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| 04-3-2009 - Preterm Labour? |
My mood while writing this blog: Exhausted and Scared |
I had kind of a scary experience last night. I felt something that felt like discharge, and when I checked I had leaked a few spoonfuls of bright red blood. I called the OBGYN here and he told me to come right in, where they checked my cervix, which was not dilated but was still a little friable, did an ultrasound and saw that my litle boy was looking happy and not in distress, and then put me on a fetal monitor and IV where they found out that I was having some tiny contractions that were 1 minute apart--so tiny that I couldn't feel them. I felt totally fine and felt no pain or tightness at all. Unfortunately there were only 2 residents and a nurse on duty, so they were talking to a doctor associated with my group who was calling the shots by phone depending on what they told him. At one point, I overheard the head nurse arguing really heatedly with him about my situation, asking him if he was questioning her judgment. My husband asked another nurse what was going on and the nurse came in and apologized for arguing about our situation with the doctor without closing the door, and promised she would do what the doctor said. We were like that's fine but we just want to know what's going on. What she said was very confusing, but from what I gathered they were debating whether to give me a dose of that stuff that stops labour (can't remember what it's called) or figure out whether I needed an emergency c-section. She said that they still didn't understand why I had bled but she was worried something was wrong with my placenta, and although it looked okay in the ultrasound it is almost impossible to tell what is going on with the placenta without operating and so if there was a chance that there was something wrong with it they would need to operate and get him out immediately instead of letting the labour progress. But she said the doctor suggested they give me a shot of the stuff and see if that stopped the contractions first. Another nurse said that all I needed was liquid, and another argument ensued. But they ended up giving me the shot and the contractions went down to almost nill and they gave me a second shot less than an hour later. Then they said that the contractions had stopped but the doctor had suggested they have me stay overnight to monitor me. I asked if it would be possible for me to just go home and call if anything else happened and they let me go home.
I have to admit that from the way things had been going I was extremely nervous that if I stayed around they would eventually give me an emergency c-section just for having a little blood in my underpants, and while I would want that to happen if it was necessary I just didn't have a whole lot of confidence that they wouldn't just treat it as a high-risk situation even if it wasn't. They kept pointing out that without actually seeing the placenta they couldn't be a hundred per cent sure it was okay. I won't go into the details, but we've had several instances where we have seriously questioned the way that this particular group of doctor makes decisions, which seems way much more conservative than the norm, and the hospital here has one of the highest rates of c-section deliveries in the country. We had strongly considered switching doctors but we are moving to Chicago in a few weeks (when I'm 35 weeks) and hopefully having the baby there (with midwife and doula), so I haven't bothered finding a new doctor here in the interim--but now I am scared that I could go into preterm labour again before we leave, and that I need to find another group here just to cover me for the next for weeks in case that happens. I know I might just be overreacting, and when they did send me home they told me to come back if there was any more bleeding or if I felt pain or tenderness in my abdomen, but they didn't even suggest bedrest or abstaining from sex! Which makes me wonder how serious it could possibly be and why all the fuss...my only symptom was the small amount of blood, I felt nothing else, and they even said that the contractions they were seeing could have been braxton hicks or just the uterus spasming a little as a result of the internal exam. They also kept asking me if I was still having pain, which I had never felt in the first place.
But since they never figured out what the blood was from I never really got any reassurance and I am nervous that if I see more I could be rushed back to that hospital for an emergency c-section. Of course I WANT that to happen if it is necessary I guess I just have little confidence in this group not just doing it because it is the only way they can get answers. The only symptom I had was a small amount of blood in my underpants and they gave me two doses of that crazy shot that stops labour. I spoke to my nurse this morning and she said it seemed like overkill.
I also want to say that I know some of you ladies have been in a similar situation, but that you actually lost your mucous plug and went into preterm labour which they had to stop. I have to say I have so much respect for the bravery of you ladies who went through that and at a much earlier stage than me. I had no idea how terrifying it could be. As reassuring as it is to know that our little ones have a good chance of surviving if they are born at this stage, the thought of that actually happening is scarier than I realized until facing that possibility in a hospital--especially one without the doctor-in-attendance actually being there.
