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xxemxx
Starting Member
UK
3 Posts |
 Posted - 07/28/2010 : 5:18:39 PM
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Hi there, I'm so relieved to have found this website and forum! When I was pregnant with my first (and only so far) child, I was induced early at 34 weeks due to 3 things. First was pre-eclampsia, which was being monitored as an outpatient daily until the consultants decided to keep me in hospital, the second reason was poor liver function which resulted in that obstetric Cholestisis (sp?) which left me horrifically itchy for weeks before delivery, and finally my immune system was attacking my daughter!
12 years on and I'm finally pregnant again following a miscarriage due to subchorionic haematoma, and I have DCDA twins! However, my bp had risen considerably and there is protein in my water, and the consultant wants me to get monitored twice a week. I'm scared to think it may be PE again, especially at this early stage, has anyone else with twins been diagnosed this early, and what was the outcome?
Also, I'm thinking maybe all my previous conditions were realted to PE rather than separate things as the then doc was treating me for. Any advice or help is very much appreciated! Emma |
Edited by - xxemxx on 07/28/2010 5:27:53 PM |
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Caryn
Ask the Experienced Moderator
USA
8900 Posts |
Posted - 07/29/2010 : 8:07:34 PM
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Emma, welcome to the forums!
Your symptoms are worrisome, yes -- usually they'll say that anyone with hypertension before 20 weeks is a chronic hypertensive, and chronics have a one in four chance to develop PE in any given pregnancy. The proteinuria plus the twins might change that, though. Some women have a little underlying kidney damage that only causes problems when pregnant, and that coud explain why you're presenting like a chronic. But it could also be spectacularly early PE because of twins and your history/predisposition to develop this sort of complication when pregnant.
I'd like to promise that it would be impossible for it to be PE so early, but we have had a few posters with very early onset.
Have they done a baseline 24 hour protein test to confirm what you're spilling right now, or just the dips? Are you able to monitor your pressures at home and log them? Are you being overseen by a maternal-fetal medicine specialist? |
Science is getting us closer to finding a cause, and even a cure. The articles you don't want to miss:
The Preeclampsia Puzzle (New Yorker) and Silent Struggle: A New Theory of Pregnancy (New York Times)
Looking for recent articles and studies? Lectures from researchers? A chance to participate in research?
Caryn, who is not a doctor and who talks about science stuff *way* too much
DS Oscar born by emergent C-section at 34 weeks for fetal indicators, due to severe PE |
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xxemxx
Starting Member
UK
3 Posts |
Posted - 07/30/2010 : 1:53:33 PM
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| Hi Caryn, thank you so much for your reply. They haven't requested a 24 hour urine test yet which is great, I hated that great big jug last time lol! I'm in the UK, so I'm under midwife care about once a month, and a consultant at the hospital twice a month, but now he wants me to get monitored with a GP at least twice a week too. In myself I feel fine, I can feel my heartbeat hard fast and palpitating sometimes, but I guess with the extra blood that's fairly normal, and apart from swelling, I haven't had headaches or anything yet-something to be thankful for! I will stay with this forum though, as I do think PE will develop soon, my bp has been around 145/90ish and pulse is generally over a hundred. But thanks for your help and advice so far! Em x |
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Jmps_3222
Starting Member
US
9 Posts |
Posted - 07/30/2010 : 6:26:57 PM
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Emma -
I see that you had ICP (obstetic cholestasis) with your 1st pregnancy. Are they watching you closely for recurrence especially with twins? I was diagnosed with it about 5 weeks ago (at week 27). I'm currently 32 weeks and dealing with polyhydraminos, ICP and being watched for pre-e since I had it with my first pregnancy. |
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xxemxx
Starting Member
UK
3 Posts |
Posted - 07/31/2010 : 04:49:28 AM
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| Hey Jmps, sorry to hear you're having a rough time, I had to look up polyhydramnios as I'd never heard of it, poor you! Are you pregnant with twins too? The docs have it on my notes about my previous gyn history about the ICP but it's not really talked about. I guess if I start presenting with symptoms of that too, they'll have to take notice! Actually in my last pregnancy I found the symptoms of ICP far worse to deal with than anything else-in the end my hands, legs and feet were raw where I'd used a scrubbing brush against them! The only thing that worked to soothe the burning itch was a type of strong menthol cream they eventually prescribed (I've forgotten the name sorry), but it came too late as shortly afterwards I was induced and the symptoms quickly disappeared. I wish you the very best for your pregnancy! :-) |
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Jmps_3222
Starting Member
US
9 Posts |
Posted - 07/31/2010 : 9:18:31 PM
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Unfortunately, I'm not expecting twins as this would explain the extra fluid. They suspect the baby may have a digestive problem so it's not swallowing the amniotic fluid the way it's supposed to. They will check at birth for any obvious swallowing/digestive problems.
ICP - They can prescribe Ursodiol (Actigall?) which reduces the bile acids in the blood (and the baby) which reduces the itch. I'm glad they put me on it and that it made a huge difference. The dosage might need to be adjusted as time goes by. Since you're expecting twins and you already had it, you're at a higher risk of contracting it again. Hopefully, you can avoid it as it hasn't been fun.
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FAQ
PE at 19 weeks with twins?
