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WWYD? High leak again, 26 wks

post #1 of 15
Thread Starter 
I am very certain that the high leak is back. I don't know if anyone remembers about me having one at almost 20wks. It isn't totally clear though, slightly pinky, smells sweet, although not as bad as the first time. Let me also add that I have a cough, and hard sneezes, because I am congested from what the kids gave me. So, I don't know if that caused it.

Also, that I had a MW appt today, but I had to postpone until Monday. This past Monday, my 7yo had asthma episode that put her in the hospital. DH stayed with her Mon night. Then, our 21 mo old, that has health problems, got bad all of a sudden, and although not critical, it was decided to keep him in. He got worse overnight, and we were so glad they kept him. THey moved her to a double room, and took us up. DH went home, because the baby has to have me. I am quite concerned about being 26 wks PG and someplace I could get something bad. But, he really needs me here. DD got to go home last night, and is suppose to take her meds and take it easy at home. We tried to wean the baby off the o2 today, but while he slept, he got bad again by 1.5hrs. Not only that, but the breathing treatments don't seem to be having much effect. The first ones, seemed to cause him to plummet, so they switched. The other ones, now seem to be ineffective if he is off the o2 while asleep. So, he is back on. They do help when he is awake, it is just strange.

I have this darn cold these two gave me. SO, I think that will protect me from worse germs that could be here. They are a great hospital here, but my MW/OB are NOT here, but at a different hospital that won't really care for peds. They do have an OB dept in case I were to need something. I wondered if my MW could have them to the testing while I am here, but now I have the leak.

I talked to my MW's nurse today, and the MW is suppose to call back, but I am not optimisitic. She isn't good about that. I did tell her that I was wanting to get a 24 hr urine and blood drawn to rule out early pre-e onset, as my BP has been rising since we discussed pre-e here, steadily, and now to a point that I think is concerning. I still have the floaters for brief amounts of time, and the headaches on occasion. I had right kidney pain last week for some time on two different days. And, Tues night, while here, I had stabbing pains at my bottom right ribs.

I am trying to drink and eat well, and do what I can to keep well. I am not cramping, or contracting. My back doesn't hurt. THe baby started kicking me to make me feel better, sweet thing. SO, all seems well, just that I don't like the idea of having the leak. I can't really leave the baby unless it was a real emergency where I can get things taken care of at OB. But, that would require a nurse sitting with the baby the whole time, and I can't see who would do that, and it takes so long here. And, they don't have my MW to consult with.

Any ideas about what to do? Any advice? I am obviously taking it easy having to entertain the baby on the bed. Kymberli
post #2 of 15
If you are having pre-e symptoms and "another" high leak, I would suggest that you seek out another care provider immediately. Even if that means going to the ER. If you are continuing to have serious issues that your midwife is not addressing and she won't even call you back, then you need to find someone else ASAP.

I really don't think this it the kind of thing that it is good to be asking for advice on the internet or waiting to see what happens. I'm usually pretty laid back about most situations in pregnancy, but what is going on with you sounds like it could very possibly be really a big deal. Please seek medical advice from someone that will take you seriously.
post #3 of 15
It sounds like you have a lot on your plate mamma.

Honestly, I'd probably get checked out on my own and not wait for the MW to give me her word.
post #4 of 15
how about verifying the high leak with some ph paper. Amniotic fluid would be in 7+ range.
With all that coughing it could be other fluids.
Tricia
post #5 of 15
Thread Starter 
Thank you. They have OBs right next door, in the same building as my children's ped's. I think they would see me in this OB by going through the ER. But, this hospital will NOT do VBACs, even if you are having VBAC #7, as is the case with me, and was the case with my friend who did VBACs with her OB for years. I can't realistically transfer care. I want to go UC, but with all these issues, I don't want to walk in without care if I have PPH again, or need help before the baby.

I am pretty sure the leak has healed. It isn't coming with the coughing. That gives me a CTX, but that just started this morning. And, I am not coughing very often. I know I am not wetting myself. Because it now seems to be gone. I had some pH strips at home, and I am here. I do need DH to bring clothes, but he has to tend the children at home.

I haven't had any pre-e symptoms while at the hospital. I probably didn't make that very clear. But, it has been on and off during the PG, especially the last 6 wks.

