(Closed) Deliver early due to high blood pressure?

posted 6 years ago in Pregnancy
Post # 2
Member
24 posts
Newbee
  • Wedding: July 2017

I didn’t really deliver early bc she was born on her due date, however it was because I was induced. She likely would have cooked longer. The week before EDD my blood pressure started going up – I think I was 130s/90s? I’m usually like 95/something and when pregnant 110-115/whatever … they did serial reads and then bloodwork and my liver enzymes were no bueno secondary to the high bp… No protein In urine yet but they decided to induce bc liver levels. 

Post # 3
Member
12 posts
Newbee
  • Wedding: August 2012

I was induced at 38.5 weeks due to high blood pressure – it was running about 140/100 – 150/110. I was hesitant because I wanted to make it to 40 weeks and avoid a c section. My doctor was insistent since high blood pressure can affect placenta function. The blood pressure was my only real issue – I also had gestational diabetes but it was well controlled by diet, so it was not a factor. 

Post # 4
Member
247 posts
Helper bee
  • Wedding: December 1999

High blood pressure is known to force women into labor and is a contributor to preterm labor especially when in conjunction with high cortisol.   Diet is the best protection to get cortisol and blood pressure down together.  Super low sugar.   Very low carbs.  Lots of veggies.   Tomatoes increase NO availability and are great.  Red grapefruit scrubs plaque off arteries and makes them more pliable and less congested omega 3s strip plaque off too and increase healthy fat burning.  Sources?  Walnuts, wild caught salmon.  Also in flax but don’t eat flax while pregnant  (estroven conflict ).  Also daily exercise pulls excess fluids out of the tissue and mskes it easier for your body to keep Bridal Party down with normal maintenance.  

The surprise here is the sugar and carbs.  People hear that salt is bad with high BP–and its true.  But don’t hear the link between sugars, cortisol and Bridal Party.

Also increased potassium (cantsloupe, bananas, coconut milk) and magnesium (milk, green veggies, or supplement ) helps arteries to relax and helps blood pressure. 

Post # 5
Member
2722 posts
Sugar bee
  • Wedding: April 2017

High blood pressure during pregnancy is a really big deal.  I’m not trying to sound dramatic but it can be deadly for both the mom and baby.

A friend of mine from college had an emergency c-section last summer due to eclampsia. Her blood pressure was high throughout the whole pregnancy and she was on medication, but around 30 weeks it started to spike and the medication wasn’t controlling it.  She went in for a checkup (she was on twice a week checkups for it) and it was in the 160s, plus her liver enzymes were elevated and she had ketones (?) or something in her urine that made the doctors decide she needed to deliver that day.  She had to go right to the hospital.

Fortunately mom and baby were OK.

Post # 7
Member
2021 posts
Buzzing bee
  • Wedding: October 2015 - Ruby Princess

gestational hypertension, or pregnancy induced hypertension (PIH) are not taken mildly in the ob world. generally they need a little more than consistently elevated bps to deliver you early. The only cure for it is delivery.  Once you start to have elevated liver enzymes, and or low platelets, and/or spilling protein into the urine, it’s time to think delivery. This syndrome, if left untreated (or un-delivered) can develop into HELLP Syndrome (High bp, Elevated Liver enzymes, Low Platelets) which can cause seizures, or turn into very dangerous DIC (dissemminated intravascular coagulopathy). You don’t want this!! 

Post # 8
Member
1789 posts
Buzzing bee
  • Wedding: June 2014 - DD born 2015 DS born 2017

(Deleted)

Post # 9
Member
281 posts
Helper bee

It’s something to take very seriously, not just because of the dangers to the mum but because of the dangers to the baby which are harder to notice. Moreover, although unlikely, a highish blood pressure can turn into HELLP VERY quick. I also remember reading that when its comes to pre-eclampsia, the benefit of reducing salt intake has not been conclusively shown to help because the condition isn’t comparable to general hypertension. In some cases doctors to prescribe medications to lower the blood pressure but there are guidelines (with both blood pressure and number of weeks as variables) that help to determine when early labor is preferable. Many experts no longer consider protein in urine as a necessary symptom for pre-eclampsia, in addition to which those dip tests without a 24-hour-sample are considered inaccurate.

