Posts Tagged ‘protein in urine’

Headache? Nausea? Could be more serious then you thought

Wednesday, May 3rd, 2017

2014d037_1495We receive many questions from expectant moms who are experiencing symptoms such as headaches or swelling. They worry it might be something serious, like preeclampsia.

Preeclampsia is a kind of high blood pressure some women get after the 20th week of pregnancy or after giving birth.  Along with high blood pressure, a pregnant woman can have signs that some of her organs, like her kidneys and liver, may not be working properly.

Signs and symptoms of preeclampsia include:

  • High blood pressure
  • Protein in the urine
  • Severe headaches
  • Changes in vision, like blurriness, flashing lights, seeing spots or being sensitive to light
  • Pain in the upper right belly area or pain in the shoulder
  • Nausea or vomiting
  • Dizziness
  • Sudden weight gain (2 to 5 pounds in a week)
  • Swelling in the legs, hands and face
  • Trouble breathing

Without treatment, preeclampsia can cause serious health problems for both you and your baby. The condition can cause kidney, liver and brain damage for you and premature birth, intrauterine growth restriction (IUGR) or low birthweight for your baby.

Many of the signs and symptoms of preeclampsia are just normal discomforts of pregnancy.

So how do you know if your symptoms are a sign of something more serious?

Your health care provider can diagnose preeclampsia by measuring your blood pressure and checking your urine for protein – both of these are routinely checked at every prenatal care visit.

If you are diagnosed with preeclampsia, your provider can help you manage most health complications through regular prenatal care. This is why it’s important to go to every appointment, even if you are feeling fine.

So, to know if your severe headache or sudden swelling is cause for concern, reach out to your health care provider. He can determine if your symptoms are normal pregnancy discomforts or something more serious like preeclampsia.

For more details about this serious condition, visit our website.

 

National Preeclampsia Awareness Month

Monday, May 20th, 2013

The US Department of Health and Human Services has designated May 2013 as the first National Preeclampsia Awareness Month. Throughout the month, several organizations educate about preeclampsia, a serious and common complication of pregnancy and the postpartum period. This condition is dangerous to both the mother and her unborn baby. Preeclampsia is characterized by high blood pressure and protein in the urine, and can also include signs and symptoms such as swelling, headaches and visual disturbances. It’s so important for pregnant women to keep all their prenatal appointments and to alert their health care providers if they have any of the symptoms.

The Preeclampsia Foundation has launched a month-long campaign of education including infographics, Twitter chats, blogs and more. Learn as much as you can to help keep yourself and your baby as healthy as possible.

The pain of preeclampsia

Tuesday, May 3rd, 2011

May is Preeclampsia Awareness Month. Our guest post today is a personal story from Meredith Drews of the Preeclampsia Foundation.

I am the mother of four—but I only get to kiss two of my children goodnight.  I have two boys, Thomas and Henry, and two daughters, Bridget and Elsie.  Thomas is five, plays t-ball, gymnastics and thinks Justin Beiber is cool.  Henry is two, adores his big brother, loves Mickey Mouse and is talking like crazy.  Bridget and Elsie died an hour after they were both born. They should be three years old.

It was my second pregnancy and we were shocked with spontaneous twins.  Once the surprise wore off, we adjusted to the idea and to the never-ending question: “Do twins run in your family?”
 
My twenty week ultrasound came and went… in this time we’d learned the twins were both girls; we’d just picked out names, the excitement was building, the reality settling in.  Two weeks or so after my “grand” ultrasound I went back to my OB for a check-up.  We did growth checks at each appointment and the girls’ heads had grown in two weeks, but not their stomachs.  My doctor was concerned and sent me home on bedrest for two weeks. I never made it that far.

A little more than a week later I called my doctor at 5 am in the morning.  I asked to come in and she said absolutely. I wasn’t swelling.  I thought maybe I had “floaters” in my eyes.  My urine was dark. I had bruising on my legs.  I’d had a nose bleed a few days earlier that I had trouble stopping.  There was no pain under my right ribcage, but I had had a pain in my right shoulder for nearly a week.

I knew preeclampsia could be a concern because of the visual disturbances.  My blood pressure was higher. I was spilling protein in my urine. My doctor sent me to the hospital, where things went from bad to horrific.  I was told I would be in the hospital at least a week. Then my doctor and MFM delivered the bad news: I had preeclampsia and HELLP syndrome (which I had NEVER heard of).  I needed to deliver right away.  If we chose to deliver cesarean, it would give the girls the best shot, but be very risky to me (with low platelets I could bleed to death), or, I could deliver vaginally and not attempt to save my daughters.

I had to call my husband over the phone with this news and we agreed the best thing to do would be to deliver vaginally, not risk all three of us and leave behind our son without his mother.  Every kick I felt inside me was gut-wrenching, knowing these little babies I’d tried so hard to keep safe were dying.  Unable to have an epidural, I felt every push of labor, heard all the crying in the room from doctors and nurses and my husband.  We heard a deafening silence from our baby girls.

