Tuesday, June 30, 2009

Bad News, Good News

The weekend was a bit rough. On Saturday, I started having some contractions. I lay down and that helped a bit, although it took a while before they went away. Now, the contractions are really just standard Braxton Hicks. In general, they would be nothing to worry about except they occur every few minutes, so I should really call my doctor who I know would tell me to go to the hospital. Now, I have been through this drill before, so I know how it works. They will monitor me and assess the risk of preterm labor. If they think there is a risk of preterm labor, they will administer Terbutaline, which is pretty awful, and potentially poses some risk to the baby. I was hoping too keep myself out of the way of unnecessary drug intervention, so I did my own assessment. I checked my cervix and it was closed. I have been carrying very high for the past few weeks and the baby had not dropped down at all, so that was reassuring. The baby was moving arround a good bit -- in fact, he would kick after pretty much every contraction. Everything seemed okay, so I decided to just put myself on bedrest and drink a lot.

On Sunday, I started having the same contractions. Unfortunately, we were out and it took a few hours before we could get back home, so I just drank a lot in the interim. I got back in bed when I got home, but the contractions still continued for a few more hours. I probably would have gone to the hospital, but I had an 8am appointment at the high risk practice on Monday, so I decided to try to wait until then. Everything was fine by the morning when I left for my appointment. Unfortunately, this translated to another non-productive weekend in terms of getting ready for out rapidly approaching new arrival. Y had to watch T while I was out of commission.

The high risk practice had just gotten new ultrasound machines and, unfortunately, patient monitors were not hooked up, so I did not get to see the baby much, although Y was able to watch the full scan. I was told everything looks great, though -- no growth problems so far, which is a huge relief. The baby is an estimated 4lbs 11oz., in the 60th percentile, and dated at 33w6d (I was 32w2d at the time). Since T was only 4lbs. 1oz. at birth, I'm entering into uncharted territory for me now, carrying a baby that is larger than what I have carried before.

I saw Dr. Careful and when I told him about the contractions over the weekend, I was scolded for not calling my OB -- I knew that was coming. He wanted to do an internal exam and run a fetal fibronectin test, which helps assess my immediate risk for going into labor. My cervix was closed and very far back, so he had a hard time reaching it, which he said was a good sign. The fibronection test came back negative, so it looks like there was no harm done in my skipping a trip to the ER.

My next visit to the high risk practice is not for another 6 weeks and that is pretty close to when I could be scheduled for delivery. Dr. Careful says he doesn't think there is likely to be any growth problems this pregnancy -- 60th percentile at this stage is a good sign. I think T was down to the 35th percentile by this time. Hopefully, there will be no more unusual contractions and I can have an uneventful 2nd half of the 3rd trimester.

6 comments:

anofferingoflove said...

sounds like a scary weekend. so glad to hear everything checked out okay at your appointment. and congrats on making it past the weight at T's delivery - thats a great milestone!

Pufferfish said...

Whew! The first 3/4's of that post was scary. I'm glad you trusted yourself enough to know what to do. Sounds like everything is fine and I do hope it stays that way.

2girlsandtheirfamily said...

YIKES! We can't believe you did a cervix check on yourself! You are so funny with your self diagnosis. But you always seem to be right on! Our very own resident doctor :) SO glad everything turned out ok in the end! Here's to a quiet 2nd half of your 3rd trimester!

KM said...

You are a pretty amazing person. To trust yourself so thoroughly is awesome. I am sure that this will be a great end of the pregnancy experience for you. But I would have been at the hospital 3 times if I had had the weekend you had. I think that is why my mid-wives say I am prone to anxiety. I am glad everything is ok and that you are now in uncharted territory for you. I know you'll both do great!

MoDLin said...

Nothing like a little excitement to move your weekend along! You sound knowledgeable and prepared, but checkin' in with your doc during these little events isn't a bad idea. (OK, OK, I'm not yelling at you!) Glad everything stablized and looks good. Just a few more weeks to go!

tireegal68 said...

wow - have you ever thought of a career in baby medicine?
so glad things worked out and the baby is looking good and growing well. FX that all goes well until the due date:)