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38 weeks pregnant, protein 1,high BP 1 episode, nausea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   I am nearly 38 weeks pregnant had I high blood pressure yesterday and +1 protein in my urine.. They monitored baby and my blood pressure went from 130/95 to 120/80 so they sent me home. My blood pressure is usually low at 90/60.
My question is today I have been feeling very unwell with a terrible cough, headache ALL day (have been having these for last 2 weeks) and in addition quite nauseas and nearly vomited, I had something to eat and sat down and am feeling okish... should I go back to the hospital or am i being paranoid??
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. let me read what you have typed.
User :   great
Doctor :   your symptoms suggest that again your blood pressure might be high
Doctor :   have you measured it yourself again when these symptoms started?
Doctor :   do you have swelling in ankles/legs?
User :   no I don't have anything to measure it with and no swelling as yet
User :   should i sit down and rest and see how i feel before i head back to maternity??
Doctor :   since you have completed 37 weeks, discuss with your doctor about getting the baby delivered by inducing labor for you, it might help
Doctor :   try to sit and rest, sip on dilute lemon juice it might help the vomiting feeling
Doctor :   if you do not feel better in next half hour, go to the maternity room
Doctor :   and get a detailed examination done along with a pelvic examination to see if cervix is having any changes
User :   will he just agree to induce or do I need to push my point?? I am actually genuinly concerned and need direction as to what to say to the doctor to ensure he knows I am being seirous
Doctor :   some women do feel pukish when cervix starts to dilate and get effaced
User :   oh ok... lets hope labour is just around the corner then :)
Doctor :   if your cervix is found to be soft, and dilating, then he/she will have to help you with the further labor process
Doctor :   and admit you
User :   right... a midwife will be able to let me know about the cervix hey?
Doctor :   yes, definitely, with the experience she should know it when examining you.
Doctor :   and report the findings to your gynecologist
User :   Thanks for your time... I will sit and re-evaluate in an hours time :)
Doctor :   is there anything else you would like to ask me?
User :   if i do have pre-eclampsia will it how does it affect baby?
Doctor :   if you have pre-eclamsia, it might cause baby's heart rate to go up leading to distress
Doctor :   in such cases, it is better to induce labor and deliver the baby, since baby is completed 37 weeks
Doctor :   so it can survive well without need for ICU care
Doctor :   if distress is not severe
Doctor :   have you followed what I have said?
User :   How would i definitely know I have pre-eclamsia?? will i become VERY unwell all of a sudden or does it creep up?
Doctor :   is there anything else I can help you with?
Doctor :   it usually 'creeps up' with you having swolen feet, BP going high, more vomiting, dizzyness
Doctor :   and sometimes contractions
User :   Ok so I won't suddenly collapse... lol... Yep i have followed what you have said and thanks for the help and advice :)
Doctor :   is there anything else I can help you with?
User :   No that's fine :)
Doctor :   thanks for consulting me. bye for now. do get back to me if you have further queries. all the best.
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