Pre-eclampsia
“Just as everyone who has a headache doesn’t have a brain tumor, every pregnant woman with high blood pressure, preoteinuria, and swelling doesn’t have toxemia. If the diet is good and she feels great, a woman may have many signs of “pre-eclampsia” and be fine!”
-Holistic Midwifery by Anne Fye
Being diagnosed for pre-eclampsia does not have to be scary. In fact, most of the time, pre-eclampsia is over-diagnosed in a healthy, low-risk mom for no reason. Pre-eclampsia is a sign of an extremely under-nourished mom who is placing extreme stress on her kidneys and liver. While you may have signs of pre-eclampsia, this is no reason for an induction unless the signs of pre-eclampsia begin to affect a mom’s well-being in pregnancy. An unneccesary induction will do more harm than good for a mom who was diagnosed with a disease based on symptoms, rather than the actual well-being of the mother.
Below is some information to help you see if you are truly experiencing pre-eclampsia or if your symptoms are benign.
Some signs that suggest all is well:
Hemoglobin should NOT be rising unless you were very anemic in the beginning. The hematocrit should fall proportionately
You should have a healthy placenta and healthy heartbeat in baby
Healthy weight gain (5-10 pounds in the second trimester)
Drop in blood pressure around 28 weeks
Intermittent swelling and vaicose veins
An absence of nausea and a general sense of well-being and nourishment
Abnormal swelling and leg cramps may be due to a low salt intake or high volume exercise
Some signs that usually come from true pre-eclampsia:
Poor weight gain in a woman who was thin and underweight before pregnancy
Frequent headaches, blackouts, waking at night from hypoglycemia
A rising hemoglobin or hematocrit higher than 12-13 gm (unless the woman lives at a high altitude)
A plateau in belly growth, a small baby is a sign that the mom is under-nourished
No change or slight rise in blood pressure mid-pregnancy. Again, consider all possible variables that may affect blood pressure; blood pressure is a poor criteria to use alone. When significant blood pressure changes occure, they often do not present until a contracted blood volume is well established
Peeing infrequently or having little to pee out
Protein in the urine. The majority of protein in the urine is due to vaginal discharge, UTI’s, or is benign.
No change in weight gain from 24-28 weeks
Persistent swelling that doesn’t change throughout the day
Serum albumin is below 3
Elevated liver enzymes
Lymphocytes below 15%
A drop in platelet count
Blurred vision
Nausea, vomiting and generally feeling unwell
Sources:
Holistic midwifery Volume 1 by Anne Frye