I’m 35 weeks pregnant and yesterday my dr put me on bed rest because he thinks I have preeclampsia. He sent my urine to the lab, i have high blood pressure, high heart rate and swelling. If it turns out I have it, at what point do they induce? He said 35 weeks is still too early to induce and is sending me for a BPP ultrasound on the baby. Just curious if anyone else was in the same situation….
Probably at 37 weeks. You are full term at that point and it is safe to induce. We induced 3 weeks early and thank god we did because my little guy was already almost 8 pounds! Good luck 
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If its bad enough, they will do it at 37 weeks, unless for some reason its so bad they would have to do it now.
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Probably at 37 weeks. You are full term at that point and it is safe to induce. We induced 3 weeks early and thank god we did because my little guy was already almost 8 pounds! Good luck
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Most likely they will try to deal with the preclampsia before they induce. The will likely try to hold out an induction for as long as they can in order to ensure the baby has a safer entrance into the world. As long as you and the baby are not in real danger then they will try to keep tabs on things until you are full term or at least 37 weeks.
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I was diagnosed with preclamsia at 35 weeks with my second and I was put on bedrest till 37 weeks, then i felt like I was dying so I pretty much made the doctor induce me,
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I was suspected to have preeclampsia because my blood pressure was high from week 34 to week 39. I also gained weight very quickly between week 34 and week 36(9 lbs.). My doctor just told me to keep an eye on myself and to look for any more swelling, dizziness, and blurred vision.
At my 39 week appointment she sent me to the hospital for 2-3 hours worth of monitoring. They measured my blood pressure during that time, drew blood, and took urine samples. It was decided THEN that I should be induced.
If you have preeclampsia they don’t like to mess around with it but will most likely make you go to at least 37 weeks. Your doctor will obviously do what’s best for you and baby but if it’s not severe they like to keep the baby in as long as possible.
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It is possible but they would wait till at least 37 weeks unless the baby was in major danger…Do what the doctor says I knew a girl who had that and she would never stay in the bed I was like you know you can hurt your baby or yourself and she never seemed to care!! Good luck Wishing you a happy healthy baby!
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I was diagnosed at 32 weeks. We almost had to induce at 32 weeks because my blood pressure was so high. Then it went down after two days and I went home (thank God because it was the day before Thanksgiving and I would have been pissed if I had to stay at the hospital and skip all that yummy homemade food). I was on bedrest like you and saw my doctor once a week and had two biophysical profile ultrasounds a week (the BPP your talking about). Iwas on medication and closely monitored. Only allowed up an hour a day. We made it all the way until 38 weeks my blood pressure was up 155/112 and Iwas on the verge of siezing. So the next morning I was induced.
Depending on how bad it is, they will monitor you and baby very closely and if they can keep your BP and protien under control, they’ll try to have you go as far as you can. Even if you dont have preeclampsia then it sounds like you have pregnancy induced hypertension (which is preeclampsia just without the protien in your urine). So I would expect around 37 weeks for the doctor to start talking about inductions. With todays medical technology everything will be just fine.
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I had preeclampsia at 34 weeks…I was on bedrest and blood pressure pills and had to go into the Dr..every 2 days and have my blood pressure checked and then at 36 weeks it go even worse I gained 12 pounds in 4 days…and then did an emergency c-section….but if you are stable and baby is looking good and they can keep it under control they may not induce and wait for you to go into labor…it just depends on how sever it is…good luck
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Induced labor — If the mother or baby’s test results are concerning, the provider will usually recommend delivery. The most common reasons for delivery in women with preeclampsia are listed in table 5 (show table 5):
At or near then end of the pregnancy (usually after 37 weeks), there is little to no benefit to allowing a woman with preeclampsia to continue being pregnant; most babies of this age do not have an increased risk of complications due to prematurity and will not require a special care nursery. Inducing labor minimizes the risk of harm to mother or fetus from worsening preeclampsia.
