Re: white coat syndrome need advice
Unfortunately, Uff-Da is right. There is not much you can do to "fix" white coat hypertension. All you can do is prove to your doctor that your readings are normal except for when your are in his office. The stress surrounding this issue I am sure is not helping the situation at all (which I know all too well). Ask lots of questions. Like, what is his defantion of white coat hypertension, which readings do they take into account just the one in the office or, the 20+ that you provided from your home monitor which are normal. The last time I went to my physician and she started freaking out about the 146/96 I asked why she is only basing my blood pressure on the reading she gets in the office and not by the 40+ (I take my blood pressure VERY frequently at home) I take with my home monitor. That is when she suggested sending me to a specialist to see if she was okay with this reading. I have also told her I have done tons of research (not just internet searches but acutal published scientific studies regarding the issue) Pub Med #10455476, an abstract which showed white coat pregnancy outcomes were better than true chronic hypertension in pregnancy. There are also many other studies done regarding this issue, but most on hypertension and preeclampsia.
Unfortunately, sometimes you just cannot win this argument and especially in pregnancy when there are 2 lives at stake, doctors seem to take the slightest raise in blood pressue very seriously, which they should. As I am sure you know, it can cause very serious problems. It sounds like you and your baby are doing fine, especially if there are no signs of preeclampsia. All you can do is take your blood pressure at home and hope that your doctor finally understands!
PS - A 24-hour ambulatory blood pressure monitor is another good idea, as Uff-Da suggested. Depending on your location these may be hard to come by. I live in Canada and have not had any luck in getting one done.
Last edited by Sara1978; 10-02-2006 at 10:32 AM.