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	<title>Gareth Marlow &#187; baby</title>
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		<title>Blood Pressure</title>
		<link>http://www.marlow.org.uk/blog/2009/04/02/blood-pressure/</link>
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		<pubDate>Thu, 02 Apr 2009 21:57:26 +0000</pubDate>
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		<description><![CDATA[My wife is 34 weeks pregnant. We&#8217;re into the end-game, but her blood pressure has got a little high, so we&#8217;ve had two trips in three days to the Maternal Fetal Assessment Unit, where the staff have attempted to ascertain her blood pressure. It&#8217;s not as easy as it sounds. They&#8217;re most interested in her [...]]]></description>
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<p>My wife is 34 weeks pregnant. We&#8217;re into the end-game, but her blood pressure has got a little high, so we&#8217;ve had two trips in three days to the Maternal Fetal Assessment Unit, where the staff have attempted to ascertain her blood pressure. It&#8217;s not as easy as it sounds. They&#8217;re most interested in her <strong>diastolic</strong> pressure (the lower of the two &#8211; the background pressure). A close eye needs to be kept on pregnant women with a diastolic pressure greater than 90 mmHg.</p>
<p>Weirdly, nobody can tell if it&#8217;s greater than 90 mmHg. Over the last few days, her blood pressure has been measured manually and automatically probably 20 or 30 times, and it&#8217;s varied from 79 mmHg to 114 mmHg. Although there&#8217;s a possibility of <a href="http://en.wikipedia.org/wiki/White_coat_hypertension">White Coat Hypertension</a> I find it difficult to believe that her diastolic pressure has varied so much and so do the medical staff. So what&#8217;s going on? Possibilities include experimental error, over-sensitive equipment or poorly-calibrated equipment.</p>
<p>Most of the readings have wobbled around the 90 mmHg mark which is a problem &#8211; it&#8217;s too low to take action, but too high to ignore. It seems that the only option is to schedule a midwife visit every couple of days to take the readings, and to return to the MFAU if they appear high. This has happened twice this week already and if there&#8217;s anything likely to raise your blood pressure, it&#8217;s driving through cross-town traffic in Cambridge &#8211; and paying for parking at Addenbrooke&#8217;s hospital. Fortunately, I&#8217;m the designated driver.</p>
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