High risk pregnancy?

Megan - posted on 03/21/2009 ( 8 moms have responded )

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Okay, so i was told yesterday that i am now a high risk pregnancy.

The issue with this is:

*my blood pressure is perfectly normal, and on the low side.

*I do not have GD.

*My urine dips always come back normal.

*And i had a 1/213 chance of my little guy having a nuero tube defect. We've been doing ultrasounds once a month to look for it, and they can't find anything wrong with him. There is the possibility of him being a small baby, but so far he has measured perfectly (with above average developement and weight).



So i do not understand why i am now considered high risk. I have to come in to see my OB every week, twice a week, to do a non-stress test and measure the amniotic fluid levels, on top of the growth monitoring ultrasound once a month.



The only thing i can think of is my recently starting an anti-depresent (Citolophram 20mg), and now i'm switching to a different kind (Welbutrin 100mg). Would this be the reason? I can't see why.



They also think i will deliver before my due date. but again, i don't understand why.

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Well it sounds like you have a situation on your hands. I am on baby #3. With my first I had pre eclampsia and almost died 5 days after I gave birth to her because of it. Scary scary stuff. I had all of the signs that I had it, and I had a doctor that did not take my condition serious. Because of that my baby could have died before she was born and I almost did after I gave birth. It sounds to me like your doctor is being cautious....for some reason and you need to find out why. You may not have anything wrong but he is having you come in frequently for some reason, he didn't just decide to make you high risk for nothing. You do not always have to have something bad show up in your test or sono to be high risk. Is this your first? If not did you have problems before with a pregnancy? Is there a medical history that runs in your family that maybe a red flag to your doctor? Did you start seeing your doctor late in your pregnancy? It may be the meds you are on or were taking. It could be a number of things.



I am high risk this pregnancy because of the simple fact that I started seeing my doctor late in my pregnancy. I didn't even know I was high risk, until my doctor kept scheduling me for all of these sonos for all my appointments. I thought it was odd. My last visit I asked him why all the sonos and he said it was because I am considered high risk and every visit he wants some sort of fetal monitoring. He wants my levels with everything checked again and again. He is just being careful. In my case my doctor did not come right out and say it to me that I am high risk, I had to ask and I got my answer and I am okay with that. Everything is checking out fine. I have now been on both sides of having one doctor not pay attention to what is going on with my pregnancy to a doctor who does care. I perfer the one who does, changes can happen so fast in pregnancy. You can go from having a healthy, normal pregnancy to all of the sudden something show up in your urine, sono, blood pressure, etc.



Get your answer or get another doctor. If your doctor is still wishy washy tell him that this is unacceptable for you to not know or have a clear answer as in to why you are high risk. Tell your doctor this is stressing you out. Nobody wants a pregnant woman stressed. This is your baby and nobody is going to care for your baby and it's well being as much as you.



I hope this and the other post from these other women help you. I wish you so much luck in the rest of your pregnancy. I hope everything ends up working out for you :)

Brenda - posted on 03/22/2009

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That just doesn't sound right.  If he is putting you in the high risk category there has to be a reason, and if he has none, or won't tell you, I'd find a different OB.



My doc hasn't even given me the classification of "high risk" even though she is 80 percent sure I have GD (can't prove it b/c I couldn't finish the three hour test), and I had pre eclampsia with my last one so I'm at risk of developing it again but have not had the proteins show up or the bp rise as of yet.



And as far as antidepressants being the reason, I take Prozac, and that's had no bearing on my treatment from my doc at all.  In fact, I asked for a reduction in my prescription, which she gave me, but she didn't even suggest it I did.

Allison - posted on 03/22/2009

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Well, honestly, if your care provider won't or can't answer your questions to your satisfaction, you can find another one. It's not too late (it's never too late - I know women who have switched in their last week of pregnancy). It sounds to me like they are setting you up for an early induction or even a scheduled c/s, and there are serious risks to both. There are certainly reasons for both of these, yet at this point it doesn't seem like you fit the criteria. Unfortunaly, sometime care providers prefer to medically manage a "normal" pregnancy for some reason (personal experience, convenience, the need to feel in control, or the false hope of preventing the unknown). You need to follow your gut. Trust birth. And if you don't trust your provider, definitely find one you do trust before you feel pressured into something you might regret later.

I think a good resource for information on pregnancy and medical interventions is http://www.ican-online.org/. You may want to see some of their articles or "white papers".

Good luck!

Cheryl - posted on 03/22/2009

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This makes no sense to me at all. I was told that if I had diabetes, and not just GD, then they'd see me 2x week. I am seen 1x week, but seems as if it is my choice. I do have GD, fibroids, gallstones and am over 40. If you ask the OB 'why am I high risk?' and s/he doesn't give you an answer, I'd ask for that label / category be removed from your chart.

Keela - posted on 03/21/2009

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I cant answer your question. However just a warning.. I was on Wellbutrin (not pregnant) almost 2 years ago and it made me very ill. I lost 32 lbs in 5 months. I would watch this anti depressant's effects. I have other frends who were on it as well, they didnt have the effects I had but they had their own bad side effects. If you cant tell I am very against this particular anti depressant. Remron worked the best for me.

Jessica - posted on 03/21/2009

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that seems a bit odd to me.  Something isn't right there if you've asked and they won't communicate.  Ask again at your next appointment, drive them nuts until they tell you something.  And you know- if they can't give you a REASON for being high risk, then you're not high risk!  Tell them that...there is no sense in you stressing over being "high risk" if they can't tell you why you are...and there is no reason to submit yourself and your child to all these additional tests for no apparent reason! 

Megan - posted on 03/21/2009

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i ask questions frequently, his fluid levels have always been fine, and so i don't see why they cant check them at the ultrasounds im already having once a month. why now twice a week? and i have asked why, they told me everything was fine. they don't have an answer for me. and i switched to the welbutrin because it has no risks at all to the baby, my old one did and many others do. they can tell me absolutely no reason for my now being high risk.

Jessica - posted on 03/21/2009

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the best advise that anyone could give you is this- talk to your doc!  Ask him questions, questions, questions, until you are satisfied with the answers you receive.  You need to know what to expect going into this, so you should definitely be finding out why they consider you high risk.  Have the fluid levels around the baby been too low, or are they just monitoring it to make sure that it stays okay?  I know the drugs that you're on could have something to do with it...but if they didn't discuss the risks to the baby with you when you switched, then I wouldn't think it would be any different.  The biggest thing to keep in mind is this: it's your baby, and it's your right to know what is going on...do NOT be afraid to ask questions, and don't feel stupid asking them- you have a right to know, and if they haven't communicated with you adequately, it's not your fault...but they may think you understand, so if you don't communicate with them and try to get answers...well, you won't get answers! :)  I'm sure the doc would be happy to answer your questions, and the nurses can answer some, too, if you're more comfortable with that!  Good luck with the rest of the pregnancy, and enjoy it! :)

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