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General question for moms who delivered early

post #1 of 18
Thread Starter 
I'm 29 weeks along. In the past week or so I started experiencing painless contractions -- just a tightening of the abdomen -- along with downward pressure on the abdomen. I thought perhaps these were Braxton Hicks and ignored them. Then, 3 days ago, I had sharp pains in my lower abdomen, mostly right in the middle right along the pelvic bone, sometimes on either side, but mostly in the the middle. These were at random intervals and while painful, each one didn't last long enough to stop me from doing anything. By the end of the day, the sharp pains were still there, but they were joined by a dull heavy ache that ran horizontally across my abdomen along the line of the pelvis. The next morning, pain was gone, but I noticed some clotting -- dark brown, grainy clotting, bigger than sand & smaller than gravel. Not much, but enough to have me call the doctor. The on-call doctor told me to meet her at the hospital. The hooked me up to a monitor. They could see the uterine contractions. There was no cervical dilation. They gave me a swab which came out negative, which indicated I was not going to go into labour for at least another seven days, but they said if the contractions continued more than four/hour to let them know. I went home. The next day, while walking the contractions were definitely more than four/hour. I laid down, and it got better, but then I started feeling something quite like labour. Low pelvic cramping, radiating down the legs and into my back at irregular intervals, and also I could feel my baby moving but only the pelvic region. Big moves, like she was getting her head positioned correctly to come out. I called my doctor, got an appt for today. After having seen my doctor, she says my cervix is still OK, but what I am experiencing is not normal and needs to be watched. She has told me not to do anything. Well, I can putter around the house (specifically she said I can stand up for 20 minutes at a time to make meals) but nothing else. No walking the dog, no driving myself anywhere, and if anything happens, I am to go the hospital immediately, as she doesn't want the risk of a very preemie baby being born at home accidentally. Whoo, sorry so long!

So my question is for moms who have experienced preterm labour/birth: is this anything like what you went through? And how did it work out?
post #2 of 18
I'm also on "puttering around the house" only status. I had some contractions Wednesday, that started out like period cramps in the abs and low back. Went to get checked out at the hospital, per my CNM's request, since they were not going away with laying down. Contractions got more intense...like I couldn't talk during them, and just had to try to keep breathing. The contractions were painful in my belly and back. ....I'm guessing these are not BH contractions....I think I've had those before and it mostly feels like belly tightening and goes away when I lay down. Anyway, after some 5 hours and some medicines, and 2 IV bags, they finally stopped.

My CNM said that sometimes if this happens, women will end up delivering early, and half the time, they'll end up going clear to their due date, or even past it....which can be a bit nerve wracking if you're thinking you're going to give birth early.
post #3 of 18
Thread Starter 
Guava: How long did your CNM say to stay on "putter mode?" Are you going to be reassessed in a while, or is putter until baby arrives? They have me scheduled for an ultrasound soon to have a closer, non-invasive look at my cervix and probably the baby as well. At which point, I could be upgraded to regular functioning life again, or downgraded to complete bedrest. And did they find any dilation occurring when you were checked? I wonder how serious my situation is, given the fact I have no dilation...but I suppose it is possible to labour for some time without dilating, and it doesn't make it any less real.

I got the same "some women give birth early under these circumstances, some don't" from my doctor. I guess it's yet another lesson in learning to just roll with it!

Oh, one more question: are you drinking any caffeinated drinks? I would dearly love a cup of tea right now, but don't know how safe it is to put a stimulant into my body, however weak. I didn't ask my doctor, and it seems such a small question to phone and bother her with.
post #4 of 18
I'm pretty sure she said I need to be resting until I hit 35 weeks...so Tuesday I can be back to normal, as long as things are fine. I don't know if that will be a new normal or not....like if it means, no swimming or if there's a time limit for standing/walking around. I have my regular appt. with her tomorrow, so I'll find out more then and she'll be able to reassess and let me know the details. She did say that after 35 weeks they will no longer stop labor...and I think that judgement/policy is different depending on your hospital.

I also am not dilated or effaced. They checked me when I first checked in and before I checked out of the hospital. ... and yeah, I definitely had real contractions.

