PREGNANCY-BIRTH Messages for May, 2002: I'm a little confused Re: 24weeks and hypotension!

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I'm a little confused Re: 24weeks and hypotension!

From: Jeanette (anonymous@obgyn.net)
Thu, 23 May 2002 13:23:26 -0500 (CDT)

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In reply to: R. Daniel Braun, MD: "Re: 24weeks and hypotension!"
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Reply: R. Daniel Braun, MD: "Re: I'm a little confused Re: 24weeks and hypotension!"

>>
>NO! NO! NO!
>Pregnancy causes BP to be lower. Progesterone relaxes the smooth muscle
>surrounding the arterioless and this allow them to dilate and the
>pressure becomes lower.
>Aalso some physicians and nurses will incorrectly take the BP in the top
>arm with the patient laying down on their side. This gives a FALSE low
>reading. The appropriate way to take BP is in the right arm in the
>sitting position.
>
>RDB
>

Dr. Braun, sorry to say, I'm a little confused now. I've been told that preg will increase my b/p (by my gp, ob and a perinatologist) and can possibly cause pre eclampsia etc, espec in my case.(though I wonder how true) I am dealing w/ an autoimmune disease and was on Norvasc for Raynauds. I've been off for several months and my b/p is currently fluctuating anywhere from 108/70 to occasionally as high as 138/88.Mostly it stays in the 120/80 to 124/84 range. I get it checked weekly. If I were to decide to chance another pregnancy, I was told it would be better to be on anti hypertensives as a precaution. If pregnancy lowers b/p wouldn't my b/p be ok with out them? what causes b/p elevate in so many preg women thus causing pre eclampsia if pregnancy lowers b/p? If I never had high b/p in either of my prior pregnancies, are my chances better at not having a problem with it now? Interesting to hear about b/p being taken correctly in the right arm while sitting. My gp seems to take it in whatever arm he's closest to. Could this be why the readings are so erratic??? Thank you in advance if you can answer.

--
Jeanette

Next message: Dani-Sue: "Re: 3 months no period (neg test)"
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In reply to: R. Daniel Braun, MD: "Re: 24weeks and hypotension!"
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