Contemplating an UC but considered "high risk" - Mothering Forums

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#1 of 23 Old 07-18-2012, 06:12 PM - Thread Starter
 
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I joined today after reading all the UC stories and topics I felt I needed to ask mine.

 

I am pg with #3 (11th preg due to PCOS) and I am 9.5 wks.  I am "due" Feb 14th but I am thinking I should go 2-3 weeks early because of my history.

 

Here is my history and why I am considered "high risk".

DS was #1 and an ok pregnancy.  I had gallstone issues and PTL because of the pain from trying to pass the gallstones.  He was born at exactly 37weeks after a 18.5hr labor, "sunny-side up" and completely drug/intervention free.  I was only 19 at the time but I knew back then the importance of no interventions (read Active Birth at 18).

 

I thought I could preg again with no issues.  But 4 MC's later and finding out I had PCOS, I was started on Metformin and Clomid.  Well during my regimen before DH got home, I started having kidney issues.  A kidney infection right after he got home and then constant kidney pain (due to me making stones).  Well the month we decided to quit TTC, I got pg with DD.  And her pregnancy was HORRIFIC.  Constant kidney stone pain, constant passing of kidney stones, and constant doc's being stupid.  I even had one "medwife" tell me she wasn't going to give me any drugs (narcotics) while I was in SEVERE kidney pain and having contractions at 26wks.  I switched to the OB side after that.  And because of my kidney stone issues along with being on a narcotic patch for the last trimester, I was put "high-risk" even though I had no actual reasons foe being high-risk.  It was the only way I could stay away from the "medwives" at the military hospital.  Well I went into labor with DD and ended up having a kidney stone attack during the delivery.  That was the BEST!  I got yelled at by the on-call "medwife" to get an epidural.  DD was born 30mins later.

 

So it took 15months after DD was born to figure out what was wrong.  I make too much Uric Acid and too little Citrate and those combined in my kidney (right is the major producer) seems to make stones daily.  So I was put on a Gout medication (Allopurinol) and if I miss a dose, I make stones by the next AM.  If I take it, I don't make them.  I have found that eating Peanut Butter helps make them too but they don't cause pain.  

 

So recap:

-Pg with #3

-Hx of kidney stones

-Kidney pain when making stones and causes contrax

 

I tried to get a HB MW but it looks like she won't take me because I am "high-risk".  I don't want to see a local OB because I am afraid of them!  I do have a natural birth OB but he is 60mins away and I just don't want to travel.  I also don't have anyone to take me to him when I go into labor.  He has a birth center in his office.

 

So my last option is UC.  I just don't know if a woman would do that being "high-risk".  I have read that some of you have done twins (I want to read those stories!!!) but what about other high-risk pregnancies?  Would kidney stones stop you from having your baby at home?

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#2 of 23 Old 07-19-2012, 04:24 AM
 
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Well I am no expert on this whatsoever, but I am also planning my first UC with my 6th baby. I am not necessarily high risk at the hospital, but for a UC my doc considers me high risk. I wasn't going to tell him about my plans but i did last week just to see what he'd say and of course he advised against it. My second baby was born emergency c-sec at 29 weeks with a complete abruption. I have had 3 more perfectly fine vaginal births since then. He also mentioned my risk of excess bleeding after 5 babies. I don't plan on listening to his advice. I feel that I am at no more risk than someone that hasn't. The fact that I had 3 good vaginal births since shows me that my body is still capable to do what it is supposed to do. Yes, I get concerned, but I will follow my instincts and will transfer at the first sign of a problem.

I can't advise you to or not to, but from what you said I'd say go for it as long as your prepared for the complications that could arise. If you have a handle on your kidney issues then I don't see why not. Like people have been advising me....read all you can and have everything you can have to be prepared. Read and have on hand the emergency childbirth manual. GL

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#3 of 23 Old 07-19-2012, 07:51 AM
 
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I'd probably establish prenatal care with an OB to keep the kidney stone condition under control since it requires meds, but have the baby at home. Also would find out everything I could about handling it through diet and supplements, maybe even see a naturopath or something.

