April 2016 Moms

Official Labor Watch Thread

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Re: Official Labor Watch Thread

  • @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    THIS x 1000000.
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  • cmjenkies said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    THIS x 1000000.
    Yep! You should look up ACOG guidelines. They don't even recommend scheduling a section for GD moms unless baby is predicted over 10 lbs maybe?? It's big. And it says nothing about moms stature. 

    Did your mom deliver vaginally? 

    3 miscarriages - 1 DS (6) - 1 DD (3)  - #3 due March 30!


  • WiseUsagi said:
    Had my 36 week check up today and the doctor seemed really surprised that I wasn't dilated at all. I mean it's only 36 weeks, doesn't seem too surprising to me? Then she started looking me over and said she may want to schedule a C-section because she doesn't think I'll be able to deliver vaginally due to my height/pettiness. 

    This is is news to me? Like you couldn't have said something before? Surely other tiny women birth babies no problem. I mean I have no aversion to a C-section but I kind of feel like this is a BS excuse to plan out the birth to be convenient for her.
    That's odd. Why tell you this now? I agree w/ other peeps. Sounds like she wants it easier/cost effective for her.
    Is this a group practice? Would you be open to her colleagues delivering your baby if her schedule doesn't work out? It's absurd for you to have a C-section to accomodate her schedule/financial gains.
  • @WiseUsagi I agree with the other women here. I would be disturbed if my OB was trying to steer me toward a scheduled C-Section at this time and because of my size. Petite women have been successfully birthing babies vaginally for generations. There are very few real reasons you should not be able to do it. I hope you're able to have a good conversation with your doc or find someone else who can meet your needs. Best of luck to you!

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  • @WiseUsagi That's pretty much a bs  excuse,and you're right in thinking that she's planning the birth to be convenient for her. Although the section rate for big babies is quite high in the United states, most of the time it's actually not that the baby is too big for the mom, but that the mom or baby isn't in a good position for birth (relative cpd rather than true cpd). It is infinitely better for a baby to at least start the labor process itself, even if it does end up being a c-section, most of the time. 
  • CCLow87 said:
    cmjenkies said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    THIS x 1000000.
    Yep! You should look up ACOG guidelines. They don't even recommend scheduling a section for GD moms unless baby is predicted over 10 lbs maybe?? It's big. And it says nothing about moms stature. 

    Did your mom deliver vaginally? 
    My mom was much bigger than me (5'6) but she delivered all of us vaginally. kimey1 said:
    WiseUsagi said:
    Had my 36 week check up today and the doctor seemed really surprised that I wasn't dilated at all. I mean it's only 36 weeks, doesn't seem too surprising to me? Then she started looking me over and said she may want to schedule a C-section because she doesn't think I'll be able to deliver vaginally due to my height/pettiness. 

    This is is news to me? Like you couldn't have said something before? Surely other tiny women birth babies no problem. I mean I have no aversion to a C-section but I kind of feel like this is a BS excuse to plan out the birth to be convenient for her.
    That's odd. Why tell you this now? I agree w/ other peeps. Sounds like she wants it easier/cost effective for her.
    Is this a group practice? Would you be open to her colleagues delivering your baby if her schedule doesn't work out? It's absurd for you to have a C-section to accomodate her schedule/financial gains.
    Yes it's a group practice. I already had to sign something saying I was okay with any of the four delivering the baby. I've never seen any of the others but I've met all of them and they see nice. I have no issues with any of them being the delivering doctor. 
    emgee27 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    Agree with all of the above. Something's not right if there is no medical necessity.
    My sister is under 5 ft and just gave birth to her baby girl who was just over 7 pounds. She pushed for 3 hours and the dr told her the baby was having a hard time getting through her narrow pelvis because she's so petite. There was no medical concern however as baby was doing just fine and my sister wanted to continue pushing. She tore a normal amount, nothing scary, and baby was and is 100% fine and healthy.  

