~*~*Renee's (renee24) Birth Lodge*~*~

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~*~*Renee's (renee24) Birth Lodge*~*~

Welcome! I know this is a bit early, but I wanted to give you a place to organize all your updates and process anything you need before the birth.

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whoa, how unexpected and sweet. I don't know what to say. Ok, I'm going to have to go regroup and cry now.

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Welcome to your lodge, Renee! I know, I for one, have been following your story and praying for baby Raya. I hope you get your VBAC!

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Congrats and welcome to your lodge!

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Wow, our first July Baby lodge! Blum 3 I hope it will be filled with lots of peace and wonderful news.

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Yay! Congrats on your lodge! How exciting to see a July lodge! Biggrin

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Welcome to your lodge!! I can't wait to hear all about you and baby Raya Smile

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I guess I should write an intro huh Smile Ok, I'll try to do that tonight.

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I know that this lodge has started way early, but I guess I should still do an intro.

DH and I met in HS on the bus believe it or not, while I was dating his best friend too, lol. Anyway, he says he feel in love with me at first sight. For the next 3 years I tortured him going through more boyfriends while he just became a close friend. Finally he decided he needed to get over me just as I was starting to notice him (unintentional on my part). On a spring break trip to Spain his senior year, my junior, I finally acknowledged that I had feelings for him, I couldn't help it esp since he got his first gf and I just wanted to push her off the nearest cliff cause she was holding his hand. Yep I was 100% jealous. Thankfully we both came to our senses not long after the trip and we started dating. That's another funny story too. Right before the trip my youth leader was telling our girls group how she had started praying for her future husband, though she had no idea who he'd be, and liking the idea I went ahead and started doing the same. After returning from our trip (must have been about 2 months of praying for my future husband) I got my answer, Bobby, my best friend in the world. I was so shocked I remember gasping and shouted "what!?!?" to God. Needless to say the big guy and I had a long talk all night and He won of course. Finally I told Bobby (now DH) that we needed to talk and he concurred, so we went to a room on the side for some privacy and just like the movies we both tried to talk so we did the whole, "no you first" thing and finally I was like let's go together. Our words, 'God said to marry you." "Huh?" "What?" "Really" "you too?" I swear it was a movie scene if there ever was one. So we've been together ever since. We finally married in 08/2004 and while it was not my dream wedding I was just soo happy to finally be married to him I didn't care. And a few months later we were off to Misawa Japan. DH had joined the Air Force 4 months before we got married and Japan was our first stop.

While there we had a blast. The next year DH decided we could start for kids (I'd been ready to start on the honeymoon Wink ) but it took us a year exactly to get pregnant but we were estatic when we did. The pregnancy went so well, the birth, like a lot of ladies on this birth, was less than ideal. I'll post that next. I'll stop here as I have to get our external harddrive hooked up to get birth pics off it.

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Here's Logan's birthstory how I wrote it when he was born.