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#4 of 23 Old 07-19-2012, 07:51 AM
 
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Honestly, I personally wouldnt UC with that situation. You may find that your local OB isnt as scary as you think, at least worth a consultation visit? Anyway, congrats on your pregnancy and welcome to MDC! Feel free to join us over here: http://www.mothering.com/community/t/1354929/feb-2013-due-dates-and-names

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#5 of 23 Old 07-19-2012, 11:08 AM
 
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Only you can be an expert in you. If choosing the UC path is right for you, only you can know. I think typically a mom won't even think of such an option unless her intuition is hinting at it being the right way to go, but again, only you can know.

 

I love the internet. I have used it to find out I had hypoaldosteronism and find a lab who would test and see just what was going on; turns out I was right. This has saved me a lot of trouble. I could have used this information a long time ago, but it was a long process of self discovery that would have cost me a fortune if I'd tried to use the doctors to find this out. And what's more, I used the internet to figure out how to banish the condition without an RX. What a relief! Especially since the hormone crashes each month were putting me in greater and greater danger of stroke or other clot related infarctions as time went on. The solution was simple and gentle, and it turns out that as I began treating myself I was able to not just get rid of the scary symptoms, I actually was able to get rid of the condition. Kinda took me by surprise when I realized that I was no longer suffering from the problem.
 

Not saying your problem will just go away, but it's amazing what you can discover for yourself when you use the dreaded internet with your unwashed lay-mind. Critical thinking skills can go a long way towards solving problems. I even read a news story where a teen used the internet for research and lab tests to find she had Chron's Disease when the doctors missed it. She's fortunate, too, because early detection means a better chance of coping and saving her colon.

 

Whatever the cause of your problem is, chances are there's information somewhere on the web that you can use to empower yourself, too. And to a large degree, it seems like you've got a handle on coping with it.

 

UC birth is "high risk" in the minds of most doctors, so the question needs to be - do you believe you are high risk? And what do you want to do if you don't want to handle an attack or secondary complication during labor? Do you want to have that connection with an OB, just in case?

 

Birth is a gift, something unique that kind of takes us by surprise on the day it finds us, so we can't expect to have it all figured out ahead of time. It's something we get to experience as God or nature (however you want to word it) allows. You are a big part of that picture, since nature doesn't happen in a vacuum. You are a part of your nature. You have intuition and a brain which goes a long way to influencing the outcome. If all goes well, you will be thrilled with the liberty and peace of UC. But if you feel deep down you need help, don't ignore your intuition, seek whatever assistance feels right for you.

 

You are not a statistic, you are a living breathing human with rights and autonomy. Use your liberty well.

 

Congratulations, BTW!!

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#6 of 23 Old 07-19-2012, 11:28 AM
 
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OP in your situation I would certainly want to know all the risks first.  I would discuss with your previous MW all the risks and find out why she feels you're not a good candidate.  You're going to need to know everything before you attempt this.  And the internet is not the best place to be honest.  MDC is great for support and helping each other find information but it's not a one stop shop.  I would hate for you to get bad information here and then allow it to affect your life in a negative manner.

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#7 of 23 Old 07-19-2012, 04:22 PM
 
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OP in your situation I would certainly want to know all the risks first.  I would discuss with your previous MW all the risks and find out why she feels you're not a good candidate.  You're going to need to know everything before you attempt this.  And the internet is not the best place to be honest.  MDC is great for support and helping each other find information but it's not a one stop shop.  I would hate for you to get bad information here and then allow it to affect your life in a negative manner.

 

 

To clarify, when I said what I did, I was not talking about MDC. I was talking about the web in general as a research tool. It may be that she would do well to first study the matter of critical thinking skills if she has not already done so, (to avoid logical fallacies, etc.)  and then apply those skills to internet research. The internet has scholarly research articles which require a vocabulary, but the internet also supplies a glossary of terms so with enough patience and the mind of an autodidact, much can be accomplished. I would assume that if she's come this far, chances are she is accustomed to using her head already.

