***Starflyr's Birth Lodge***

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AmyJo86268's picture
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***Starflyr's Birth Lodge***

All the Lodge starters are attending to their new babies!! Better late than never. Congrats on your lodge!!

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Welcome!

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Welcome to your lodge!!

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Welcome to your lodge!

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Oh, wow, cool! Thanks!:p

I guess I'd better post an intro, then :). I apologize in advance for bad typing - my hands are so swollen and they hurt. :confused:

edited to add: oops, it got REALLY LONG, sorry for the novella.:eek:

Let's see...

DH and I met after my freshman year in college. I had intended to be pre-med, but burned myself out with too many college courses in HS. I took a break from all that my freshman year, only to discover that I really missed it. Sooo, I came home for the summer and took chemistry and calculus 2 in summer school at a university near me to get back on track for the premed curriculum. DH was in my chemistry class and was my lab partner. We pretty much hit it off immediately and dated (even long-distance, 1700 miles) for the next 3 years.

He was 24 when we met (I was 19) and had been previously married and was custodial to his then 4 year old daughter, Boo. He had been in the Navy, but after the divorce had come back home and gone back to college to earn his degree in engineering. He graduated in June 2000 with an electrical engineering degree.

We got engaged over Thanksgiving in 2000 (my Sr year) and decided to see if I got into medical school before planning the wedding date. I was accepted to med school in March of 2001 and started in June 2001. We decided to put the wedding off until after my 1st year of med school. I moved to the new city (only 300 miles from DH - it seemed VERY close) and we visited 3 out of every 4 weekends.

We got married in June, 2002, in the break between years 1 and 2 of med school, and he and Boo moved down to be with me.

Medical school is very busy and we knew it would not be a good time to have a baby, what with bad schedules and residency looming. We had 1 other obstacle, also, in that I have Bipolar I disorder (manic depression). It is well conrolled on meds, but all of those meds are not good to take when you're pregnant, so we HAD to plan things, we couldnt afford to have an "oopsie".

So, I finished medical school in 2005, and started a Pediatric residency at the same institution. I watched some of my colleagues get pregnant and knew that we had to wait - residency is NOT a forgiving time. Some of them had to be away from home so much that their own children had stranger anxiety towards them. I knew that was NOT what I wanted, AND I knew that working 80 hours a week with 30 hour days every 4th night would be a BAD time to get preggo, not to mention, that you get 3 weeks maternity leave, and if you take more than that, your residency gets extended or you lose all your vacation (which is precious when you work that much - we only have 4 24 hour periods off per MONTH).

ANyway, the schedule got better as I got further along, so we decided in Spring 2007 that we would try to have a baby around the end of residency. I met with my OB and my psychiatrist, tapered off meds, tried to fix my schedule so it would facilitate our goals, and we started TTC in June 2007.

I have always had VERY irregular cycles - Ive been on BC since age 15 because of it. Obviously, I had to come off of that. My LMP was June 13th, and the waiting got to be terribly nerve wracking - POAS weekly, at least. I finally went back to my OB in September b/c I was very concerned about it and thought that maybe the tests just werent picking something up. so, Sept 21st, I had a blood test, which was negative for HCG and was given a course of provera to see if that would make me cycle. 10 days after finishing it, I STILL Hadnt had a period and was getting worried, so I planned to call in for a f/u appt. I had 1 test left in my bathroom and figured I'd try it just for grins.

It was positive. VERY positive. IMMEDIATELY positive. I about died right there and then from shock. I tested 5 more times with 5 different brands from 5 different stores throughout that day.

Anyway, I got an appt and had a dating ultrasound on 10/4 that put me at 6 week 5 days, and a second one to confirm (she thought she had seen 2 yolk sacs at the first u/s) at 10 weeks. I also took progesterone supplements for the first trimester and had a 1 hour GTT b/c I started out a bit fluffy (which I passed).

Things went smoothly then, but I immediately was concerned about delivery - at my hospital, the OB nurses dont really like residents very much and have been known to go out of their way to "put us in our place" while in labor. (It happened to EVERY ONE of my colleagues who delievered there). Also, I had done my OB rotation in med school there - in 6 weeks, I saw THREE vaginal births, one of which was an unstoppable PTL with a 21 weeker, who obviously didnt make it. EVERYONE else had a c-section. So, I was apprehensive. I KNEW I didnt want a c/section and had never really wanted the whole schebang with epidural and all of that, but didnt know all that much about NCB - that's when I found a few sites, including this one, and started educating myself. I started bringing it all up with my OB at 18 weeks. She seems really open to most things, the only thing we've come to loggerheads on is the "delivery in lithotomy position" thing.

