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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High BP During Pregnancy

Hi, my daughter in law is 30 weeks pregnant . It's her first pregnancy. When she was at the doctor's office in beginning of past May her BP was 100/65. Since Sep 25 her BP has been going up to 135/100 and edema at the ankles but her doctor said til over 140(systolic) it's normal. I don't think the doctor is right biz whose BP rises by30mmHg or 15mm Hg diastolic must be considered Preeclampsia.

Tue, 12 Dec 2017
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General & Family Physician,  's  Response
Hi,
Thanks for the query. I understand your concern.
The changed range of blood pressure she has is suggestive of conceptional hypertension.She needs a second opinion for her treatment... with preferably at least 3 bp readings at different time of day to confirm need of medication.
Edema feet she has needs to be further checked with albumin in urine (which is suggestive of preeclampsia ) ...she needs rest(physical &psychological),treatment for urine infection if any & treatment of anti hypertensives to keep blood pressure in control.
Please consult a gynecologist for proper guidance.
Thanks.
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Suggest Treatment For High BP During Pregnancy

Hi, Thanks for the query. I understand your concern. The changed range of blood pressure she has is suggestive of conceptional hypertension.She needs a second opinion for her treatment... with preferably at least 3 bp readings at different time of day to confirm need of medication. Edema feet she has needs to be further checked with albumin in urine (which is suggestive of preeclampsia ) ...she needs rest(physical &psychological),treatment for urine infection if any & treatment of anti hypertensives to keep blood pressure in control. Please consult a gynecologist for proper guidance. Thanks.