Need advice for Adv Mat age friend 14wks preg

[Cassideca]

Hi-

talked to a friend Superbowl Sunday. She is 38 and now 14 wks along and on Labetalol 100mg BiD, for chr HTn before pregnancy. She has an advanced diag US sched at the Childrens hosp nearby end of the month in leiu of an amnio. Her other sons, 17 and 11, were normal pregnancies.

She's eating healthy, watching the weight gain, exercising 1 hr 3 times a wk on a treadmill. I advised her about watching her diet and avoiding fatty & salt in her food.

Is their anything else I can tell her to prevent CHr HTn from advancing into PIH complications?

She mentioned her CNM is concerned about she is at risk for preterm birth.

I mentioned to her that I was not exactly sure@ chr HTN vs PIH , but would read up on it.

Any one have any thoughts?

Thanks- Dee

[nrsang97, BSN, RN]

PIH is HTN induced only by pregnancy hence Pregnancy induced HTN. Sounds lke she is already doing the right things.

[Jolie, BSN]

Chronic HTN is a risk factor for PIH, so it is important that she know the early s/s of PIH and report them immediately to her CNM. I am sure she will be seen on a more frequent basis, especially in her 2nd and 3rd trimesters.

Please wish her the very best, and thanks for helping her!

P.S. I wouldn't mention "advanced maternal age" to her :)