I am not drinking anything caffeinated. For me, we think my contractions MAY have started from GI tract issues or dehydration (or both), (maybe caused by a stomach bug) that was irritating my uterus. So, I'm trying to keep my stomach as non-irritated as possible, and caffeine can sometimes do that to me (plus it can be dehydrating). Plus, I normally haven't been drinking coffee during this pregnancy, but the day those contractions happened I had some coffee, so I'm slightly paranoid now.

Interesting how we're in kinda similar situations. We'll have to keep each other posted.

I'd still love to hear from some mamas who have already been through this kinda thing.
post #5 of 18
Thread Starter 
You are exactly five weeks ahead of me. On Tuesday, I will be 30 weeks. I just was called by the Ultrasound people, and will be able to get in today. I'm so curious to see where she is, because I keep feeling her drop -- or at least I *think* that's what I'm feeling. They will also check the cervix without having to poke around. I was talking to a friend of mine who had her twins at 33 weeks, due to health complications. They gave her steroid shots and they were able to breathe unassisted. They were both between 4 and 5 pounds, which, while small, is not *that* bad! So that was reassuring to hear. And she was able to nurse even though her babies were hooked up to IVs and couldn't suck or swallow for another three weeks. She just expressed until they could manage on their own without the IV. I was rather concerned about that -- that if this baby comes early, I won't be able to nurse her.
post #6 of 18
I noticed those painless contractions in rhythmic patterns starting around 25-26 weeks, but the obgyn office did not take me seriously and waited til my 28 week appointment to talk about it. An ultrasound showed that my cervix had shortened quite a bit (from 4cm to less than 3cm). I didn't know any better and agreed to a fetal fibronectin test which came back negative, they told me all is good and not to worry.
In the meantime, we moved to Southern CA and my next appointment with the new ob/midwife practice hadn't com e up yet when the contractions hit again, every 2 minutes, slightly painful. Then I woke up soaking - all the pre-milk from my breasts had leaked out. It was a lot. We called the new office who sent us straight to LDR to get checked out.
They put on the monitor, saw all the contrax, checked me (still closed and stuff), but I was given Terbutaline and was on til 35 weeks...
I took it all seriously as my mom and her sisters always had preterm labor, my mom had to have cerclages with all of us. My sister had to take Terbutaline too. It's not fun, but either that or preemie. I only took it when I felt contractions, I didn't take it all the time as prescribed.
post #7 of 18
Quote:
Originally Posted by Annie Mac View Post
You are exactly five weeks ahead of me. On Tuesday, I will be 30 weeks. I just was called by the Ultrasound people, and will be able to get in today. I'm so curious to see where she is, because I keep feeling her drop -- or at least I *think* that's what I'm feeling. They will also check the cervix without having to poke around. I was talking to a friend of mine who had her twins at 33 weeks, due to health complications. They gave her steroid shots and they were able to breathe unassisted. They were both between 4 and 5 pounds, which, while small, is not *that* bad! So that was reassuring to hear. And she was able to nurse even though her babies were hooked up to IVs and couldn't suck or swallow for another three weeks. She just expressed until they could manage on their own without the IV. I was rather concerned about that -- that if this baby comes early, I won't be able to nurse her.
I had to pump for my 32-weeker for the 6 weeks he was in the NICU, plus another couple of months after he came home, but then he got the hang of breastfeeding and nursed to 22 months.

My 34-weeker spent 10 days in the NICU but I was able to nurse her shortly after birth, and then she was exclusively breastfed (no more bottles) after a week at home. She's almost 9 months old and has always nursed like a champ. Neither of my kids have ever needed formula.

Best wishes and full-term baby vibes to all of you!
post #8 of 18
Thread Starter 
Nia, did you have the baby at 35 weeks, or was that when they felt it was OK to take you off the medication? Did you deliver a full term baby in spite of all the contractions? What's wrong with the fibronectin test? I had one at the hospital, is there some risk involved with them? Is it just that it's a bit invasive, or is there something else I don't know about? My doctor mentioned that it might be necessary to do another one. I had an ultrasound today, everything is looking pretty good. Cervix is still long, baby's healthy, they estimated her at about 3.37 pounds which sounds pretty reasonable to me. And she was no longer head down. I guess she just bangs around a lot in there. I'm hoping the doctor will tell me I can resume a normal life which includes walking by myself to the store and taking the dog out. I like to know causes but I'm willing to accept the contractions as idiopathic as long as I get a full term baby!
post #9 of 18
Thread Starter 
And Bokonon: thanks for the reassurance. I nursed my first until she was 2 years old, when she stopped. It would feel so strange not to be able to nurse this one. BTW, love your name. Cat's Cradle is one of my favourite books. (nice, nice, very nice, so many people in the same device)
post #10 of 18
Quote:
Originally Posted by Annie Mac View Post
And Bokonon: thanks for the reassurance. I nursed my first until she was 2 years old, when she stopped. It would feel so strange not to be able to nurse this one. BTW, love your name. Cat's Cradle is one of my favourite books. (nice, nice, very nice, so many people in the same device)