I had been feeling lower abdominal cramps all day and kept thinking that my pants were just starting to get too tight and were pinching me. Yeah right. At around 3:30 in the afternoon I realized that they were pretty close together so I started to time them. They were about 5 mins apart. At 4:30 I talked to DH and told him we might be at the hospital later that evening and asked him if he could buy me some orange push pop-ups on the way home, who knows what I was thinking. After he got home we thought we would go walking to see if anything might happen, but we decided to call L&D first to make sure they didn’t want us to come in. Of course, they did want us and off we went, taking our bags, just in case. Upon arriving, at 6, I was all hooked up and checked out. I was having contractions about 5 mins apart, was 3 cm and 80% effaced. They send us away to walk for two hours. Upon returning there was no progress, so after some questioning they determined that my body was hungry and that was why I was contracting so much and they fed me. When we arrived at home I tried to sleep, as they had given me some benedryl., but I couldn’t. Instead I took a bath, which did nothing to help. Finally I gave up and walked around the house and ate some cheerios. At around 2 DH got up and called L&D. The nurse heard me groaning in the background and told us to come in immediately. After being checked we were admitted at 2:20 am, being 4.5 cm and 80%. She said my water bag was so flimsy that it should break any minute. Around 6 my doc came in to check me to find me 8 cm and 100%. When she was done with the internal she thought she saw some miconium on her gloves and decided to break my water (apparently there was a little leak). 30 mins later I was asking for an epi. After that I was able to sleep. Two hours later I was checked, but had stopped making progress, so it was pitocin for me. 30 mins later I was ready to push and two hours after that I was headed to the OR for a c-section. I had been given the option to push another hour or just have the surgery, but I knew his head was stuck, they’d already told me it would be a really tight fit.
Upon getting to the OR I was shaking so bad first due to the cold room I had been in with the A/C coming down right on me and then going to the OR, so they gave me more drugs and lots of heating blankets. Here is where I pretty much pass out, as I was tired and still had the urge to push. Since I wanted to keep my insides inside I thought I’d go to sleep. That scared the crap out of DH and I remember him telling me to keeping moving my finger so he would know that I was ok. At 1043 Logan arrived on scene not breathing. Another scary episode for DH, now doubly freaked out. Poor guy. Soon Logan was breathing and I was stitched up. I remember them telling me, “Here’s your son” but I was too doped up to care.
Once in the recovery room I was able to wake up enough to glance at some photos of Logan. I was joking with DH on how dark he looked to me and that he must have taken the rest of our Indian blood from us. Well, it turned out that that was a symptom of something wrong with him. His blood was twice as thick as it should have been, which kept making his blood sugar drop, so he was kept in the nursery for observation for 12 hours. I was able to go and breast feed him there and by 2 am Sunday he was rooming in with us and were told we could probably go home Tuesday morning. However, he did so well that we were discharged Monday afternoon

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And here are some pics:

Last pregnancy picture:

Right after birth

Getting diluted Sad

Holding him while visiting:

With DH:

Going home:

Almost forgot, he was 6lbs and 19 ins.

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And now for the more present. We left Japan in June 08 and headed to Tx, woopie. It wasn't our first choice for a base, but we were ready for a change. Right before moving we had decided to start TTC again (this was Nov 07) and once again it took us a year exactly. I found out that we were preggo 2 Nov! How funny. We were actually on a road trip visiting our more distant relatives and I got a pos at my grandparents place, it was a great surprise. We were able to see our baby in the er a few weeks later cause I was had so much pain in my lower right side that I couldn't even stand so we went to the ER fearing an ectopic pregnancy, but nope, baby was right where they were supposed to be, and stiff as a board I might add. Logan's first pic he looked like he was surfing but this kiddo looked like they were standing at attention.

Logan: 7w3d

Raya: 6w6d

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I love all the pics! I hope your VBAC goes well and that you have a much more positive birth experience this time!

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Oooh! Renee! So fun to see your pics and read Logan's story! So excited for the first July lodge!

I'm glad Vanessa started your lodge now, it will be good to have a place to go when things feel overwhelming and nerve-wracking with Raya.

Can't wait to share in your journey!

Love,
Ayelet

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And now the rest of the story Smile
At my 20 week u/s (which happened at 21 weeks) we found out that we were expecting a little girl. I was shocked as I was convinced that it was a boy considering that I had had no m/s. Not expecting any news other than good to go we were all fun in the room, so in that sense the u/s tech was wonderful. She never alarmed us that something was wrong or anything. When the radiologist came back though to tell us there was some abnormality in the abdomin we were shocked, but since he could tell us nothing beyond that we weren't too worried, esp since baby was not very cooperative anyway. So we went home, looked up most common abnormalities of the abdomin and started our mini-worry.
(Here's the post on that story) http://www.pregnancy.org/bulletinboards/showpost.php?p=6252870&postcount=1

A few weeks later we went in for a follow-up u/s to get a better idea of the problem. Still we had fun at the u/s watching Rya (forgive me if I go back and forth in spelling, I'm stilll trying to make up my mind on which I like better) and again the u/s tech here was great, never making us fearful or upset, I really liked both of those ladies.
Once again the doc came in and was able to give us a better idea of what was going on with our little girl. He told us that one of her kidney's was enlarged with multiple cysts and probably dead by this point, however the other kidney was just fine. Because of this I was now under the care of 2 docs, I consider him Rya's doc and the other one mine since she isn't as knowledgable in this area as he is. Rya's doc is doc S and mine is doc B. So now I am to see doc S at least once a month and doc B will go on as a normal pregnancy.

