Thoughts or advice? *Update in Original*

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krazykat's picture
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Thoughts or advice? *Update in Original*

I had a doctor's appointment today and he is concerned of threatened pre-term labor. I have had a ton of BH (sometimes 8-10 and hour), lower backache, and EWCM. He wanted to do another u/s to check the length of my cervix as compared to what it was during my big u/s last Monday. Well, the length is good but apparently it is beginning to open from the inside (it was not open at all last week). He wants me back in two weeks to check again (unless I have anymore long episodes of BH and I am supposed to go to the hospital), and if there are any more changes he said our next step would be cerclage.

I am nervous b/c DD and I are supposed to travel to DH's family in WV within the month, and I have not mentioned this to my doctor. He also obviously doesn't know of my HBAC plans or any of that since I was planning on changing care once we got there. So what does this mean for HBAC? I know if I go into PTL, I need to go the hospital. Are there any home remedies or advice that you ladies can offer? They told me today that they could tell from my urine sample it is not an issue of dehydration, and I am to be on limited activity and pelvic rest.

Please keep us in your thoughts and tell this baby to stay put. His head is all the way down in there. This is WAY too early for all of this.

I spoke to my MW in WV and let her know everything. She gave me a much better idea of "limited activity"... no lifting, pushing, pulling, avoid stairs, no laundry, etc. She said that she thought walking would be fine and good exercise to continue doing. She also suggest Red Raspberry Leaf tea. I used it while pregnant with DD, so I'll go get some and begin using it again. She said that normally when the cervix begins to dilate it does so from the outside in, and that my changes from the inside out are concerning because it shows that the actual "labor muscles" were working during the contractions.

She wants to know what happens at my next appointment on May 10th and then we will discuss travel, etc. But if there is any progress she would recommend the cerclage b/c travel won't be any easier later on without it. Also, the HBAC should not be affected with the cerclage... and that we will just need to be ready to stay home once it is taken out if I end up getting it. In the mean time, she is going to consult with her CNM buddies to find someone as backup for us for this particular situation, and to gain their input as well on how to proceed.

The best part was when we were wrapping up the call she asked me, "So how are you feeling about all of this? Are you worried?" I really appreciated that. I was able to breath such a sigh of relief when I got off with her just because I was able to get my concerns out and didn't feel rushed. I really like her so far... and I hope she is just as great in person.

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I don't know about how it affects travel plans and such, but I do think unless you are actually dilating I wouldn't worry too much yet. I had 6-10 contractions an hour, was effacing, baby moving down for literally 8 weeks. I know some ladies who have had great luck with a cerclage, though I have NO idea how it affects a VBAC.
I would definitely take it easy. Hope other ladies have good advice- you'll be in my thoughts and prayers!

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I don't know how it will impact any of your plans. Try to rest & take it easy! I'll definitely keep you and the baby in my thoughts! STAY PUT, LITTLE ONE!!

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I'm sorry that you are dealing with this. I know that for me I never had a single BH contraction in my first pregnancy till about 38 weeks ~ But in my second they started before 20 weeks, and that I was having them early and frequently with this pregnancy as well, but just considered them normal for subsequent pregnancies and never feared or suspected cervical change or a threatened pre term birth. Hopefully what you are experiencing is just normal uterine activity and your follow up ultrasound shows no change. Did you have any problems with an incompetent cervix with your first pregnancy?

This early in your pregnancy I would do everything possible to rest. I would probably not travel if I was before the point of fetal viability, honestly, as getting to that point would become paramount to me. When you say that the babies head is "way down in there" do you mean engaged in your pelvis? I would also put in a call to your HBAC midwife ASAP and see what she says. I know that most providers have slightly different "rules" about how early they will or can deliver, or how high risk of a patient they will or can take on ~ I would ask her if a cerclage or PTL would change her ability to take you on as a patient or if she would recommend bed rest, or how often she would like to see you monitored given how early in pregnancy you are currently.

I hope things settle down ASAP and you go on to have an uneventful second half of your pregnancy!

