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Re: bloodpressure in pgcy

From: Richard M. Chudacoff, MD (anonymous@obgyn.net)
Mon, 28 Sep 1998 17:18:53 -0500 (CDT)


At Sun, 27 Sep 1998, corrinne wrote: >
>Am 37.4 weeks pregnant. My bloodpressure is going up dramatically, but
>gyn says it is not preclampsia or anything, as I don't have any symptoms
>of swelling. I always have a bloodpressure 40/90 (sort of low..). Up
>until abt 4 wks ago, it stayed that way. At 34 weeks they measured
>60/100, at 37:75/105. I know this is still low, relatively, but for me
>it is way up !! Also have high pressure on umbi-cord (they measured on
>u/s at 35 wks).
>What can it be?? Anything to be worried about ? Please answer !!
>
>--
>Corrinne
>

Does not sound serious, and if your OB concurs you may have reason to worry less.

By definition, pregnancy induced hypertension is greater than 140/90 (or as you have written it 90/140, but by convention the higher, or systolic, pressure is written first.) That in itself is not is not too worrisome. If the blood pressure greatly increases, or abruptly increases then we do get concerned. When there is an increase in swelling, especially of the face and hands, and when there is an increase in protien in the urine then the diagnosis of "Pre-eclampsia" or "Toxemia" is made. Depending on your weeks of pregnancy a decision is made whether to deliver the baby or treat until the baby can be delivered.

Now, blood pressure do increase normally as you get closer to term. Closer to your normal, pre-pregnancy blood pressure. The 90/60 that you mentioned sounds like a normal pregnancy pressure once the blood vessels have started to dilate. As the blood vessels increase there volume as you get closer to term, the blood pressure starts to rise. I wish all my patients had a blood pressure of 100/60.

Have confidence that your OB is treating this correctly, or find another OB in whom you do have confidence.

--
Richard Chudacoff, MD
Baylor College of Medicine
BaylorMedCare
Houston/Sugar Land, TX

Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.




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