We held our daughters in our arms as they died.

I couldn’t believe this had happened to me.  I still can’t.  I recovered in the hospital another five days and went home to my computer, searching for information and found the Preeclampsia Foundation.  I found information and support which helped me stay informed through my third pregnancy, just three months after we lost our girls.  In time, I have found a place and means to give meaning to my daughters’ one hour of life through the volunteer work I do.
 
I will never understand why this had to happen, but I someday hope to know what happened to cause my body to betray me like that.  I want to know how it happened and how others can prevent it.  Really… I want my baby girls back… but I’m very blessed to have my own health and my sweet, perfect two little boys—both born completely preeclampsia-free.

You can join us for a live chat about preeclampsia on May 11th at 2 PM EST. You’ll find us, and our guests from the Preeclampsia Foundation, on Twitter at #pregnancychat.

Preeclampsia and HELLP syndrome

Thursday, May 20th, 2010

Today we are pleased to have a guest post from Beth Frazer, a preeclampsia and HELLP syndrome survivor, and a volunteer with the Preeclampsia Foundation.

I remember the first time I heard the word “preeclampsia:” it was November 10, 2008, and I was blissfully pregnant with twins.  Although this was my first pregnancy, I am a practicing attorney with a propensity to research and so considered myself to be an “educated” patient.  I believed that everything was progressing perfectly.  I thought that my headaches, blurred vision, shortness of breath, sudden weight gain, and swelling were all a normal part of pregnancy.  In actuality, however, these were all signs that my kidneys and liver were shutting down, my red blood cells were destroying themselves, and my brain was swelling.

Fortunately, I was scheduled to have a routine OB appointment that day, at which time a urine test revealed that I was spilling protein.  Several hours later I was diagnosed with HELLP Syndrome,  a severe variant of preeclampsia, and was told that I was dying.  Two days later our beautiful twins were born, 20 weeks premature and too small to survive.  My doctor said that, had my OB appointment been scheduled even 48 hours later I would have suffered a massive seizure or hemorrhage.  I had no idea that my symptoms were actually serious warning signs.

I now know that preeclampsia, often described as a hypertensive disorder of pregnancy or by the old fashioned term “toxemia,”  is a known cause of premature births in the U.S. and is a leading cause of maternal and neonatal death.  It is the reason that a pregnant woman’s urine and blood pressure are tested at every OB appointment.  But I never heard of it before.  I was left physically weak, heartbroken, and completely confused.

I set out to learn everything I could about what had happened to me, and figure out whether it would happen again.  In doing so I found the Preeclampsia Foundation,  and I realized that I wasn’t alone.  I found tens of thousands of women have suffered situations similar to mine, most of whom had also been unaware of preeclampsia before their own diagnosis.

I learned that preeclampsia has no known cause, and has no known cure other than immediate delivery of the baby.  If it is diagnosed early enough, however, preeclampsia can often be managed, allowing the pregnancy to progress a bit further and result in better outcomes for both mother and baby.  I studied the signs and symptoms of preeclampsia.  I analyzed the different ways it presents itself, from the classic case of a pregnant woman whose blood pressure creeps up during her third trimester, to more unusual cases like my own.  I researched the latest tests and theories and medical developments.

And, finally, my husband and I met with our Maternal Fetal Medicine specialist (“MFM”), a high-risk OB, to discuss our future.  We discussed the risk factors for preeclampsia, which include a history of preeclampsia, particularly preeclampsia before the third trimester.  I underwent testing and learned that I might have blood-clotting disorders, which might also put me at risk for preeclampsia.  Nonetheless, my MFM felt that awareness and treatment of these risk factors would allow us to successfully manage a future pregnancy.

Armed with the blessing of my MFM and knowledge of preeclampsia’s signs and symptoms, I became pregnant again.  Those first few months were terrifying and anxiety-ridden.  My MFM monitored my blood pressure, blood work, and urine protein levels constantly, as well as the development of my baby– first every other week, then every week, then twice a week.    Being informed empowered me, and I was reassured knowing that I recognized those symptoms that needed to be reported and acted upon.

We all held our breath as slowly but surely milestones were met.  First, 20 weeks, when I previously developed preeclampsia, then 24 weeks: viability.  Then 28 weeks.  Then 30 weeks and 32 weeks, then 34. . .

And, urprisingly, preeclampsia never developed!  I sit here now with a beautiful baby boy snuggled up on my lap.  Born full term and healthy, he is a true testament to the power of preeclampsia education and awareness.

It is possible to have a healthy mother and baby after a preeclampsia diagnosis, or even after a preeclamptic pregnancy!   The key is to not only receive regular prenatal care, but also be your own advocate.  Know the signs, know the symptoms, know your body, and trust yourself.