The private OB group decided to move their delivery practice to a community hospital (actually closer to my house) but that made me nervous b/c I am, of course, a pedi, and Ive done a LOT of neonatology. I was NOT comfortable delivering at a hospital that didnt even have a *pediatrician* in house, let alone a neo. I kinda freaked out at that point b/c the idea was that private pt who chose to stay at the "old" hospital would be delievered by the maternal-fetal medicine attending on call (who we would've NEVER met and who would most likely be even MORE intervention-oriented than a regular OB). Also, I found out that once that went into effect, the MFM attendings were very disgruntled about it b/c they were ALSO in charge of the high-risk L&D service, so spending hours with a private pt in a relatively low-risk birth was NOT something they were happy about. I thought about changing to the midwife service, but (and yes, I guess this is elitist of me, but...) they only work with the indigent/medicaid patients and they are all over seen by the MFM people anyway. I had worked at one of the RMCHP clinics (where the midwives are) for 2 years (some were combined pedi/OB) and did NOT want to spend any more time there than I absolutely had to (I saw mothers/moms-to-be get into fistfights in the waiting room, the language was enough to blister your ears, and it just was NOT an environment I wanted to subject myself to).

Anyway, I was VERY relieved when I learned that the neonatologists from my hospital agreed to cover the community hospital deliveries 24/7. That's when I decided to switch places for delivery. (this was...oh...26 weeks or so?). I completely trust the neonatologists/fellows/NNPs that are covering - Ive trained with all of them, so that makes the baby side of things easy.

I was dx'd with GDM in week 28 and tried to control it with diet/exercise and failed. My numbers were always high at night but fine at all other times, I was told by the dietician that it was a common thing in residents b/c we have so much stress and are exhausted by the end of the day, so our cortisol level is sky-high, which causes elevated numbers.

So, Im on insulin as of 34 weeks (now up to 10 units regular before dinner only) and started twice weekly NSTs because of it. I now have an "eviction date" at 40 weeks per my OB - I will keep pushing it a much as I can, as I really dont want an induction, but Im ok with 40 weeks if I have to. Im hoping I can get her agree to let me go to my due date (june 9th), which is officially at 40+2 , if I dont go on my own before then.

I have a fabulous doula who has been to >300 births (its her only job) and had 7 herself. DH and I went through her private childbirth class and she will be with us for the labor - we will stay home until transition, if I can (OB says this is OK as long as I check my glucoses and keep them

Im planning on working until June 6th, b/c if I can make it that far, I am officially finished with residency. I have my medical license now, so all I need is the piece of paper from my program director that says I have satisfactorily completed all requirements. Im done with everything except 3 clinics (1 half day per week) and a "fluffy" elective that Im taking now - working 10:30 - 12 M-F with no call and no weekends. We kinda cut it close on that end, timing-wise.

Anyway, Im not worried about the pain of labor, I AM worried about medical interventions. Im trying to keep myself calm about them and negotiate w/my OB, which is why Ive posted so many threads in the last week or so - and thank you to everybody for all the info and advice!

Boo is NOT handling things well, either, actually. Her bio-mom just had a baby girl in March, and now she's getting a baby brother here. She will have gone from an only child in both houses to "big sister". She's 14, so her acting out is in teenage attention-seeking ways - threatening to kill herself with a safety pin, etc. She is in counselling, and we dont think she is actually a risk to herself, she is NOT clinically depressed. She is, however, in a rebel stage (black eyeliner, attitude problem, etc), so that's been a bit crazy too. I just hope she settles down soon. Ive been letting DH deal with her, mostly b/c I cant take on that kind of stress right now. It's hard enough being 9 months pregnant and bipolar off meds in residency.

DH is doing really well, considering. He's dealing pretty well with Boo and is doing pretty well with me, too. He's not at all medical, so my anxiety stuff throws him for a loop - Im trying to not burden him with it, too much.

Wow, that was long. Thank you if you made it this far!

