In the hospital for preterm labor - Mothering Forums
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#1 of 18 Old 08-14-2011, 08:20 AM - Thread Starter
 
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Hi everyone,

 

I havent been on much lately cause it is harvest season for us but now I've got lots of time to update. I went to the labor and delivery in my hometown because I was having contractions every 5 minutes. By the time they got me hooked up to the monitors, the contractions were coming every 2 to 3 minutes. They started me on procardia but couldn´t get the contractions to stop so they gave me a steroid shot for the babies lungs and transfered me to the nearest hospital with a level III NICU. By the time I got here, the contractions had gone to 10 minutes apart. This was Friday so now on Sunday, still on the procardia and got the second steroid shot. No contractions. Yeah!!! No dilation. Yeah!! But, cervix is soft and I'm starting to get a lot of blood tinged discharge. 

 

The doctors and nurses keep saying the blood could be from the exams on Friday and Saturday morning or it could be my mucus plug. They are trying not to do an internal examine on me since I am not contracting anymore. I am here one more night for observation and if all is well, I can go home tomorrow.

 

My dilemma...I am 31 weeks. The MFM doc who is seeing me here at the hospital wants to talk to my midwife. He feels my care should be transfered to an MFM doc. His concern is the softening cervix and the contractions. He is affiliated with the hospital I am currently in and has said nothing negative to me about our homebirth plans. Everyone has been positive about it but hinting that this may not happen for me.

 

Right now I am so confused. I want baby to stay put but I have been having contraction issues since 20 weeks (this is one of the things the MFM is concerned about). Now with the discharge I am feeling at a loss as to what to do, stay with midwife, switch care. I know I am also out of my element in the hospital right now. My insurance will not pay both care providers so it is one or the other.

 

Anyone else experiencing preterm labor? Any comments are welcome right now as I try to gather my thoughts and figure out what to do. Thanks everyone.


Neeka - mom to DS-4 and wife to computer fanatic DH
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#2 of 18 Old 08-14-2011, 09:13 AM
 
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No experience with pre-term labour, but I wanted to send you endless amounts of calming, stay-in-there vibes and prayers for you and your baby.  Keep us posted!  dust.gif


dust.gifFour-eyed tattooed fairy godmother queer, mama to my lucky star (5) and little bird (2.5). Resident storyteller at www.thestoryforest.com. Enchanting audiostories for curious kids. Come play in the forest!
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#3 of 18 Old 08-14-2011, 09:26 AM
 
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I would switchto OB care at this point.  Prematurity is serious issues. An ethical provider would risk you out at this point and ask you to switch to OB and hospital bith.

 

I understand your hesitation and this is not what you want, but prematurity carries a lot of risk. Has doctor said that any of what is happening can be an indication of something else going with the baby?

 

Not all OB and hospital are rude and e careless . Talk to the OB about your birth plan. See what can be accomodated in the inpatient setting.

 

I always felt that why positive birthing experience is important , a baby in my arms is more so . This is the purpose and goal or pregnancy , to have a baby.

 

I hope your baby stays put and you have full term bouncing and screaming bundle of joy!

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#4 of 18 Old 08-14-2011, 09:43 AM
 
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I second the MFM.....The baby develops soo much better on the inside and a midwife might be available to come to the delivery at the hospital with the MFM...have you asked her?


mom to ds '07 first day of a new year, dd '09 in the caul, and  ds '11 at home Oct 24th

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#5 of 18 Old 08-14-2011, 10:06 AM - Thread Starter
 
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Thank you guys for the positive vibes and responses.

 

Everything looks great with the baby and they are unsure why this is happening. No UTI, they did test for other infections and gave me an antibiotic already as a precaution.

 

I'm not sure if the midwife would attend our birth at this hospital because of the distance. Also, if we have her attend, we have to pay out of pocket for her which was the original intent anyway before we found out insurance would cover the costs.

 

Thank you guys for helping me to find some clarity. I want this baby to stay in for as long as possible and I want a healthy baby that comes home with me. DH and I are going to talk today when he gets here and I am going to call the midwife tonight to give her the heads up about what the MFM is saying.


