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Protein in urine, possible PIH?

From: Jody (anonymous@obgyn.net)
Sat, 29 Jan 2000 20:51:45 -0600 (CST)


I wish I had gotten checked! I ended up in the L&D unit on the 10th with severe vaginal bleeding. After an u/s, it turned out to be due to an abruption of one of the placentas. I have been in the hospital ever since and I have no idea when I will be able to go home. My OB says that the cough probably didn't cause the abruption, but it couldn't have helped anything.

I now have yet another question (so sorry to keep bothering you). I have chronic hypertension and am considered to be at a high risk of developing PIH because of carrying twins. While I have been in the hospital, my blood pressures have been incredibly low, ranging from 130/60 to 100/47. I assumed that meant I was not developing PIH, but now I am passing protein in my urine. With my previous pregnancy, I did indeed have PIH and was on bed rest, which caused my bp to remain within normal levels. Is it possible that I do indeed have PIH but my bp is being controlled by the enforced bed rest? If so, are there any other effects on my body and the babies?

I also have ketones in my urine. Is it possible that I am developing gestational diabetes?

Despite all of these worries, I just wanted to say that I am 28 weeks now and Baby A is 2 lbs. 8 oz. and Baby B is 2 lbs. 13 oz.

At Wed, 12 Jan 2000, Harvey S. Marchbein, M.D. wrote: >
>At Sun, 9 Jan 2000, Jody wrote:
>>
>>I am 26.5 weeks pregnant with fraternal twins and suffer from
>>hypothyroidism, chronic hypertension, chronic UTI's and am currently on
>>bed rest to ward off pre-term labor (I experienced a few mild
>>contractions on December 26th). I am scheduled to see my OB on
>>Thursday, but I have developed a rather severe cough that is keeping me
>>up at night. I don't have any normal cold symptoms, just the cough,
>>extreme fatigue and a mild headache. My question is whether I should
>>try and get in to see my OB before Thursday to have her listen to my
>>chest or whether waiting until Thursday is ok. I am on a low dose of
>>Macrobid to attempt to ward off UTI's, but that has not seemed to impact
>>my cough in any way.
>>
>>Any advice would be appreciated.
>>
>>--
>>Jody
>>
>Get checked and feel better.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>




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