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

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At Thu, 23 May 2002, Jeanette wrote: >
>>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
>

--
R.Daniel Braun, MD  FACOG   FOG
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• In reply to: Jeanette: "I'm a little confused Re: 24weeks and hypotension!"
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