I guess I'm also just nervous that the didn't figure out where the blood was coming from. If anyone else has had any blood or any similar experience and can shed some insight, I'd be extremely grateful to hear what you have been told. I'm on the verge of moving to Chicago early just in case I go into preterm labour so I can have the baby there with a group of doctors I feel more comfortable with! But at the same time, I'm wondering if this was not really that big of a deal. I'm confused and that visit didn't reassure me in any way.
6 Comments on Preterm Labour?babyboybump -
Wednesday, 4 Mar aww im realli sorry to hear that, so far i havent experienced blood but i do get the backaches and sciatica in my legs and butt. i think u should hav got a second opinion, but as u sed there wasnt that much staff there that night was there? i wud just say rest and dont stress urself out too much. aslong as u can feel ur baby move and dont bleed no more all should be fine. sumtimes i wish hospitals wud hav less phoney staff working there, it makes me angry. all the best sweetheart xX Mez michellel27 -
Wednesday, 4 Mar I am so sorry that you had to go through such a scary experience. I know, well I strongly hope, that if there was any reason for major concern, they would have done the c-section. I do know that Dr's are paying tons of money in alot of the states for thier malpractice insurance, b/c people sue so quickly, no matter if everything possible was done or not. I live in St. Louis and know that Dr's are moving to Chicago b/c the insurance they have to pay is not as bad. I think that is good for you b/c they won't be so quick to preform surgery (c-section) if it is not absolutely necessary. I hope all is well now. Try and stay off your feet. I know from experience this is hard, but just try to rest. Stress is not good for you, and be careful what you read on the internet b/c it is often unreliable. Not to ask too much, but the blood could have even been caused from sex, I had this happen very early on, and about the same amount, which they told me was most likely caused from sex. Hope this helps a little. Please keep me posted, as I will be thinking of you. Best of luck!! jmercedess -
Wednesday, 4 Mar keep me posted is what I mean...LOL...Stupid fingures like playing tricks on me... jmercedess -
Wednesday, 4 Mar WoW...I would go with my gut...Sorry you had to go throught that...I havent experience anything like that with either pregnancy...KNOCK ON WOOD...Best of luck and keep my posted... hmm923 -
Wednesday, 4 Mar That sounds like a terrifying and very frustrating evening. I haven't had any blood during my pregnancy, but the first time I was in the hospital I had a roommate who did. She had a condition that caused her to bleed all the time (most days), and I can't remember what is was called. As a result she was on bed rest as of 16 weeks - when I met her she was 26 weeks and had just moved to the hospital for the duration of her pregnancy. They just really closely monitored her. I heard through the nurses in my next visit that she made it to about 32 weeks - which in her case was the goal.
Did they give you the steroid shots to help with lung development? I know that usually give those where they are really worried about preterm labor - a bunch of women in our week have had them already.
I think it's really important that you're comfortable with your doctors - the sooner the better. If your gut is telling you to go to Chicago earlier, then I think you should just go. Even if you have to be on your own for a week or so, there's a lot to be said for peace of mind - - and even more to be said for an excellent big city hospital.
I'm with you though - I'm confused as to why they would even consider a c-section yet. If he's good on the monitor and your amniotic fluid looks good. I'm on ultrasounds and NSTs every 6 days now. If there's a problem, they're going to admit me so they can do the tests daily. But unless there's an issue with the baby or my ability to give her food, they don't want to deliver her anytime soon.
Good luck to you and I'm so sorry you had to go through such a horrible night. mLoBaby09 -
Wednesday, 4 Mar Omigosh! How scary! I'm sorry to hear about that experience you had!! I know you haven't been impressed at all with the doctor's in Michigan pretty much your entire pregnancy, and I know you are more comfortable and trust your midwife and doula in Chicago. How difficult would it be for you to adjust your plans and move to Chicago early?
Maybe you can do a little research online (in addition to anyone else on this site who can help you) to see how common the bleeding is or what the reasons are for the bleeding. I'm glad your little boy didn't have any signs of distress and I'm really glad to hear that you didn't have an emergency c-section - especially after hearing your nurse say the treatment you received seemed like overkill. Wow.
I don't envy the spot your in right now. You and your little boy are in my thoughts and I hope everything works out so that you can keep baking him a few weeks longer and deliver him in Chicago. Please don' leave me in week 42 by myself!! ;)