HBP is ruining my chances of my HBAC

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ian'smom's picture
Joined: 05/18/07
Posts: 93
HBP is ruining my chances of my HBAC

So about a week ago, my BP started elevating and unfortunately it's enough to be the borderline 140/90 that my midwife is able to handle. I've now been out of work for a week, so relaxation/rest and have been taking magnesium and CoQ10 all to try and lower it, but it's still fairly borderline (sometimes above, sometimes below). I'm lucky in the fact that she is giving me another week, but as of Friday if it doesn't go down then she has to transfer me to the High Risk group at the hospital. Because at that point I'll be 38 weeks and a VBAC, I'm terrified that it will be a do not pass go, stay here for your auto c-section. I've worked so hard this pregnancy to get my HBAC and it just feels like it's all starting to slip through my fingers now.

I guess I'm just trying to see if anyone has any advice I can take at this point?

AJsmommy's picture
Joined: 05/08/07
Posts: 289

I'm so sorry. I'm dealing with HBP too. Mine's in the same range as yours. Last appointment it was 140/86. The same thing happened to me during my first pregnancy too. What I'm doing to try to control it is taking a Cal/Mag supplement, walking at least 20 minutes everyday (and longer whenever I can), and drinking a ton of water. When I'm home I try to rest and relax a lot.

I'm sorry it's threatening your HBAC. That must be adding a lot of pressure which probably isn't helping your BP Sad

Joined: 03/16/15
Posts: 53852

Mine was also borderline like yours this pg. I did everything you mentioned. I also cut down my sodium intake, cut out caffeine, and my chiro did a special BP adjustment that worked the best. I was able to keep mine just low enough to have my hb.

kvo
kvo's picture
Joined: 12/18/06
Posts: 902

No advice Melane, but lots of empathy. It sounds like you are doing everything you can to lower the BP.

jooniper's picture
Joined: 08/27/07
Posts: 780

I wish I had advice, but all I have are low-BP vibes to send your way!

krazykat's picture
Joined: 08/11/07
Posts: 1143

Goodness, I am so sorry!! I have been praying every day for nothing to stand in the way of my HBAC, and I know you must be very anxious about how it will play out. Any way that you can begin working some natural induction methods? I am not sure how this may affect your BP though so I would talk to your midwife first, but often BP will continue to rise until LO comes. I know it's a little early, but I would probably be willing to try it. And then even if you are in the hospital, they can induce before going straight to c/s if you and baby are well. I will MOST DEFINITELY keep you in my thoughts. Please KUP and I really, really hope it works out to your satisfaction. I cannot imagine what you must be going through (((BIG HUGS)))

jolly11sd's picture
Joined: 02/02/05
Posts: 3327

I don't have any advice either but I'm so sorry to hear the your BP is becoming an issue. Sending you lots of low BP vibes for you HBAC.

stercry's picture
Joined: 08/15/06
Posts: 450

I have no advice on this subject, but my heart hurts for you. I'll pray that your BP goes down and that you can get the birth that you wanted.

gardenbug's picture
Joined: 03/12/07
Posts: 2025

In summary:

Lots of water throughout the day
Rest! Relax!
Cal/mag supplements
walking 20 minutes or more each day. (treadmill for 30 minutes works well for me!)
cut out salt and caffeine
a special chiro BP adjustment

I'll add that for me, waiting for 10 minutes at an appointment and chatting calmly before the BP is taken, thinking calm thoughts...helps prevent the rise in B/P from "white coat syndrome".

ian'smom's picture
Joined: 05/18/07
Posts: 93

Thanks ladies...nice to at least be around other people that "get" why I'm so emotional about it...not one else in RL seems to.

I've been doing all the above, except for the chiro thing. I actually have an appt w/her today and will ask her (I've been going now for 2 weeks since starting with her to turn the breech baby which was successful). Do any of you know exactly what the BP technique was?

We have also started some natural induction techniques...if I only I could get my *&^% DH to have sex...he did this same thing during the last pregnancy.

AmberC727's picture
Joined: 06/05/06
Posts: 226

When they take your bp, how are you sitting? You should be sitting in a chair, with your back supported and feet flat on the floor. You should also be given a minimum of five minutes to relax and calm down. A study was done at the University of VA (I believe that was the school) showing that if these things don't happen, falsely high blood pressure readings can occur.

Also, cutting out salt works for blood pressure problems when you're NOT pregnant, but during pregnancy you actually NEED salt to maintain the additional blood volume. Dr. Brewer (think Brewer diet) notes that decreasing salt intake during pregnancy can actually raise blood pressure because the body is trying to work extra hard without the proper amount of blood. (I can find this link if anyone wants it).

gardenbug's picture
Joined: 03/12/07
Posts: 2025

It would be good to know the amounts of salt, because we do not need a great deal at all. It's in everything!

