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Messages - Angela

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1846
Making the Best of Bed Rest / Monday Roll Call! Jan.4, 2010
« on: January 04, 2010 at 07:58 AM »
Happy New year!

Introduce yourself, or give us an update. How many weeks are you? Why are you on bed rest or why is your pregnancy high-risk? What are you looking forward to most in 2010? Any resolutions?

Fill us in!
Angela

1847
Hi, Jennifer.
Thanks for the update. Wow! That visit with the resident sounds so frustrating! Since WHEN do patients not request specific tests? And the fFN test can predict with 99% accuracy if you will deliver in the next two weeks. Checking your cervix (while valuable) can't provide that type of specific information. Uhg. Well, that's good at least that she didn't find anything to worry about with the cervix check. I think you'll feel better about going back next week, to be on the safe side. My OB said she wouldn't do the steroid shots after 34 weeks, because at that point they don't provide additional help. She described it as "If you get the shots at 32 weeks, you've 'boosted' the lungs to 34 weeks, but they can't be advanced beyond that." Of course, that's just one OB's opinion. I haven't seen a specific study I can refer you too. Sorry!

If you do have another round of contractions that last more than an hour after lying down and having a glass of water, and they're coming closer than 10 minutes apart, it wouldn't hurt to call your doc, or even go straight to L&D. It's a hassle, but it is worth it. At least you'll get another opinion!

1848
What's Your Story? Tell us. / Re: HELLO, Newbie Bedrester!!! :(
« on: December 28, 2009 at 09:14 PM »
Hi, Chastity!

How have you been feeling? Still having high BP? Hope you're still at home and not back at the hospital. How did your test for pre-eclampsia go? I had pre-e with my last pregnancy, so I'm here if you want to chat.

1849
What's Your Story? Tell us. / Re: Cervical length
« on: December 28, 2009 at 09:12 PM »
Hi, Purple 2000.
(And thank you, Izzy'sMommy for sharing your story of success after your painful loss.)

Has your OB talked about progesterone, either by injection (called 17P) or suppository? Progesterone has been shown to restore cervix length and/or keep the cervix stable.

Also, here's the most recent data regarding cervix length as a predictor of preterm birth: www.keepemcookin.com/prevention.aspx (Under "Cervical Length and Other Cervical Changes")  Be safe, and stay on your side as much as you can, but also stay positive! A cervical length of under 2.5 cm around 22 weeks has a "mean birth gestational age" of 36 weeks.

Do you know the gender?

--Angela

1850
Let me know your appointment goes this week!

1851
Making the Best of Bed Rest / Re: Monday Roll Call! December 28, 2009
« on: December 28, 2009 at 08:47 PM »
Whoo hoo! Congratulations!!! What are you looking forward to doing now that you're free from bed rest?

1852
Making the Best of Bed Rest / Monday Roll Call! December 28, 2009
« on: December 28, 2009 at 08:47 AM »
We're doing a roll call each week on Monday. Introduce yourself! Let us get to know you! And feel free to reach out to one another here!

How many weeks are you? Are you at home or the hospital doing bed rest? Why are you on bed rest? Any recent OB appointments? Share as much as you'd like!

How did you make your holiday special? What was your favorite gift or event?

Keep 'em cookin' mamas!
Angela

1853
Hi, jelc!

I'm sure you love that all this is happening right before Christmas! Sheesh. You're doing the right thing by taking it as easy as you can, and you're right that every day counts. One doctor at the practice I went to said they don't stop labor after 34 weeks because NICU outcomes are "generally positive" at that point. Personally, I'm glad my individual doctor said, "No, let's do what we can to get you to 37 weeks." The March of Dimes also supports the 37-week goal.

I wonder if you have an irritable uterus. That's the general term for a uterus that contracts with physical activity. For me, also starting at 17 weeks, just about anything caused my stomach to tighten into a contraction: going up or down stairs, standing up from a chair, bending over, reaching for something up high. I limited all of that kind of activity at 33 weeks with my daughter and 24 weeks with my son. An irritable uterus may or not be related to preterm labor (not enough research to know for sure). The only way to know if the contractions are causing the cervix to change is having the length of your cervix checked by transvaginal ultrasound. Please see this info here: www.keepemcookin.com/prevention.aspx and talk to you OB about it. Also, thinning occurs before shortening/dilating. Consider it a warning sign that we're lucky to get. With "normal" labor, the thinning and dilating happen pretty close together. With preterm labor, they can happen gradually...and then boom!

