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Re: post partum blood pressureFrom: Kathy (anonymous@obgyn.net)Mon, 18 Jun 2001 13:08:36 -0500 (CDT)
When you take your blood pressures be sure and keep a record of them so your Internist can see trends in your readings. This will help greatly. At Thu, 14 Jun 2001, R. Daniel Braun, MD wrote: > >At Thu, 14 Jun 2001, Anna wrote: >> >>I'm 31 and my blood pressure was always normal (around 115/70) before I >>got pregnant, but it went up to around 140/90 when I was two months >>pregnant, and kept going up to around 160-180/100 by the time I had my >>baby. I was extremely anxious during my pregnancy - to the point where >>I was always crying at my appointments, and even walked out in the >>middle of a visit a couple times, so my doctor said he was sure that it >>was "white coat hypertension" which made sense. Now my baby is 8 weeks >>old, and my bp is still pretty high. I had problems with my episiotomy, >>so I've been back 3 times, and it was 140/80, 135/90 and 150/100. I >>asked my doctor why it would still be so high, and how pregnancy could >>cause permanent high blood pressure, and he said he still thinks it's >>white coat hypertension (well that's what he said, but then he also >>wouldn't let me take the pill because my bp is so "labile"), but I don't >>believe him because I feel totally back to normal, and not so nervous at >>the doctor. although I think the last reading could have been so high >>because the baby was crying at the time, and that was upsetting me. Any >>idea why this could have happened and what I can do to fix it? I was on >>bed rest for the last couple months of my pregnancy, but now I exercise >>every day and have lost all of the weight I gained. > >Minimal kidney damage can be made worse by pregnancy. That can cause >hyertension. Know any nurses. Have one of them come to your home and >take your BP. Buy a home BP measurement kit and take your own BP at >home. If still up, RUN to an internist for treatment of your >hypertension. > >-- >R. Daniel Braun, MD FACOG FOG > >This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered. >
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