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Dr. Andrew Rynne
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Dr. Andrew Rynne

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What Are The Chances Of Successful Pregnancy In A 43 Yr Old Woman With Fibroids And With High BP Of 150/102?

I am 43 years old and just found out I am pregnant. It was discovered during ultrasound for fibroids in which I was going to have surgery for. One of the fibroids is bigger than both G- sacs. They said twins were seen. I am bloated, and having severe nausea. Dr put me on blood pressure meds due to pressure being150/102 steadily. What are my chances of making it through this pregnancy or should I seek other options for health sake?
Thu, 6 Mar 2014
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OBGYN,  's  Response
Hi and thanks for the query.

I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries.

Your case is interesting.

I do not want to scare you, however it is my duty to inform you that there are too many risk factors. Age after 40, presence of fibroids, a high blood pressure so early and twins are all enough to categorise you in the high risk zone. The chances of developing preeclampsia or high blood pressure due to pregnancy are higher in women who have a raised blood pressure so early in pregnancy. Twins increase the chances of preeclampsia even further.

Fibroids are also a risk factor as they tend to grow during pregnancy, cause preterm labor, placental abnormalities and bleeding. Twins also cause preterm labor.

If you wish to continue this pregnancy further you must do it under strict medical supervision with regular antenatal visits and blood pressure, blood sugar monitoring. The chances of a successful outcome are there but chances of complications are high.

It is best to discuss these with your treating physician and then decide about future course of action.

Thanks for using HCM.
Have a good day.
Dr Nilajkumar Bagde
Consultant Obstetrics and Gynecology
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What Are The Chances Of Successful Pregnancy In A 43 Yr Old Woman With Fibroids And With High BP Of 150/102?

Hi and thanks for the query. I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. Your case is interesting. I do not want to scare you, however it is my duty to inform you that there are too many risk factors. Age after 40, presence of fibroids, a high blood pressure so early and twins are all enough to categorise you in the high risk zone. The chances of developing preeclampsia or high blood pressure due to pregnancy are higher in women who have a raised blood pressure so early in pregnancy. Twins increase the chances of preeclampsia even further. Fibroids are also a risk factor as they tend to grow during pregnancy, cause preterm labor, placental abnormalities and bleeding. Twins also cause preterm labor. If you wish to continue this pregnancy further you must do it under strict medical supervision with regular antenatal visits and blood pressure, blood sugar monitoring. The chances of a successful outcome are there but chances of complications are high. It is best to discuss these with your treating physician and then decide about future course of action. Thanks for using HCM. Have a good day. Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology