I know there are a number of ladies who have received some type of diagnosis that makes us "high risk" or will lead to extra monitoring (e.g., growth scans) for the rest of our pregnancies. I thought this would be a good place to give / get advice (so all former high-risk moms, please come on in!), especially as we start getting closer to 3rd trimester.
How far along are you?
Why are you considered high-risk / getting increased monitoring?
What's the potential impact on you / baby?
What type of additional testing, monitoring will you be getting?
Any issues in previous pregnancies?
GTKY: Favorite holiday?
Edited to add another question
Me 37, DH 40
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
Re: High-risk February Check-in
Why are you considered high-risk / getting increased monitoring? AMA, low PAPP-A levels
What's the potential impact on you / baby? Low PAPP-A is correlated with IUGR, pre-eclampsia, pre-term labor, and a few other not-so-awesome things, thought to be due to issues with the placenta. (It is also low in situations where the baby has genetic issues, but we've ruled those out the best we can with MaterniT21)
What type of additional testing, monitoring will you be getting? I found out yesterday that I'll start getting growth scans every ~4 weeks to make sure that the baby's growth stays on track. He did drop from the 70th to 50th percentile from 16 weeks to 20 weeks, but the ob reviewing my anatomy scan said it's still well within normal variation. I imagine I'll also get more monitoring for pre-eclampsia later on - and who knows what else. I'm trying to go with the "it's nice to see him more frequently" mentality, but also nervous.
Any issues in previous pregnancies? None - DD was a few days early and over 8 lbs.
GTKY: Favorite holiday? Thanksgiving - it was sad to not feel great for it this past year!
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
Why are you considered high-risk / getting increased monitoring? - Placenta previa...I'm not sure if it's partial or complete, but she's on restricted rest (no strenuous activity and no sex).
What's the potential impact on you / baby? - More impact to expecting mother than baby...risk of placenta rupture and hemorrhaging.
What type of additional testing, monitoring will you be getting? - More ultrasounds, and probably more appointments if the placenta doesn't start to move.
Any issues in previous pregnancies? - Her second delivery, her son's shoulder got stuck in the birth canal, but I don't think there were any lasting issues from that.
GTKY: Favorite holiday? - I'm not sure on EM, but my favorite holiday is Christmas! I love all our traditions!
Why are you considered high-risk / getting increased monitoring? Marginal previa placenta which is anterior over previous c section scar. If the placenta was to attach and grow through my uterus it is called (placenta accreta)
What's the potential impact on you / baby? If i was to develop the accreta I would likely have to deliver early (issues for baby) and possible to hemorrhage and need a hysterectomy at birth.
What type of additional testing, monitoring will you be getting? Another u/s at 25 weeks. Not sure yet after that.
Any issues in previous pregnancies? Had a low placenta with first pregnancy but it moved up. Still ended up with er c/s due to not dilating and baby hr went down.
GTKY: Favorite holiday? All, best times of the year. Looking forward to Easter because I cant wait for Spring!
How far along are you?
23 weeks 1 day
Why are you considered high-risk / getting increased monitoring?
pulmonay insufficiency related to heart defects I was born with.
What's the potential impact on you / baby?
Preterm birth, baby not growing properly, complications with my heart, and an increase risk of baby having the same defects.
What type of additional testing, monitoring will you be getting?
Had a fetal echo 2 weeks ago, her heart was perfectly normal. Such a relief to know she is out of the woods. I also have to have ultrasounds every 4 weeks to monitor her growth.
Any issues in previous pregnancies?
FTM here!
GTKY: Favorite holiday?
Thanksgiving, because I love food! Haha.
@krex and @Mport90 Fingers crossed that placentas decide to move in positive directions (or just stay where they are!)
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
Why are you considered high-risk / getting increased monitoring?
AMA, blood disorder (thalassemia minor) that causes me to be severely anemic, a genetic disorder they found called microduplication, higher than average nuchal fold, and disaster delivery during first pregnancy due to knotted cord
What's the potential impact on you / baby?
They watch my bleeding closely during delivery due to the anemia. I needed two bags of blood after DD. The microduplication that I have could cause a cleft palate or minor heart issues if DS has it too. Nuchal fold is one soft indicator of downs, but cleared 99% after blood test. They are also watching DS cords for signs of knots.
What type of additional testing, monitoring will you be getting?
So far, a 2 hour anatomy scan to look more closely at the things above this Thursday and an extra ultrasound next month to double check. They will decide after my anatomy scan and the March appointment if I need more.
Any issues in previous pregnancies?
DD was not a live birth due to her knotted cord that ended up like a noose and "hung" her on delivery so she spent a week in the NICU.
GTKY: Favorite holiday?
Like the less heavy question because I feel like a Debbie downer after typing above. It seems like a lot, but it isn't that dangerous. Favorite holiday: Christmas
Why are you considered high-risk / getting increased monitoring? Preterm labor and severe placental abruption with DS at 27 weeks.
What's the potential impact on you / baby? I had a SCH with this pregnancy, though that has resolved! I have a "higher" chance of having another abruption (10%) and I have potential risk for preterm labor, though my OB and perinatologist can't say for certain which came first last time (preterm labor or abruption).
What type of additional testing, monitoring will you be getting? I've had 2 extra ultrasounds to check SCH and placenta and will increase my visits and monitoring with my perinatoglist once I hit the third trimester.