    Yep medically there really is no reason. LO is growing really well despite being a SUA baby and I don't have any GD or Pre-E concerns so I really don't know why it felt like she was pushing it so much. We've been having weekly growth scans and NST and he's passed with flying colors every time so I see no reason to 
  • thaisac1 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    I wouldn't say there is no legitimate medical reason... Her professional experience with a patient of similar size is driving the recommendation. Obviously a similar fate is not expected for all other petite pregnant women, but the chances of complications such as tears, shoulder dystocia etc can be higher for petite moms, for anatomical reasons. 
    For example, here's a study of over 18,000 pregnant women, showing that the risk of emergency c section is more than twice as high for short women than tall women carrying a heavy newborn: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126796/
    An elective c section is always going to be safer for mom and baby than an emegency one. So I can understand where this doctor may be coming from.


    I know we all have our thoughts about labor and delivery, but let's not condemn the doctor's opinion without taking into account professional experience and medical evidence.
    Thank you for this study! I'm reading it now. It's nice to know that this may not be a completely unheard of situation. 
  • thaisac1thaisac1 member
    edited March 2016
    WiseUsagi said:
    thaisac1 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    I wouldn't say there is no legitimate medical reason... Her professional experience with a patient of similar size is driving the recommendation. Obviously a similar fate is not expected for all other petite pregnant women, but the chances of complications such as tears, shoulder dystocia etc can be higher for petite moms, for anatomical reasons. 
    For example, here's a study of over 18,000 pregnant women, showing that the risk of emergency c section is more than twice as high for short women than tall women carrying a heavy newborn: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126796/
    An elective c section is always going to be safer for mom and baby than an emegency one. So I can understand where this doctor may be coming from.


    I know we all have our thoughts about labor and delivery, but let's not condemn the doctor's opinion without taking into account professional experience and medical evidence.
    Thank you for this study! I'm reading it now. It's nice to know that this may not be a completely unheard of situation. 


    -------QBF-----------

    Please do not allow yourself to be spooked by this article- this was not the intention! I just wanted to provide a different view as there is no such thing as one size fits all when it comes to Medicine. Yes, giving birth vaginally is the usual rule, but there are exceptions to this rule and we need to understand those.
    Medicine has two facets : the science and the art. Science comes from books and articles, the art comes from sensitivity and experience. The best doctors I know dominate both and know when to use the art on top of the science. This is why I think your doctor's recent experience with a similarly petite women is driving her recommendation.

    Maybe talk to her about the estimated weight of your baby, and how that can affect the decision to go vaginally versus cesarean. Keep an open mind to allow healthy dialog between you and your doctor, so that ultimately the best decision is made.

  • thaisac1thaisac1 member
    edited March 2016
    mojomama6 said:
    @thaisac1 I don't think that anyone is actually discounting this doctor's professional experience, rather questioning her methods of communicating this to her patient. A professional would approach this as "Here is the evidence. I have seen this borne out in my own practice. My advice is to schedule a c-section." Telling horror stories about extreme vaginal tearing to a woman who is eight months pregnant, without having mentioned it before, and especially in a practice that has shown evidence of overbooking patients, is unprofessional fear-mongering. I expect better from any professional I am paying to provide me a service,but it is especially important in medicine, where bodily autonomy comes into play. 
    I agree with the way the message needs to be communicated, and won't defend the doctor on her delivery - although quoting past experiences to patients  is not necessarily fear mongering, it really depends on the tone, content and circumstance.

    But if you read all of the replies to the original post above, there were lots of people implying that doctor was recommending this for her own convenience, and that the recommendation was completely unfounded. While this may be true (who knows), we cannot just assume that because of what we think is right or wrong for the OP. That's why I wanted to provide a different perspective, coming from someone who sits on the other side of the table. Makes sense?
  • thaisac1 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    I wouldn't say there is no legitimate medical reason... Her professional experience with a patient of similar size is driving the recommendation. Obviously a similar fate is not expected for all other petite pregnant women, but the chances of complications such as tears, shoulder dystocia etc can be higher for petite moms, for anatomical reasons. 
    For example, here's a study of over 18,000 pregnant women, showing that the risk of emergency c section is more than twice as high for short women than tall women carrying a heavy newborn: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126796/
    An elective c section is always going to be safer for mom and baby than an emegency one. So I can understand where this doctor may be coming from.


