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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Will Eclampsia And High BP From Previous Pregnancy Effect The Present Pregnancy?

hi i am pregnant and had eclampsia with my last pregnancy i also have a history of kindey stones and large amounts of uric acid i had stents put in with my last pregnancy well i am about 17 weeks along now and i fainted 2times this week i thought it might be my blood pressure so i checked it and got 166/112 the first time waited 2 hrs and got 154/89 my urine smells foul im dizzy ane always tired my blood pressure has gone down but if it was preeclampsia wouldnt it stay elevated
Mon, 7 Apr 2014
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OBGYN 's  Response
Hello and welcome,

I understand the situation.

Please do not think so much about things that we cannot control. We cannot control the occurrence of eclampsia. However we can be vigilant and more careful. So irrespective of it occurs or not, just be careful and have good antenatal care.

Now about the blood pressure:

A blood pressure of 166/112 at 17 weeks is not preclampsia. Preclampsia occurs after 20 mostly 24 weeks. Also a reading of 154/89 is also elevated reading. It must be below 140/90 to be termed as normal. So this is either essential hypertension [ blood pressure raised prior to pregnancy and continuing now] or renal hypertension [ raised blood pressure due to kidney problems or some other cause precipitating hypertension like hormonal causes.

Any ways, if the urine is smelling bad: most likely it is an infection. So please get a urine test and culture test to see for the organism and take antibiotics after consulting your doctor.

Stress also raises the blood pressure. So calm down. take regular morning and evening walks for 2 weeks, eat a low fat, low salt diet [ home cooked, no outside food as it has very high salts, avoid salt completely if possible], eat at least 2 fruits every day. Check the blood pressure after 2 weeks to see if it goes down. If it does, maybe it was transient stress that caused the raised Blood pressure.

After the urine infection clears, get it tested for proteins [ they will come positive during infection as infection itself causes proteins in urine]. Also discuss with your doctor, get a renal doppler and thyroid test as well as all investigation of preclampsia for future comparison. If the blood pressure remains elevated you may need drugs to control the blood pressure.

With regular antenatal care and treatment you will do well. Just do not stress, many women have it and have healthy babies. If you worry, BP will increase and we do not want that to happen. So just try the lifestyle measures and clear the infection and most likely the BP will come down.

Hope this satisfies your query.
Thanks for using HCM.     
Feel free to ask any more questions that you may have.
Dr Madhuri Bagde
Consultant Obstetrician and Gynecologist
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Will Eclampsia And High BP From Previous Pregnancy Effect The Present Pregnancy?

Hello and welcome, I understand the situation. Please do not think so much about things that we cannot control. We cannot control the occurrence of eclampsia. However we can be vigilant and more careful. So irrespective of it occurs or not, just be careful and have good antenatal care. Now about the blood pressure: A blood pressure of 166/112 at 17 weeks is not preclampsia. Preclampsia occurs after 20 mostly 24 weeks. Also a reading of 154/89 is also elevated reading. It must be below 140/90 to be termed as normal. So this is either essential hypertension [ blood pressure raised prior to pregnancy and continuing now] or renal hypertension [ raised blood pressure due to kidney problems or some other cause precipitating hypertension like hormonal causes. Any ways, if the urine is smelling bad: most likely it is an infection. So please get a urine test and culture test to see for the organism and take antibiotics after consulting your doctor. Stress also raises the blood pressure. So calm down. take regular morning and evening walks for 2 weeks, eat a low fat, low salt diet [ home cooked, no outside food as it has very high salts, avoid salt completely if possible], eat at least 2 fruits every day. Check the blood pressure after 2 weeks to see if it goes down. If it does, maybe it was transient stress that caused the raised Blood pressure. After the urine infection clears, get it tested for proteins [ they will come positive during infection as infection itself causes proteins in urine]. Also discuss with your doctor, get a renal doppler and thyroid test as well as all investigation of preclampsia for future comparison. If the blood pressure remains elevated you may need drugs to control the blood pressure. With regular antenatal care and treatment you will do well. Just do not stress, many women have it and have healthy babies. If you worry, BP will increase and we do not want that to happen. So just try the lifestyle measures and clear the infection and most likely the BP will come down. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist