Does Having Urine Protein During 37 Weeks Of Pregnancy Indicate Preeclampsia Or Hypertension?

Illustration of Does Having Urine Protein During 37 Weeks Of Pregnancy Indicate Preeclampsia Or Hypertension?
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Alodok, I’m pretty at the age of 32 and I’m pregnant with my first child. The gestational age is 37 weeks. Families from the maternal line have a history of hypertension and have been examined by an internal medicine doctor. I also have hypertension. I have been taking dopamet and bisoprorol regularly since pregnancy for about 5 months to control tension. When 4 months pregnant, urine test results are negative. But when I was 37 weeks pregnant I tested urine and blood again. The results of my urine test positive contain protein. The LGG obstetrician decided that I would immediately deliver my sc within 1 or 2 weeks. Plus the position of the fetal head being infused is still far from entering the pelvis. I am afraid, is there no way for me to be born normal by getting the fetal head into the pelvis? Plus a small fetus including bb, around 2.4-2.5kg when on ultrasound. And I was asked to consume lots of protein to help the fetus and bedrest. My blood pressure is around 130s / 100s but at 37w it’s 153/103. Is the urine protein because it is pre-eclampsia or because of tension that might be lost if the blood pressure drops again. thank you

1 Answer:

Hello Ayu, thank you for the question.

Hypertension is a condition where blood pressure is above the value of 139/89 mm Hg. This situation can occur before, during, and after pregnancy. Hypertension that occurs in pregnancy is part of preeclampsia. Then it can be said that you are currently experiencing preeclampsia. If before pregnancy you have hypertension, the condition of preeclampsia will be more severe. The exact cause of why a person experiences preeclampsia to date is unclear. Some factors that increase the risk of preeclampsia are:

first pregnancy Maternal age over 40 years or under 20 years Obese mother Mothers with a history of hypertension or kidney abnormalities Twin fetuses Previous history of preeclampsia Preeclampsia can give symptoms or not. Symptoms will become clearer with increasing blood pressure and organ damage. Some symptoms that can be felt are:

Severe headache Nausea vomiting Shortness of breath Visual impairment Swelling in the legs of people with preeclampsia is not recommended for normal childbirth because the risk is too great. Both the fetus and mother are at risk of experiencing severe abnormalities or death. You certainly do not want your waiting for 9 months to end unfavorably. So the doctor will recommend you to do a cesarean section, especially because at this time your gestational age is almost entering a mature gestational age. You cannot underestimate the complications of preeclampsia, because they can result in:

Eclampsia HELLP syndrome, which is a seizure during pregnancy, immediately after giving birth, or several days to several weeks after giving birth. Seizures can result in death to the mother and fetus. Organ failure, such as kidney failure and liver failure, heart failure. Stroke. Postpartum bleeding that can be fatal. Placental abruption, which is the release of the placenta from the uterine wall, causing bleeding and fetal death. A fetus is premature or stillbirth. So you should control the routine to the treating doctor, immediately visit a doctor if you feel the worsening of symptoms as above. Fetal and maternal monitoring should be carried out closely every week. Follow the doctor's instructions regarding the most appropriate birth. Do not take any ingredients without doctor's advice and follow the medication according to doctor's instructions.

Hopefully this answer can help you deal with this situation. Regards.

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