WOMENS-HEALTH Messages for August, 1998: Re: Preeclampsia's return?

Re: Preeclampsia's return?

From: anonymous@obgyn.net
Sat, 1 Aug 1998 15:17:06 -0500 (CDT)

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At Fri, 31 Jul 1998, Lisa wrote:

. Today (33 wks), it was 140 over >84.
>I've read that preeclampsia includes BP of 140 over 90. Does this mean
>I'll be having it again? I'm very concerned about this, especially in
>light of the fact that I was hoping for a VBAC this time.

Unfortunately, it's not possible to predict whether or not you will develop preeclampsia with this pregnancy. While a BP of 140/84 bears watching in most patients (we usually bring them back that week for a BP check), it's not a markedly high BP, and may well be a single abnormality that doesn't repeat itself.

Patients who have severe preeclampsia their first pregnancy have a *statistical* chance of developing preeclampsia during their second pregancy of about 25%. Since you had mild preeclampsia it is likely your statistical chance would be less that this.

Preeclampsia should not prevent you from having a VBAC. In fact, in most cases of preeclampsia it is more desirable for the patient to deliver vaginally than by c/section.

Good luck with your pregnancy.

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida

The above information is provided for medical education only, and is not intended as specific medical advice. I am sorry, but due to time constraints, I am unable to answer personal e-mail.

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