Dr appt. pre-e?
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Thread: Dr appt. pre-e?

  1. #1
    Posting Addict smsturner's Avatar
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    Default Dr appt. pre-e?

    Ok. Had my next appt today at 230.
    My weight is still under my prepregnancy weight. It isn't dropping anymore, but not gaining. She is upset about that and says I really NEED to gain something. I don't understand why it was so dang important for me to keep my weight gain sooo low, but now that i'm not gaining anything she's all worried.
    My blood pressure is in the 120's/80's range. She says that's 'pre-hypertensive' and now the highish blood pressure and barely failing glucose test (failed by 3 points) are making her sure i'm going to end up with pre-eclampsia.
    She wants me to do the three hour test this week for glucose and a growth scan in two weeks because of my lack of weight gain and bp.
    I generally like this woman, even though she's a little much sometimes and I make fun of her. I also very much trust her medical opinions.
    But she's making me freaking nervous! Are those the two things that if they're even mildly out of whack that mean I'm definitely going to have pre-e? Is 3 points on the glucose test and a not-quite high blood pressure THAT bad? I thought there was a urine test for pre-e too, but I've never had any problems with that when they do the strip each time i'm there.
    I never was poked and prodded and scanned this much with my pregnancies before. Have things have changed that much or am I that much more unhealthy? Or maybe older?
    With Meg I had two scans and only one with Marc. I've had 9 scans this time.
    Susan, dh Tom, dd Megan, ds Marcus, ds #2 coming Feb, 2014

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    Seems a bit much... And I had rapid onset severe pre-e with my first! (Csec at 32weeks 5 days after a week on complete bed rest).

    Forgive me for not remembering... Is the low gain "on purpose" (as in you have restricted your diet to not gain) or "natural" (not hungry, sick...)?

    Eta: the "pee test" you're thinking of is to test if protein is present, thus indicating kidney and liver issues.

    With my pre-e the ONLY symptom I had (until my bp skyrocketed) was swelling (severe that didn't ever go down).
    Last edited by Mamaterp; 12-03-2013 at 07:12 PM.

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    Supporter stbernardlover's Avatar
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    I guess i t depends on how high the bottom number is on your BP. This time of pregnancy, your BP should still be lower than you usually run. And the bottom number is generally more concerning if its high. So, in my opinion, whether or not she is over reacting depends where on the spectrum of "80's". Checking the urine for protein is supportive of a dx of preeclampsia, because your kidneys dont filter protein for many reasons with preeclampsia. But, like a PP as said, it doesn't always appear with the slight increases of BP.
    I think maybe she is worried because there are several contributing factors and she's just trying to stay ahead of the curve. GD is a risk factor for preeclampsia because it can cause the kidneys to already have issues.
    Good luck on the blood work and the scan. Hopefully it's just precautionary.
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    ok so here is my positive chime in ....

    With Lilly it was like my Midwife was looking for everything and anything to be wrong with me since i am a plus sized lady. I was 251 pre preg and gained a total of 42 lbs making my final weight before delivery 293lbs

    My BP was always in normal range.. 127/83 was probably my worst reading, one time, but they always did pee check, and then said i failed my 1 hour Glucose screening by 5 points at like 24 weeks also made me test early.... then i had to take the 3 hour which i passed all the draws I was 95 fasting .. but my last draw was way low i am glad i brought a snack and juice for after because my number was 64 i was so ill and though i was going to pass out.

    It killed her that i was fat and healthy....

    I had an awful labor which is when again she and the nurses pushed me and stressed me out every time they were present i would get a high BP reading like way bad like 100's over 200's, so then they did the liver panel and it was normal. I would get normal and then bad readings, but only bad when I had a nurse i didn't like or when my midwife was present.

    I wish i would have known before labor that my midwife was 2 faced and completely opposite of what i had became comfortable with. she was seriously like dr jeckel mr hide.

    My Bp Fluctuated the whole time during labor and and the following day, but stabilized before i left the hospital.

    I won't go in to to much more about my birth story, because I would like to keep it positive.
    and like to think i have healed from my bad experience.

    You could be just fine... or not, but remember it is not your fault if you end up with GD and or Pre e.

    Try not to stress have you tried just checkin your BP on your own not at Dr. office?

    Oh and the only swellin i ever had was in my ankles.


    Hang in there mama. we are prayn for you.

    I have my hour Glucose test Thursday yuck.

    well i hope this comes off as positive.
    Chris




    9/18/12

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    Posting Addict smsturner's Avatar
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    Quote Originally Posted by Mamaterp View Post
    Forgive me for not remembering... Is the low gain "on purpose" (as in you have restricted your diet to not gain) or "natural" (not hungry, sick...)?

    Eta: the "pee test" you're thinking of is to test if protein is present, thus indicating kidney and liver issues.

    With my pre-e the ONLY symptom I had (until my bp skyrocketed) was swelling (severe that didn't ever go down).
    I was supposed to have a 'low' gain. Between 10 and 15 pounds. So she would freak if i gained too much. But now that I'm still down from my prepregnancy weight, she's upset too! Frustrating.

    I have never had the protein in my urine, and have had no swelling at all. And my bp is only 'pre' hypertensive. So why is she so freakin' worried?? Ugh, the woman is going to make me worry into a nervous breakdown!

