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Constant Contracting - Page 2

post #21 of 82
I know how you feel mom_of_steele. I was so worried about my contractions, I asked three different doctors in the practice about it--once in L&D, once on the phone, and once when I saw my regular OB. The practice specializes in high-risk and multiples,and they all gave me the same answer--that I shouldn't worry. So if that's what your doctor is telling you, enjoy the relaxation and think positive. Trust that any real problems will be spotted right away now that you're being so closely monitored. After some time you'll feel more confident about what the contractions really mean for your body. Hang in there!
post #22 of 82
Thread Starter 
Well thanks...I feel a little better now 29 weeks and still pregnant! So we will just hang in there and see!
post #23 of 82
I'm right there with you! I am 26w with twins, but have two other children, so this is my third pregnancy. I have had "BH" contrax for a while, probably since 20 weeks or so, but they've picked up in frequency and intensity in the last week or two.

I asked my MFM (perinatologist) at my last appt about this, and he said he didn't want me contracting more than 3x an hour, including BH or non-painful contrax. I have only approached that once, this past Sunday night, when DH dragged me to a boring work-related dinner and I had to stand around outside in the heat for a while in heels and a dress. Once I got some fluid and cooled down, they passed. My MFM also said that if they put me on the monitor, they'd see 3-4 contrax each hour, even though I might only be feeling 1 or 2 ... and that's normal at this point, with a third pregnancy, and twins.

My OB, on the other hand, said no more than 4 in an hour, and to try a glass of wine + bath + water (mentioned by lots of PP) first. I liked the glass of wine part, and have taken it to heart Kidding, but I do have a 1/2 glass on many nights when I am contracting.

I also have transvag u/s every other week to check my cervix. It's no big deal ... they simply measure the length of the cervix, then see if it "funnels" or opens when they apply pressure to the fundus of the uterus. So far, I've held steady at 3.7cm long and no funneling. Obviously that will change at some point -- I'll start to thin/efface, and will prob start to funnel, but I think it's a pretty good (positive) sign to still be closed at 25 weeks, which I was. Hopefully you are, too.

So ... feeling any better?! I think you're within normal limits based on your description of events. However, I do agree with other posters that you should trust your intuition; if you're seriously concerned, please -- call or be seen. It's not worth it to be "proud" about this stuff, and the last thing you want to do is to forego asking or going, then have preemies that might have been delayed a bit longer -- at least long enough to get steroid treatments to mature their lungs, if indicated and you're amenable to that intervention (I sure am, especially before 33-34 weeks ... but I'm probably alone in that on MDC! )

GL!! Hang in there, mama, and keep me posted.
post #24 of 82
Quote:
at least long enough to get steroid treatments to mature their lungs, if indicated and you're amenable to that intervention (I sure am, especially before 33-34 weeks ... but I'm probably alone in that on MDC! )
No way, you're not alone! MANY of the MoMs here had steroids before their babies were born prematurely and are very thankful for it!
post #25 of 82
Quote:
Originally Posted by Intertwined View Post
No way, you're not alone! MANY of the MoMs here had steroids before their babies were born prematurely and are very thankful for it!
Yeah, I've never heard anyone on MDC say they refused steroid shots when the threat of premature birth was on the table. I'm sure someone must have done so, but I've never heard it, even here. I sure as heck had mine at 27 weeks!
post #26 of 82
Thread Starter 
vachi73: Yeah...my instincts actually say I'm fine. But what if I'm wrong ya know? I also have the transvaginals done...and a few days ago my cervix was at 3.9 cm, so I guess we're okay there. I have actually not heard of the funneling thing. I'll have to ask my OB. The thing is...my OB said that as long as my cervix is still long and I don't have any bleeding or anything with the contractions, that they are probably not related to dilating. It's hard to say cause I know there are those moms on here that had twins early due to such things ya know? But, I am going on 30 weeks now and having been having seriously sometimes as many as 20 contractions or more an hour, which to some extent has been going on...off and on for many weeks. So, it's like my OB said...if I went by the whole "no more than 4 an hour, try to get them stopped and then come in if they don't...how many times would I be coming into L&D?" I'm like..."Oh, several times a day, haha". So that's why he said not to worry about it unless I am showing other signs. I feel comfortable with it since I am being seen every week. I mean, I have contracted SO much in the last several weeks, and it obviously hasn't been associated with dilating or pre-term labor, and I realize that one of these times it might be, but I do try to take it easy when I can...there is just nothing really I can do about it because I even contracts from just sitting or laying on the couch.
post #27 of 82
Quote:
Originally Posted by OGirlieMama View Post
Yeah, I've never heard anyone on MDC say they refused steroid shots when the threat of premature birth was on the table. I'm sure someone must have done so, but I've never heard it, even here. I sure as heck had mine at 27 weeks!