    I know we all have our thoughts about labor and delivery, but let's not condemn the doctor's opinion without taking into account professional experience and medical evidence.
    You're right, but OP did not specify that her baby is even expected to be large based on her ultrasounds (in the original post I responded to anyway). All her doctor has made the decision on, based on the post, is the fact that she is not yet dialated at 36 weeks. Her baby may be measuring in the 50th percentile, based on what the post stated... So why jump immediately to a c-section and tell her essentially "your body probably cannot do this on it's own" based on this information?
  • thaisac1 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    I wouldn't say there is no legitimate medical reason... Her professional experience with a patient of similar size is driving the recommendation. Obviously a similar fate is not expected for all other petite pregnant women, but the chances of complications such as tears, shoulder dystocia etc can be higher for petite moms, for anatomical reasons. 
    For example, here's a study of over 18,000 pregnant women, showing that the risk of emergency c section is more than twice as high for short women than tall women carrying a heavy newborn: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126796/
    An elective c section is always going to be safer for mom and baby than an emegency one. So I can understand where this doctor may be coming from.


    I know we all have our thoughts about labor and delivery, but let's not condemn the doctor's opinion without taking into account professional experience and medical evidence.
    I actually find it really odd that none of the doctors have discussed a c-section or planned an induction yet with me. I'm a rather petite woman and there was shoulder dystopia with DS. Luckily he wasn't hurt, but him getting stuck put me in the permanently high risk category. Maybe it's just a Kaiser thing?

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  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    @knottie2891384 for me personally, I didn't even feel the epidural going in through the pain of my contractions. The contractions were absolutely 100x worse than I had anticipated and the epidural was amazing and wonderful. Again, just my experience, but I was literally curled up in a ball on my side crying and begging for that needle haha.
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  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    @knottie2891384 for me personally, I didn't even feel the epidural going in through the pain of my contractions. The contractions were absolutely 100x worse than I had anticipated and the epidural was amazing and wonderful. Again, just my experience, but I was literally curled up in a ball on my side crying and begging for that needle haha.
    Well if I go into labor before my scheduled section I can see where the contractions can overcome that pain. If I'm not in labor yet then I'm...I hope it's not bad and actually feels like a "bee sting" like ppl say.
  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    @knottie2891384 for me personally, I didn't even feel the epidural going in through the pain of my contractions. The contractions were absolutely 100x worse than I had anticipated and the epidural was amazing and wonderful. Again, just my experience, but I was literally curled up in a ball on my side crying and begging for that needle haha.
    Totally agree. I was 6cm when I got an epidural and my contractions felt constant...ouch. That needle was the least of my worries at that point! I honestly don't remember feeling a thing when they put it in. I even said "have you done it yet??" Hahaha. I wouldn't stress about it at all! 

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  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    @knottie2891384 for me personally, I didn't even feel the epidural going in through the pain of my contractions. The contractions were absolutely 100x worse than I had anticipated and the epidural was amazing and wonderful. Again, just my experience, but I was literally curled up in a ball on my side crying and begging for that needle haha.
    Totally agree. I was 6cm when I got an epidural and my contractions felt constant...ouch. That needle was the least of my worries at that point! I honestly don't remember feeling a thing when they put it in. I even said "have you done it yet??" Hahaha. I wouldn't stress about it at all! 
    Just one more it's no big deal shout out! And even after going through the pain of laboring all day I was still really nervous about it. It literally felt like took their finger and lightly tapped my back. I was shocked at how little I felt! And it was amazing! Now it's possible if you are induced and not contracting already your pain level threshold could be much lower and you could feel it more, I'm not sure. I would still say it's worth the nerves if that's the direction you feel good about taking. I will most definitely be getting one!
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  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    They are not that bad :) Don't stress about it. You will be very distracted so you'll not notice it much, I'm sure.
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  • Andie41 said:
    With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    They are not that bad :) Don't stress about it. You will be very distracted so you'll not notice it much, I'm sure.
    The biggest things I remember from my epidural was 1) the anesthesiologist was hilarious and really friendly, and 2) the cleaning solution they put on your back first was really cold. Other than that it really was like a bee sting (numbing shot) and then a weird but not painful pinch/prod from the placement needle. The worst part of the whole thing was needing to sit up curled forward over my stomach - that's hard to do now, much less when contracting too :) 
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  • fbanke42 said:
    Having contractions about every 2.5 minutes that last 45-60 seconds. Not sure if this is the real deal or a fake out.
    Good luck, keep us updated :)
  • thaisac1thaisac1 member
    edited March 2016
    WiseUsagi said:
    thaisac1 said:
    @WiseUsagi That's still incredibly unprofessional of her, to use fear mongering as a strategy to put that in your head. There's absolutely nothing wrong with a c-section birth, but to discuss it at 36 weeks for no legitimate medical reason is absurd. 
    I wouldn't say there is no legitimate medical reason... Her professional experience with a patient of similar size is driving the recommendation. Obviously a similar fate is not expected for all other petite pregnant women, but the chances of complications such as tears, shoulder dystocia etc can be higher for petite moms, for anatomical reasons. 
    For example, here's a study of over 18,000 pregnant women, showing that the risk of emergency c section is more than twice as high for short women than tall women carrying a heavy newborn: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126796/
    An elective c section is always going to be safer for mom and baby than an emegency one. So I can understand where this doctor may be coming from.


