28 week appointment

Me at 27 weeks, 5 days

B/P: 138/90

HR: 100's

Fundal Height: 28cm, which is right on track

Fetal Heart Tones: 130

Weight: +3.5 lbs since last visit, +7.5 lbs pre-pregnancy.

Well, this morning's appointment could have gone better. This was the first time that I went by myself, although I don't know if having anyone there would have helped because I would have stressed regardless.

My blood pressure is still elevated, but more than last time. I have been getting migraines about once a week since the last appointment, but I can't get a B/P reading to correlate with the headaches as I forget to take it when I am in that much pain. I don't have anymore swelling that normal: I can still wear my rings and take them off with the same ease, my legs still have swelling but not more than usual, and I can't really tell that my face is swollen. I am not showing any protein in my urine, which would indicate preeclampsia. At this point, my blood pressure is classified as "Gestational Hypertension." My doc talked about putting me on blood pressure medications, but does not feel it would be as beneficial to me at this point because my hypertension is not chronic in nature, rather, it is directly related to the pregnancy. With delivery, my blood pressure should return to normal.

She did tell me to talk to my boss about working reduced hours and/or what the policy is for bedrest, which I know a little about the latter. I would really like to work on cutting my hours a bit rather than all together for FMLA and maternity leave sake, but I will talk to my manager about that tomorrow or Monday. I have to check my B/P at work and call in some readings to the clinic tomorrow. Hopefully it won't be any higher than now or she will be more willing to put me on bedrest, I'm sure. I have a repeat blood pressure check on Tuesday so that she can check my urine for proteins again. Then God-willing, we will be going to Virginia to see Jonboy swear in as JKR, Esquire. :)

We are going to take it day by day at this point and see how my blood pressure is, how my urine looks (gross, huh?), and how Katie is growing. I have an ultrasound on November 13th to make sure that she is growing appropriately. I will be 30 weeks and 3 days by then. If my blood pressure keeps trending upwards and/or I start to have protein in my urine, I will be diagnosed with "preeclampsia" and will most likely have to take steroids to help Kaitlyn's lungs mature more quickly for an early induction and delivery. That is the scary part for me. Ultimately, I want Katie to be as healthy as possible and for her to come out in her own time, but I understand there are significant risks if I become preeclamptic or severely preeclamptic. It looks like if an induction is planned, I will be delivering downtown as opposed to near the house, and they have an exceptional NICU.

The best news is that Katie seems to be growing well and doing just fine at the moment! Please keep us in your thoughts and prayers. We are so excited to meet our baby girl, but we are hoping she can stay in her cocoon baking as long as possible. :) I am trying to think about lots of blood pressure lowering thoughts and take it as easy as possible.