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#6 of 18 Old 08-14-2011, 10:20 AM
 
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OP--Have you had an ultrasound?  I also had a preterm birth and it was because I had a placental abruption, a "silent" one.  I had no pain and we didn't know until afterwards when they saw a huge blood clot on my placenta that I'd had one.  They can be extremely dangerous.  I would ask for an ultrasound if you haven't had one given that you've had spotting.  I didn't even have that... Good luck

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#7 of 18 Old 08-14-2011, 10:42 AM - Thread Starter
 
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They did do an ultrasound on Saturday. Everything was looking good but I haven't had another ultrasound since the discharge started.


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#8 of 18 Old 08-14-2011, 11:17 AM
 
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Good to hear! Keep us posted, please! Hopefully you can get baby to stay in for at least one more month.


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#9 of 18 Old 08-14-2011, 12:03 PM
 
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Good new on US. I hope it all goes well.

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#10 of 18 Old 08-14-2011, 07:56 PM
 
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If at all possible I personally would do dual care... pay the midwife cash and let your insurance cover the other. Talk to your m/w about being able to be your doula if you do end up in the hospitial. Things may resolve and you might be able to continue the hb. I think hbmw provide excellent pre-natal care and doing that with the specialist would be a really great option. Your m/w might be willing to work out a payment plan for you since this would now be an unexpected expense.

I hope baby stays in a bit longer.... hang in there.


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#11 of 18 Old 08-15-2011, 11:05 AM
 
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Have you talked to your MW?  If there is no definite reason for the premature labor and if things are good with the baby and you then I would continue care with your MW and just ask to see her more often so you can be monitored more closely.  

 

If you felt uncomfortable with that then maybe do the dual care.  I just know that I personally wouldn't ditch my HB because of this.  If it is a continuing problem then of course you would go back to L & D but as long as there is not an underlying issue then you should be able to still HB.

  

 

Hopefully this was a one time thing and that baby stays put for a few more weeks and stops giving you problems.  

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#12 of 18 Old 08-15-2011, 11:20 AM
 
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Quote:
Originally Posted by theboysmama View Post

If at all possible I personally would do dual care... pay the midwife cash and let your insurance cover the other. Talk to your m/w about being able to be your doula if you do end up in the hospitial. Things may resolve and you might be able to continue the hb. I think hbmw provide excellent pre-natal care and doing that with the specialist would be a really great option. Your m/w might be willing to work out a payment plan for you since this would now be an unexpected expense.

I hope baby stays in a bit longer.... hang in there.


This sounds like a reasonable solution...keep her on board in the event that you make it to 36 weeks with no other problems. Glad the u/s turned out okay and you are doing better.

Momma to DS (2/08) and #2 due 10/11.
 
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#13 of 18 Old 08-15-2011, 07:17 PM - Thread Starter
 
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I'm back home again. Thank you everyone for responding.

 

We are going to continue seeing the midwife and find a MFM OB as a back up in case I deliver early. Tomorrow, we are going to discuss a payment plan with the midwife and insurance can cover the OB. This way we will be covered for homebirth if we make it to 37 weeks and hospital if not.

 

I'm glad to be home but of course, we pick up DS who has been staying with my parents and he has a fever of 101. My parents offered to keep him another night but he cried and wanted to come home. DH is trying to keep up with everything but is now passed out on the couch exhausted.

 

I'm trying to keep to bed, but the house is a wreck (how does this happen in a weekend), DS wants lots of attention since he hasn't seen me all weekend and isn't feeling well and I felt bad about waking DH to put the dinner dishes in the dishwasher so I put them in and wiped the stove off, etc. and of course the contractions started again.

 

I am resting now, but anyone been on bedrest, how did you do it? Family has offered to come and help cook and clean but that sort of stresses me out because I feel like I have to get the house clean for them to come ( I know...they are supposed to be helping me clean).


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#14 of 18 Old 08-15-2011, 08:27 PM
 
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Neeka, I say with the greatest respect:  DO NOT DO CHORES AROUND THE HOUSE!!!!!      Now is not the time to worry about wiping hte stove or your house looking tidy.   If you have a prem baby and have to spend time in NICU you will end up not doing anything around the house and your eldest son will rarely see you!  Do not let false pride get in the way of a healthy baby!

 

(((HUGS))).

 

Can you afford to get a cleaning service in once a week?   Or can you let family come and clean once a week and then get dh to just tidy the rest of the time?   Can you get dh to buy some some crafts/games/new books for ds to do with you on your bed?   If you can get meals, ask people to please bring it in a foil pan (given that you don't have issues with those), to bring paper plates.  So that dh can pop the plates in the recycling and the pan can go in the garbage.    That way you are cutting down on the dishes and his and your stress.   

