PREGNANCY-BIRTH Messages for October, 2001: Re: 39 weeks pregnant...questions

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Re: 39 weeks pregnant...questions

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 3 Oct 2001 11:26:54 -0500 (CDT)

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In reply to: Deej: "39 weeks pregnant...questions"

At Wed, 3 Oct 2001, Deej wrote: >
>Hi. I am 39 weeks and 1 day and just went to my weekly appt. and have
>a couple of concerns. A few days ago I went into the hospital for what
>turned out to be false labor and the doctors became concerned about my
>blood pressure when I was there. It started out in the high 140s and
>was take a couple of times before dropping into the 130s. They did a
>PIH test and it turned out negative and my pressure eventually dropped
>to normal. Well today, my pressure was 130/76. Normally my pressure is
>90-100 over 60-70. Recently it has been creeping up though. Also, they
>found a trace of protein in my urine. The physician assistant said it
>was not concerning. Should I have a second opinion as I have had
>periodic swelling that comes and goes.
>
>Also, last night I went to the restroom to urinate and after urinating I
>had a small gush of fluid which may or may not have been urine. The
>force of the fluid was much greater than urine though. I thought it was
>my water breaking but I had no more fluid leaking afterwards. I told my
>P.A. about this and she said it may have been a small pocket of fluid
>that leaked out. Well, shouldn't there be concern of infection
>considering I am 3cm dilated and 75% effaced? She said I should be
>delivering soon and she checked the fluid levels by ultrasound and they
>were 8.1 so she was not concerned again. Am I being overly paranoid or
>should I follow my mom's instructions and go into the hospital to be
>checked? Thanks for your replies. Deej

Deej, These types of opinions are tough because I am not there. There is no "PIH test". Preeclampsia is diagnosed using a constellation of findings. On face value, your blood pressure readings and urine protein are not that concerning, however that is not the whole picture. As for the fluid, anytime there is suspicion of leakage vaginally that is not urine, there is certainly concern that the membranes are leaking and thus requires evaluation. Further, the amniotic fluid volume of 8.1 is near the lower limits of normal for your gestational age... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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 e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Deej: "39 weeks pregnant...questions"

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