    Quote Originally Posted by stbernardlover View Post
    I guess i t depends on how high the bottom number is on your BP. This time of pregnancy, your BP should still be lower than you usually run. And the bottom number is generally more concerning if its high. So, in my opinion, whether or not she is over reacting depends where on the spectrum of "80's". Checking the urine for protein is supportive of a dx of preeclampsia, because your kidneys dont filter protein for many reasons with preeclampsia. But, like a PP as said, it doesn't always appear with the slight increases of BP.
    I think maybe she is worried because there are several contributing factors and she's just trying to stay ahead of the curve. GD is a risk factor for preeclampsia because it can cause the kidneys to already have issues.
    Good luck on the blood work and the scan. Hopefully it's just precautionary.
    It usually falls in the 75-82 range on the bottom number. I check it at home every day, bcs she's made me so paranoid!! I didn't realize the kidney thing, thank you.
    The blood sugar test will be this saturday, and then the scan is on the 23rd. Thanks for the luck, I'm crossing my fingers and hoping I gain a couple pounds so she doesn't do that frowny head shake at me again!

    Quote Originally Posted by Chris_85 View Post
    ok so here is my positive chime in ....

    With Lilly it was like my Midwife was looking for everything and anything to be wrong with me since i am a plus sized lady. I was 251 pre preg and gained a total of 42 lbs making my final weight before delivery 293lbs

    My BP was always in normal range.. 127/83 was probably my worst reading, one time, but they always did pee check, and then said i failed my 1 hour Glucose screening by 5 points at like 24 weeks also made me test early.... then i had to take the 3 hour which i passed all the draws I was 95 fasting .. but my last draw was way low i am glad i brought a snack and juice for after because my number was 64 i was so ill and though i was going to pass out.

    It killed her that i was fat and healthy....
    ....
    Hang in there mama. we are prayn for you.

    I have my hour Glucose test Thursday yuck.

    well i hope this comes off as positive.
    That's pretty similar to me. I was 260 when I started. Now my weight is hovering right around 258-259 for awhile. And she is the same! It's totally boggling her mind that I might be ok even though I'm chubby!! She's had it in her mind since the first appt that I would have serious gd, and horrible blood pressure, and every bad thing that can possibly happen for chubby pregnant people.
    Yes, I am more at risk for them, but it doesn't mean I've got them all or will get them at all.

    Thank you for the great advice I'm trying to do the right things for this pregnancy, but this woman is going to give me the high blood pressure from anxiety!!
    Susan, dh Tom, dd Megan, ds Marcus, ds #2 coming Feb, 2014

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    Is there another doc in the practice that "fits your schedule better" that you can see instead? She would make me bat crap crazy... I don't do well with over reactions (vs measured vigilance)...

    I definately liked my first two ob's better than the one I have now (all part of the same practice). I think it's mostly a personality thing, I tend to be a facts and logic type, I don't do interventions unless there is a good medical reason (csec with my first because my body was not ready and was already severely stressed)... But my first two ob's were men so I think it's more of a "I think like a man" and have a more old fashioned "wait and monitor" approach. She seems a bit more of a worrier. I do trust her so that helps and feel comfortable with her and know that if I asked a question she would give me an "unbiased/best medical" answer, so I don't worry about it too much. I think I am one of her more "informed" and "involved" patients.

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    (LURKER)

    I had it with my DD and high BP with last pregnancy too. So far, I guess since I"m on bedrest my BP has been normal. I get readings of 120/80 at the OB and they are fine with it. Funny I take it at home and it's normally 101/64. I get extremely nervous at drs. offices!

    With my DD, I had TONS of swelling. Also, lot's and lot's of dizziness, blurry vision, and protein in my urine. At one point I was sent directly to hospital but at that point my BP was like 160/90,kept in hospital for a week, then sent home on strict bed rest. My OB said they get concerned once it is around the 140's/90's. Every darn doctor is different and I hate it.

    I would try and not worry about it right now. To me it seems like you are fine.
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    Try not to let the no weight gain stress you too much. I lost 40lbs while pregnant with Robbie, I was eating 3000 cal/day! The nurse always tried to freak me out, I was not trying to lose weight, I wanted my baby to be as healthy as possible. My OB told me that some pregnancies are that way especially when the mom is plus-sized. The important thing is that the baby continues to grow at a normal pace.
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    I hope it all works out. It is hard when you feel your care provider is causing you stress!

    My pregnancy was going very smoothly until my 36 week appt when my midwife noted my BP was higher than usual (it would seem normal as a one time reading, but I had been running hypotensive before). At that point they did a 24 hour urine catch for protein (positive) and my blood labs showed my liver enzymes were elevated. I had no other symptoms (no swelling, headache, blurred vision, right upper quadrant pain). I ended up being induced the day after my appt. I guess what I'm saying is that sometimes even subtle things are good to keep a close eye on in case it is a sign of something bigger brewing. I'm glad my midwife was proactive because the consequences could have been bad otherwise, but I think she also went about it the right way without being an alarmist towards me. How providers approach you and present things can make a big difference at putting us at ease while keeping up our confidence. My current OB has kind of laid back personality which I appreciate but he has shown me that he can handle things effectively and he is very informative too.
    Christina

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    Posting Addict smsturner's Avatar
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    Thank you very much for all of your support ladies. You are so lovely to me!
    Susan, dh Tom, dd Megan, ds Marcus, ds #2 coming Feb, 2014

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    I never knew until that moment how badly it could hurt to lose something you never really had. - Missed Miscarriage at 10 weeks - 3/26

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