i'm posting this for a friend who does not have internet. she is 39w4d today and is having some issues that may risk her out of HB. if anyone could point us toward some good info, i'd be most grateful.
here's a quick history:
#1 came at 26w, labor was 5 days on mag, pushing was 1 hr, baby was 1lb15oz, vag birth with many interventions but no pain meds
#2 came at 38w, labor was spontaneous, 3 hrs long, baby was 6lb12oz, vag birth, no pit, no pain meds
#3 came at 41w2d, labor was spontaneous, 3.5 hrs long, baby was 9lb5oz, vag birth attended by CNM in hospital, needed extra work pushing, but no pit, no pain meds
#4 came at 40w5d, labor was spontaneous, about 7 hrs long bc of conscious effort to slow it while awaiting a ride to the hospital, baby was about 7#, vag birth, no pit, no pain meds, but she arrived at 10cm and the LD nurses manually held baby in while waiting for OB.
#5 came at about 41wks. cx had started at about 37wks, then stopped. came back around due date, on and off for days. this is the one where everything fell apart. she went to the hospital too early in labor bc of family pressure (history of fast labor!) and the cascade of interventions finally caught up with her. she stayed in bed for 24 hrs getting IV antibx for GBS. reason for staying in bed was to keep labor at bay until 2nd dose to avoid fighting against baby going to NICU. bc of not moving around, her ds was poorly positioned. her OB was on a preplanned vacation and the back-up was the local high-risk guy, so despite her previous 4 vag births, he saw her as one big multiparous train wreck just waiting to happen on his watch. he coached her to start pushing at 8cm and she swelled so badly that she begged for a csec. the baby was around 7-7.5lbs
so...now she is only 20 mos pp from the csec and is due in a few days. mama is 33yo and has never taken good care of herself. she eats the SAD and has gone from petite to obese (she's only 4'11" and tiny-boned)throughout pg's #4 and 5, and now 6. the only way to get a VBAC around here is to HB, so she is planning on that, but her MW is starting to have some serious concerns.
the mama has had a very bad vaginal yeast infection throughout the entire pg. she's also had body acne, which the MW thinks may also be yeast-related. also, this is the 1st pg where mama has had swelling in her feet and ankles. its not pitting yet. her BP was very high, but she couldnt recall just how high. and her fundal height is 42, but really, she is very fat besides being pg, and i personally think the damage a csec does to your muscles and all the extra skin you end up with could mess with fundal height.
so now my friend is panicked that she will have such a large baby she wontbe able to push him out. i sort of talked her down from that one, bc even though she is so small framed, she already pushed out a 9lb5oz baby without help.
the midwife suggested garlic for the vaginal infection. i've come up with a llist of other things she can do for yeast, like coconut oil, gentian violet, peroxide rinses.
where could we go to look for BTDT info regarding the high BP? the MW has suggested that, overall, her diet needs to be changed like yesterday, so i've given her some good info on low glycemic foods. should she ask her MW about the brewer diet to stave off pre-e?
does this all sound like an attempt to risk her out of HB? around here, the MWs freak out over everything, even the CPM's. maybe the MW is just getting nervous about doing a VBAC?
also, if she hits 42 wks she will be transferred. i dont think she will risk an induction, so it'll be straight to ERC for her.
but the alternative of herbing and castor-oiling out a baby at 39wks is scary. she is not sure of her dates bc she was nursing when she got pg. but she's never been sure of her dates and they've always come before the 42wk mark, and always spontaneously.
so any resources to whcih you coul dpoint us would be most appreciated, so she can take the info to her MW for advice. TY!!!
here's a quick history:
#1 came at 26w, labor was 5 days on mag, pushing was 1 hr, baby was 1lb15oz, vag birth with many interventions but no pain meds
#2 came at 38w, labor was spontaneous, 3 hrs long, baby was 6lb12oz, vag birth, no pit, no pain meds
#3 came at 41w2d, labor was spontaneous, 3.5 hrs long, baby was 9lb5oz, vag birth attended by CNM in hospital, needed extra work pushing, but no pit, no pain meds
#4 came at 40w5d, labor was spontaneous, about 7 hrs long bc of conscious effort to slow it while awaiting a ride to the hospital, baby was about 7#, vag birth, no pit, no pain meds, but she arrived at 10cm and the LD nurses manually held baby in while waiting for OB.
#5 came at about 41wks. cx had started at about 37wks, then stopped. came back around due date, on and off for days. this is the one where everything fell apart. she went to the hospital too early in labor bc of family pressure (history of fast labor!) and the cascade of interventions finally caught up with her. she stayed in bed for 24 hrs getting IV antibx for GBS. reason for staying in bed was to keep labor at bay until 2nd dose to avoid fighting against baby going to NICU. bc of not moving around, her ds was poorly positioned. her OB was on a preplanned vacation and the back-up was the local high-risk guy, so despite her previous 4 vag births, he saw her as one big multiparous train wreck just waiting to happen on his watch. he coached her to start pushing at 8cm and she swelled so badly that she begged for a csec. the baby was around 7-7.5lbs
so...now she is only 20 mos pp from the csec and is due in a few days. mama is 33yo and has never taken good care of herself. she eats the SAD and has gone from petite to obese (she's only 4'11" and tiny-boned)throughout pg's #4 and 5, and now 6. the only way to get a VBAC around here is to HB, so she is planning on that, but her MW is starting to have some serious concerns.
the mama has had a very bad vaginal yeast infection throughout the entire pg. she's also had body acne, which the MW thinks may also be yeast-related. also, this is the 1st pg where mama has had swelling in her feet and ankles. its not pitting yet. her BP was very high, but she couldnt recall just how high. and her fundal height is 42, but really, she is very fat besides being pg, and i personally think the damage a csec does to your muscles and all the extra skin you end up with could mess with fundal height.
so now my friend is panicked that she will have such a large baby she wontbe able to push him out. i sort of talked her down from that one, bc even though she is so small framed, she already pushed out a 9lb5oz baby without help.
the midwife suggested garlic for the vaginal infection. i've come up with a llist of other things she can do for yeast, like coconut oil, gentian violet, peroxide rinses.
where could we go to look for BTDT info regarding the high BP? the MW has suggested that, overall, her diet needs to be changed like yesterday, so i've given her some good info on low glycemic foods. should she ask her MW about the brewer diet to stave off pre-e?
does this all sound like an attempt to risk her out of HB? around here, the MWs freak out over everything, even the CPM's. maybe the MW is just getting nervous about doing a VBAC?
also, if she hits 42 wks she will be transferred. i dont think she will risk an induction, so it'll be straight to ERC for her.
but the alternative of herbing and castor-oiling out a baby at 39wks is scary. she is not sure of her dates bc she was nursing when she got pg. but she's never been sure of her dates and they've always come before the 42wk mark, and always spontaneously.so any resources to whcih you coul dpoint us would be most appreciated, so she can take the info to her MW for advice. TY!!!
