Conversation: The conversation between human and AI assistant.
[|Human|] I am 36 weeks into my pregnancy and have had all the symptoms of preeclampsia(swelling, sudden unexplained weight gain, vomiting,headaches,constant high blood pressure) with the exception of protien in my urine. My midwife says its gestational hypertension (after 3 hospital trips and several appointments with her)and sent me home to do my 3rd 24 hour urine collection test. I have been in extreme pain the last 2 weeks and it seems she is just blowing the way I feel off. I have been having mildly painful contractrions and have been extremely sick with flu-like symptoms (vomiting,headache,diarrhea) and all she says is drink water and bed rest. I have looked up the complications of gestational hypertension and mild preeclampsia and both say that if you have major syptoms like I do that your provider should have induced or delivered by c- section by now. Is my doctor taking the correct steps in managing my pregnancy or should I seek a different provider?
[|AI|]  Hi, Gestational hypertension or pregnancy induced hypertension at 36 weeks with symptoms of vomiting and headache can be serious and needs to evaluated and admission in hospital is advisable. Your Blood pressure needs to be monitored every 6 hours and if more than 140/90 you need to be started on antihypertensives, also the well-being of the baby has to be assessed by ultrasound and fetal monitoring. Yes, if either your condition doesn't improve and the blood pressure is not in control and if the symptoms of headache and vomiting increase, delivery will have to be planned as, after 34 weeks fetus is relatively safe to be delivered, if required. Please go to a doctor for evaluation immediately. Hope this helps. Regards.