 

Can you arrange for your parents/a mother's helper/friends to come and take ds to the park for an hour or 2 in the afternoon so he can burn off some energy and you can just sleep?

 

Thinking of you!

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#15 of 18 Old 08-15-2011, 08:36 PM
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Oh my goodness, Neeka, that sounds scary. Wishing you well, and also, what MOMYS said: Don't clean! Let your family help!!


professor & maman de DS1 (6) & DS2 (1)

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#16 of 18 Old 08-15-2011, 08:49 PM
 
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Quote:
Originally Posted by MOMYS View Post

Neeka, I say with the greatest respect:  DO NOT DO CHORES AROUND THE HOUSE!!!!!      Now is not the time to worry about wiping hte stove or your house looking tidy.   If you have a prem baby and have to spend time in NICU you will end up not doing anything around the house and your eldest son will rarely see you!  Do not let false pride get in the way of a healthy baby!

 

(((HUGS))).

 

Can you afford to get a cleaning service in once a week?   Or can you let family come and clean once a week and then get dh to just tidy the rest of the time?   Can you get dh to buy some some crafts/games/new books for ds to do with you on your bed?   If you can get meals, ask people to please bring it in a foil pan (given that you don't have issues with those), to bring paper plates.  So that dh can pop the plates in the recycling and the pan can go in the garbage.    That way you are cutting down on the dishes and his and your stress.   

 

Can you arrange for your parents/a mother's helper/friends to come and take ds to the park for an hour or 2 in the afternoon so he can burn off some energy and you can just sleep?

 

Thinking of you!



DDCC to agree with his.

 

I was on bedrest for preeclampsia and because I had already had a 32-weeker, I took the bedrest very seriously.  If I had gotten up to clean or cook or whatever, and my blood pressure spiked and something went wrong, I would never forgive myself.  We put DS in daycare for the first time (he was almost 4), and I only left the bedroom/bathroom for doctors' appointments and to go to triage at the hospital when my symptoms worsened.

 

DH packed me a cooler every morning - something for breakfast, a sandwich for lunch, drinks (lots of water), and snacks.  He brought me dinner every night and we ate dinner together in bed with DS.  It wasn't easy, and I felt like a nuisance, but it was what I had to do.

 

You need to take it seriously.  Your main responsibility right now is to keep that baby cooking.  Sorry, but your DH needs to step it up right now.  He'll be a lot more exhausted if he's taking care of your DS, you recovering from childbirth, and a baby in the NICU.  Been there, done that, and I wouldn't wish it on anyone.

 

Please take care of yourself.

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#17 of 18 Old 08-16-2011, 06:26 PM - Thread Starter
 
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I am definitely going to rest and be careful.

 

DH and I talked about what needs to be done and we also asked family for specific help. My parents will cook 2 meals and DH's parents will cook 2 meals each week. One night will be pizza night and that leaves DH with only 2 nights to cook. As far as cleaning, someone from my family will help out one day a week and someone from DH's family will help out one day a week. I made a list of items we still need for baby and my MIL volunteered to go shopping for everything we still need that I can't order online.

 

DS will go to work with DH once or twice a week on sunny days and 3 days will be split between ILs and my parents (whoever is available). We ordered some activity books for him for the days that he will be with me. We plan to also plan the days he will be with me to be the days a family member is here to help clean. We also designated a shelf in the fridge with snacks for him so he can get his own snacks throughout the day.

 

DH will try to make it home for lunch to make lunch for me and if he can't make it, we will have lots of PB and J and bread for quick lunch.

 

Thank you everyone for the suggestions. It really helped.


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#18 of 18 Old 08-17-2011, 12:10 PM
 
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that sounds like an excellent plan!!!! Stick to it mama and keep this baby safe.


nicole wild.gif,  mom to 3 boys here on earth jumpers.gif 9, 7 and 4.5 and 2 girl's fly-by-nursing2.gif2.5 and 10/16/11. Always remembering my babies in heaven:  Sam (9/7/05) at 12.5 wks  angel1.gif, Morgan (2/13/06) at 6 wks angel1.gif , Emeric angel2.gif (8/9/10 at 17 wks) and Pepper angel1.gif (11/26/10) at 8wks. 

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