Star

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Welcome to your lodge, and it sounds like you are well prepared for this birth!

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Welcome to your lodge!

I hope that all goes well for you with the rest of your pgcy and delivery! I was wondering with the BPD, if you were planning on breastfeeding or going back on your meds as soon as baby is delivered? Just curious, I hope you don't mind me asking- if you do, just ignore me! Smile

That sounds tough with your dsd. 14 yo girls have such DRAMA!

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"Kaseye" wrote:

Welcome to your lodge!

I hope that all goes well for you with the rest of your pgcy and delivery! I was wondering with the BPD, if you were planning on breastfeeding or going back on your meds as soon as baby is delivered? Just curious, I hope you don't mind me asking- if you do, just ignore me! Smile

That sounds tough with your dsd. 14 yo girls have such DRAMA!

I am absolutely planning on breastfeeding and staying off of meds. If that cannot happen for some reason, I will be having a LOT of discussions re: which mood stabilizer is best when breastfeeding - most of them are anti-epileptics, and people who take epileptic dosages (typically higher than mood stabilizing doses) are encouraged to bf, still.

My BP is type I, and I have been hospitalized twice (once at diagnosis when I was su*c*dal (age 15) and once at the end of college when no one would see me b/c I was moving in 2 weeks and KNEW I was going to go full blown manic if I didnt get help - this was due to a stupid doc giving me amitryptyline without giving me a mood stabilizer also - a guaranteed combo to send a BPer manic, EVERY SINGLE TIME). Im pretty darned good at monitoring my moods, and I know when to call if there is a problem. I daresay I wouldnt have made it through med school and residency (WITHOUT accomodations) if it were really severe.

and yeah, heh, 14 year olds are FULL of drama :rolleyes: tonight she cried hysterically for >30 minutes b/c we were "dissing" one of her friends - who has admitted to using drugs and having sex/trying to get preggo at 14. BUT, of course, Boo is livid that we still dont like her b/c of that - after all, she's been to a COUNSELOR (for 2 weeks0 and she SAYS she's CHANGED. ROFL

Yeah, whatever. We still dont want her hanging out with that girl.

I went to the Webster trained chiro today, she did a bunch of muscle testing and stuff and I go back tomorrow after my NST to get "the plan" to turn Brayden around so he's not OP anymore. No adjustment today, though I did get a 10 minute massage and some TENS unit time, which was nice, my lower back has been KILLING me on 1 side.

I'll update after that, b/c Im taking articles (including the Gaskin one) to my OB for discussion tomorrow, along w/my updated birth plan.

Im gonna push for my EDD - which would give me until 40+2 before "eviction date".

HOPEFULLY I'll have at least SOME dilation or effacement (I know it doesnt really make a difference, but it would be emotionally satisfying, kwim?)

Ooh, and on the really good side, I got crystal light to add to my water and managed to drink so much yesterday I was 4 lbs lighter this morning after getting rid of all that extra fluid that was making my feet look like pillows! WOOHOO! (I figure that upping water intake will balance out upping intake of fake sugar...)

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Welcome to your lodge, and thank you for sharing such a lovely intro.

I had terrible back pain (especially on one side) during part of my last pregnancy too, but as soon as little one changed positions it went away. I hope the same happens for you.

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Welcome to your lodge! Smile

Your intro was a great read - what an interesting story! I feel the same way you do in that I'm not afraid of the pain of labour, it's the interventions that worry me. I hope things settle down with your DSS.

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I had to lol at your dsd- I can SO remember being like that at 14! Poor kid, and poor you and dh having to deal with it too!

That is great that you will still be able to bf!

Chiro sounds nice! Glad that thye were able to get baby to turn- I imagine quite a relief!

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welcome to your lodge. hope all goes well and you can have a nice intrevention free l&d.

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Welcome to your lodge! You are one busy woman & congrats on surviving residency.