It might be a good idea to start checking your bp at home! I wouldn’t worry much at 36 weeks though because it’s no biggie for the baby to be born already… its just important to keep an eye on things because of the risks!

Post # 10
Member
457 posts
Helper bee

I was sent to the hospital twice for HBP during my pregnancy. The first time was during my 36 week OB appt and the second time was during my 37 week appt. My numbers had been 100/70 ish but bumped up to 150/90 ish. They did blood work and a 24 HR urine test and everything came back normal. Because all of my labs were normal they elected not to induce but to monitor me more closely. They had me routinely check my Bridal Party during the day and write everything down, and recommended I stop working. I also had to be seen twice a week until delivery. Honestly, once I quit working, my Bridal Party leveled out. My job and commute must have really been stressing me out. I made it to my due date and naturally went into labor. I know it’s hard, but taking it easy is really the best thing for you right now.  Do you have someone that can help watch your 3 year old?

Post # 12
Member
211 posts
Helper bee

I had high blood pressure but zero other signs of pre-e (no protein in urine, bloodwork was fine, no swelling), so my doctor didn’t want to induce me. She did have me take my blood pressure at home twice a day (and I was supposed to call if it got over a certain #… I can’t remember what the # was now), and she had me stop going to work (I had to stop driving anyway, since I was getting some dizziness/lightheadedness) and do “modified bedrest” (which I was only halfway serious about… oops) starting at 35 weeks.

At 36 weeks, she still didn’t want to induce me, but she did a membrane sweep and had me start using evening primrose oil in hopes that I’d go into labor on my own prior to 40 weeks. I ended up going into labor naturally at 36 weeks and 5 days, but I think she would’ve let me go to term with the high Bridal Party as long as no other symptoms showed up. I picked my doctor specifically because she was committed to minimal medical intervention though, so I’m sure this could vary with other doctors!

Post # 13
Member
457 posts
Helper bee

View original reply
wineplease:  yes, the urine test is pretty gross, haha. Every time my husband or I opened the fridge it was like “just looking for the orange juice, don’t mind the gallon jug of pregnant lady body fluids.” Yuck. 

That’s great your husband is taking on more. What about other mom friends that can come over for an hour or so to let you rest? Any little bit helps. And I know you’re probably already thinking like this, but get a bunch of projects for your daughter to do. Things that she can do relatively independently while you supervise from the couch. Coloring books, favorite movies, etc. You HAVE to make yourself a priority right now, because of your blood pressure, not to mention your joint pain. Pinterest has a ton of great kid craft and entertainment ideas. 

Post # 14
Member
246 posts
Helper bee
  • Wedding: June 2010

I had high Bridal Party the last month of my pregnancy, but no other signs of pre-eclampsia. The doctor checked my urine every week for protein and had me take my blood pressure at home on my own as well. I was not forced to deliver early, but was monitored very closely.

Post # 15
Member
36 posts
Newbee
  • Wedding: November 2013

View original reply
wineplease:  Just wanted to give you some solidarity. My Bridal Party runs VERY, VERY high in all medical situations. At two different doctor’s visits (around 13/14 weeks) they measured me at 180/90. They gave me the in-office urine test and also had me do a 24hour collection, and a bunch of blood testing for liver and kidney function. All testing came back normal.

I also have a Bridal Party cuff at home and I took it twice a day for a week – all my home measurements were much lower, in the 115/60-135/75 range, which is normal for me even outside of pregnancy. Next visit they got me at 166/70 in the office and decided to keep that as an ‘office normal’ for me, and due to all the test results they’re not putting me on meds or anything (yet). I’m now about 16 weeks and they told me to stop taking it at home and just stop thinking about it, and we’ll see how it goes.

If your tests came back normal too, I’d definitely suggest getting an at-home Bridal Party cuff (they’re not expensive, you can find one at any pharmacy) to see if your situation is like mine (highly changeable/easily-spiking Bridal Party as opposed to high-all-the-time BP). Depending on your practice, it might affect how they decide to treat you.

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