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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes high BP at the evening during pregnancy?

Answered by
Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5068 Questions

Posted on Sat, 27 Aug 2016 in Pregnancy
Question: hello dr.
i am in 38th weeks of my pregnancy. i m a chronic hypertensive patient and my
m on labetalol 300mg thrice and alphadopa 500mg thrice.
my dr has scheduled my c section on 12th still 6 days to go... but my bp usually spikes in the evening...even aftwr taking the medicines... dun know the reason. sometimes its too high ... is it normal in pregnancy ?
i hope medicines are working well and m not taking over dose.
what else i can do to control my evening bp?

Answered by Dr. Deepti Verma 39 minutes later
Brief Answer:
Delivery should be planned at the earliest

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Patients of chronic hypertension have blood pressure fluctuations in pregnancy.
Moreover, the blood pressure can be high even on the full dose of the drugs.
You are not taking the overdose of the drugs.
However, if your evening blood pressure is higher even on this dose of labetalol and methyldopa, then your delivery should be planned earlier, rather than waiting for another6 weeks.
This is so because increased blood pressure can lead to various complications both to the mother and fetus, and as per guidelines, a hypertension patient on drugs should be delivered between37-38 weeks of pregnancy to avoid these grave complications.
I will suggest you to consult your OBGYN specialist as soon as possible to decide further management.
Hope you found the answer helpful.
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Deepti Verma 12 hours later
thank u dr.
yesterday evening had a word with dr.
as mentioned earlier apart from those medicines dr has prescribed me depin 5 mg twice a day till delivery....
she has scheduled my c section after 5 days....
just wanna know m already taking so many medication for bp and then one more... is it safe ? or should i go for second opinion ?
would depin 5mg has any fetal side effects ?
Answered by Dr. Deepti Verma 2 hours later
Brief Answer:
Delivery preferable

Detailed Answer:
Hi dear, depin has no adverse effects on fetus or mother.
However, depin can flushing, increased heart rate and headache in mother.
One can safely take combination of antihypertensives to control hypertension, but it is better to get delivery done rather than taking so many antihypertensives.
You can have a second opinion from another OBGYN specialist in your city.
Dr Deepti Verma
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

The User accepted the expert's answer

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