Cindy

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Wow, thanks for all the replies Smile

My OB seemed more flexible today at my appt about the induction issue - she says that she will even go back and re-review the guidelines for induction with GDM. The things Ive read correlate higher incidence of stillbirth with high fasting numbers, which I have NEVER had - Ive only had high numbers after dinner (and once in awhile when I was stupid at a different meal...). She said if it werent for the insulin, she's be ok with me going to 42 weeks, even though that's getting out of her comfort zone - but with the insulin, she's not OK w/42 weeks. She also said that she's read the Gaskin maneuver article and we could talk about it on Friday at my next NST. She also gave me the official go-ahead for anything I want to do re: encouraging labor, kind of funny when she said "well, the midwives suggest X,Y,Z, you could do those", but Im grateful she even knew about them, kwim? She even gave me the go-ahead on the breastpump for nipple stim, but I still think Ill hold off a bit longer on that.

Ive made a little bit of progress, in that Im now 50% effaced and at -3 station. No dilation, though. It's still more emotionally satisfying than "closed, thick, and high" which is what he's been every other time except with the threatened PTL at 34 weeks.

The chiro I saw for the Webster technique does think I have a pelvis that is a bit askew, so she adjusted me today and is having me come back 3x a week for this week and next week to see if we cant fix it so it's better.

Um, I think that's it. I still have to pack the bag for the hospital, but I have most stuff ready, it's the hygeine and shower stuff Ill need to toss in when the time comes.

I just WISH my hands would quit hurting. This arthritis-like pain and carpal tunnel together is NOT good. Hurts like heck! And its making it really hard to write thank you notes! Argh!

Star

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I'm glad to see the doctor was receptive to your requests. Progress is good.

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Hooray for progress!
Glad your doc is more flexible on the induction. Hoping you go into labor before the induction talk comes up again (but after that baby turns OA Smile ).

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just a quickie update, but...

Ive apparantly started to lose bits of my mucus plug - at least, I think so, I dont know what else it could be (TMI, but nothing else looks like bloody snot, right?). Im guessing it's from my check today and maybe from the adjustment letting things move along a bit.

Anyway woohoo Smile

Star

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Hooray for bloody snot! lol I think that's a great sign. Maybe your hand pain will be gone sooner than you thought Smile

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Well, I dont know what to think now.

The Webster technique is I guess working, in that it's making more space for Brayden to move around in, but it's a little nerve-wracking. Last night, the little booger decided to move his head out of my pelvis, turn oblique and stick it in the "new" space over in my right hip. We had a discussion about that, so he moved a bit - and stuck his head in my LEFT hip. It wasnt until this morning that he finally stuck it back in the middle. And I can still feel arms/legs in the front, so Im pretty sure he hasnt turned OA yet. I surely do NOT want him experimenting enough to flip himself over to breech or transverse - I would rather have back labor than a c-section/ECV. Ack! :eek:

Im going to talk w/the chiro at my appt today, this just seems wierd.

Are other people's almost-38 week babies doing similar acrobatics???

Star

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That's so exciting you're starting to lose your mucous plug! I'm interested to hear what the chiro has to say but remember if he can move into a bad position he can also move into a good one.

Cindy

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Yay for losing the MP! A step in theright direction at least!

None of my lo have done acrobatics this late in the game, so I don't know what to tell you there...

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Thanks for the great introduction. I hope LO gets into the right position soon because it sounds like things are progressing. GL and KUP!

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Well, I had my 2nd 37 week appt today for my 2nd NST of the week -

All is looking well, he was VERY active for the monitor (I think b/c DH was there and talking to him LOL). He's still measuring right at 37 weeks and my sugars have all been good.

Anyway, DH was *dying* to know if any progress had been made, so I let her check me again - apparantly, Im now "fingertip" and 50% effaced, still at -3. She helped me explain to DH that it doesnt make a difference what I am NOW b/c it doesnt indicate how soon labor will start or not.

She did tell me that I need to make up my mind exactly when it's OK for Brayden to come, not b/c of induction but b/c of the time crunch I find myself in for trying to finish residency - I *really* dont want to have to go back to work afterwards, kwim? Especially as it I would have to go back in June or sign a whole nother contract for like, a week.

So, I think (I hope) Ive convinced myself that after next Tuesday, Im not going to worry about it anymore. Tuesday (5/27), though, I have my 35th week of 36 required weeks of clinic for the year (it's stupid, you only have to go to 1 half day per week but you have to have 36 weeks of it, even if you have other weeks where you do >1 half day per week?), and I have my psychiatrist appt for him to write the quarterly letter to the state medical board that Im not crazy (it's due by June 15th, but cant be sent earlier than June 1st...stupid rules...).

