it was at the dr on monday so I have a feeling im going to end up staying on bedrest for a while longer.... He also told me that he may admit me to the hospital to be on bedrest there if he thinks its better for me...ill be 36 weeks monday soo not to long before ill be 37 weeks lol.

Topics: 0   Posts: 302
I am guessing hospital admission is because 1) it is better for mum and baby and 2) many mums probably do not understand the importance of that boring bedrest so don't actually do it lol My friend was admitted to hospital, she spent a few weeks in and out and was induced after 37 weeks. She has a beautiful healthy baby girl.

Topics: 13   Posts: 67
Yeah. For the most part i have followed everything the dr has said. but i do get up to walk around a couple of time during the day but i feel like I get stiff lol if i dont. but i just walk around my house a few times then go back to bed... Im scared of what my blood pressure is going to be tomorrow at the dr... It was pretty high last night... normal for me is 120/65 and last night it was 160/97.... it went down after like an hour but it still didnt go all the way down... at the dr on monday it was only 142/93

Topics: 0   Posts: 302
Well hopefully it will keep stable or lower while resting. It is bound to rise when you are up and about especially at the docs waiting for news. At least your exercise is minimal, I dont think they expect total rest 24/7, that would be impossible. I am the opposite, mine is low at 80/45 which feels so draining, still I think I am lucky...and less than 2 weeks to go


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