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Re: G2P1 36 wks tomorrow B.P. 170 /110 From: D. Ashley Hill (dahmd@cfl.rr.com) Tue Sep 11 22:35:25 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Previous message: Richard Chudacoff, MD: "Re: G2P1 36 wks tomorrow B.P. 170 /110" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "G2P1 36 wks tomorrow B.P. 170 /110" Next in thread: Raymond Stephen: "Re: G2P1 36 wks tomorrow B.P. 170 /110" 36 weeks, take-home baby (very low risk of NICU admission) with escalating hypertension despite fairly high doses of antihypertensives. About 25% of chronic hypertensives get superimposed preeclampsia and often you don't know where to draw the line between worsening chronic hypertension vs. preeclampsia, but this patient is on 2 meds. I'm all the way in Orlando, but if I listen carefully, I can just hear the baby saying......"let me out." :) Best wishes, Ashley At Tue, 11 Sep 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >This is a patient who has hypertension when not pregnant had been on >metoprolol, I took care of her durring her first pregnancy and she is >following a very similar pattern for her second pregancy. at her first >prenatal visit at 10 wks her B.P. was 170/110; I have adjusted her B.P. >meds on 3-4 occasions she is now on labetolol 200mg po QID and >hydralazine 10 mg po QID for the last 4 weeks, serial U/S show good >growth. She came in for her NST today, B.P. 170/110 and then 160/110 >an hour latter 1+ Protienueria(has always been negative in the past). I >induced her with her last pregnancy at 35 wks when she came in with a >diasytolic of 120. I know what I am going to do, lets hear it gang. > >-- > Take care, John > -- D. Ashley Hill, MD Medical Director Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response. These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much. Next message: Raymond Stephen: "Re: G2P1 36 wks tomorrow B.P. 170 /110" Previous message: Richard Chudacoff, MD: "Re: G2P1 36 wks tomorrow B.P. 170 /110" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "G2P1 36 wks tomorrow B.P. 170 /110" Next in thread: Raymond Stephen: "Re: G2P1 36 wks tomorrow B.P. 170 /110"

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