 

An interview with said "medwives" could be very valuable if notes are taken and compared to actual research papers and specialist articles on the web. Even the most polished seeming professionals can make mistakes. And it's not their fault - we all make mistakes - and the knowledge base of science in every area is constantly changing. It's our responsibility to double check whatever we are told. The truth is out there. (and a little "in there" too, referring to maternal wisdom and intuition)

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#8 of 23 Old 07-19-2012, 04:40 PM
 
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To clarify, when I said what I did, I was not talking about MDC. I was talking about the web in general as a research tool. It may be that she would do well to first study the matter of critical thinking skills if she has not already done so, (to avoid logical fallacies, etc.)  and then apply those skills to internet research. The internet has scholarly research articles which require a vocabulary, but the internet also supplies a glossary of terms so with enough patience and the mind of an autodidact, much can be accomplished. I would assume that if she's come this far, chances are she is accustomed to using her head already.

 

An interview with said "medwives" could be very valuable if notes are taken and compared to actual research papers and specialist articles on the web. Even the most polished seeming professionals can make mistakes. And it's not their fault - we all make mistakes - and the knowledge base of science in every area is constantly changing. It's our responsibility to double check whatever we are told. The truth is out there. (and a little "in there" too, referring to maternal wisdom and intuition)

 

 

Not going to argue over your Google University degree.  I was talking to the OP.  SHE needs to make the BEST choices for her.  OB and Midwives are not the devil.  It would be wise to seek counsel outside of the internet when you're HIGH RISK.

 

Best wishes OP.

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#9 of 23 Old 07-19-2012, 04:57 PM
 
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Not going to argue over your Google University degree.  I was talking to the OP.  SHE needs to make the BEST choices for her.  OB and Midwives are not the devil.  It would be wise to seek counsel outside of the internet when you're HIGH RISK.

 

Best wishes OP.


Haha, very cute. I don't disagree with interviewing the medwives and doctors as long as they are not a replacement for double-checking and critical research, so there is no real disagreement here. I just wanted to expand on my point so people would not read what you said and misunderstand me, thank you very much.

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#10 of 23 Old 07-19-2012, 05:00 PM
 
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Go ahead and research, but I don't think Internet > regulated professionals. If you find a discrepancy with information you receive, ask what's going on.

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#11 of 23 Old 07-19-2012, 05:14 PM
 
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Haha, very cute. I don't disagree with interviewing the medwives and doctors as long as they are not a replacement for double-checking and critical research, so there is no real disagreement here. I just wanted to expand on my point so people would not read what you said and misunderstand me, thank you very much.

 

 

I'm not trying to be cute.  Do you not understand that she had a midwife tell her no because of her being high risk?  Do you not get it?  Telling someone to follow your intuition and google away is not safe and is not practical. 

 

 

My second baby was born emergency c-sec at 29 weeks with a complete abruption. I have had 3 more perfectly fine vaginal births since then. He also mentioned my risk of excess bleeding after 5 babies.

 

 

Take care of yourself mama  (OP).

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#12 of 23 Old 07-19-2012, 05:24 PM
 
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I'm not trying to be cute.  Do you not understand that she had a midwife tell her no because of her being high risk?  Do you not get it?  Telling someone to follow your intuition and google away is not safe and is not practical. 

 

 

My second baby was born emergency c-sec at 29 weeks with a complete abruption. I have had 3 more perfectly fine vaginal births since then. He also mentioned my risk of excess bleeding after 5 babies.

 

 

Take care of yourself mama  (OP).

 

There is a time and place for everything. Good for you with your birth story.

 

I had PROM twice (supposedly "high risk") which would have gotten me shunted into induction or surgical birth with interference, but instead went on to handle the situation properly, once with a midwife's support and once without. I would never have been allowed to go 3 days with broken waters the last time if I had put more stock in medical advice than using my own brain. Baby was healthy and because I waited for labor, I made it over the 37 week mark and was able to have my baby at home. Her placenta fell out behind her. If I had been induced it would probably have been an emergency abruption with crash c-section.

 

Plus, I had a reputable OB give me a goldenseal tincture, causing me to lose my honeymoon pregnancy, something that I could have foreseen if I had just not trusted her advice over my intuition and the handy internet. The OB made a mistake, but I did too, by not thinking for myself and trusting her advice.

 

OP, think for yourself, first and foremost.

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#13 of 23 Old 07-19-2012, 05:45 PM
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It is a pretty odd OB who hands out goldenseal tincture for UTIs.  The standard treatment for UTIs in pregnant women is antibiotics. 
 