And, the baby is still on 02. He SHOULD be off by now, and it seems to be mostly a sleeping thing. SO, they may be talking transfer to a ped hospital, where they can find out why he can't be off O2 during sleeping. Both times they tried, he was good while awake, went to sleep and went bad fast after 30-40 min.

I have my DH until Sun night, so that is good. He may be able to sit with him and a few kids until I was done over at ER/OB. If the leak cont or gets worse, we are going to have to try that. Kymberli
post #6 of 15
I'm sorry you're having such a rough time. Glad the leaking stopped. I've heard that taking extra vitamin C will strengthen your bag of waters, have you looked into that? Of course the main thing you want to do is prevent infection. I have a feeling that an OB would probably want you on bedrest and put you on ABX, if you're still leaking at this point, because your baby is still too little to be born. Please try to see your midwife or a doctor. I'd want to get that kidney pain checked out ASAP! An untreated kidney infection can be really bad for your LO as well as you. Hope your other kids feel better soon! And take care of that cold/cough! Don't underestimate the power of hand sanitizer/handwashing to keep you from picking up germs in the hospital, you may even be able to get a surgical mask from one of the nurses, I think they will understand if you tell them you are pregnant and worried about catching something, since swine flu is supposed to be so bad for pregnant women. Hang in there!

Quote:
Originally Posted by fwlady View Post
Thank you. They have OBs right next door, in the same building as my children's ped's. I think they would see me in this OB by going through the ER. But, this hospital will NOT do VBACs, even if you are having VBAC #7, as is the case with me, and was the case with my friend who did VBACs with her OB for years. I can't realistically transfer care. I want to go UC, but with all these issues, I don't want to walk in without care if I have PPH again, or need help before the baby.

I am pretty sure the leak has healed. It isn't coming with the coughing. That gives me a CTX, but that just started this morning. And, I am not coughing very often. I know I am not wetting myself. Because it now seems to be gone. I had some pH strips at home, and I am here. I do need DH to bring clothes, but he has to tend the children at home.

I haven't had any pre-e symptoms while at the hospital. I probably didn't make that very clear. But, it has been on and off during the PG, especially the last 6 wks.

And, the baby is still on 02. He SHOULD be off by now, and it seems to be mostly a sleeping thing. SO, they may be talking transfer to a ped hospital, where they can find out why he can't be off O2 during sleeping. Both times they tried, he was good while awake, went to sleep and went bad fast after 30-40 min.

I have my DH until Sun night, so that is good. He may be able to sit with him and a few kids until I was done over at ER/OB. If the leak cont or gets worse, we are going to have to try that. Kymberli
post #7 of 15
Oh my goodness! You're really going through it right now. :
post #8 of 15
I agree that if your MW is not calling you back or taking your care seriously, I would find someone that would.

I understand you not wanting to deal with a place that will not allow VBACs, but then again, it is not really an issue for you at this moment.

I would think that the biggest concern at this moment would be infection and PTL. And either of those would be VERY bad.
post #9 of 15
Thread Starter 
TY ladies. I kind of forgotten that I posted here. SO, I posted in my Dec DDc too.

Well, I really thought the leak had sealed, and then today, it was DEF there. Still questionable though. I think it may have resealed at this point, but I have been laying around on bedrest. Maybe it did finally reseal.

I did get home with DS. The meds were causing his 02 dependency, and I figured it out. We could have been going home on o2 and monitors (again). The dr thinks he has developed asthma, but the asthma meds are counterproductive for him because of his anatomy. So, he can't use them or any rescue meds, unless he already needs to be hospital, otherwise, it will put him in. Dr put him on steroid neb treatments. Steroids lower immunity, and it is colds and viruses that send him to the hospital. THIS is not making me happy, but I thought he only wanted him on steroids for a week, usual treatment after hosp for resp distress. So, I have to clarify that with him. I don't believe he has asthma yet. So, I probably need to see an asthma dr to rule it out or confirm.

I couldn't get babysitting for my appt tomorrow. So, I will have to drag some of the children to doing the appt, testing, and probably U/S at the hospital. It is only for their benefit that I would want them babysat.

My B/P was kind of bad today, but tonight it was much better. My AM and PM are usually a little higher than my noon. But, now, it seems my AM and noon are higher, which have been recently concerning.