    I know we all have our thoughts about labor and delivery, but let's not condemn the doctor's opinion without taking into account professional experience and medical evidence.
    You're right, but OP did not specify that her baby is even expected to be large based on her ultrasounds (in the original post I responded to anyway). All her doctor has made the decision on, based on the post, is the fact that she is not yet dialated at 36 weeks. Her baby may be measuring in the 50th percentile, based on what the post stated... So why jump immediately to a c-section and tell her essentially "your body probably cannot do this on it's own" based on this information?
    The last growth scan (about 3 weeks ago) showed he was in the 57th percentile so no I wouldn't say he's big.

    I want to thank all of you for your responses. I now have a good idea of what to go into my next appointment thinking and having an open dialogue with my doctor. 
    He's bigger than my baby , who is in the 30th percentile. :D I'm 5'7". Wonder how accurate the ultrasounds will turn out to be!

    Good luck with your appointment! It's good to be informed so you can have a good discussion of pros and cons! Let us know what you find out/ decide.
  • Contractions are still coming on strong and long, but they've changed to about 6 minutes apart. I'm hoping that means things are settling down.

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  • Tried posting this on the dilation post but it won't let me. I go in tomorrow and the Dr said they start doing membrane sweeps then if I want one. Has anyone had their membranes stripped? I'm scared it's gonna hurt like hell. 
  • With LO arriving in less than 4 wks my biggest fear right now is the spinal. Does it hurt? What should I expect? I've had lower back injections before and boy did they hurt like hell. I was numbed from the surface (local only) but cried the whole time. 
    @knottie2891384 for me personally, I didn't even feel the epidural going in through the pain of my contractions. The contractions were absolutely 100x worse than I had anticipated and the epidural was amazing and wonderful. Again, just my experience, but I was literally curled up in a ball on my side crying and begging for that needle haha.
    I wouldn't worry. I'm a FTM but I've had several epidural injections for disc issues/back pain. They usually clean the site and if you get a nice anesthesiologist they will also put a bit of lidocaine on the area before inserting the needle (even if they don't it really doesn't hurt, just a pinch).