I love it when people get my username!
post #11 of 18
Annie: I had DS hat 36 weeks and 6 days, water broke one day before he was born. The obgyn was unwilling to give me any further Terbutaline after 35 weeks as he felt 35weekers are fine. I disagreed, and I'm really not someone who likes meds, but my sister was kept on it til 39 weeks! She had her son then at 40+2. DS was jaundiced and we had a rocky start nursing (SNS feeding, all the pumping, breastshields etc) which was all directly related to him being early...

The FFN test... Is disputed if it is worth it at all. It is not done at all in the EU... It is invasive and any type of pap always involves the risk of infection and it could induce labor by stimulating the cervix. When I talked about it with my MD sister and she talked about it with her obgyn friends (in Germany) they all were like that test is not reliable, invasive and expensive... I wouldn't do it again. My sister handed me a pack of Fenoterol which is the same type of medicine used in the EU. I just have it handy in case I do suffer from preterm labor again and docs refuse to give it to me again...
post #12 of 18
There are many different approaches to potential preterm labour and treatment isn't as good as doctors would like, because when you dig deeper with the studies and tease out what makes you go on a particular med and so on, you find that there are a lot of people who give birth at or near term who by one flag should have been treated.

My story is that at 27wks I had an episode of contractions, tried lots of things, but in the end I refused to go to the hospital, midwive checked not long after, soft, fingertip dilated and about 50% effaced. The effacement seems to be the best predictor, under 1cm and it's a danger zone, 1cm-3cm it's a grey area, above 3cm, no problem.

Same happened at 29wks, went to the hospital showing up on their monitors no problems, shot of terb in one arm, then in the other, now an oral dose I don't think we got them completely to stop. Also, by now I was 75% effaced, so in that 1-3cm grey area. I was sent home on strict bedrest and oral terbutaline, supposed to call if it got to a certain number in one hour, which it usually did, but I didn't call. I was supposed to get an OB, having been with midwives, they transferred me to theirs, who didn't seem particularly keen to see me as it was over a month later when I finally said enough is enough and we managed to get an OB.

So we didn't really manage by preterm labour as is ideal, because I was almost 35 weeks by the time I got to the OB and by cervix hadn't changed any more at that stage.

Had a bit of a scare when I was 36 weeks, got admitted for high BP, so they had me on my left side and contractions start, but I couldn't move, the were ok sitting up, told me they would try to stop them and that they'd do a c-section if I got to 4cm, fortunately it all stalled out, it was unpleasant but better than having a baby that night.

We had her the following weekend at exactly 37 weeks from LMP
post #13 of 18
I experience something similar to you. I had contractions every 3-5 minutes lasting 40-70 seconds...for 8 weeks. Yes weeks. They were mild and most nights I could sleep through them. This started at 30 weeks. I delivered at 38 weeks. My cervix dilated to 3 cm at 31 weeks and by the time I reached 37 weeks I got to 5cm. The whole time I thought the baby would be born that day. It was a long long long wait! I'm just putting it out there that especially if you are not dilating, it is possible that it won't be an early baby! We had fibronectin testing done twice and both time results were negative. I feel it's a reliable test. Good luck!
post #14 of 18
Thread Starter 
Anekh & Mama: Thanks for sharing. interesting. So just really long drawn out labour, essentially. 8 - 10 weeks of labour! I'm seeing my doctor again tomorrow. The contractions have subsided but not disappeared entirely. I really hate having to depend on others to help me out -- my MIL comes to walk my dog every day, which I really really appreciate, but I'd like to be able to do it for myself. I'm also having urges to get everything ready for the baby, but am stymied on some of that. The other day I thought I'll get the bassinet set up, which involved moving the bed and dressers and finding a convenient place for it. Then I realized that moving around large pieces of furniture singlehandedly probably qualified as "lifting" -- one of the prohibited activities. I'm still hoping to be told that I'm fine, resume a normal life.