Another test to learn about is the fFN test, which predicts the likelihood of delivering in the next two weeks. (Info here: www.keepemcookin.com/prevention.aspx, about three-fourth the way down the page) You can have that done easily in the office next week. If you get a positive test result, then you and your doctor can determine if strict bed rest is needed.

Also, there are medications to limit your contractions. Procardia/nifedipene is a popular choice. There's info on that here toward the bottom of the page, under "Tocolytics": www.keepemcookin.com/prevention.aspx.

Let me know if you have any questions, or just want to chat! I could go on and on. For now, ask your OB about preventing preterm labor by checking the length of your cervix, taking an fFn test, and possibly taking an anti-contraction medication. Keep me posted, OK? How have your contractions been the last couple of days?

--Angela


1854
Making the Best of Bed Rest / Monday Roll Call! December 21, 2009
« on: December 21, 2009 at 11:35 AM »
We're doing a roll call each week on Monday. Introduce yourself! Let us get to know you! And feel free to reach out to one another here!

How many weeks are you? Are you at home or the hospital doing bed rest? Why are you on bed rest? Any recent OB appointments? Share as much as you'd like!

Also, how are you making the holidays special, even though you're on bed rest?

Keep 'em cookin' mamas!
Angela

1855
Making the Best of Bed Rest / Re: Blood pressure shooting up
« on: December 20, 2009 at 03:32 PM »
You mentioned in another post that the doctors think you might have pre-eclampsia. You'll find out the results tomorrow of the 24-hr urine test, right?

I had pre-e, and I wish I had been more clear in describing my symptoms to the docs.  :( Be sure to let your OB know if you develop any other pre-e symptoms: sudden swelling in hands, face or feet; bleeding gums; terrible headache, dizziness, seeing spots, nausea, pain under the right rib that may come and go. My symptoms continued after delivery, and then I had this funky strange taste in my mouth, like cleaning products or ammonia. By then I had developed kidney failure so my body couldn't remove any toxins! Crazy, huh?

Keep me posted on how you're doing, okay?

1856
Do you have a blood pressure cuff at home? I had pre-eclampsia, and at the point it was diagnosed my sister went out and bought a high-quality electronic one. The docs took my calls more seriously (it seemed) when I could tell them my specific readings.

1857
Making the Best of Bed Rest / Re: MIL coming to help - need advice?
« on: December 19, 2009 at 10:11 PM »
Glad you'll have the help! Since you and your MIL get along so well, this will be a great time for you to bond.

1858
What's Your Story? Tell us. / Re: 30 wks/5 days and no cervix left!
« on: December 18, 2009 at 11:13 AM »
Hi, Connie!

How have you been these last few days?

Your short cervix is indeed a warning sign for preterm birth (see research on cervical length here: www.keepemcookin.com/prevention.aspx). BUT, don't let that discourage you! You have the opportunity to be proactive. You're doing the right thing by taking your bed rest seriously! Did your OB mention staying on your side, not just sitting or reclining? My OB said "Gravity is the enemy" when it comes to a shortening cervix. So, I laid down just about ALL the time, with 15 minutes for meals and 15 minutes of reclining after eating.

I held on from 24 weeks to 39 weeks with a cervix length of 1.5 cm, so have faith. I was also getting the 17P shots. Are you?

Also be sure to call your OB if you have ANY of these symptoms of preterm labor: www.keepemcookin.com/symptoms.aspx

Let me know how you're doing and what you're up to to keep busy!
((((hugs))))

1859
Making the Best of Bed Rest / Monday Roll Call! December 14, 2009
« on: December 13, 2009 at 11:10 PM »
I thought I'd post this now for our Aussie members for whom it is already Monday (G'day!), and those here on the East Coast who might still be up in an hour.

We're now doing a roll call each week on Monday. Introduce yourself! Let us get to know you! And feel free to reach out to one another here!

How many weeks are you? Are you at home or the hospital doing bed rest? Why are you on bed rest? Any recent OB appointments? Share as much as you'd like!

Keep 'em cookin' mamas!
Angela

1860
What's Your Story? Tell us. / Re: Incompetent Cervix and Cerclages
« on: December 13, 2009 at 10:32 PM »
Fantastic! The cervix can be dynamic, meaning that it can regain length, as well as lose length. The ultrasound technician I saw at my many cervix-length checks said she could often tell when women had been getting the 17P injections! And studies have shown that 17P can make a BIG difference in lengthening pregnancies. You can do this, mama!!!

P.S. More study data on the effectiveness of 17P injections and progesterone suppositories here: www.keepemcookin.com/prevention.aspx

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