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Chronic pain and labor (w/ some birth story background)

post #1 of 7
Thread Starter 
I have fibromyalgia / TMJ / neck and shoulder problems. I've had them for about 8-9 years; my first daughter was born 5+ years ago, and the fibromyalgia symptoms have gotten worse since then.

I went to 42 weeks and then the OB had them break my water at the hospital with the first (I was dilated to 9 cm when I went in). The labor started so painfully and so intensely right away that I went for pain medication much, much sooner than I thought I'd ever want to. I was thinking that I'd try not to. There were also some situational things that contributed to my not feeling a ton of "ownership" of the birth experience (family dynamics) so I think I caved a little bit because of that too... Anyway, I got an epidural and then labor slowed waaay down. Then more meds and pushing for 2 hours.. I started to get a fever before I started pushing, and ended up with a fever -- of 107 degrees F! The baby had a fever of 105 - there were a few intense minutes after she was born when they were checking to see if she was ok, and she was. In fact they saw no adverse effects in her and mine were only mild (too much bleeding afterward, feeling really awful for a while in the aftermath of the fever, and the worst coldsore I've ever had in my life), but they gave us both IV antibiotics, and kept her in the NICU part-time for 3 days. Basically, the kind of medical-intervention cascade that I learned about in my women's studies "health & your body" class.

It only just occurred to me that maybe the reason labor came on so intensely for me is that I have fibro. If, as at least one theory has it, fibro amplifies the pain signals in a person's body, so that less-intense pain actually feels way more intense than it is physiologically warranted to.

So.... now I am 20 weeks pregnant with baby girl #2, and am feeling the fibro worse than I was back then. The family dynamics involved last time won't be an issue this time (because that person won't be here, and I am more assertive than I was back then). There are still some stressors making it hard for me to really rest and relax (no money, working full time and dissertating, husband struggling with illness, a 5-year-old), although the pregnancy is going fine. (I was feeling sort of "disconnected" from the baby only a week ago but am feeling pretty good about it now - having an ultrasound helped.)

But now I'm worried about labor. I really don't want to have the epidural and the possibility of that bad of a fever again. But the more I think about it, the more worried I am that I won't be able to get through labor without pain relief. I am going to a midwives' clinic this time instead of to an OB, (with whom I never clicked the first time, and who was only there for 15 minutes anyway) so that might help some. I'm a little nervous about how supportive my husband will be able to be if he's still feeling so ill (he also has a chronic disease with intermittent flareups). I'm not very physically fit - wasn't really before I got pregnant, especially in the last couple of years - and am overweight. What if I can't do it?

I guess I just want to see if anyone has had good experiences with fibromyalgia and birth, or ideas about planning / preparing for the birth to make it the most positive experience I can. Sorry for the venting - I think there's more angst built up around this issue than I realized!
post #2 of 7
Thread Starter 
no reassurances? suggestions? I'm trying not to worry too much until I see my midwife again and talk about things like breathing and hypnobirth...
post #3 of 7
wow that's a lot to worry about. Have you read Ina May Gaskin's books? Spiritual Midwifery. That one in particular gave me the courage I needed for my natural vbac. Maybe post some of your fears in the Feb Due Date Club. We are good support.
post #4 of 7
I'm not sure about the impact of fibromyalgia on labour pain- I'm a former L&D nurse at a big hospital (with an obstetric rheumatologist on staff) and have ever noticed increased pain in women with fibro. But pain in so individual that it would be hard to tell.

What I am sure about, though, is the impact of ruptured membranes on labour pain. It's waaay more painful, which could be the reason that things were so painful so quickly.

Generally (no promises, though!) second births are faster than the first. Pushing is usually shorter, your body has done this before. I suspect that your experience will be much different- different baby, different (and hopefully non-induced) labour, midwives, better family dynamics, etc. etc. It does sound like you need to do some re-visiting of your first birth and dealing with some of the angst and worry. Birthing from within might be helpful in this regard.
post #5 of 7
Perhaps a doula would be good support as well would help you feel better, especially if your husband might be ill you would want someone you could count on more for the support you might need to help you during labor?

No experience with fibro so I can't help you there but I would talk about your fears, read some good birth stories and try to work through your fears. I am guessing the different situation with this pregnancy will make a big difference!
post #6 of 7
I have been recently diagnosed with fibromyalgia, although I have had pain and weird symptoms for 6 years, ever since having Lyme disease. I am also a midwife, so I have seen many labors, and I really don't think that I experienced labor as any more painful than most women. I had three natural births, two at home. It really sounds to me like it was your water breaking at 9 cm, and suddenly having to integrate very strong contractions that made the pain very difficult for you. The last bit of labor is very difficult for most, and it helps if you have the endorphines rolling from earlier, less intense contractions. I agree with the pp about finding a doula. And also, one of my favorite quotes from one of my preceptors is "even couch potatoes give birth" Really, so much of it is mental. I am writing quickly because so please let me know if this doesn't make sense and I will try to write a more detailed response when the kids are asleep.
post #7 of 7
Thread Starter 
Thank you all for your comments - I didn't know that stripping membranes could be the reason it all started so intensely, and it does make sense that "easing into" labor would help with the endorphins and endurance. I am going to check into having a doula, because that really might help. And I will also check into the books you mentioned (and do some reflecting on my first birth) because I do think it's almost as much about the mental aspect - and mentally making a certain kind of centered space during labor - as the physical aspect. I feel a little better, armed with some sort of plan!
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