Labor can be induced with medications applied directly to the cervix, which cause the cervix to dilate (open) and efface (thin). Cervical ripening may also be accomplished using mechanical methods such as laminaria or a Foley catheter bulb. Most women will also require an intravenous medication, oxytocin, which stimulates the uterus to contract; uterine contractions further stimulate cervical dilation and effacement. If induction of labor does not completely dilate and efface the cervix, or if complications develop that require the baby to be delivered quickly, a cesarean birth is usually performed. (See “Patient information: Cesarean delivery”).
Medications — Because women with preeclampsia can develop seizures, most patients are treated with an anticonvulsant medication; this reduces the risk of a seizure to 1 to 2 per thousand preeclamptic women. Between 3 and 7 percent (30 to 70 per thousand) preeclamptic women may have a seizure if not treated with medication.
Intravenous (IV) magnesium sulfate is the drug most commonly used to prevent seizures. Dietary supplements that contain magnesium are not effective or recommended for prevention of seizures. IV magnesium is safe for the mother and baby, though patients are monitored closely during treatment as high blood levels of magnesium can be dangerous. Magnesium is given to the woman during labor and usually for 24 hours postpartum. Severe hypertension is treated to lower the risk of a maternal stroke. Medications such as labetalol, hydralazine, and nifedipine are commonly used for this purpose.
POSTPARTUM CARE — Hypertension and proteinuria due to preeclampsia resolve postpartum, usually within a few days to few weeks. Severe hypertension should be treated; some patients will require an antihypertensive medications after being discharged from the hospital. This can be discontinued when the blood pressure returns to normal levels, usually within six weeks. Blood pressure that continues to be elevated beyond 12 weeks postpartum is unlikely to be related to preeclampsia and may require long-term treatment.
OUTCOMES — The major complications associated with preeclampsia are temporarily impaired maternal liver and kidney function and low platelet count (thrombocytopenia), which can be associated with bleeding.
In women with mild preeclampsia near term, newborn outcomes are generally good and comparable to those of women without preeclampsia. In women with severe preeclampsia, especially when it occurs preterm, there is an increased risk of neonatal problems, such as low birth weight and problems associated with prematurity.
Women with early onset severe preeclampsia, recurrent preeclampsia, and gestational hypertension appear to be at increased risk of cardiovascular disease later in life, including during the premenopausal period.
RISKS IN FUTURE PREGNANCIES — Most women who experience preeclampsia will not have it in a subsequent pregnancy. The risk for recurrent preeclampsia varies from 5 to 70 percent, with the highest risk in women who developed severe preeclampsia and were delivered before 30 weeks gestation. Women with mild preeclampsia near term have only a 5 percent chance of developing the problem again.
SUMMARY
Preeclampsia is characterized by gradually increasing blood pressure (greater than 140/90) and protein in the urine, as well as excessive swelling of the legs, hands, and face. It can occur anytime during the last half of pregnancy (after 20 weeks of gestation) or in the first few days postpartum.
The majority of women with mild preeclampsia have no symptoms. Mild preeclampsia can worsen and become severe. Severe preeclampsia is characterized by the following maternal signs and symptoms (show table 3).
Patients should immediately call their healthcare provider if any of the signs or symptoms of severe preeclampsia develop, or if they notice decreased fetal activity, vaginal bleeding, or frequent uterine contractions or pain.
Preeclampsia occurs in 5 to 8 percent of pregnancies in the United States. It is not known why some women develop preeclampsia while others do not. Currently, there are no tests that can reliably predict who will get the disease, and there is no way to prevent it.
The only cure for preeclampsia is delivery of the baby and placenta. Restricting activity and taking antihypertensive medication c
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It depends on your body. They will put off delivery as long as possible unless there is a risk to the mother. Stay off your feet. Do just what they tell you. You WANT a regular delivery. However, if they happen to tell you it’s time then so be it. Good luck!
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He will keep you on bed rest at home to try and stabilize your BP first. If you do not follow orders, he will do a hospitalized bed rest. He probably won’t induce until your preeclampsia is dangering yours and your baby’s lives. You can still carry to term, usually, just with close monitoring. He will induce if you start to show more electrolytes in your blood work and urine. This shows the kidneys are starting to get distressed and are in danger of shutting down. I had preeclampsia with my first and they induced me at 37 weeks because of it. Just try and stay relaxed and keep your housework and activity to a minimum and you should be ok.
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