PREGNANCY-BIRTH Messages for January, 2000: Re: Protein in urine, possible PIH?

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Re: Protein in urine, possible PIH?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 30 Jan 2000 18:03:40 -0600 (CST)

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At Sat, 29 Jan 2000, Jody wrote: >
>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?

Yes.

>If so, are there any other
>effects on my body and the babies?

As long as it stays in the normal range, usually not. With an abruption already, if both babies are OK now, that's all you can say. Too many variables.

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

Glucose tolerance test needed to diagnose that. Ketones can also be from dehydration and inadequate food intake.

>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.

Good luck and G-d bless you all.

HSM

>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 ;-)
>>

--
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 ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: 28 wks. pregnant with twins, fast pulse"
Previous message: Tatiana: "Hair dying during pregnancy"
In reply to: Jody: "Protein in urine, possible PIH?"
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