(here is the post on that part of the story http://www.pregnancy.org/bulletinboards/showpost.php?p=6322490&postcount=1

The next step was the fetal MRI which was to say interesting. Here we learned that there was no blockage between the damaged kidney and the bladder (which was the best case seneario) and that the damaged kidney appeared to have no kidney tissue at all, meaning it was dead. So now the biggest worry is if it will stay within the one kidney or move to the other one. Thankfully we have an appt on Fri with Doc S for another u/s and I'm hoping to get some more info out of him.

(here is the post on that story http://www.pregnancy.org/bulletinboards/showpost.php?p=6527276&postcount=1)

That should be everything up to date. Now I'm off to get DS from school and then lunch! Woo hoo, I'm so hugery.

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I love your story about how your DH was your best friend and God told you both at the same time that you were supposed to marry each other. TFS Logan's birth story and the pics!

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I'm just going to copy and paste the email I just sent out and add:

Ok, first off let me apologize. Last update I was thinking of changing the spelling of Rya's name to the correct spelling, Raya, but I think I'm going to stick to Rya. And on to the update.

Today we had another u/s with Doc S (Rya's doc). Her fluid levels are great and the good kidney is still 100% good. On the other front the bad kidney is still growing in size with her multiple cysts. Doc S said that she had a few that were getting quite large so he measured the biggest one which was 4x5 cm. He said that was bigger than a golf ball but smaller than a base ball. Because of this she is loosing room that would normally be there between the kidneys, lungs and other organs. Or newest concern is the growth rate of the cysts. If the cysts continue on this growth rate at our next u/s next month I will go ahead and opt for a c-section mainly so her abdomin doesn't become stuck or a cyst does not rupture. Doc S will also be consulting with peds to see if they think she will need surgery sooner rather than later at this point since the kidney is now starting to cramp the spare space inside. Either way, hopefully she will not need surgery right after birth, but will be able to wait a few months, but it will really depend on whether or not the kidney is disruptive to her breathing and eating. I think that is about it on this front. As always feel free to email me questions as they might be something I haven't thought to ask Doc S yet.

As of right now I'm more than 60% sure that I'll be having a repeat c-sec as explained in the email. Yeah I cried about it and mourned, but right now my main concern is getting Rya here safly and without more complications. I'm still saddened by it and if you all want I'll continue to update you on how she is doing and who knows, maybe the growth will stop here and all will be ok. As of right now we are still go for a VBAC and I will still attempt it, but if my next appt with Doc S says that her belly is still growing I'll be canceling that plan. On the upside I'm going to then ask that the surgery date be for July 4th. Since the docs have my EDD as 14 July they'll probably let me do it then.

I'm just so heart broken, not just about the vbac probably being put off and doing that with a 3rd, but that she'll more than likely now being havign surgery not long after being born. I'm really starting to feel like she should be my last as it appears I can not grow a healthy normal child. My son is Autistic with cronic ear infections and now this with Rya. I think I'll just adopt my last 2 kids.

Well that's it for about now. sorry this post is such a downer, I'm just not feeling very chipper right now. I did however get a few more u/s pics and as soon as I get them scanned I'll post them. She had her foot up by her head today so it looks really funny. Oh, and she's breech, yay me.

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:bighug:
Sorry to hear that the growth of the cysts is a concern. I hope they don't get too much bigger. I know you really want a VBAC, so it must be hard to face the possibility that scheduling a RCS might be what is best for your baby. If it turns out that you need to do the c/s, please do continue to use your lodge as much as you want and keep us updated. This board is less about actually birthing naturally than it is about making the right decisions for the health of you and your baby, and I think I speak for everyone when I say we 100% support you in having a c/s if it is the best way for Rya to come.

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Silly girl had her foot by her head so yeah you're not imagining it Biggrin

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Welcome to your lodge Renee Smile You have had quite the journey with this little girl. I agree 100% with Brittany, this board is about making informed decisions about birth and sometimes c/s is the best choice for you and your baby. Please KUP Smile

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true. At this point in time I think I'm going to go ahead and schedule the c/s since more than likely it will need to happen and I'm coming to terms with that, but if it turns out one is not needed then I'll just cancel. I just don't want to keep thinking that the vbac will happen and then it doesn't. I'd rather start coming to peace with it now rather than later. I feel I need to be realistic at this point and jump in with my eyes open.

