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Need advice ASAP  

post #1 of 5
Thread Starter 
Hi mamas-
Well, I went in for my 41 week appt. with one of my midwives where they required an NST and vaginal exam. The good news (although prob. irrelevant) is that I am 3cms and 100% effaced; the bad is that baby wasn't as responsive in terms of movement as they would have liked to see so they sent me for an ultrasound and full biophysical profile. (Now- baby has never been active during the day, so I wasn't surprised.)

They were able to get what they "needed" in terms of high scores on the BPP within 10 minutes- baby was practicing breathing, had 3 distinct movements, fluid level was great and placenta was still within functioning range. The only thing they couldn't get was a flexion of a hand or leg to determine tone- apparently they give the baby 30 minutes to move 4 times- we only had 3 movements.

Baby's movements have decreased in the past few weeks, but all other signs looked good. At this point, my midwife said she could induce simply by breaking my water- she said I was very favorable and it wouldn't take much to get me into active labor. I am 41 + 1 today and am so confused and getting a little nervous by the lack of movement. Any thoughts, mamas? I know that intentional rupture of membranes before active labor carries its own risks- infection, higher risk of cord prolapse and pitocin if the labor doesn't progress within a certain time frame. That said, if baby isn't responding well to the amniotic environment, I do want to have he or she arrive as soon as possible.

What do you think??:
post #2 of 5
Oh mama! I'm sure this is weighing so heavily on you!
Personally--if I were you--and I KNEW in my heart (instinct) that the baby was fine (ie I was used to not many movements during the day etc), then I would skip the breaking the bag so to speak. I would use other 'natural methods' to try and get my body more favorable...nipple stimulation, sex, EPO inserted, lots of walking...etc.
I would also ask my m/w if I could come in late to get tested next time ...maybe 8pm? I'm sure they will want to see you every 2 days or so...
I think your body will do it's own thing very soon--but you are right...many interventions lead to other 'unfavorable' outcomes...so I would try everything else first...
I know you are excited/worried. Try to relax (as hard as it may be)...relaxing will also help your body get started!

Good luck...keep us informed!
post #3 of 5
Thread Starter 

Need advice-update

Well, after having no movement for a while and talking with my midwives, we have decided to go ahead and have them break my water. Wish me luck, mamas!
post #4 of 5
You're probably in labor right now but I thought I'd wish you luck anyway!!

Deb
post #5 of 5
can you ask MW to just do a membrane sweep instead of breaking waters? bc as soon as waters break then you are on a 2 day time line. MAYBE she's right and active labor would come fast, but what if not... so hard to decide... but i think your main point of ref is HOW is babe doing. if babe tests FINE, then you have another day on your side... if fluids are low or there is concern otherwise then you have a different set of issues to weigh. health is #1, when health of you or babe is at risk then you have to make different decisions.

luck to us all, may we all just have very patient babes who are taking their sweet time... i've started telling babe it's time to get ready to come out now, even papa got down on the floor last night and talked to the low belly telling his son it's time to come out and let us hold him on the outside. it was so sweet.

-my main tool right now besides walking is to go for sexy thoughts and feelings... either with your sweetie or even if you just get a sexy movie or some erotica literature to get yourself going... this natural oxytocin realease during female orgasm will help to contract uterus and push babe down... and of course papa's participation will add prostiglandins for ripening... but it sounds like if you're fully effaced, so you ARE RIPE already.
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