Valentines 2015

Valentines 2015
Showing posts with label Labor and Delivery. Show all posts
Showing posts with label Labor and Delivery. Show all posts

Monday, June 11, 2012

Labor Update!

There's still no baby....
BUT...
There should be a baby yet today!

I am currently sitting in my lovely L&D room, having some happy contractions (ask me in an hour or two how "happy" they are...I have a feeling that's not how I will describe them!).

My water was broken about an hour ago (about 1 PM Central Time)

I want an epidural, but I'm going to try and wait until the pain gets intense before I give them the go ahead.

I am dilated to 4-5 cm...80% effaced....

Little guy is still up pretty high though...he needs to come down...my OB will NOT let me labor for a long period of time for a baby that won't drop.

Thought I'd let you guys know what my status was since I had some time!

I'm not out of the C-section woods yet, but I have at least a 70% chance of being successful with a VBAC at this point.  Woot!!!

Until later today...
Megan

Wednesday, October 13, 2010

Will there be babies today??

I feel like I've written this post 5 times in the last several weeks, and so far every time I update my expectations don't end up happening! I thought for sure we would have had the babies by now. But alas, here I sit, in a hospital bed none the less, at 36w2d!

So, let me explain how I got here, and the plan for where we go from here. We had an OB appointment yesterday at 12:30, and my OB took one look at me and knew I was pre-eclamptic. I'm not surprised. . .I am SO swollen, my BP is crazy, and there has been protein in my urine for over a week now. He did an ultrasound scan of the girls, and as usual they look great! Both are weighing in at about 6 lbs according to the ultrasound. We got to watch them breathe on the ultrasound again - it's so cool! Baby Olivia was still head down, but Baby Brianna was still breech. He was concerned about a vaginal delivery with Brianna being breech at this point (I don't know why since he wasn't concerned before - maybe he didn't expect to deliver us at 36 weeks so he thought she would be stronger?). Anyway, so we ended up having the C-section conversation yesterday. I didn't want a C-section. . .at all. I had every intention of having these babies vaginally unless an emergency came up or something. BUT, my OB knew my feelings that we would deliver one way or the other, but not both, so he felt that the safest way to get both babies out would be a C-section. He told us to proceed to L&D at the hospital we were going to deliver at and he would have orders waiting for us. He intended to deliver either last night or first thing this morning. Well, we don't have babies yet, so imagine the fact that that didn't happen!

What did happen? Well, we were admitted for "observation", and blood work and another 24 hour urine collection was ordered. The blood work came back okay - trending downward (platelets a week ago were 144 and yesterday were 132) - but not bad enough to deliver right away (they have to be under 130 to deliver right away). My blood pressure on the other hand - all over the board!! At once point it spiked up to 180/95! Yikes! My OB requested a consult from the maternal fetal specialist that I saw a couple of weeks ago. He came in and talked to me, and essentially said I was fine. Maybe on Thursday he would consider doing an amniocentesis, but until then he thought I could just be observed. Well, my OB most definitely disagreed. My OB wanted to deliver me right away and didn't want to risk my health or the babies health at all. The specialist came in at 7 PM to see me. My OB followed up at 10 PM last night (crazy right?). The problem? Politics. Since the other doc is the specialist, my OB really needed to follow the recommendations that the specialist provided. If he chose not to, he would be subject to peer review and other not so nice things. So, he decided that his plan would be to request that the specialist do an amnio today (Wednesday) and if it came back that the babies lungs were mature, he would deliver me that night (Wednesday).

The specialist came in this morning to see me and talked about just wanting to observe me again, and potentially doing an amnio on Thursday. I asked if we couldn't just go ahead and do one today. He said sure! (Seriously, right?). They had just brought me my breakfast so they promptly took it back away, and they did the amnio. It didn't hurt at all! Brianna was TICKED OFF and kept kicking at the needle, but it really wasn't what I expected. We should have the results back within the hour. It's my understanding that the plan is that as long as the babies lungs come back as being mature, these little ones will be born via C-section tonight! They actually did an ultrasound when they did the amnio, and little miss Brianna (the bugger!) has flipped back to head down. Geez! So I will have to talk to the OB and see if he for sure wants to do the section, or if he wants to try and go vaginal again. Like I've said before - these girls DEFINITELY have minds of their own!

Anywho, I will keep you all posted! With just a little bit of luck we will have babies by the end of the day today!!! How awesome would that be? =)

***Update***
We got the amnio results back, and they were a 69. Anything over 55 on the amnio lung test is considered mature, so we are good to go! The OB called back and talked to my nurse and he is giving us the option of C-section or being induced for a possible vaginal delivery. At this point it's our call. He won't give us anything to start the induction process until later in the afternoon and until he is closer to the hospital (he is seeing patients at his out of town clinic today). So. . .the show is on the road!! YAY!!

Thursday, October 7, 2010

Update #1 for this week. . .I anticipate more!

Hi all! Sorry I haven't updated yet - I was trying my best to keep the largest number of people updated that I could, and facebook seemed to be the easiest avenue to accomplish that (for the time being anyway).

That said - I'm still pregnant and the babies are still tucked safely inside me. . .for now. . .

