Pre-E with Twin Pregnancy

[Deleted]

My BP has been "elevated" at my last two appointments so my doctor is having me do a 24 hour urine catch to measure the level of protein in my urine so that they have something to compare it to if this continues to be a problem. She said I'm at a higher risk for pre-eclampsia because of the twin pregnancy and also because I'm considered obese. I'm starting to do a little research just to prepare myself incase this is something that I encounter further down the road, so if anyone would feel comfortable sharing their experiences with pre-e while pregnant with multiples I would really appreciate it.

I'm mostly curious about if you had any early warning signs like elevated BP early on (I'm around 17 weeks), if you did the 24 hour test, what week you were diagnosed, how it affected your pregnancy, what if any treatments you received, etc.

Thanks in advance!

[carrotcake]

I had protein in my urine from pretty early on and then elevated BP at 24w and did a 24hr urine then. I was within the normal range and my BP stabilized.

At 32w, my BP crept up again and I did another 24hr urine. This time it came back elevated and I was admitted to the hospital for observation for the weekend and given a mild pre-e dx. My end date was pushed up to 37w max, I was to monitor my BP at home 2x a day and do weekly bloodwork. If anything felt even the slightest bit off, I was to go to the hospital immediately.

Completely unrelated, my water broke at 34w. So the pre-e never progressed and I had no BP issues after delivery.

It's very uncommon for pre-e not to progress and the vast majority of the time, it's the reason for delivery. However, BP can be controlled with meds. Hope your 24hr urine comes back normal and your BP stabilizes.

ETA: I just read my post and I don't want it to sound scary. Def read up about the signs and what to watch for, but it is possible to be controlled. Your dr is being really proactive and that's a good thing!

[Deleted]

Jan 24, 2015 23:46:47 GMT -5 carrotcake said:

I had protein in my urine from pretty early on and then elevated BP at 24w and did a 24hr urine then. I was within the normal range and my BP stabilized.

At 32w, my BP crept up again and I did another 24hr urine. This time it came back elevated and I was admitted to the hospital for observation for the weekend and given a mild pre-e dx. My end date was pushed up to 37w max, I was to monitor my BP at home 2x a day and do weekly bloodwork. If anything felt even the slightest bit off, I was to go to the hospital immediately.

Completely unrelated, my water broke at 34w. So the pre-e never progressed and I had no BP issues after delivery.

It's very uncommon for pre-e not to progress and the vast majority of the time, it's the reason for delivery. However, BP can be controlled with meds. Hope your 24hr urine comes back normal and your BP stabilizes.

ETA: I just read my post and I don't want it to sound scary. Def read up about the signs and what to watch for, but it is possible to be controlled. Your dr is being really proactive and that's a good thing!

Not scary at all, thank you for sharing! I really just like to have as much knowledge as possible so I can prepare myself, so I appreciate you being candid. My doctor didn't seem too concerned, she just wants to keep an eye on it which like you said is a good thing.

[ndracer]

When I was 20 weeks I had elevated BP and had to go get monitored then do 24 hr catch like you. So far (fingers crossed, knock on wood and saying prayers) they've just said they think I'm borderline high BP unrelated to pregnancy. But I'm to watch for certain warning signs. Praying it doesn't progress. I'm 26 weeks now and just want to get to at least 30-32 weeks with no problems.

[Deleted]

Jan 26, 2015 0:40:39 GMT -5 ndracer said:

When I was 20 weeks I had elevated BP and had to go get monitored then do 24 hr catch like you. So far (fingers crossed, knock on wood and saying prayers) they've just said they think I'm borderline high BP unrelated to pregnancy. But I'm to watch for certain warning signs. Praying it doesn't progress. I'm 26 weeks now and just want to get to at least 30-32 weeks with no problems.

FX that everything stays good and those babies stay put!

[mymorningcoffee]

I'm sorry that you are needing to worry about this. and I hope that this is helpful and not just scary. I had pre-e that had a very, very rapid onset at 31 weeks. One minute I was fine and the next I was really dizzy and almost passed out. Thankfully I was at an ultrasound when everything hit the fan. I was admitted and then they tried to control my BP to keep me pregnant as long as possible (unfortunately, I already needed to be on Procardia for PTL). Just before 33 weeks, my BP was high enough that they decided I was done.

I didn't have any Pre-e related issues before the onset. In addition to the Procardia (which is a blood pressure med that has the off-label use of preventing contractions), I was on labetolol for a while and mag sulfate. Ultimately, the only cure for pre-e is delivery.

[doodletwins]

My blood pressure stated to rise around 29 weeks. It kept getting higher and I ended up getting steroid shots and doing a 24 hour urine catch around 31 weeks. It finally reached 180/ 100 and I was admitted. They ran some more tests and my liver was starting to throw protein so I was induced at 32 weeks 4 days. I had to go on blood pressure medicine for a few weeks after giving birth before my blood pressure went back to normal.

[Deleted]

mymorningcoffee and doodletwins the "Likes" are just a thank you for sharing, not because I like that you both had to deal with pre-e!

For some reason I don't get notified when people comment on this thread, so apologies for getting back so late. I'll be doing my 24 hour catch tomorrow so hopefully I will know by my next appointment what the deal is.

[mymorningcoffee]

Good luck! I hope you get some reassuring news.

[SassyPants150]

Jan 28, 2015 19:45:04 GMT -5 @sassycassieb said:

mymorningcoffee and doodletwins the "Likes" are just a thank you for sharing, not because I like that you both had to deal with pre-e!

For some reason I don't get notified when people comment on this thread, so apologies for getting back so late. I'll be doing my 24 hour catch tomorrow so hopefully I will know by my next appointment what the deal is.

Good luck! Sending lots of good vibes your way!

[doodletwins]

Good luck!