Anyway, my program director said she wouldnt make me come back for 1 half day of clinic, so...I think after next Tuesday, everything will be officially OK in my head/emotional state, kwim? I'll be 38+4.

So, I guess the point of that was that she did a similar thing and was ambivalent about when it was OK and ended up having to be induced and she thinks her ambivalence contributed to it and she knows I dont want that.

It's kind of wierd to think that I only have at maximum 4 more prenatal appts left to go. I kinda feel like Ive been living at that office.

Star

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38+3

Well, no change from last visit. NST is still looking good.

I asked her to strip my membranes if possible (TRYING to avoid induction), but she couldnt as Im still not dilated enough - only fingertip at the external os. She also said that he is still ballottable - that his head will go back up out of my pelvis easily, and he is not engaged at all. We think he's ROT, but I suspect he's rotating between ROP and ROA, neither of which are optimal.

*sigh*

I see one of her partners on Friday and then her on Tuesday. After that, it's induction time. Sad Im going to put it off as long as I can, but I have read the published literature and I know the risk of stillbirth is low but it still increases enough to convince me after 40 weeks.

Please send contraction/engagement vibes my way.

Star

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(((((labour)))))

Try to not let his position get you down. Until he's firmly engaged (and even after he's engaged), the little one can move in all sorts of positions. His position now isn't a great predictor for the way he'll be when he makes his big arrival.

And I'm glad to hear that he's doing great at the check-ups (and that you won't have to go back to work for a half a day after the birth!)

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((HUGS)) Sending a lot of wishes for your LO to get in the proper position and stay there. It's frustrating to wait, isn't it???

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it is frustrating, but it will all happen soon enough!

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I saw my chiro yesterday and she thinks the reason he was all whackily (is that a word?) positioned is that I had a spasm in my right round ligament. :eek: I had been wondering why my belly felt bruised over the weekend, but I figured I had bumped into something or gotten kicked really really hard, but apparantly, it was RLP. She did a release and he's definitely in better position now than he was. Yahoo

I HOPE he's deciding to put his head in the right place - my upper inner thighs are now sore and my hips, which hasnt happened before, so Im hoping this is a sign that he has done so. It feels like he has when I feel my belly, but Im just not sure what with the carpal tunnel making my hands numb/hurt if I press.

I guess we'll see tomorrow.

Star

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HA!!!!!

HE SWITCHED SIDES!!!!!

Good boy, Brayden!

LOL he did it while I was at the chiropractors today, wow it hurt, too, she was wondering what hurt so bad, thought it was something she was doing, but no, he's ON THE LEFT!!!! WOOHOO!!!!!!!!!!!!!!!!

THis is MAJOR PROGRESS!!!!!!

:cloud9::sunny::jumpingbeans:

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YAY!!

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Hi, I'm a late comer to your lodge, Congratulations!! I loved reading your posts Smile

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YAY for ds! What a good little boy already! Biggrin Hope that this means progress for you soon!

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Argh.

False alarm - He turned back around again Sad

At least he proved he could turn the right way!

*sigh*

STar

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silly boy flipping around in there! doesn't he know the way out - lol!

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38+6

Well...

No progress again. I saw my Dr's partner today. the NST is good, at least.

he is still 'floating', Im still not dilated and now the effacement I had is gone, too. This sucks.

i guess all I can do is wait until tuesday to hash this one out w/my regular doc. I did find out that she's the one on call on Wednesday, so that's probably when she'll push to induce.

Sad

Star

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:bighug:

I hope this baby surprises you and gets things going soon. How are you feeling today?

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Im ok.

I emailed my doula yesterday after crying for an hour - Im just trying to forget all about everything. Her reply kind of helped - told me to lay off the pump, etc if all it's doing is stressing me out. It's not helping that the phone calls from family are starting to come in. "WHat's the news? Are you inducing? We cant wait til he's here!" etc. Ugh. thanks for the pressure.

I can at least feel pressure sometimes today, if I sit leaning forward, so maybe that means something, but Im not sure. I still have only had like 2 contractions that Ive felt w/o mushing my hands into my tummy since I was 32 weeks and basically in PTL from job stress.

He still hasnt dropped at all, and I can still walk pretty much normally.

He's just not ready to come out yet, and I dont want to force him to if he's not ready, kwim?