Tuesday, well, I guess technically Sunday, I started having back pain. I have had back pain previously (prior to getting pregnant), but I haven't had ANY since I have actually been pregnant. Weird, right? Anyway, so I starting having some back pain on Sunday. I didn't think much of it. I figured I had overdone it doing laundry or something, or I had slept wrong. Monday the back pain was still there, and was a bit more consistent. Tuesday the back pain was still there, and was getting pretty intense! I wasn't having a ton of abdominal contractions or anything so I didn't really have any idea what was going on. I decided around 2 PM on Tuesday to call my OB and get his opinion. Well, I didn't even get that much. I got "go straight to L&D at Bergan to be checked out". Sigh.

Okay, I understand being cautious and all, but seriously, I didn't think I was in labor or anything. Si and I had googled and thought that maybe, just maybe, I was having some back labor, but I had no way to tell how far apart any contractions may be or anything like that. Overall, I just didn't want to go sit in L&D and be monitored for 6 hours again just to be given terbutaline and sent home (like I was every other time I went in). AND, I wasn't any too thrilled about the prospect of them stopping my contractions if I was indeed in labor. I mean, I understand that every day that the babies are in mommy make a better outcome for the babies, but seriously. . .they are over 5 lbs a piece, we were 35w1d at the time. . .the babies would be FINE if they were born. Anyhow, I digress.

So Si came home from work and hour early, and we went in to L&D at about 4 PM. The nurses couldn't really figure out why exactly I was there since I wasn't having too many abdominal contractions that I could feel, but they humored my doc and hooked me up to the monitors anyway. Well, for once I was glad that I went in! The on call doc from my OB's office ordered them to monitor me and to check me (dilation, effacement, etc.). I was dilated to 3.5! Holy buckets! 50% effaced, -2 position. Sure, these aren't incredibly impressive results, but when I wasn't dilated at ALL before, being a 3.5 was craziness to me! The doc ordered IV fluids, and wanted to monitor me for a couple of hours to see if that made any difference in my contractions. Well, the IV fluids made me contract like no one's business! Who would have thought? They pumped one bag of fluids into me, then started another, at a much slower pace. At this point they checked me again to see if I had progressed. Nope, still at 3.5. The OB decided to give me some procardia to see if it would slow down the contractions. It did slow them down a bit, but it didn't stop them. He decided that he wanted to continue to monitor me for the next few hours to see how my contractions reacted. By this time it was 10 PM. I was STARVING, and all I really wanted to do was go home! The nurse cleared it with the doc for me to have some food (yay!) and told me that if my contractions slowed down to less than 4 per hour that the OB would potentially let me go home at 2 AM. Fine by me! So, I watched a whole pile of bad late night TV, and watched my contractions. I was down to about 3-4 per hour so I was pretty sure he was going to let me go home.

The nurse came back in at 1:45 and told me that she was sorry, but the doc wouldn't let me leave and wanted to monitor me overnight. Seriously??? UGH. So, with the pregnancy hormones, here come the water works. . . and for no apparent reason mind you. . .I mean, what's the big deal? Sure, I hadn't brought my hospital stuff with me (we live 5 minutes from the hospital and figured we could go back and get it if this was the real thing), and we didn't have anyone set up to watch the pugs for the night, but otherwise, we were bound to have babies sometime and I was bound to be confined to the hospital bed for monitoring eventually. I guess I was upset because Si was going to have to go home, and I was going to have to hang out by myself. I am SUCH a wuss! Si finally went home around 3:30 AM to get some sleep. Anyway, long story short, the OB came in first thing in the AM (at 7 AM - Wednesday) and checked me and told me I could go home. YAY!

I had a follow up appointment scheduled with my OB for yesterday (Wednesday) at 4 PM, so I actually got to talk to my OB about what our plan would be from this point forward. I guess the deal is that they really want these babies to stay in until 36 weeks if at all possible (for us that is Monday). They understand that this may not happen, but they want to try and do everything in their power to try and make it happen. They sent me home from the hospital with procardia (which has been causing me massive nasty headaches), so then they also added butalbital (to help with the headaches).

The OB did an ultrasound check and measurements on the girls, and they as usual look awesome! There is ZERO room left in there, but they are still growing and developing perfectly. He even showed us how they are "breathing" - SO cool! They really would be fine to come out whenever! Here are the approximate weights:

Baby A - AKA - Baby Olivia - 5 lbs 13 oz (head down, ready to go!)
Baby B - AKA - Baby Brianna - 6 lbs 1 oz (this little lady WAS head down last time, but has since flipped breech again! Little stinker!)

At this point the OB is most concerned about momma. My blood pressure has been elevated, there was protein in my 24 hour urine check last week (this was news to me!), and since I am dilating early and have had several bouts with pre-term labor, they think that my body is about done being pregnant. My OB thinks I may be able to last another week, but he said he wouldn't be surprised either if I didn't last but a couple of days. SO. . .that's the scoop! These little ladies are going to come when they are darn good and ready, and it isn't going to make one little bit of difference to them when that may be!

I will try to keep you all updated as new things happen. When I am actually in labor (for sure) and they aren't going to stop it I will at least do a quick post and let you guys know=). Hope you all are having an uneventful week - there's enough drama going on here for everyone! LOL! =)