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How Can Preeclampsia During Pregnancy Be Treated?

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Posted on Tue, 28 Feb 2017
Question: approx 33 weeks pregnant with 1st at 28
preclamp was ruled out when some swelling appeared about a week ago.
Doctor suggested I tried compression socks however the light ones were too much and regular knee highs did the trick. no swelling fr past 3 days. and then today swelling is back but confused as to what's going on
1st] sock or no sock my left legs wants to swell at rest flat or elevated and in motion. sudden Change in motion or position helps but for just a few seconds and I noticed this the right legs stays normal only if it's down but picking that right leg up or down both knee bent and without makes the left leg swell rapidly. what's happened and why won't elevation or socks fix it like the other day.

doctor
Answered by Dr. Timothy Raichle (19 minutes later)
Brief Answer:
I will need a bit more information please...

Detailed Answer:
Please clarify the following:

1. Was your blood pressure elevated one week ago ?
2. What labs did they perform and was anything abnormal ?
3. Have you had a recent ultrasound and if so, was it normal ?

Awaiting....

Thank you
Dr. Tim
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Timothy Raichle (17 minutes later)
it was elevated when swelling 1st took place but only once at 165/149 continued to monitor and there was a steady fall. BP maintaining around 117/78 currently. preformed a CBC and iron and Vit K were low. also urinalysis was done to check for protein and it came back good. they only used doppler to check baby heart rate and it was 154bpm
doctor
Answered by Dr. Timothy Raichle (38 minutes later)
Brief Answer:
You may still have concerns about evolving preeclampsia

Detailed Answer:
Hello again,

Preeclampsia is a very common complication of pregnancy. It is defined as blood pressure persistently elevated above 140/90, swelling of the lower extremities, and protein in the urine.

It sounds like you just had one elevated blood pressure that responded nicely to rest and otherwise the labs were normal.

Swelling in the legs is normal during pregnancy and the swelling that might be of concern is when it begins to involve the hands and face as well. So, one week ago they were able to prove that there was not a problem.

But, things can change in the course of a week. If your swelling is persisting or worsening, you likely need to be re-evaluated for preeclampsia.

I would recommend:

1. You need to call your doctor to ask if they would like you to come in for a blood pressure check
2. You should ask to have labs and urine re-checked if your blood pressure is at all elevated
3. Blood pressure issues in pregnancy can affect how the baby is growing - you should have a growth ultrasound performed as well.

Regards

Dr. Tim


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Timothy Raichle

OBGYN

Practicing since :1999

Answered : 1687 Questions

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How Can Preeclampsia During Pregnancy Be Treated?

Brief Answer: I will need a bit more information please... Detailed Answer: Please clarify the following: 1. Was your blood pressure elevated one week ago ? 2. What labs did they perform and was anything abnormal ? 3. Have you had a recent ultrasound and if so, was it normal ? Awaiting.... Thank you Dr. Tim