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Wow hun, I had missed your last update till now. I will be keeping you in my prayers. I'm sorry your having to give up the dream of a VBAC, but I'm glad that your being watched and taken care of. Your babes are blessing and miracles, please try and remember that even though they may be different then you expected they are gifts. Your life will be made full by them, and you will love them no matter what!

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Renee, hon, you are so strong and amazing! You are going through so much emotional intensity with this pregnancy, but you really have your head and your heart in the right place, and it sounds like you are making the right decisions for you and your family. It sounds like scheduling the c/s will help you let go of that decision and focus on enjoying the rest of your pregnancy. Maybe eliminating that stress will have a positive affect on the cyst growth (positive here meaning it stops!) But either way, it sounds like the right decision for you right now.

Rya will come in exactly the right way for her, and she is so blessed to have a mother like you to ensure that!

Don't get bogged down by the thoughts about how this decision will affect your future children. Just let that go for now, you have enough on your plate! Many things can happen between now and your next pregnancy, and who knows, you may still end up having your VBAC this time around.

Sending you so much love!!

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Sometimes our toughest choice as a mother is giving up the birth that we want, and giving our children the birth they need. I sure hope that those cysts don't grow and that a VBAC will remain an option for you.

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Just thought I'd add this post to my lodge:

As some of you saw I was asking about ruptured cysts in another thread and I also emailed Doc S about it as well and here's his answer.

-----Original Message-----

Dr. S,
I've been doing a lot of thinking lately on how the arrival
of my baby girl will most likely come about. As much as I want to vbac I
do know that there are health concerns for baby with this. I agree 100%
that if her abdomin becomes bigger than her head then we should do a
c-sec. However the more I think about it the more a vbac seems best for me and my family, that is not to say that I am unwilling to do a
c-section, I just don't want to jump in on it right now. So my main
concern right now if that we went ahead for the vbac what would the
complications be if one or more of her cysts ruptured? Would this need
immediate surgery or just observation? This right now is what I'm hung
up on and depending on your answer depends on wether or not I'll just
automatically get a repeat c-sec.

Thank you for your time on this matter and all your help with her.

Mrs. Tiffany B.

>Reply
>
> I am glad you have been thinking about how you want to deliver.
> Unfortunately there are some risks to both a repeat c-section and also
> for a VBAC and if one was clearly better than the other we wouldn't
> routinely give patients the choice. With a c-section, as you know, there
> will be a longer recovery time and pain along with greater risks for
> infection, bleeding, scar formation, and damage to internal organs
> compared to a VBAC. The main concern regarding a VBAC is that there is a
> scar on your uterus that can break open. The rate is approximately
> 0.5-1.0% for uterine rupture (scar breaking open). This would be an
> emergency requiring c-section and can put your health and baby's health
> at risk. So, while there is a very high chance that you would not have a
> uterine rupture (~99%) if it happens it is a very serious event.
>
> If the abdominal circumference is not larger than the head circumference
> I would support your decision to try a VBAC. Even a c-section cannot
> assure that the cysts would not rupture during delivery as pressure on
> your uterus/baby is required to deliver it. I am not as concerned about
> rupture of the cysts but more about should the abdomen get very large as
> it may make for a difficult vaginal delivery.

thank you so much for your reply, it has helped a lot. I do have a lot of info on vbac vs. rcs so I do know the risks there, however I did not know that the risk of rupturing her cysts are about equal either way. Thank you so much, this is really helpful.
Tiffany

_____________________________________________________

So it looks like I am 100% for a vbac unless the next u/s show otherwise Yahoo Off to restart my hypnobabies. I'm soo happy right now

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YAY!!! So excited to see this:) I hope you get a smooth easy VBAC, any more recent thoughts from the docs on her surgery? Is there any chance she won't need one? I'm really glad we got your lodge up early, I think it's important that we be able to support you in a organized way. I'm really looking forward to the out come of your story.

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I commented on your other thread. I hope you do get your VBAC!

I didn't realize your first name was Tiffany. Do you want it changed in your lodge title, or are you okay with being known online as Renee?

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I'm fine with it. Renee is my middle name

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I'm so glad you received such a straight forward response from your OB. Best of luck with your preparations for VBAC and I hope you get it Biggrin

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Just thought I'd bring in some cheeriness and show the flowers we planted today.
Unfortunetly they looked better in the pots in front of the house, imo, as they were the perfect height, but I still like that we now have color other than that weird purple brick.