Yeah. Steroids and the meds at birth saved my baby A's life. DEFINITELY important if pre term labor arises.
post #28 of 82
Quote:
Originally Posted by mom_of_steele View Post
vachi73: Yeah...my instincts actually say I'm fine. But what if I'm wrong ya know? I also have the transvaginals done...and a few days ago my cervix was at 3.9 cm, so I guess we're okay there. I have actually not heard of the funneling thing. I'll have to ask my OB. The thing is...my OB said that as long as my cervix is still long and I don't have any bleeding or anything with the contractions, that they are probably not related to dilating. It's hard to say cause I know there are those moms on here that had twins early due to such things ya know? But, I am going on 30 weeks now and having been having seriously sometimes as many as 20 contractions or more an hour, which to some extent has been going on...off and on for many weeks. So, it's like my OB said...if I went by the whole "no more than 4 an hour, try to get them stopped and then come in if they don't...how many times would I be coming into L&D?" I'm like..."Oh, several times a day, haha". So that's why he said not to worry about it unless I am showing other signs. I feel comfortable with it since I am being seen every week. I mean, I have contracted SO much in the last several weeks, and it obviously hasn't been associated with dilating or pre-term labor, and I realize that one of these times it might be, but I do try to take it easy when I can...there is just nothing really I can do about it because I even contracts from just sitting or laying on the couch.
I'd really be curious if you've been screened for Bacterial Vaginosis? I had a pregnancy with a singleton much like you're describing and I am pretty sure I had BV at that time. I also had it with the twins but it was caught by my MW and we treated holistically. I did NOT have as many contractions with them as I had in her pregnancy (and also didn't suffer from chronic UTIs either). It's not something that a typical OB will screen for. I'd ask. Also, you might as to have the fetal fibronectin test done. It's a simple swab that can be done at the same time as the BV swab. If it's negative it's a 90% certainty that your babies will not be born in the coming 2 weeks and you could relax. If it's positive then you'd know to be more careful and cautious. Just my thoughts!
post #29 of 82
Thread Starter 
I'd ask. Also, you might as to have the fetal fibronectin test done. It's a simple swab that can be done at the same time as the BV swab. If it's negative it's a 90% certainty that your babies will not be born in the coming 2 weeks and you could relax. If it's positive then you'd know to be more careful and cautious. Just my thoughts! [/QUOTE]

Yeah they actually did the FFT about 3 weeks ago and it was negative, but I guess my 2 weeks is up huh? Yeah I'll have to ask him about the BV thing at my apt. on monday. I'm also curious about that funneling thing. We will see. I mean, even tonight it was making me wonder again...cause they are SO hard and strong sometimes (not really painful I guess...just REALLY uncomfortable) that I kinda have to stop what I'm doing and try to breath for a minute ya know? And this may sound really odd so don't laugh...but every single time I contract, I feel like I have to pee SO bad, that I wonder sometimes if I am just having to breath through them cause I am focusing so hard on not peeing, haha. Does that make sense? Am I just weird?
post #30 of 82
Oh dude, that SO sounds like a UTI. I felt that exact same way in the pregnancy I was speaking of before. I could be wrong but it was my experience. I never, ever had typical "uti" symptoms when I was pregnant. Just that overwhelming urge to pee during a contraction and LOTS of them.
post #31 of 82
Thread Starter 
Well that's odd...I mean, they take a urine sample every week. I assume they test for that. And when I asked my doctor if it was normal to feel like I had to pee really bad every time I have a contraction...he said "yep, for twins". So I didn't think much of it. He also mentioned at my last appointment something about a prescription that is actually a blood pressure medication that he said helps calm down the contractions if they are getting to be disruptive to my "semi-normal" life. I dunno though. Anyone ever heard of it? He said it won't put off pre-term labor...just make the contractions softer and not as often.
post #32 of 82
Quote:
Originally Posted by mom_of_steele View Post
Well that's odd...I mean, they take a urine sample every week. I assume they test for that. And when I asked my doctor if it was normal to feel like I had to pee really bad every time I have a contraction...he said "yep, for twins". So I didn't think much of it. He also mentioned at my last appointment something about a prescription that is actually a blood pressure medication that he said helps calm down the contractions if they are getting to be disruptive to my "semi-normal" life. I dunno though. Anyone ever heard of it? He said it won't put off pre-term labor...just make the contractions softer and not as often.
Sounds like he's talking about nifedipine (Procardia is the brand name), which is prescribed (off-label) for preterm labor. I took it for about a week in the hospital after I couldn't tolerate the first-line treatment (terbutaline). It's strange that he said it wouldn't put off preterm labor, since that's exactly what it is used to do. For some people it's extremely effective, for others it's not.

I never felt like I had to pee when I had contractions, but for me one of the things that caused contractions was having to pee. Extremely frustrating, but from the moment I felt like I had to pee, if I held it, I'd start contracting. So on the one hand, keep hydrated so you don't contract, but on the other hand, pee a lot so you don't contract. Good times.