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I am sorry to hear about this news, and hope that nothing more changes in that direction. I would also wonder why he hasn't put you on bedrest? I would put myself on bedrest and if you can, have someone come help you with your DD, esp if things continue to "progress" in 2 wks. I have known people to get a cerclage, but I do not know how that would affect your VBAC. Most important is for baby to stay in. You are right that it would be way too early. T & P for you. I was really sorry to read this news. You hang in there, and think some positive thoughts, k?

kvo
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I had a similar experience at about 27 weeks. I didn't go to the doctor or anything b/c it stopped on it's own, so I have no idea about cervix opening. Nor do I know any way to stop it other than bedrest and lots of water.

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I have no clue about early labor signs, but I'll be praying for your LO to stay put. KUP!

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I also had this a couple of times this pg. I even had some contractions a couple of nights. Mine turned out to be do to a UTI and once that was taken care of they went away. I never had a u/s, so no idea if it made changes to my cervix. I also had way more discharge and BH's this pg. Every time it happened my mw told me to take two tylenol, a glass of wine, a warm bath and lie down to see if they went away and call her if they did not. They always did. I would call your hb mw and get her opion on traveling and what to do.

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First, did they check you for a UTI? If not, ask them to do that. Second, ITA with the pp who said to call your homebirth midwife for her advice. Third, I'd probably ask for a recheck in a week due to your travel plans, just say you'd like to know sooner than later if things are looking better because if they aren't then you need to change plans. And finally, a cerclage shouldn't make any difference at all to your homebirth plans, and in fact it can actually help it happen since you can't homebirth a premature baby. If your cervix is, in fact, starting to dilate, then the cerclage will help stop that process (another reason to get checked earlier than later!) but it will be removed once you hit 37 weeks.

I would try to take it easy this week, but I wouldn't put myself on bedrest especially if you can get the doctor to do another ultrasound next week. You need to know what your body is doing normally, not what it's doing on bedrest, and especially if you want to make this trip. The doctor would have prescribed bedrest or an immediate cerclage if the situation warranted it, and he didn't. I would be cautious but not paranoid, kwim? (((HUGS)))

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"Potter75" wrote:

I'm sorry that you are dealing with this. I know that for me I never had a single BH contraction in my first pregnancy till about 38 weeks ~ But in my second they started before 20 weeks, and that I was having them early and frequently with this pregnancy as well. Hopefully what you are experiencing is just normal uterine activity and your follow up ultrasound shows no change. Did you have any problems with an incompetent cervix with your first pregnancy?

This early in your pregnancy I would do everything possible to rest. I would probably not travel if I was before the point of fetal viability, honestly, as getting to that point would become paramount to me. When you say that the babies head is "way down in there" do you mean engaged in your pelvis? I would also put in a call to your HBAC midwife and see what she says. I know that most providers have slightly different "rules" about how early they will or can deliver, or how high risk of a patient they will or can take on.

I hope things settle down and you go on to have an uneventful second half of your pregnancy!

I had LOTS of BH w/DD, but I think they started later around 34 weeks or so. I never had any problems at all with early dilation or effacement. But I did have the infection that began just before labor started. That was the beginning of our problems with her that ultimately led to the c/s. But even at 39 weeks when I went into labor, I was only dilated to 1 cm.

I think the travel is deciding what is the lesser of two evils. If I stay here, DH is preparing for deployment and may be away from home for days (in the field, training, etc). All this week he has been going in around 4:30 am. So the majority of the housework still falls on me, especially with a toddler. As the deployment gets closer, the hours and time apart will likely increase. If I go to his family, I won't have to worry about childcare, preparing meals, laundry, or anything. And then that way if I do go on strict bed rest, I will have backup for my baby girl. But I am with you on making it to the point of viability. I know what a 25 weeker looks like, and it is not pretty... rather heartbreaking.

His head is sitting right on top of the membranes, right on top of my cervix. I didn't ask about station (slipped my mind), but he is down there.

"rainymama" wrote:

I am sorry to hear about this news, and hope that nothing more changes in that direction. I would also wonder why he hasn't put you on bedrest? I would put myself on bedrest and if you can, have someone come help you with your DD, esp if things continue to "progress" in 2 wks. I have known people to get a cerclage, but I do not know how that would affect your VBAC. Most important is for baby to stay in. You are right that it would be way too early. T & P for you. I was really sorry to read this news. You hang in there, and think some positive thoughts, k?