Those white ones did not want to cooperate in the least but I hope everything survives for a while. If they die I might just build a wall, throw in some dirt and try again, only problems is that we have piping access right in the middle :rolleyes: Things just like being complicated I guess.

_________________________________

On another note I also bought a pis medela breast pump since Rya will most likely be in the NICU or having surgery not long after birth and I figured I owed it to us both to get a good pump. I can't wait for it to get here!

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I love the flowers, Tiffany! Enjoy them!

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The flowers are very pretty and add a lot of color to the area,TFS the pics! I think the quality breast pump will be worth it to have in your situation.

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I'm glad things are still looking good and that your doctor supports a VBAC at least for now. I really hope the VBAC works for you, but I also think it's great that you're staying realistic about the possibility of needing a c/s.

And I'm so jealous of your flowers! We tried planting some, but they all look pretty bad. Some seem to have either been chewed on by an animal or ripped up by some kids, and the others seem to be dying for no apparent reason. Sad

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YAY for the pump!! How exciteing:) I hope your flowers survive, they sure look nice in the pictures. How are you feeling about eveything? Hope all is going well for you.

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I'm doing ok for now though I'm sure I'll start getting nervous when I get closer to the u/s on the 5th. Right now I'm just excited about being so close and can't wait to see her.

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Had my 32 week appt yesterday and it went well. We talked about vbac and the possibility of another c/s. For now I'm still on for a vbac which could change at my next u/s, but hopefully not, a vbac would make my life way easier right now.
My bp was good, I think it was 106/81 (lower than normal pp) and I gained 2.5lbs (though I had just eaten lunch before going up so I'm sure that had something to do with it, I hope). Rya's hb was in the 140s and I'm measuring @ 33 weeks.
I did talk to her about my ptsd as it showed up pp with Logan and I just wanted to see what could be done. I thought she was just going to tell me that I'd have to go see a therapist off base (which I don't want to have the hassle of doing) but apparently they have a psychiatrist on staff that sees the preggo ladies Mon after and the pp ladies on Fri! This was nice to hear so I guess we'll see how things go. I told her that for now things are under control (one of my triggers/symptoms are mirrors at night so they're all down and hidden) and if the things that follow the mirrors (hearing/seeing things) I'll come in asap to talk to some one. Hopefully that won't be nessecary. And I'll be sure to keep away from the scary movies, though the 2 hour season finale of criminal minds did not help my sleep at all, lol.

However the only part of our convo I didn't like was about the vbac vs. rcs. I think if it were up to her I'd be a rcs, but she's letting me try at least. She kept talking about how if I try for a vbac and end up with a rcs Rya and I will be more prone to infection. When we talked about policies she said that it was prefered that all vbac moms have an epi (which I'm desperately trying to avoid), so I asked if I went with the epi during dialation if it could be turned off in time for pushing so I could use the squatting bar if I wanted. Nope. She told me that they prefer epis so that if a rcs is nessecary they can get me in quickly, otherwise I'll probably be put under. Um, no (hence why I asked more about epi). I'm trying my best not to worry about, but the other day I thought I felt a trickle down there and went to check, nothing, but I did (out of curiosity) reach in to see if I could feel if I was all closed, I couldn't even find my cervix, lol, but I can barely fit my whole hand in so how is baby going to get out! Now I'm starting to worry about being too small again.

On another note, my breast pump arrived today and I can't wait to use it. It was simple enough to put together so that was nice, I thought it was going to be more complicated than it was.

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Sorry your doc is not really supportive of VBAC. Not having an epi makes you much more likely to be able to have a VBAC because being free to move can help the baby get into the right position to fit. I personally don't think uterine rupture is common enough to justify all VBACs taking the risks of epidural just in case an emergency c-section is necessary. Remember that they can't make you get an epidural, you have to consent to it.

And don't worry about being closed up right now--your cervix is supposed to be closed because it is not time for Rya to be born yet! It is doing it's job right now. You will be able to open and stretch when the time is right!

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I'm glad you found a therapist on base that you can talk to if you need to. It's a shame your hospital isn't more supportive of vbac. Hopefully it will all go smoothly and you'll be able to have your vbac even though you'll have to have the epidural.

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you know they were supportive till this appt, so I'm not sure what changed. Still I'm hoping for the best.

