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Re: post partum blood pressure

From: 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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