I'd request a BV screening and a repeat fFN at your next appointment, and if it were me I'd feel more comfortable if I had a transvag u/s to be sure I wasn't having any cervical change with all that contracting. More so if they seem to be changing in character - i.e. you said they are not quite painful, but causing discomfort. When are you going back to the OB?
post #33 of 82
Quote:
Originally Posted by mom_of_steele View Post
Well that's odd...I mean, they take a urine sample every week. I assume they test for that. And when I asked my doctor if it was normal to feel like I had to pee really bad every time I have a contraction...he said "yep, for twins". So I didn't think much of it. He also mentioned at my last appointment something about a prescription that is actually a blood pressure medication that he said helps calm down the contractions if they are getting to be disruptive to my "semi-normal" life. I dunno though. Anyone ever heard of it? He said it won't put off pre-term labor...just make the contractions softer and not as often.
Uh, *coughcoughbullshietcoughcough* It is NOT normal to feel like you have to pee when you contract, unless, you know, you have to PEE! Or you have a UTI

Neither of my OBs ever screened my urine for UTI. They only dipped it for sugar and protein. It wasn't until I started having care with a CPM that my BV and UTI problems were caught. She heard my symptoms and suggested we swab for BV and we watched my urine dips closely. Well, I take that back slightly. My OBs did catch my UTI's when I started having intense runs of contraction. But they had to order a specific test and then never equated it with BV; just gave me a prescription for macrobid which did NOTHING (and now I know why!)

I could totally and completely be off base but it sure wouldn't hurt to look into.
post #34 of 82
Hey mom_of_steele, can you check in, even if you have nothing to report? I keep thinking of you.
post #35 of 82
Thread Starter 
[QUOTE=Intertwined;14309846]Uh, *coughcoughbullshietcoughcough* It is NOT normal to feel like you have to pee when you contract, unless, you know, you have to PEE! Or you have a UTI

Well, I do actually have to pee...it just usually isn't very much. It's not like EVERY contraction I have that gives me that sensation, just the really really strong ones. Anyway, I forgot to ask him at my last 2 appointments about it. But for anyone else who want to know...here is my update: I am 31 weeks today, and will have another appointment in 3 days. Last weekend I had a tiny tiny bit of pinkish spotting, so I called my doctor, and long story short...I never went in since I was being seen 2 days later and I felt fine (other than my normal contracting, lol.) So they monitored me for a while last monday and found that I was in fact having contractions about every 3 minutes or so...but that they just looked like irritable uterus. Kinda sporadic with no real pattern. He checked me and there was no dilation at all and since my cervix had just measured almost 4 cm (closed) the monday before...he was not concerned. But since I was contracting so much, they wanted to monitor me again on thursday. They did the transvaginal ultrasound on thursday and my cervix had shortened to about 3.3 cm in that 10 day period of time. But he says they won't be concerned until it is less than 2.5 cm. And, since I was still consistently having contractions about every 3 minutes they decided to put me on the Nifedipine. It helps enough so I can function a little more without such strong contractions and not quite as many. So that's nice. But really over-all I hear I am doing pretty good for a twin mom at 31 weeks. But, we will see what the length of my cervix is in a few days and I'll keep you all posted!
post #36 of 82
Thread Starter 
So...this weeks doc. apt. was kinda short. They will be measuring growth of the babies and all sorts of things next monday. But, they monitored me for a while to check babies heart rates and my contractions. The Nifedipine I am on seems to be helping with that. They did an FFN and it was negative so he says he is convinced I am not going to go into labor in the next week anyway. Still feel like I am having tons of contractions all the time but I guess that's just normal or something cause it doesn't seem to be effecting my cervix in any way really. Will update next week
post #37 of 82
Thread Starter 
Well...in case anyone cares, I had my doctor appointment today. 32 Weeks: both boys are head down, my cervix is completely closed and just under 3cm in length. Still contracting quite frequently but it doesn't seem to be "doing" anything. Estimates on weights are 4lbs. 5oz. and 4lbs. 4oz. so they are "supposedly" right around the 50th percentile for gestation. And my ffn was negative a few days ago, so I guess all is well!
post #38 of 82
: Yay mama!
post #39 of 82
we don't get anything like this monitoring as standard in the uk. i was offered steroids about 10 or 15 minutes before the births i knew it was imminent, so declined. maybe next time they'd give me the shot earlier, but who knows!!
post #40 of 82
Quote:
Originally Posted by mom_of_steele View Post
Well...in case anyone cares, I had my doctor appointment today. 32 Weeks: both boys are head down, my cervix is completely closed and just under 3cm in length. Still contracting quite frequently but it doesn't seem to be "doing" anything. Estimates on weights are 4lbs. 5oz. and 4lbs. 4oz. so they are "supposedly" right around the 50th percentile for gestation. And my ffn was negative a few days ago, so I guess all is well!
Very good news! Keep growing those babies!
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