WOMENS-HEALTH Messages for December, 1997: Re: BP concerns...

Re: BP concerns...

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 30 Dec 1997 19:13:33 -0600 (CST)

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In reply to: Carolyn: "BP concerns..."

At Tue, 30 Dec 1997, Carolyn wrote: >
>Happy Holidays Everyone!
>
>Mine was a fairly er, uh, eventful one to say the least.
>Christmas Eve, I found out my mom (68) has been suffering from TIAs for
>about 2 weeks. Santa showed up a day late (seemed fitting) with a
>positive on an HPT. Yesterday, I went in for a confirmation (it was
>positive...YIPEE!) and my BP was at...154/88...YIPES!
>
>Ok, I'm pretty sure that caffeine is the big trigger for me,(I've cut it
>out before appts before and it usually hovers around 120/75-80...but I
>am a not-so-nice person) but I am unable to function without ANY coffee
>in the morning. I had been having 2-16 oz cups each morning and am
>trying to cut down to one or less. Unfortunately, my mom's situation
>coupled with this pregnancy following a miscarriage in Sept, I'm still
>gonna have ALOT of worries. Mom is being cared for (and this was the
>kick in the pants for her to quit smoking...Thank God!), but my
>immediate worry is my pregnancy.
>
>Now, here is my question. Would it be unreasonable to ask for an early
>US, like at 7 weeks, to see if there is a heartbeat? With the
>miscarriage, I just went along each appt, even when they couldn't find
>it with the doppler, because it was too early. Having been through that
>(and again probably not finding the heartbeat) will only increase my
>anxiety.
>
>So, it is unreasonable?

Not unreasonable at all. Your plate sure is FULL. Sorry about mom and happy about the (+) pregnancy test.

A bigger concern to me is your blood pressure. I know what you said about the coffee but I'd recommend a home BP monitoring system and follow it carefully. If it stays elevated, medication might be necessary. If it is elevated, treatment with drugs safe in pregnancy is safer than no treatment.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
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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Previous message: Harvey S. Marchbein, M.D.: "Re: Abnormal bleeding/painful intercourse"
In reply to: Carolyn: "BP concerns..."

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