Monday, October 18, 2010

Last check-up

Last week we had our 32 week checkup.  Actually, I was technically 32w5d. So it was pretty much 33 weeks.  Anyway, when I got there the nurse (Kate) took my blood pressure and it read as 159/100!  What?!  So she took it again and it read close to the same.  I started to get a little worried.  My systolic reading has NEVER been above 130.  So Kate went to speak with the midwife about what they should do and came back to draw my blood.  I also had to leave a urine sample. 
Some of you might be wondering why is it such a big deal to have high blood pressure.  Well, high blood pressure can be a sign of a serious condition called preeclampsia.  Preeclampsia is a condition that can develop in pregnant women after 20 weeks gestation that increases blood pressure and protein in the urine.  The only way to cure preeclampsia is to deliver the baby.  If the disease is not treated it is highly likely the mother and baby will not survive.  Preeclampsia is the leading cause of maternal and infant death worldwide.  The good news is if you're far enough along in your pregnancy, preeclampsia is perfectly treatable and a healthy baby can be delivered.  The bad news, for me, is that I would no longer be able to deliver in the birth center and I'd have to be transferred to a hospital immediately.  Now, I was planning on having a baby in December, not in the next couple weeks.  I still have stuff to do!  I can't have a baby now!  It freaked me out to think about the possibility of having a baby so soon.
Anyway, back to our appointment.  The midwife (Nancy) came in and discussed our case with us.  They were going to send my bloodwork and urine to the lab and would know within 4 hours.  Since I had absolutely no other symptoms to point to preeclampsia they didn't seem very worried.  Nancy then decided she would take my BP using a different armband.  She explained that thinner armbands can sometimes produce inaccurate results, which is what the nurse had used.  She had me lay on my left side.  It read 128/72!  Phew!  That was a relief!  But she still wanted to send in my samples, just to be safe. 
Then Nancy checked Snowflake.  She pushed Snowflake all around trying to guesstimate it's current position (head down, butt up, back on my left side.  Very good).  This excited Snowflake and he/she started dancing and kicking and moving all around.  My stomach looked like there was a litter of puppies inside.  Nancy then used the doppler to listen to Snowflake's heartbeat.  At first, it was 170 bpm!  But then it settled down to 155 bpm.  (Normal range for a heartbeat is 110-180.)  Todd can hear the heartbeat if he puts his ear on my stomach and it seems to sit at 155 even when Snowflake is sleeping.  I'm measuring right on track and other then the BP it was a pretty good checkup.
I got my results back later that day and it turns out my labwork is completely normal.  I'm nowhere near in any risk for preeclampsia, or even hypertension.  I still have to come back in this week for a follow-up, but that's okay.  I'm thankful for how thorough the Midwifery Center is.  I'd rather have them be too cautious than too relaxed.  I know I'm in good hands there.
Long post.....  I'm tired now.

1 comment:

  1. Plan to put some nursery items in the mail by Friday if all goes well. Should be able to add some more color to the nursery walls!!

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