*sigh*

Star

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He's not late yet! He could surprise you. Don't be discouraged. If the NST is good, and docs aren't concerned then let him do his thing this weekend. Maybe you are just a really good baby baker!

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Ok, I figured I should post any happy news along with the rest of my hormonal freak out LOL

I had a contraction that I actually FELT while on our nightly walk tonight. I havent had one of those in 2 weeks, and before that, it was at 32 weeks when I was on 30 hour call in PICU and basically in PTL (couldnt go to L&D as I had no backup at the time).

Still didnt hurt, but hey, I'll take what I can get.

He's trying to get in my pelvis, too, I think. I can definitely feel more pressure.

Star

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This all sounds very promising. I hope things really start to pick up for you soon!

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Thinking of you. Sounds like you are making some progress.

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39+3 update

Alrighty, I think my OB and I came up with a decent compromise today.

Im going in tonight for Cervidil (they dont have prepidil). If the cervidil does not cause labor, I am being discharged in the morning - no pit, no AROM, no nothing else. Im at 1 cm and he is still floating and OP. She tried to strip my membranes but couldnt reach.

If I go home, I have another NST on Friday, and then I have until Monday to go into labor on my own (40+2 weeks).

I figure this is a pretty good compromise, since she wanted to induce me tomorrow.

Star

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I hope things work for you tonight and you don't have to go for the full 9 yards of induction!

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Keeping everything crossed things go tonight!

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Hi Star-- love reading your lodge.

Just wanted to encourage you. All of my babies, even my first, was FLOATING until I was in labor. I mean really floating where I could push up internally on their little heads and watch them move.... I remember my OB showing me how to do it with our second...weird!

Now, each baby did come a few days past EDD-- but in their own time. I'm glad you are taking a gentler approach to inducement-- but you may want to just wait it out. Babies usually know when to be born :).

Umpqua's picture
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That sounds like a good compromise - I hope things go well for you tonight!!

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That sounds like a good compromise to me! GL, and I hope things work for you!

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OMG, UGHHH

So, I got there, did all the paperwork, got on the monitor, and after 2 hours was told that there wasnt enough staffing to do it tonight, please come back at 7 am.

:mad:

*sigh*

Oh well. I think it was probably a good thing since my nurse was not very friendly (NCB or otherwise). She made the birth plan/c-section scar comment and didnt even introduce herself until partway through the paperwork.

Also, I actually had contractions that showed up on the monitor while I was there - good ones, too, so I guess that made it worth going.

Anyway, MY doctor will be there tomorrow all day, so I bet things will go better.

Star

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Sorry you didn't get to get a start today. Maybe tomorrow will be your day!

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aha, I found the wireless network! Smile

Not much going on. The placed the cervidil at 8:20 this morning, I was about 20% effaced and fingertip dilated, but he was still floating.

ON the monitor Im contracting every 5-7 minutes but Im not really feeling anything.

They are letting me have clears (and milk! woohoo!) and be mobile except for the once an hour monitoring now, so it's working pretty well. DH and I have done a few miles around the halls so far.

I have the same nurse, but she's nicer today for some reason.

anyway, we'll see what happens.

Waiting to call my doula until something actually hurts.

Star

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Well, Im back home again. We made some progress (Im now 1 cm and "stretchy") and she was able to strip my membranes too.

Im actually really impressed with her right now b/c by the end of the day I was about ready to tell them to just do whatever to get him out. (we walked 4 miles and that bed is HORRIBLY uncomfortable, ugh).

She told me that she understood, but that based on my wishes prior to today, she wasnt going to let me do that and that she wanted to give him every chance to come on his own before Monday.

So, I really appreciate that she did that.

Anyway, so she told me not to go for the last 2 days of work and to stay home and relax, I have an appt on Friday for an NST and maybe another membrane stripping, and if all else fails, I have an appt on Sunday at the hospital at 5 pm to put in more Cervidil in preparation for the "official" induction on Monday.

I sure have more pressure in my hips/lower back now. Ow. I hope that Massage envy has a prenatal masseuse available tomorrow....

We had a pre-eclampsia scare too, as my BP was high (148/80s) and wouldnt come down, but all my labs were ok and she said she thought it was probably anxiety (I HATE automatic BP machines).

All in all, this did exactly what we were hoping it would do - help efface and dilate.

Star

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