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Re: 36 weeks bp of 137/90 2 cm dilated baby engagedFrom: samir (anonymous@obgyn.net)Mon, 8 Jul 2002 02:33:44 -0500 (CDT)
At Sun, 7 Jul 2002, julie wrote: > >.I had my first son at 37 weeks along with toxiemia 90% effaced at 32 >weeks and bed rest no dialation. I am now 36 weeks and my blood >pressure had been up and down through out this pregnancy highest was 150 >over 90. I am now on my weekly visits and last week my pressure was 137 >over 90 how important is this being late in pregnancy if it remains the >same is this cause for to be induced or just medication or bedrest or is >this even high enough to be worried about. Also I know its dumb to ask >this question but being 2 cm dialted and baby is engaged what does that >mean) no station was given to me just engaged in the birth canal is it >likely Ill go until my due date august 3rd? no efacement yet. Also >there are times I have contractions sometimes 4 an hour but not regular >but they are the same contractions I had with my first pregnancy but >they called that preterm labor now they are calling them braxton hicks >so what is the difference considering they are the same contrations >intensity and feeling wise and I have dialted but not effaced. Is >effacement the difference in labor contractions verses bh. or is my >body just weird? kind of confusing bu then again I am confused. At thsi >point I have had so many contractions huting and not that I dont even >base my going into labor on contractions anymore my htoughts are just to >wait for mucus plug or waters to break. Is this the wrong thinking > >-- >julie Blood pressure of 137/90 with no protein in urine does not need treatme. the cervix 2cm dilated is quite common near term (usually no mucus plug) .Effacement means the cervix is taken up, it usually occur before dilatation in first delivery,but not necessary with subsequent deliveries as effacement and dilatation occur together during labour. Your contractions are Braxton Hicks.when you have strong regular contractions(at least every 10 minutes) which incereases in strength and frequency and not relieved by pain killer, you can assume you started laour.Rupture of membranes (water break)is not a sign of labour,if you have it you should go to hospital.
-- Samir Aziz MD Assist.Professor Ob.Gyn Al-Azhar University-Eygpt
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