Join Date: Mar 2007
Location: Lghtly toasted and fogged in NorCal
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Gina, I'm editing here because I just realized this was posted in "birth professionals" and not in our DDC...I must have seen it in new posts and seen your name, and not even realized! Then I went back to our DDC to see if there were any new posts in the thread and couldn't find it...guess that's why. Looks like you're getting pretty good advice here from actual professionals, which is what you wanted in the first place. Sorry!
Mama, I promise you that the stuff I posted w/make a huge difference! Don't give up. If you don't mind, where exactly in N. CA are you (you can PM if you prefer). I can likely help you find a good midwife. The really good ones are usually having to stay under the radar because they actually trust women and their bodies and aren't scared of the birth process or "what ifs." Hang in there.
Here are some things about me:
-- I am 31 weeks
-- I am 31 years old and severely overweight
I'm not sure this has anything to do with being risked out - is this something your midwives have used to risk you out? were they not aware of your weight to start with?
-- No GD with other pregnancies, no signs of it now
GD is pretty much an inaccurate diagnosis anyway. Even if you were diagnosed with "GD" I'd have a hard time believing that it will cause harm to you or your baby
-- Iron is fine
That's good - did you see a drop in your hemoglobin right about now from your early pregnancy labwork? This drop in hgb typically means you will NOT contract pre-eclampsia....A good expanded blood volume does not go hand-in-hand with pre-e
-- I've had two good VBACs (c/s 12 years ago) and baby comes quickly when pushing
Even if you had longer pushing phases, you're still good to go. And the success and safety of VBACs at home is something I'm sure you're aware of. Are your midwives concerned about this?
-- My boys were induced 2-3 weeks early and were 7.14, 7.2 and 7.2
Again, there is a myth that fat women create fat babies. This is a MYTH. Your babies were likely to have been 8lbs and maybe 8.5 pounds at term. Inducing early because of fatphobia (and the erroneous diagnosis of GD) doesn't help mothers any. You learned that with your first pregnancy, ending in cesarean.
-- Toxemia with first two boys, PIH with third
Toxemia is sometimes confused with gestational hypertension. Were your labs indicative of true pre-e?
-- Currently having no swelling, no headaches, no spots. Usually I am on bedrest by now, so I think that's a great sign.
Not that bedrest improves blood pressure (it often makes it worse), but this is all a good sign!
-- My BP has been perfect for me. (The bottom number hasn't gone over 74 to 84 (or was it 86?), which is good for me. No spikes.) I've never had BP problems during my deliveries, despite PIH and Toxemia. No meds for BP ever.
-- No bleeding, eclampsia or other problems postpartum
We don't expect it or see it for the majority of women at home
-- Protein 30+ in urine, sometimes maybe more
This is likely due to stress on the kidneys and/or dehydration, pretty normal. I would only worry if, in a 24 hour urine collection (NOT A DIPSTICK!), the protein levels were over 300.
-- Leukocytes in urine the last 4 weeks, on and off
Leukocytes are normal, mean nothing for nearly all women. White blood cells are present in normal vaginal discharge - women get juicy in the third trimester. (again, a reason why I don't use dipsticks)
-- Bloodwork earlier in pregnancy for my liver showed my liver to not be coping perfectly with the demands, but I am cleansing with Milk Thistle
Supporting your liver is good - you're doing the right things and you've gotten some awesome advice here from other mamas.
-- Latest bloodwork had shown liver was doing better but I had high white blood cells and low protein.
High white blood cell counts is not only normal in pregnancy - but it's to be expected. Low protein IS GOOD
-- Despite the last bloodwork, my urine is now showing bilirubin a few weeks later
I think this test on dipsticks is pretty erroneous. Are you jaundiced? I'd have it tested with a clean catch, not a dipstick.
-- Urine is often concentrated looking, no matter how much I drink
Again, it's about your kidneys - they're working hard to filter more blood. You got some solid advice re: supporting your kidneys.
-- I was SO sick a few weeks ago, but I believe it was due to egg allergy I'd never had before. Now eating no eggs and I feel much better.
I wonder if the midwives do not believe I am eating enough protein and drinking enough water even though I say I am.
Wow, it sounds like a relationship I wouldn't want to continue - especially if they're not trusting you.
I had terrible hyperemesis and I've only gained a total of 15 pounds now and I think they think I am not eating because I don't want to gain weight. One of the midwives asked me once if I am mad at myself so I am not eating
This is really, really sad. The idea of emotional components in relationship to illnesses and disease is one that should not be approached in situations like this. Because it's not always likely the cause. To turn the blame on the woman is something that keeps her from trusting her provider.
Informally, do you feel this information is enough to cause them to dump me as a homebirth client? I am freaked about a hospital birth - totally traumatized by the last one.
Egads...they obviously need to read Anne Frye's "Understanding Diagnostic Tests" and her "Holistic Midwifery, Vol I". I'm not sure where your midwives are getting their information. I feel like they're using a bunch of excuses to risk you out.
Frankly, I think you should risk yourself out of their care. They're much too high risk for you!
I think that it is also very normal for an overweight mother NOT to gain a lot of weight, if any.
So to reframe the situation and give you back your power...
Have you decided to Drop your midwives?
How about going to a family practitioner instead of directly to an OB? OBs are surgeons. Regular MDs have far lower c-section rates. I would also suggest a good doula, an experienced one. She can help you in getting what you want out of your birth.
have you considered a doula? It would be a compromise since you can't have the homebirth? She could be the advocate of trying to push what you would have wanted to do at home.
I think there is a fine line with doulas between advocating and offering information. A doula should never be the advocate - only the woman and her partner. A doula can provide physical and emotional support, but she ultimately cannot change hospital or doctor policy nor the measures by which both get their way. I don't agree that doulas should push for a woman's needs. To do that takes power away from the mother.
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