My First Appt. With Midwife

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Lots-o-Tots's picture
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My First Appt. With Midwife

I saw my midwife yesterday for the first time - for this pregnancy anyway. If all goes well, this will be the third of my babies she will deliver. The appt. was fairly uneventful - she took blood to run labs for iron levels, liver function, etc.

My bp is a concern, and I guess I'm feeling a little more stressed about it now because I know that she's concerned about it. A little background: I actually had PIH/pre-eclampsia with my twins 7+ years ago. I managed to keep my bp under control with diet and supplements during my two subsequent pregnancies, but last December I was diagnosed with chronic hypertension. Not surprising, as it runs in my family, and I am no spring chicken anymore. So my GP put me on bp meds, which I've been taking since December, and it's kept my bp at a safe level. However, the meds I was taking (two different ones) were contraindicated for pregnancy, so as soon as I found out I was pregnant a few weeks ago, I asked my GP to change my Rx to one that's okay to take during pregnancy. So far, my bp seems to be okay - not great, but not in the danger zone. Anyway, my mw is concerned that my bp could start going up later in pregnancy, even with the med I'm on, making it unsafe for me to have a home birth Sad So I'm worried about that now, too. Of course I will do whatever is best for my and the baby's wellbeing, but I really, really, with all my heart, want another home birth if at all possible. So anyway, all we can do is keep an eye on my bp and take whatever preventive measures via diet and supplements, and hope for the best.

Also, she gave my belly a feel and thinks that what I was thinking was my fundus might actually be a fibroid. It's weird, because sometimes I feel it and sometimes I don't, but while I was in her office, it was a pretty well defined mass above my pubic bone. She's not overly concerned about it, and I will be having an ultrasound in a few weeks which hopefully will give us a clearer picture of what's going on in there.

That's it.

MrsMangoBabe's picture
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I hope your BP doesn't become an issue! I am sure it is stressful having your plans threatened because of that! The fibroid idea makes sense.

ourfirstblessing's picture
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it's great that you have the same mw Smile sorry about the bp issues, i hope it stays low for you and you can have your homebirth! kup when you have your u/s

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I'm sure you know all this already but just wanted to remind you to discuss with your midwife & your backup OB. It's important to establish a baseline BP for you, because what would be considered "high" for someone else might not be high for you. Your BP needs to be taken at various times of day for 2 or 3 days to get a good baseline, so if this hasn't been done, start it ASAP. My BP tends to run pretty low, around 100/70, so a 140/90 reading for me would be considered dangerous. The general guideline is to normally stay within 30 systolic or 15 diastolic of your baseline. If you get a high reading, take it again after a few hours. BP follows a Circadian-type rythym and is usually lowest first thing in the morning & then rises during the day with your activity, and then lowers in the evening as your activity declines. Avoid mid-afternoon BP checks, or if you absolutely have to have it checked then, take 10 minutes to do some relaxation or meditation before letting them put the cuff on you.

Also, remember that it's absolutely normal for BP to rise in the last weeks of pregnancy because of the increased volume of blood. You might want to discuss with your doctor bumping up your meds as your pregnancy progresses because you'll have 50% more blood being pumped around. The proteinuria is what indicates that you might be developing pre-eclampsia, so if you aren't spilling protein, an increased BP alone shouldn't preclude homebirth, especially if it's controlled by adjusting your meds. Try to eat at least 80 grams of good protein every day, and up to 100 grams if you can.

Good luck, I'm rooting for you!

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Hi, Lisa! I had my first MW appt yesterday, too.

I'll be thinking good thoughts about your BP-- that would be stressful. I'm sure you've considered alternative therapies (acupuncture?)

I can totally feel my fundus about my pubic bone-- so can my MW. I'll be curious to see what your U/S indicates.

We tried with the doppler yesterday just for fun-- and found a HB pretty quickly. Amazing.

I hope you are feeling better soon! How's the headaches/nausea going for you?

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I wouldn't worry about your BP too much until your MW starts to! I know it's easier said than done, but keep your chin up! Congrats on a good appt overall anyway! And even if you did have to deliver in a hospital, you can still have a natural birth... not what you want to hear, I know, but you do still have lots of options!

Lots-o-Tots's picture
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Thanks, ladies.

Audra, nausea and headaches still in full swing, but I expect it to pass before too long. With all my previous pregnancies, I started feeling better by 10 - 11 weeks. I think I'm about 8.5 weeks now.

I've had 4 hospital births and they all sucked.

My u/s (for dating) is scheduled for Dec. 13.

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Are you going to a chiro? Regular adjustments (especially during pregnancy) help normalize blood pressure. Glad the appointment went well Smile