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33 weeks & tachycardia in baby...?

1165 Views 7 Replies 5 Participants Last post by  BelgianSheepDog
To sum it my regular midwifery apt today (after all the regular checks-w/everything normal) we listened to the baby's heartrate w/the doppler.
I could tell immediately that it sounded fast...too fast. After a minute or so I jokingly said "guess that cup of coffee's reached the placenta, eh?" My midwife did not laugh. She paused for a few moments & then said "ah...this is actually kinda tachy...I'd really like to see this come down". I said "yeah it sounds kinda high" at which point she turns it to me to see... 188...197...204...195...201 etc. After listening for several minutes (at the same rate) she says "well...I guess she's just responding to me palpating her...I'm guessing it's just the activity getting her heart rate up..." She looks concerned, but not overly. Asks me a few questions about her movement & then says that there is little point in her listening to her (the baby) again as she is still kicking up a storm. We get thru the rest of the apt, I book my next one (2 weeks from now) & go.

2 days ago (Aug 7) was my due date with the baby that I miscarried 4 weeks before conceiving this one.
Maybe I'm just being paranoid...but the apt hasn't sat well with me & to be honest I'm really concerned.

About 4-5 days ago I was kept awake all night with kicking/movement on my bladder/cervix...I SWORE that night that she had flipped into a breech position. It was really weird. I'm now sure that she is head-down, which was confirmed by my midwife today. Since that night she has had a lot of hiccups & has been moving a LOT, especially at night...she keeps waking me up with her movement. I have had a lot of lower backpain (& hip I've attributed it to being normal pelvis-separating-pain) & braxton hicks ctx (but this is my 6th baby so I figure it's pretty normal). I have had a lot of headaches this pregnancy...but my blood pressure has been normal (as was my dip-stick thing today) so I'm pretty sure I don't have pre-eclampsia or anything like that.

Minor issues which may or may not factor into any of this...
#1) I am only 139 lbs...I was 135 when I conceived...125 at my first midwifery apt. (lost a bunch due to morning sickness) which makes my on-paper weight gain to be only 14 lbs.
#2) My hemaglobin (sp?) came back at 115...which as I understand is borderline normal/low.
#3) I have had a preemie (36 week) baby 6 years ago & all 4 of my girls births have started with PROM between 36 & 38 weeks which have lead to hosp. inductions w/antibiotics.
#4) I am a coffee drinker (I was only able to kick the habit for the first several months) I drink 2-3 cups per day. I have done this in every pregnancy except for #2...without problems. (I don't think that the ONE cup of coffee that I had an hour before my visit this morning could have caused her high heart almost every visit I've just had coffee & it's never caused a high heart rate before)
#5) I don't really eat meat...chicken, fish, shellfish, eggs, dairy...yes...but not red meat.
#6) I don't smoke, take drugs, drink booze, have any pre-existing health problems.

Here's my biggest fear...
that the other night she did flip into a breech position & when she flipped back has entangled herself in her cord & is now demonstrating different behaviour (activity & heartrate) for her. And by ignoring her high heart rate today I may cause her to die in utero.

Sorry if that sounds really paranoid...but I've worried the whole pregnancy (well...tried to remain positive) that something will happen to her & we'll lose this baby, too.

Please give me any thoughts on this...
Would it be reasonable to ask my midwife to listen to her heart again in the office later today?
Or does this warrant a NST in the hospital?
Or an ultrasound to check for cord/position/etc.?
Or should I relax & forget about it? Am I over-reacting?
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Oh...and the baby's baseline has been 140s-150s.
I would follow up with some appts to your midwife. Ask if she has a fetoscope you can borrow.

Your iron levels sound VERY normal, not anemic at all.

You need some reassurance - and this can only come from being a bit more proactive in visiting your mw over the next week or so - perhaps she can come to you at your house??
Could you have a silent infection of some sort that is causing the tachy episode, perhaps a UTI? Is it possible that you had nothing to eat, but drank your normal amount of coffee that day, causing rapid heart rate?
It doesn't sound paranoid to worry about your baby, it sounds smart. The "range of normal" for heart tones is 120-180 and yoru baby was well outside of that. I think it would be an excellent idea to watch you closer, and not shrug this off. That heart rate is a bit high for my comfort, personally.
FWIW, Your hemoglobin looks fine. I don't even blink until it's below 10.0 unless the mom has symptoms of anemia that are bothersome.

There is one good thing to remember. There was a good study a while back (maybe ten years) that said "Maternal perception is the most accurate indicator of fetal well being" Meaning, mamas know better than machines or care providers, about their babies health. Go with your gut here and don't be afraid to demand attention!
I'm not a professional, but as a mom I say go with your gut and get it checked out. I'd be REALLY worried by that, personally. An ultrasound and NST would probably be a good idea. Please let us know how you and the baby are doing when you find out.
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I called my midwife & asked if she would relisten to the baby's heart. I just came back from the office. The rate was 120s-130s. Which is actually slow for her...but at least it wasn't super fast.

I'd only had one cup of coffee this morning with breakfast (granola, blueberries, apples & cream).

I don't think I have a UTI...I don't have any symptoms of one...apart from having to pee constantly...although that's no different from regular pregnancy

I feel better about it. My midwife insisted that she wasn't worried...that she felt it was an isolated incident...
I'll be really paying attention to her movement though to see if anything else seems abnormal in the next little bit.

Thanks for the responses!
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I don't think you're being paranoid at all.

I'm assuming your midwife dipped your urine... did she mention anything about a UTI?

What about you? How are you feeling? Any fever or feelings of the flu?
I really don't think coffee would have anything to do with it. Maybe if it were just a bit faster, but the 200 range is REALLY fast. Again, all I have is general knowledge and personal experience, but the one time my daughter's heart ever went that fast was in the NICU (after she was born) when they were putting in the IV and she was scared and in pain. And it made the monitor screech. I'm sort of surprised your midwife isn't worried about this.
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