Western medicine amazes me in a number of ways. It is astonishing, for example, that they can take a baby delivered at 24 or 25 weeks and keep it alive until it can survive on its own. But on the other hand, in some areas, they just don't know what to do. This whole "don't move" thing -- I'm not sure if it's really valid, or if they just tell you to do that because they're not sure what else to tell you.My doctor was quite candid with me, and told me that if premature labour began in earnest, there really was nothing they could do that consistently slowed or stopped it. But that the survival rates for preemies were really good.

I feel better now that I've moved into week 30 for some reason. 29?
Too early! 30? Not so bad. LOL.
post #15 of 18
I had my [awesome] baby last month at 32 weeks. I'd been having 'piddly' contractions on and off for weeks, and I *knew* she was going to come early. But I didn't know how early!

I was/am a constant cervix-checker, so I noticed that when I did a lot of walking, I would start to dilate, even without contractions. When I put my feet up and drank a lot of water, an hour later my cervix was usually closed again. Dilation can go back and forth -- even to some degree in labor -- so it is important that you listen to and respect your body: avoid stress, rest, and hydrate!

I was assured that the early contractions didn't likely mean anything -- they weren't always strong, had no pattern, sounded normal... My instinct told me otherwise; I should have listened to it and stopped carrying on as normal!

PS. Even having the healthiest baby in the NICU is a nerve-wracking and life-changing experience.
post #16 of 18
Thread Starter 
Aramat: Congratulations on your new healthy arrival! I'm sure she's beautiful.

Question for you: How do you know your cervix is dilated? Can you feel a difference? Are you manually checking? I think I'm pretty in tune with my body, but I'd have no idea how to tell.

I had a friend describe the NICU (she delivered at 33 weeks) as both one of the most beautiful things she'd seen, and one of the most awful things as well.
post #17 of 18
Quote:
Originally Posted by Annie Mac View Post
Question for you: How do you know your cervix is dilated? Can you feel a difference? Are you manually checking? I think I'm pretty in tune with my body, but I'd have no idea how to tell.
I knew I was dilating because I was having regular contractions for days, 3-5mins apart as well as bloody show. I don't personally suggest repeat manual cervical checks as it can introduce bacteria and there are other signs to watch for. But after the bloody show, I did a manual exam and noticed my cervix was softer, anterior and dilated. I went to the hospital expecting preterm labour. They did a check and confirmed I was at 2-3cm and then I lost my mucus plug. An ultrasound also indicated cervical dilation.
post #18 of 18
DD was born @ 30 weeks...a HB turned hospital birth.

At 28 weeks, it started w/ bloody show which turned into contractions. My CPM sent me straight to the hospital. The FFN was positive and I had mag. (hell in a bag) to stop the contractions. IIRC, I was about a 1 and 50%. She'd been feeling very low. I did get the steroid shots. I was in the hospital for a week and stayed on terb. The contractions stopped. I was sent home w/ a few days worth of terb. and told to follow up w/ my MW (they should have given me more terb. w/ a referral to an OB for more terb. but that was my punishment for the HB...but I digress).

I tried, tried tried to stay down but w/ two other kids, even w/ help, it was really hard. And it really did make a huge difference. If I stayed down, I was pretty good. If I got up, the contractions would start...especially once I ran out of terb.

At 30 weeks, I couldn't get the contractions to stop so off to the hospital and 3 short hours later, DD was born weighing 3lb 9oz.

She was in the NICU for 48 (would have been shorter but she caught meningitis). I forget exactly when she first nursed...I think it was about a week or two after she was born (days in the NICU really blended). She nursed like a champ.

lol...yes...making to 30 weeks is a big deal. I was told they can do good things with a 28 weeker and great things w/ a 30 weeker. If you want to do some research just in case, I would recommend Dr. Sears' Preemie book. Do you have a choice of NICUs? I chose the one we used because it had private rooms so I could visit at any time and could stay 24/7.
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