WOMENS-HEALTH Messages for July, 1998: Re: Pitting edema and slightly elevated BP in pg

Re: Pitting edema and slightly elevated BP in pg

From: anonymous@obgyn.net
Wed, 29 Jul 1998 10:24:37 -0400

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In reply to: Beverly: "Pitting edema and slightly elevated BP in pg"
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At 08:00 98-07-29 -0500, you wrote: >I'm 28 weeks pg with twins. I've been out of work for nearly 6 weeks on
>modified bed rest. I have been experiencing 2+pitting edema in my feet
>which nothing seems to help reduce them. I have swelling in my hands,
>can't wear any of my rings etc and they are so swollen in the morning I
>can't make a full fist for a few hours and then only with pain. Numbness
>comes and goes with two fingers numb all the time.
>
>My question is I know because I'm having twins I have the tendency to
>swell more, however last night I decided to take my BP. My normal BP is
>110/70 or lower. AFter 2 hours in bed reading my husband took BP, it
>was 134/90. This morning he took it before I got out of bed it was
>132/92.
>I plan on calling my Dr. however was wondering if this is a small sign
>of possible problems in the future with preeclampsia? This is my first
>pg that has progressed to this point.. Thank you
>
>--
>Beverly

The classical definition of hypertension associate to preeclampsy is an augmentation of 30 mm/hg for the systolic and 15 mm/hg for the diastolic.

You have an augmentation of 20 mm/hg for your diastolic (70 to 90).

Predisposing factors are: first pregnancy and twins.

You wrote: "been out of work for nearly 6 weeks on modified bed rest."

With the information you gave, the diagnostic is mild preeclampsy and the "Modified bed rest" is not enough. A woman can't be at rest at home.

Contact your doctor. The preeclampsy will not disappear but the goal is to control it and reach, if possible, the term of the pregnancy.

Dr Paul-André Latulippe 111 Rang 9 St-Christophe d'Arthabaska Québec,Canada G6P 6S1

andrelat@ivic.qc.ca

tel:(819) 357-1784

Next message: Susan: "Why so much discrepancy in hysterectomy advice?"
Previous message: anonymous@obgyn.net: "Re: First time mothers, over age 35"
In reply to: Beverly: "Pitting edema and slightly elevated BP in pg"
Next in thread: Marna: "Re: Pitting edema and slightly elevated BP in pg"

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