So, I will get things done tomorrow. I considered going to the ER because I was having a back ache for some time, hip pains, and groin pressure. I checked, and I seem to be open, although I don't believe I am dilated. I didn't want to push it. I have checked before when having cont back aches, to be sure I wasn't in premature labor. And, I have never been open until my due date. The aches stopped and the baby has been kicking a LOT. Dh asked if I wanted him to take tomorrow off, as it is the easiest day for his boss to find a replacement, but I told him to go to work. It seems like if we don't prepare for a catastrophe, none happens.

It has been a very long hard week, and that makes me wonder if I am just seeing things, or making too much of something, or just being paranoid. Maybe a denial thing, but I do feel at peace about this whole thing. Much more than I did sitting at the hospital.
post #10 of 15
Thread Starter 
As an update, I saw my MW today. Kids did okay, but they like to make noise.

She said my systolic was a little high, diastolic was 76 but ok, but it is high for me, but I forgot to tell her that I am normally 95/55, after I had told the nurse. She said my protein was trace, 6 wks ago was +1, which was right before I ended up in the ER with high BP and migraine. So, it is good that it was down, but her response was that so many things can cause it.

Since I will see her in 1.5 wks to do the glucose thing (just a random blood draw, not the GTT which I refused), then they will check the protein and BP thing again.

We didn't discuss the leak really, maybe she thought I went to the ER and got cleared. I did mention it. She measured my belly and it was 27, which is right on target, so AF levels must be okay. The HR was good, but I didn't ask what it was.

I guess in some respects I like this clinic because they don't freak over any little thing. But, I wonder if they would overlook something significant because of being blase. She did say we would watch it.

So, everything is okay for now. Kymberli
post #11 of 15
Great update!

Hope things go smoothly from here on out.
post #12 of 15
I would go see someone who will take a possible amniotic fluid leak seriously and at least test to see if it is a leak and do an u/s to see if there is enough fluid. It sounds like the midwife is a little to blase with your symptoms that are pointing to pre E and leaking amniotic fliud. Your pregnancy sounds very high risk right now.
post #13 of 15
Thread Starter 
Yeah, I got the third degree from my birth mother too. If I hadn't been so exhausted from the past week, I would have insisted on the testing I wanted. But, she caught me at a bad moment.

I promised my mother that I will call the OB and get into see him. I think I can be safe to see what the MW does on the 1st. If she still sees no reason to do the testing I want, then I will ask her if she can have the OB talk to me, and see if he thinks he can order it. I don't want to upset her, especially if all comes out normal, but I really think it doesn't matter if I transfer to him anyway.

I have been watching my BP. But, then it hit me that I do have a chest cold, and the last cold I had from bad allergies, my BP went up too. But, then it went to their baseline for me after I was over it. SO, I am hoping that it will go back down once I am all better. My BPs this AM were terrible, about as bad around 3pm, and tonight it is better. But, that was still 126/75.

TY ladies so much. I am going to figure this out and get my voice heard. I can also refer myself to an MFM if I need to, just because of my 1st PG. Kymberli
post #14 of 15
Thread Starter 

Update

I have a good update. Whatever the "leak" was, it is definitely gone. I did post this on another question I had that was related. But, I wanted to update. Now, I am just "peeing" in my pants, oh, the lovliness of #8 PG. The baby just sits on my bladder now, as I have had to go all the time too.

Now, last night, I had a lot of lower back pain, hip and leg pain, and a few Ctx, and I am not sure what that was about. It seems that I am open a little, as that seems to go back and forth, but after laying down, the pains went away. So, I don't think it was preterm labor, but I am very aware because it is something that I have feared would happen. So, it could just be a grand multipara thing. I know that our bodies start up sooner in subsequent PGs.

My BP has been down too, so that is good. I have even gotten some readings in the high 60s diastolic. SO, that is really good. I think the biggest issue I was having was that I was sick, and that seems to raise my BP a little. So, mostly staying in the low 70s. That is better than the low 80s I was having. I still wake up with headaches on occasion, but they go away pretty quickly. Kymberli
post #15 of 15
Good update! I hope the PTL stays FAR, FAR away! It is something that I have been worried about just a bit lately as well. I am just guessing it is a grand multipara thing too. I guess it is making me be hyper observant of every single little ache, twitch, and feeling.

Glad your b/p is going down! Keep up the good work! (If you want to call it that!)
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