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  1. #1
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    Default High blood pressure before getting pregnant?

    Hello all

    Has anyone had high blood pressure before getting pregnant? If so, how was it managed? Did you have any problems?

    I had pre-eclampsia with my DS (got it late, and just induced a little bit early), and it was slow to resolve. Took BP meds for about 8 weeks or so, but since then, I haven't been on any.

    My blood pressure has generally been high - but I've checked myself a few times over the last few days, and it's quite high

    I'm due (hopefully) for an embryo transfer on Thursday - but I'm worried about going into a potential pregnancy (no guarantees of course, but you gotta be hopeful) with high BP already.

    I'll be making an appointment with my GP, and mentioning it to my FS - but has anyone had experience with this?

    Could it be a side effect of the general anaesthetic for the EPU? I only got 4 eggs, so I don't think it could be OHHS? I'm a low responder

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    Bump for the morning crowd ☺

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    I had high-ish BP before getting pregnant with my daughter just over 7 years ago. I'd had the BP issues for about 6 years before falling pregnant and was basically told it was just borderline and not worth medicating.. usually around 140/90-95 although occasionally higher.

    It stayed reasonably stable until 20 weeks when it started getting higher and they put me on labetalol. At 30 weeks it just started increasing significantly and I found myself taking myself off to emergency a few times with BP spikes - at this time they added another med to the labetalol and upped the doses a few times.

    Ended up admitted to hospital at 33+2 with pre-eclampsia and delivered at 34 weeks. Unfortunately mine did get higher again after delivery, had a hypertensive crisis and spent a couple of days in the adult special care while they tried to get my BP down.

    Came off meds at 6 weeks PP, went back on them at 9 months PP. Had lots of checks for kidney or endocrine issues as my BP started very young and I have a huge family history of BP issues. All came back clear. About 3 years after that with a huge change in my lifestyle and some weightloss finally got off meds and now have normal blood pressure (130/70)

    Having said that my DR did not seem to think that my BP Pre-pregnancy was a factor in the pre-eclampsia. He did say it could increase the risk, but also may not. And like I said I've got a family history there too, that may have played a part.

    Hope it all goes well for you this time around xx

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    JustJaq  (18-01-2017)

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    I had early onset high BP with my first pregnancy which was managed with bedrest and a truckload of drugs and we made it safely to 36 weeks.

    It returned to normal but I did have some spikes. I remember it being really high on the day of one of my embryo transfers (not nerves). I'm vegetarian so eat a pretty clean diet, never smoked, don't drink lots etc. so it's not lifestyle related I just seemed to be predisposed to higher Bp, especially my diastolic which can often be 100 or more.

    I also took steroids for my second pregnancy to treat recurrent miscarriage and we were worried they would put it up. When I did get pregnant I went straight back to my kidney specialist and we started the meds very early, from 10 weeks. He always said that keeping Bp stable from the start is so much easier than trying to get it down when you're much further in and it's out of control.

    If you do get pregnant, I'd probably have a high risk Ob lined up who knows how to manage hypertension. I was under the care of a high risk Ob as well as my kidney dr and between the two of them, they adjusted the meds (mainly labetelol and aldamit as well as low dose asprin from the start) and tested my kidney function/baby growth all the way through and we made it safely to 37 weeks. I had a few hospital stays with some spikes but we managed to get it under control. I was also lucky my baby boy was really big all the way through so he came out very robust at 37 weeks.

    Feel free to PM me if I can help

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    JustJaq  (18-01-2017)

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    Default High blood pressure before getting pregnant?

    I had high blood pressure before pregnancy (also ivf). My GP and OB decided to pop me on a pregnancy safe medication to keep it under control. I take nefidipine which is very safe for pregnancy.

    It was around 140-150/80-90 before medication and around 130-135/70-80 during my first pregnancy (only 24 weeks) and so far this pregnancy (14 weeks). So I can't really comment on pre-eclampsia or other issues in later pregnancy.

    My ob gets me to check it before my appointments because it's always high in her office and we compare the two. It was 160/110 in her office one day (I was just anxious to see bub). After sitting in the waiting room for a bit after my appointment it was back to normal for me.
    Last edited by Mum-I-Am; 18-01-2017 at 10:41.

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    JustJaq  (18-01-2017)

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    Thanks so much for sharing your experiences. That's really helpful.

    I have a GP appointment booked - first available next Friday!

    I will mention it it my FS tomorrow too (hoping our little embie is still going). Fingers crossed!

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    Hi @JustJaq. I have high blood pressure and I did before my pregnancy. I was on 250mg mytholdopa x2 daily with my blood pressure at 130/90. I'm still on mytholdopa but 500mg x2 daily and my blood pressure is averaging 120/70.

    Sorry if this is a bit of a mess but my mind is still a little foggy. I recently gave birth to my little girl on the 12th of jan this year, who was stillborn at 23 weeks from severe iugr and pre eclampsia. It was picked up at 20 weeks and became uncontrollable by 23 weeks and my placenta stopped working. She was so small, only weighing 270g. I also have kidney issues which I had to wait to be resolved until after she was born, which I'm being operated on this coming Monday.

    I have a high chance of getting pre eclampsia again unfortunently and all I can do is lose weight to help lower my blood pressure and get my kidney operated on. I'm absolutely terrified of having pre eclampsia so early again and not able to give our next baby a fighting chance, I'm sorry I wish I had a better outcome to tell you .

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    @Evee16, I'm so sorry for your loss. How heartbreaking 😓

    I do need to lose weight too... I don't know if my embyo transfer has taken yet, and my GP will wait until after i know one way or the other before deciding on any treatment.

    Best of luck with your operation.

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    First up, @Evee16, I just wanted to say how sorry I am for your loss

    And to @JustJaq ....

    I've had high BP since I was 17 years old. I have been on medication since my diagnosis and it was always well controlled, however both my FS and my GP/OB were of the opinion that I needed to come off those medications prior to transfer as they were not considered safe during pregnancy.

    My GP/OB said that there were only two medications he would consider to be an option (aka: safe during pregnancy) - Methyldopa (which I had a terrible reaction to) and Labetalol which I am currently on (600mg a day.)

    Once I came off the original medications my BP rose to 195/95. I was hospitalised at one point and my doses have been steadily increasing in an attempt to get my BP under control again.

    The one thing my GP/OB made very clear to me was that it was extremely important to get onto this early. The risk of pre-eclampsia (and other issues) increases exponentially with high blood pressure and the earlier you get it under control the better.

    Things have settled down here recently (last reading was 128/78) but it is ever present in my mind to keep on top of it. If your BP is not within normal ranges I would encourage you to insist on treatment. Some things are not worth 'waiting and seeing.'

    Best wishes.
    Last edited by Blossom74; 01-02-2017 at 06:49.

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    JustJaq  (01-02-2017)

  14. #10
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    Thank you, @Blossom74.

    I'm seeing my GP again later this week and will discuss further with her then. I will hopefully know by then too if the embryo transfer has worked!

    I think I've read something before about calcium being helpful in hopefully preventing PE again? Will try to remember to ask GP about it.


 

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