Re: [ozmidwifery] degrees of high BP in preg

[Michelle Windsor]

Hi Jo,

 

Where I worked previously the bloods done for high blood pressure were seen to be an indicator of the severity of PIH (or to monitor the progression from PIH to pre-eclampsia) or to distinguish PIH from chronic hypertension from other causes.  As such, if the woman had an elevated BP but bloods were normal, she was kept an eye on while someone with elevated BP and abnormal bloods were treated in some way (depending on the individual scenario). 

 

Lyn mentioned seeing someone fit with a not overly high BP.  I have also heard of this happening, the woman's BP was between 80-90 diastolic.  So the bloods may be a more accurate indicator of the progression of PIH than just BP.  Where this ties in with cerebral edema/irritation I'm not sure (and the textbooks are packed away..... moving this week!)

 

 

Cheers

Michelle

Jo Watson <[EMAIL PROTECTED]> wrote:

Michelle Windsor wrote:

>
>
> By the way.... with the first woman the doctor insisted that women can
> have eclamptic seizures even if their bloods are all normal. Has
> anyone heard of this? He did hold off on the mag sulphate when we
> were unhappy to give it (in view of normal bloods and BP settled with
> pain relief). The woman birthed and had no further problems with BP.
>
> Cheers
> Michelle

Eclamptic seizures happen, if I remember correctly, due to the oedema on
the brain, not necessarily what is in the blood.

Please correct me if I"m wrong, anyone!?

Jo

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