"One glaring issue before the F.D.A. concerns nutrient labels, which for years have overstated the amount of salt the government says is safe to consume. In calculating the percent of the daily recommended sodium intake in each serving, companies use the standard for healthy adults below middle age, a teaspoon of salt, or about 2,300 milligrams. But the recommendation for the vast majority of Americans — children, adults of middle age or older, all blacks and anyone with hypertension — is less than 1,500 milligrams a day. "

http://www.nytimes.com/2010/05/30/health/30salt.html?hpw

krazykat's picture
Joined: 08/11/07
Posts: 1143

"AmberC727" wrote:

Also, cutting out salt works for blood pressure problems when you're NOT pregnant, but during pregnancy you actually NEED salt to maintain the additional blood volume. Dr. Brewer (think Brewer diet) notes that decreasing salt intake during pregnancy can actually raise blood pressure because the body is trying to work extra hard without the proper amount of blood. (I can find this link if anyone wants it).

I agree and was taught in Bradley Classes that Dr. Brewer instructed to eat salt "to taste". So whatever you feel like your body needs. I know during pregnancy I crave it, and have never restricted it. I always felt like it was my body's way of telling me that I needed it. There are other things that go along with the salt though, like protein. You have to follow the whole diet for it to be effective. Dr. Brewer actually REVERSED Pre-E in some of his patients when it was caught early enough. I HIGHLY recommend that you look it up.

Here is the link:

http://www.drbrewerpregnancydiet.com/

Chimmy's picture
Joined: 08/03/01
Posts: 2776

"AmberC727" wrote:

When they take your bp, how are you sitting? You should be sitting in a chair, with your back supported and feet flat on the floor. You should also be given a minimum of five minutes to relax and calm down. A study was done at the University of VA (I believe that was the school) showing that if these things don't happen, falsely high blood pressure readings can occur.

Also, cutting out salt works for blood pressure problems when you're NOT pregnant, but during pregnancy you actually NEED salt to maintain the additional blood volume. Dr. Brewer (think Brewer diet) notes that decreasing salt intake during pregnancy can actually raise blood pressure because the body is trying to work extra hard without the proper amount of blood. (I can find this link if anyone wants it).

This.

Also, the kind of salt is almost more important than the amount - you need good, natural, sea salt. I use the Real salt brand. You take a tsp chased with some juice once a day. I usually do it with apple juice b/c the two flavors mix better than other kinds (at least for me). I think Dr. Brewer had a good idea going, although I have to say that I didn't notice much of a difference in my 4th pregnancy when following it.

Good luck hun. I struggle with this while pregnant as well. I ended up taking 1 tablet of baby asprin during my last pregnancy to help with this & thankfully had a good pregnancy with good bp readings throughout it.

jooniper's picture
Joined: 08/27/07
Posts: 780

I actually have very low blood pressure- pregnant or not- and my poor doctor growing up had no idea what to do... "I've never prescribed anything for LOW blood pressure before. Eat a lot of salt, I guess?"

Spacers's picture
Joined: 12/29/03
Posts: 4103

Three things that haven't been mentioned yet...

First, if your arm is "larger than normal" either from muscle or fat, then the reading may be artificially inflated. I can't recall off the top of my head what the measurement is, you should be able to find it online easily.

Second, do you know what your "baseline" BP was at the beginning of your pregnancy? Because the 140/90 might be meaningless if your BP to start with was 125/85. Your BP naturally goes up at the end of pregnancy, and it's the "too much higher" that is dangerous, and not necessarily a 140/90 reading. Add 20/10 to your baseline BP, and if you're not over those numbers, then you're not really "high."

Third, I would recommend getting an automatic BP cuff and recording your BP at various times throughout the day. You can buy one for about $40 at any decent drugstore, and they have ones that will remember the last 10 or 20 readings, so you can take it to show your midwife. If you can document that your BP is staying low most of the time, then that suggests the "high" readings at the midwife are either "white coat syndrome," or a bad BP cuff, or perhaps a poor technique.

Good luck to you, I'm rooting for your HBAC!!!

cactuswren's picture
Joined: 10/19/09
Posts: 4658

I don't have anything helpful to add to the great advice you're already getting, I just wanted to add my sympathy for your worries and sincere hopes that you get this figured out! I may not be struggling with the same symptom, but worrying about losing a chance at the birth you've worked so hard for is definitely something I think we can all relate to (and like someone else mentioned, probably a not-super-helpful source of added stress!) It sounds like you still definitely have some good reason to think it can and will still happen...I'm hoping for that for you!