    You may feel some pressure as they are injecting the medication but it doesn't hurt and the effects are immediate and it is wonderful sweet relief! 
  • Kaytlin31 said:
    Tried posting this on the dilation post but it won't let me. I go in tomorrow and the Dr said they start doing membrane sweeps then if I want one. Has anyone had their membranes stripped? I'm scared it's gonna hurt like hell. 
    I have a theory that mine were stripped last Wednesday, unbeknownst to me... I was in excruciating pain that night, and had ridiculous contractions. I took a nap and it chilled out. It's been a week. 
  • Kaytlin31 said:
    Tried posting this on the dilation post but it won't let me. I go in tomorrow and the Dr said they start doing membrane sweeps then if I want one. Has anyone had their membranes stripped? I'm scared it's gonna hurt like hell. 
    @kaytlin31 my doctor did it with my last pregnancy when I was 39 weeks plus a couple days. It was really uncomfortable/ definitely a bit painful when she did it, but t was over quickly. I didn't have pain afterwards. For me it was worth it if it might send me into labor! (which it didn't haha)
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  • Kaytlin31 said:
    Tried posting this on the dilation post but it won't let me. I go in tomorrow and the Dr said they start doing membrane sweeps then if I want one. Has anyone had their membranes stripped? I'm scared it's gonna hurt like hell. 
    When she did it with DS I couldn't really feel it much. Although I also don't really feel anything uncomfortable with cervical checks either besides some pressure, so when people say those things hurt I'm just like "huh?" 
  • STMs who had their water break as a trickle: did it leave your underwear kind of sticky? I'm playing the pee vs AF vs VD game. I've been cramping half of the night on top of contractions. Each time that I've gone to the bathroom I've noticed that there is a wet and sticky spot on my underwear. I've been drying it up each time I go to the bathroom, but it seems to be coming back.

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  • fbanke42 said:
    STMs who had their water break as a trickle: did it leave your underwear kind of sticky? I'm playing the pee vs AF vs VD game. I've been cramping half of the night on top of contractions. Each time that I've gone to the bathroom I've noticed that there is a wet and sticky spot on my underwear. I've been drying it up each time I go to the bathroom, but it seems to be coming back.
    No, fluid isn't sticky, just wet. 
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  • fbanke42 said:
    STMs who had their water break as a trickle: did it leave your underwear kind of sticky? I'm playing the pee vs AF vs VD game. I've been cramping half of the night on top of contractions. Each time that I've gone to the bathroom I've noticed that there is a wet and sticky spot on my underwear. I've been drying it up each time I go to the bathroom, but it seems to be coming back.
    No, fluid isn't sticky, just wet. 
    Agreed. Sounds like discharge.
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  • So I borrowed my mom's yoga ball and having been using it the last few days. Last night I read it's better to do smalland tight hips rolls instead of large ones. I guess it makes the baby shift downward better which hels with dilating and effacing. Anybody else heard this or can add to it? 
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  • Well I didn't get the sweep done this morning because the doctor is worried I am leaking and didn't want to risk infection. I measured 2cm smaller than last week and 6cm smaller than I should be all together. Going for an ultrasound in a couple hours to see what's going on. 
  • In L&D for regular and intense contractions. Don't know if I'm getting admitted yet or not. Waiting for them to finish evaluating me. I guess I came in right when the doctors are getting off/on shift, so they're having a pass down meeting.

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  • TKaiser91 said:
    So I borrowed my mom's yoga ball and having been using it the last few days. Last night I read it's better to do smalland tight hips rolls instead of large ones. I guess it makes the baby shift downward better which hels with dilating and effacing. Anybody else heard this or can add to it? 

    Qbf. 
    I've never heard that, but I've used a ball at some point in all my pregnancies, and usually what feels best is the best for your situation. Our bodies have a lot of wisdom. 
    For myself, I seem to have preferred starting small and spiraling out big,  then back in small. 
  • fbanke42 said:
    In L&D for regular and intense contractions. Don't know if I'm getting admitted yet or not. Waiting for them to finish evaluating me. I guess I came in right when the doctors are getting off/on shift, so they're having a pass down meeting.
    Ooh keep us posted!
  • mojomama6 said:
    TKaiser91 said:
    So I borrowed my mom's yoga ball and having been using it the last few days. Last night I read it's better to do smalland tight hips rolls instead of large ones. I guess it makes the baby shift downward better which hels with dilating and effacing. Anybody else heard this or can add to it? 

    Qbf. 
    I've never heard that, but I've used a ball at some point in all my pregnancies, and usually what feels best is the best for your situation. Our bodies have a lot of wisdom. 
    For myself, I seem to have preferred starting small and spiraling out big,  then back in small. 




    QBF
    Big circles feel good on my back, but I noticed the small circles give me a lot of cramps and pretty regular contractions.
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