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#14 of 23 Old 07-19-2012, 06:19 PM
 
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Because if it's on the internet, it's got to be true. Because....?

 

 

stik, I was thinking that too. BJ, I wouldn't judge all OBs because of bizarre instances like that. The normal protocol for a pregnant woman with a UTI is to do a culture and then abx.


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#15 of 23 Old 07-19-2012, 06:45 PM
 
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There is a time and place for everything. Good for you with your birth story.

What does this mean? This is not Imakcerka's birth story. It's cut and paste from the second poster on this thread.
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#16 of 23 Old 07-19-2012, 07:38 PM
 
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Have you called the OB who's an hour away to see if he can recommend anyone local to you?  Have you looked at family practitioners?  They tend to be more hands off and natural minded than OBs ime


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#17 of 23 Old 07-19-2012, 07:51 PM
 
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It is a pretty odd OB who hands out goldenseal tincture for UTIs.  The standard treatment for UTIs in pregnant women is antibiotics. 
 


At a medical missionary school where they treated cancer, diabetes, fibromialgia, etc with holistic methods and had good results helping many people. Sure, she worked at a regular, normal hospital delivering babies before that but like me and everybody else there at the SDA mission school we preferred natural treatments. I really don't understand why she would give me a tincture like that knowing that I was pregnant, but she encouraged natural birth and pregnancy. That was her shtick. Off the typical beaten path, yes, but a real OB with a real history of prenatal care and deliveries.  At any rate, she missed that goldenseal was a problem or didn't care because she thought the UTI was deserving of aggressive treatment. (she hinted at that after the fact, playing God, I guess) But I had asked for a pregnancy friendly treatment plan. It wasn't what I got.

 

Sure, it's a weird story considering her move but when you go for a natural birth/natural health friendly OB or midwife, you get a different set of protocols than antibiotics, something I wasn't interested in taking anyway, seeing as how I was taking classes there to be a natural healing oriented medical missionary myself. I trusted her because of her reputation, just like you would trust a regular OB to not prescribe pregnancy-unfriendly antibiotics.

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What does this mean? This is not Imakcerka's birth story. It's cut and paste from the second poster on this thread.

 

Oh, I see what you mean, now. I generally anticipate quotes around a quotation so it caught me off guard. Thanks for the clarification, it was helpful. Not sure what Imakcerka's point was bringing that up, in that case. The woman quoted has 5 kids which generally means that homebirth is frowned upon after those many children. I can't help rolling my eyes at the idea that having 5 kids automatically makes birth more dangerous for the mother. I've had 5 kids. My last birth I bled less and recovered better with not nearly the same afterpain issues or baby blues issues as previous births. But I also practiced placentophagia that time. It really helped me during that postpartum period and I plan to do it again. Doctors would call the placenta "medical waste" and probably not even let me have it. I know of one woman who sued after they threw hers away, trying to change hospital policy on not releasing the placentas to moms when requested.

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#19 of 23 Old 07-19-2012, 08:27 PM
 
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Because if it's on the internet, it's got to be true. Because....?

 

 

stik, I was thinking that too. BJ, I wouldn't judge all OBs because of bizarre instances like that. The normal protocol for a pregnant woman with a UTI is to do a culture and then abx.


I assume you are talking to me, and the answer is, no, the internet is not your brain. A web page is not automatically correct. But neither are doctors who can't spend all day reading up on the latest medical research, meanwhile, the medical research is all online for anybody who wants to see the cutting edge discoveries for themselves. Furthermore, even the research has to be examined critically to sort junk science from good. But there are plenty of respectable peer reviewed journals out there. And plenty of blogging doctors and midwives doing reports on those journals, spending their time staying up to date while the average doctor tries to stay up on red tape and paperwork.

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#20 of 23 Old 07-19-2012, 08:38 PM
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I was never particularly interested in having my babies' placentas, but I was offered te opportunity to bring them home if I so desired. The nurses asked what I wanted done with them before removing them from the room.

The hospital had other ways of controlling bleeding had that been an issue. But they were very respectful of my wishes.

