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284738 tn?1283106819

need advice quickly...

i got a frantic call from the sil a couple minutes ago saying shw woke up at 8 and took her bp and it was 175/101 so she drank two full glasses of water and took it again at 830 and it was 147/91 and so she drank another glass of water and took it a little bit ago and it was 143/86... she has been having mild cramping ( menstrual like) and low dull back ache.. shes almost 38 weeks pregnant... she wants to know if she should go to the er.. she has been diagnosed with mild toxemia... and the doc said to call if her bp was above 150 ... but since its been going down should she still call or go to the er.. i have no idea what to tell her ..
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Avatar universal
Its still a little, I would tell her to GO.
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304970 tn?1331425994
**Not to scare you**

BUT my sister had toxemia and I remember her getting sooo sick sooo quickly. She had an emergency c-section (she was only 6 months preggers) and both babies (twins) are great now, but they said had they not taken the babies, we would have lost my sister. GO TO THE ER NOW!

Please keep us posted. Again, there are different degrees of toxemia I believe..
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Avatar universal
Why would she need to go to the ER? It costs more. She needs to call her doctor and they'll give her instruction as to what she needs to do. More than likely she may have to be induced.
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Avatar universal
Considering the hazards associated w/ toxemia and the fact her BP got to 175/101 which is VERY dangerous for a pregnant women she  NEEDS to either go to the ER OR call her doctor for advice NOW.  Event though her BP has dropped to 143/86 which is borderline hypertensive no one knows how long her BP was 175/101 which is a level that can cause damage to the placenta (and therefore effect baby)  and could indicate the toxemia is no longer mild.  It would not surprise me if she is induced today.
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Avatar universal
Thanks for clarifying spade! She'll still need to call someone to let them know she's on her way, whether it is L&D or her doctor. Wouldn't it just be best to report to L&D because the ER doctors just don't know pregnancy.
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284738 tn?1283106819
I told her to call her OB and she did and got the nurses and they said they would tell her ob and have her call her back...
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Avatar universal
Joy- yes, I agree that L&D would definitely be more appropriate than the ER in a case like this but because she isnt in active labor there might be some red tape involved.

pinkbelle - has she heard back from her doctor yet?
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304970 tn?1331425994
Update? Any word yet??

Joy - I said "go to ER" b/c it can be very dangerous, but either way my point was to get immediate medical attention. I guess ER is just what naturally comes to mind when I think of an emergency, but L&D works too! =)
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284738 tn?1283106819
her ob still hasn't called her back yet..  I told her to rest and not move... and shes gonna take her bp and call me back
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Avatar universal
Well, if her bp is still high, i would just tell her to go to L&D and she can call her ob again on the way & let him know!!!!......
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202436 tn?1326474333
I think if at ANY time....a person questions whether or not to call the doc....you should call immediately.  If nothing else it provides for peace of mind.  Especially when it comes to things as serious as BP and pregnancy.  Since her OB isn't calling her back I would tell her that if her BP is even slightly above normal to go to L& D and atleast get checked out.  This is something that is too risky to play around with.  
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Avatar universal
Any update? A woman I know just gave birth at 38 weeks because her BP was really high and she had a ton of protein in her urine. Her beautiful little boy took 38 hours to get into the world (she was induced).

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290867 tn?1333569278
I am sure everything is okay, but she really needs to go to the hospital weather it be labor and delivery or ER. I really hope all is well with her and the baby. Please keep us posted.
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377012 tn?1283965435
my 38 week appt. my bp was high and barely went down so doc said to go for a walk around our local walmart and then head straight over to the e.r and he would already have my paper work ready!
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Avatar universal
Bump
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