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Re: Weight Gain & Pre-Eclampsia

From: Alison (anonymous@obgyn.net)
Thu, 8 Mar 2001 19:34:03 -0600 (CST)


>>Help!!! I am ballooning up and I don't understand what it means. I see
>>many references to sudden weight gain as an indicator for Pre-E, well,
>>we KNOW I have Pre-E so what does the weight itself mean?
>>
>>My story... IDGDM since 12 wks, Pre-E dx'd at 22.5 wks & on bedrest
>>since. Net loss of 1# from pre-pregnancy weight at 28 wks, never more
>>than a 2# pound fluctuation over 2-4 weeks. At 30 wks gained 5# since
>>the visit 2 wks prior. At 30.3 wks gained an additional 4#, now, at 31
>>wks ANOTHER 4# for a total gain of 13# in 3 wks. (At a total net gain
>>of 12# since pre-pregnancy weight.)
>>
>>My activity has increased if anything with the recent start of 2x weekly
>>BPPs & NSTs. My diet has not changed. My blood sugars seem like
>>they've always been.
>>
>>I definately notice SOME edema, but not drastic tree-trunk legs like
>>with last pgcy. My BP's are staying okay, /80's & few /90's
>>(diastolically) every day. Last week I was doing /90's with the 1 or 2
>>/100's. My baseline diastolic is mid 60's.
>>

snip

>
>I am confused here and don't know how to respond. Much of your story
>does not make sense to me.
>>--
>R. Daniel Braun, MD FACOG FOG

Sorry, I will try to be more to the point. I have gest. diabetes, onset at 9wks & started insulin at 12 wks. At 22 1/2 weeks I was diagnosed with pre-eclampsia my BP was 150/90 with +1 protein and pitting edema. (I was induced last pregnancy at 34 1/2 weeks for pre-eclamspia.) I was put on home bedrest and have complied.

At 28 weeks my weight was negative 1 pound. I had lost 1 pound since I conceived. At my appointment at 30 weeks I had gained 5 pounds. This was a Thursday. The following Monday, I had gained an additional 4 pounds. The following Thursday, at exactly 31 weeks, I gained yet another 4 pounds.

I am a little bit puffy, but not what I would consider 13 pounds worth of puffy. What is the weight gain associated with pre-eclampsia if it is not water weight? I would think my edema would be much more pronounced with such a drastic weight gain so suddenly.

Thanks, again! ;-) Alison R.






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