The first of these was the only hospital for miles around in a small city. The second was a large hospital in a large city with many other similarly equipped hospitals nearby. I know my experience is a little unique. I think it's relevant, though because it demonstrates the wide range of options out there. It's usually not just a straight-up choice between a c-section at 39 weeks at a facility that trashes your beliefs or a "natural-minded" OB who treats UTIs with abortifacaents.
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#21 of 23 Old 07-19-2012, 09:20 PM
 
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welcome to Mothering.com and congrats of the new pregnancy!

sounds like you are asking yourself good questions and im sure once you filter thru all the ups and downs of responses here you will figure out what works for you. we are a emotional and vocal crowd and opinions are not in any short supply, we do mean well.

 

you mentioned military life and birthing at a MTF, i wanted to invite you over to the Military Family Life Group, even if your family is out now, we havea great group of ladies that have all seen the ups and downs  that military and tricare adds to all the other issues of motherhood.


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#22 of 23 Old 07-20-2012, 04:11 AM
 
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I hope I did not create a problem with my response. I was just trying to be supportive and reasuring that although doctors consider me high risk after an issue with my 2nd child that I have had a few normal births and with research i will be as prepared as I can be. Like others have said UC is high risk  according to doctors so there needs to be a lot of self refelction and education when there is known issues that could present a problem.

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#23 of 23 Old 07-20-2012, 03:07 PM - Thread Starter
 
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After reading some of your replies, I guess I need to add some things.

 

The MW I talked to for this pregnancy has not said yes/no to me until I talk to my Urologist.  I was supposed to have an appt today but insurance stupid stuff made the Uro office cancel it.  I am not too pleased with the office staff.  

 

As I said, I am "high-risk" only because of my history of kidney stones.  That was with DD's pregnancy and she is almost 7yrs old.  I do have my kidney stones controlled as long as I take my medicine.  I did miss a dose last week because my medicine disappeared. No one in my house messes with my medicines and ESPECIALLY my kidney stone one because they know what it means.  My guess is my mom stole it (long story) so I would miss a dose and have to ask her for help.  

 

I am not "high-risk" now or in the future unless someone says so.  I do not consider myself high-risk just because of previous history of making/passing stones.  At this time in DD's pregnancy (10-13 weeks) I was in the ER 6 times and admitted twice for pain management.  I have had some minor pain because of the stones that are currently in there (many little ones in both kidney's) but NOTHING like I had before.  Kidney stones in and of themselves do not make a woman high risk.  Only when they cause issues does it put the woman to a higher risk.

 

For those who asked about giving birth UC.  I came VERY close to not being in the hospital with DD.  If I had waited 5 mins later to leave (I drove myself at 7cm to the hospital), I would have given birth alone at my house.  I am not afraid of that. 

 

The complications of having kidney stones?  Pain.  If they cause too much pain they can cause PTL and/or pre-term delivery.  There might an attack during labor/delivery but I already did that during DD's.  They wouldn't do anything for my anyways.

 

I do not go into this lightly.  I did my research of UC before I even had DS (13yrs ago) because I read Laura Shanley's book while pg with him.  I even did a UP with him until I had complications of SEVERE abdominal pain at 20-something weeks.  I was admitted to a room and they finally said that my uterus was trying to grow but my awesome abs wouldn't let it.

 

I will be monitored by someone.  I am not secure enough to do a UP yet.  I just haven't quite decided whether to stay with my natural birth OB 1hr away or go with some person in town that may be Epi/C/S happy.  I think I will ask my chiro who she had.  My doc (DO) said I NEEDED to give birth in a hospital with an OB just in case!  It was weird hearing his view on childbirth with him being so natural.

 

Oh and I am a bit scared (not in a bad way) that I will not have time to get to a hospital (birth center if I stay with far away OB)  because of how fast DD was when I finally figured out I was in labor.  DH works an hour away and I really don't feel comfortable with any of my neighbors/acquaintances yet (moved a yr ago) and have them drive me to the hospital or birth center (hr away).  If I go into labor when DH is at work, he may not make it in time for this birth.  He made it 35mins before DD's and he was only 15mins away that time.  I may have a UC just because I don't have time or help!

 

Thank you for everyone's input, suggestions, and advice.  

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