The strange part of the convo when she was telling me the epi policy was that if ur did happen most moms don't know cause they can't feel it, so in case of ur its better not to have the epi. Maybe she's just trying to confuse me on purpose cause you can't have it both ways. I think I'll take my chances, besides I'd rather feel if something is wrong rather than possibly finding out when it is too late, kwim.

Just a side note, I still don't know how to start this as when I read what I'm trying to write sounds rude and I'm not trying to be, just replying to your comment Brittany, so I just wanted to throw that out there. I'm not concerned about being closed, I'm happy I am (or at least I think I am) just worried about the pubic bones. However I'm hoping all the pain down there in that area means that everything is getting looser for me, but only time will tell. Poor DH (tmi) must be going out of his mind as we haven't dtd for a while now cause of the pain, but I think I'm just going to have to suck it up or find another way cause I'm starting to go crazy too.

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"renee24" wrote:

Just a side note, I still don't know how to start this as when I read what I'm trying to write sounds rude and I'm not trying to be, just replying to your comment Brittany, so I just wanted to throw that out there. I'm not concerned about being closed, I'm happy I am (or at least I think I am) just worried about the pubic bones. However I'm hoping all the pain down there in that area means that everything is getting looser for me, but only time will tell. Poor DH (tmi) must be going out of his mind as we haven't dtd for a while now cause of the pain, but I think I'm just going to have to suck it up or find another way cause I'm starting to go crazy too.

No offense taken, so don't worry. Now that I re-read what you wrote, I understand it better. I was kind of distracted when I was reading and responding earlier. I somehow missed the part where you said you thought you felt a trickle, and that was why you were checking. Sorry for the misunderstanding. I really just wanted to reassure you that though things seem small inside now, it is amazing how much it can stretch.

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thanks

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I'm glad to hear your hanging in there, and I really hope you get that VBAC! Don't worry about being too small, I know what you mean about wondering how anything is going to fit through there:) I'm a small person, and I've delievered 3 babies in the high 7lbs. Wishing you all the best! Your getting close now.

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Today's the day for another u/s! I can hardly wait to see her again, though my appt isn't till 3:15! but I have a lot to keep me busy as FIL is flying in tonight and we still have to clean :eek: We'll get there though. Plus DH took off today to help so I'm sure today will be a good day.

On a side note, I talked to my dad last night and I was discussing my concerns for today, like a possiblity, even a slim one, that they might take Rya this week if the u/s is bad (which I hope they don't) but he said something like, "I guess it would depend if she would survive" So does this mean he thinks there's a chance she won't make it? Or could it have just been bad phrasing. I'm staying pos in all things (though still packing hops. bag today just in case). Guess its just mommy jitters.

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Good luck, I hope everything goes well and you can keep her in there a while longer!! It's likely your Dad just doesn't realize how good the prognosis is for a baby born around 34 weeks, especially considering when you were born they usually didn't consider them viable til after 28 weeks, not 24 like we know now.

Neonatal care has improved GREATLY in the past 20-25 years, I'm sure your Dad will be ASTOUNDED at how well Rya does, whenever her birthday happens to fall.

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true true

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I'll be thinking of you today and hoping the results from your u/s are good!

I would guess your dad was saying that he doesn't think they'd take her early if she wasn't developed enough to survive outside of the womb. I really think her chances of surviving are really good, regardless. We have great NICUs now.

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I agree with the pp's who said that your dad just meant it depends on whether she could survive being born this early. I hope the u/s goes well! Relax and let DH do the cleaning before FIL's visit!

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just a quick update. All went fanastic (for once) at the u/s. The stomach looked like it had not grown in size from the last time. The cycsts were also about the same in size so woohoo for no growth! She's measuring on target too.

Another bit of good news is that Doc S talked to the ped specialist and the ped said that based on the u/s right now that it looked like the kidney was damaged due to blockage! I am so relieved about this as that means the other kidney should remain unaffected. I just praise God for this great news. Now I just have to get back on track for my hypnobabies, lol. I'll add more later. Right now we have to leave for the airport.

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Yeah for the no growth and news on the kidney! I hope you continue to get good news :).

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Congrats on the good news! What a relief that the other kidney should be completely fine! :clappy:

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That is great news! I'm so glad to hear that the cysts have not grown and there is a blockage, so the other kidney will be unaffected! You can go ahead with your plans for your VBAC now!

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