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Re: Hypertension

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 20 Oct 1998 20:35:12 -0500 (CDT)


At Sun, 18 Oct 1998, Rachael wrote: >
>Last week I went in for a checkup at 35 weeks, thinking everything was
>perfectly normal, only to have my blood pressure jump from 110/60 to
>158/87 since my last appointment. I was immediately "retired" from work
>with orders to rest on my side (BP went down significantly on my side).
>No protein in urine, no edema, blood tests indicate my liver, kidneys,
>platelets are all normal at this point. Back to the doctor 5 days
>later, to have him start talking about induction if baby shows signs of
>distress, had a BPP and NST, all okay, the only thing they found was
>amniotic fluid index of 9. Baby weighed 5.5 pounds at 35.5 weeks,
>showed no signs of IUGR.
>After the initial shock of having a "normal" pregnancy go slightly down
>hill, I'm ready now for and early induction if tests start showing baby
>is not doing so well in there. I'll be repeating BPP and NST weekly,
>with twice weekly BP checks, for the next 3 weeks, to be induced no
>later than 39.5 weeks if I make it that long.
>
>The only person I've known that this happen to is my mother, so I have
>no idea what to expect as far as outcome. My doctor is absolutely
>wonderful. What are my chances of carrying to term (almost)? Early
>induction? Does treatment sound applicable? Of course I'm worried to
>death, which doesn't help things, but baby is still very active and
>seems to be doing okay.

This is not unusual and outcomes are frequently no different than those without hypertension. Since you are quite fortunate to have a wonderful doctor, he/she is the best one to answer these very important questions.

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

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

**Thank you for your understanding ;-)




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