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Pitting Edema/ 21 weeks pregnant?


If you take a finger and press my lower leg, it leaves a 1/2" indention and stays there for 2-3 mintues (at least). It looks really gross. I'm doing everything I'm supposed to: drinking a lot of water, avoiding salt, elevating legs when possible, and taking my baby aspirin as directed so I just don't understand. I am at high risk for preeclampsia again but this just seems too early. This morning my face was swollen up like a blow fish again too. I left a message w/ my doctor's office but they haven't called back yet. My blood pressure was 100/60 last time it was checked (last week) so I just don't get it.
I am at high risk for clots (sticky blood/ APS) but the swelling in my legs is only pitted and they don't hurt.

Has anyone else had pitting edema in their 2nd trimester of pregnancy? Any advice is appreciated.

Okay, I just went to the grocery store to check my BP and it's gone up to 149/89 (in a week!) so nurse said go to L&D. Lovely.

Your pitting edema stays there for 2-3 minutes? You need to see your OB/GYN immediately to have your BP checked now. Just go up there.

YES! Cut your intake of water. You are overloaded, causing the edema. Sit in a comfy chair and put your feet up.

READ THIS
:
What Is Preeclampsia?
Also referred to as toxemia, preeclampsia is a condition that pregnant women can get. It is marked by high blood pressure accompanied with a high level of protein in the urine. Women with preeclampsia will often also have swelling in the feet, legs and hands. Preeclampsia, when present, usually appears during the second half of pregnancy, generally in the latter part of the second or in the third trimesters, although it can occur earlier.

What Is Eclampsia?
Eclampsia is the final and most severe phase of preeclampsia and occurs when preeclampsia is left untreated. In addition to the previously mentioned symptoms, women with eclampsia often have seizures. Eclampsia can cause coma and even death of the mother and baby and can occur before, during or after childbirth.

What Causes Preeclampsia and Eclampsia?
The exact causes of preeclampsia and eclampsia are not known, although some researchers suspect poor nutrition, high body fat or insufficient blood flow to the uterus as possible causes.

Who Is at Risk for Preeclampsia?
Preeclampsia is most often seen in first-time pregnancies and in pregnant teens and women over 40. Other risk factors include:

A history of high blood pressure prior to pregnancy.
Previous history of preeclampsia.
A history of preeclampsia in mother or sisters.
Obesity prior to pregnancy.
Carrying more than one baby.
History of diabetes, kidney disease, lupus or rheumatoid arthritis.
How Can I Tell if I Have Preeclampsia?
In addition to swelling, protein in the urine, and high blood pressure, symptoms of preeclampsia can include:

Rapid weight gain caused by a significant increase in bodily fluid
Abdominal pain
Severe headaches
A change in reflexes
Reduced output of urine or no urine
Dizziness
Excessive vomiting and nausea
Does Swelling During Pregnancy Mean I Have Preeclampsia?
Some swelling is normal during pregnancy. However, if the swelling doesn't go away with rest and is accompanied by some of the above symptoms, be sure to see your doctor right away.

How Can Preeclampsia Affect My Baby?
Preeclampsia can prevent the placenta from receiving enough blood, which can cause your baby to be born very small. It is also one of the leading causes of premature births and the difficulties that can accompany them, including learning disabilities, epilepsy, cerebral palsy, and hearing and vision problems.

How Is Preeclampsia and Eclampsia Treated?
The only real cure for preeclampsia and eclampsia is the birth of the baby.

Mild preeclampsia (blood pressure greater than 140/90 that occurs after 20 weeks of gestation in a woman who did not have hypertension before; and/or having a small amount of protein in the urine can be managed with careful hospital or in-home observation along with activity restriction.

If the baby is pre-term, the condition can be managed until your baby can be safely delivered. Your health care provider may prescribe bed rest, hospitalization or medication to prolong the pregnancy and increase your unborn baby's chances of survival. If your baby is close to term, labor may be induced.

The treatment for more severe preeclampsia (having vision problems, lung problems, abdominal pain, fetal distress, or other signs and symptoms) may require more emergent treatment - delivery of the baby - irrespective of the baby's age.
Other treatments:

Magnesium can be injected into the veins to prevent eclampsia-related seizures.
Hydralazine or another antihypertensive drug to manage severe elevations of blood pressure.
Monitoring fluid intake

KEEP CALLING THE DOCTOR. THEY NEED TO SEE YOU AS SOON AS POSSIBLE. Good luck to you.

I am lucky enough not to have had any preeclamsia, but I too have APS. Please insist on low monicular weight heparin! (Lovenox in US) This Edema can be very dangerous for you and the baby, especially given the high BP.
Best wishes

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