He did put me on limited activity and pelvic rest, and I am trying to rest as much as possible. Then, I guess if I don't go in before then, he will re-evaluate in 2 weeks. Thank you for the T&P!!

"drakew" wrote:

I also had this a couple of times this pg. I even had some contractions a couple of nights. Mine turned out to be do to a UTI and once that was taken care of they went away. I never had a u/s, so no idea if it made changes to my cervix. I also had way more discharge and BH's this pg. Every time it happened my mw told me to take two tylenol, a glass of wine, a warm bath and lie down to see if they went away and call her if they did not. They always did. I would call your hb mw and get her opion on traveling and what to do.

I had wondered about this. I read it and may try it when I get another episode of BH. I have tried the bath, tylenol, and laying down... but I have often heard of MWs saying to drink a glass of wine or shot of vodka to slow/stop PTL. Luckily, I am just at risk of PTL right now, so that is a great thing. Thanks for the advice!

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Stacey, yes, they checked my hydration level and if I had a UTI/bladder infection first. She said I got the Pee Award for the day (lol) because everything looked so good. I go back to be checked again on May 10th and am supposed to travel on May 23rd. I think I will call my home-birth MW! I don't know why I didn't think of that until you ladies suggested it.

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I recently learned that preterm labor (and a lot of other problems) can be caused by low magnesium. It makes since, as magnesium sulfate is given intraveneously by hospitals as treatment for PTL. I think magnesium supplementation is worth a try.

Sending *stay in* vibes to your baby!

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Update in the original.

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"krazykat" wrote:

I spoke to my MW in WV and let her know everything. She gave me a much better idea of "limited activity"... no lifting, pushing, pulling, avoid stairs, no laundry, etc. She said that she thought walking would be fine and good exercise to continue doing. She also suggest Red Raspberry Leaf tea. I used it while pregnant with DD, so I'll go get some and begin using it again. She said that normally when the cervix begins to dilate it does so from the outside in, and that my changes from the inside out are concerning because it shows that the actual "labor muscles" were working during the contractions.

She wants to know what happens at my next appointment on May 10th and then we will discuss travel, etc. But if there is any progress she would recommend the cerclage b/c travel won't be any easier later on without it. Also, the HBAC should not be affected with the cerclage... and that we will just need to be ready to stay home once it is taken out if I end up getting it. In the mean time, she is going to consult with her CNM buddies to find someone as backup for us for this particular situation, and to gain their input as well on how to proceed.

The best part was when we were wrapping up the call she asked me, "So how are you feeling about all of this? Are you worried?" I really appreciated that. I was able to breath such a sigh of relief when I got off with her just because I was able to get my concerns out and didn't feel rushed. I really like her so far... and I hope she is just as great in person.

If it is possible to make bad news sound like better news, I think she did that. Sounds like she is someone who knows what she is doing and will take good care of you when you get there. Just curious, what will the RRL tea do for you?

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Elizabeth, she told me that it has a relaxant effect on the uterus, and may help to tone the uterine muscles (assuming that they are weakened). It is said to shorten 2nd stage labor, but studies are saying it has no effect on 1st stage. She also said that it prevents preterm labor as well as post term labor.

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I'm glad you got to speak to your HB m/w. She sounds pretty great. It's very interesting about the RRL tea, I always thought that it shouldn't be used until the third trimester...

I hope her suggestions help and that your next u/s shows nothing different unless it is better!

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Wow, you're MW sounds fantastic! I agree with Brittany about checking into the Magnesium. I've been reading about it since the thread here was discussing it and it seems like that may be a safe option to try. Still praying for you and LO!

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Many prayers. I hope baby stays put!

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"faeriecurls" wrote:

I'm glad you got to speak to your HB m/w. She sounds pretty great. It's very interesting about the RRL tea, I always thought that it shouldn't be used until the third trimester...

I hope her suggestions help and that your next u/s shows nothing different unless it is better!

That's what I always thought too, but apparently there are two different camps on RRL. I've been reading on it and have found some supporting documentation.