Any issues in previous pregnancies? See above. Abruption and preterm labor was at 27 weeks. Way back when June first opened I shared my story...I don't remember what thread though. Hospital bed rest for 10 weeks with various bleeds and stopping of labor in between 27-37 weeks.
GTKY: Favorite holiday? Christmas and Forth of July!
DH: 29
DS: 18 months 4/2/2015
Baby #2 EDD: 6/1/2017
@devow27 I remember reading your amazing story - such a champ for keeping DS cooking for SO long!
Teacher Mom Good luck with your scan tomorrow!
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
Why are you considered high-risk / getting increased monitoring?
I don't have a large intestine (previous surgery to remove it. I also have cervical incompetence (which I don't think is fair to my poor cervix). I also have hyperthyroidism but I've had it most of my life so it's no big deal.
What's the potential impact on you / baby?
Preterm labour, I'm on bedrest right now. Risk of blocking/ rupturing my intestine. Will need to have a C section no matter what.
What type of additional testing, monitoring will you be getting?
Weekly ultrasounds, weekly OB appointments
Any issues in previous pregnancies?
This is my first pregnancy that has gone this far
My favourite holiday is Christmas with Halloween being a close second
Why are you considered high-risk / getting increased monitoring?
Previous pprom, preterm labor, son born at 33 weeks. Unknown cause.
What's the potential impact on you / baby?
Increased risk for preterm labor
What type of additional testing, monitoring will you be getting?
Weekly p17 injections. Ob appts every other week currently. Currently extra ultrasounds to check cervical length.
Any issues in previous pregnancies?
Son born 33 weeks, spent time in NICU. Otherwise pregnancy was normal up to that point
GTKY: Favorite holiday?
Christmas!!!! Close second is st Patrick's day at its my son's birthday! We celebrate with green birthday pancakes!
21 weeks tomorrow
Why are you considered high-risk / getting increased monitoring?
my age (44), my weight, and diagnosed with oligohydramnosis (low amnio fluid) during week 19.
What's the potential impact on you / baby?
wide range of potential impact on baby - restricted lung and limb development, potential birth defects related to kidneys/urinary track, pre-term birth, still birth; could be placenta problem or birth defect within the baby causing it; they can't find a problem with my placenta and can't see anything within baby that would be causing it
What type of additional testing, monitoring will you be getting?
scans every two weeks for now, drinking loads of fluids, and praying a lot! she is on target for growth and all her organs are there. there was a slight improvement in visibility at my scan on Monday which is a sign of more fluid.
Any issues in previous pregnancies?
first pregnancy
GTKY: Favorite holiday?
Thanksgiving
18 weeks, 4 days
Why are you considered high-risk / getting increased monitoring?
Gestational Diabetes, Hypertension, and Pre-Eclamisa with my last pregnancy
What's the potential impact on you / baby?
Too many to name
What type of additional testing, monitoring will you be getting?
I already go to the Endocrinologist weekly, after week 26, I think they said? I will start having non-stress tests and ultrasounds weekly as well. I am sure I will have to do a few more 24 hour urines. I have only had to do 1 so far.
Any issues in previous pregnancies?
Same as all of the above... GD, Hypertension and Pre-eclamsia (was induced at 37 weeks)
GTKY: Favorite holiday?
Christmas for sure!!!!
22+1
Why are you considered high-risk / getting increased monitoring?
Cholestasis
What's the potential impact on you / baby?
Still birth if untreated, preterm labor
What type of additional testing, monitoring will you be getting?
Starting at 24 weeks I will have a weekly bpp and biweekly bloodwork. At 28 weeks I will have 2x a week nst and see the mfm weekly.
Any issues in previous pregnancies?
Hellp syndrome and 3x preterm labor.
GTKY: Favorite holiday?
Christmas!
@ama7165 @harpyogi How are the p17 injections treating you ladies?
@vania526 Hooray for more fluid!
@EmeraldNC Do you think you'll have an early induction regardless of if you develop GD/pre-e?
@maybaby23 How are you feeling? I've read that cholestasis can be uncomfortable for mom if itching is one of the symptoms.
Hope everyone has a good week!
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
How is everyone managing the anxiety of this pregnancy? I find myself "stuffing" the anxiety and moreso pretending like I'm managing "okay". (If I'm being totally honest). The last few days have been specifically rough. I'm analyzing every single thing, so much so that I've broken down and resorted back to Dr. Google (stupid, stupid me!)
I try to ground myself with mindfulness and acknowledge what is true and real in the moment of feeling anxious, but it's just not working this week.
I'm just waiting for the ball to drop. Baby has been moving less the past 5 days, I'm itchy on my hands and feet with red bumps on arms, I googled platelet values and what they mean in pregnancy, I've googled "second pregnancy placental abruptions"....I've lost all self control!
I can't tell if now I'm just making it all up or I should sound alarms to my doctors for a full work up (note my annoyed-at -self sarcasm here). No appointments until March 9...I'll be 28 weeks then and probably a full blown hot mess.
I have no idea what I'm looking for in this rant except maybe a "I'm right there with ya". Ugh.
DH: 29
DS: 18 months 4/2/2015
Baby #2 EDD: 6/1/2017
I wasn't going to post in here. I'm being followed by high risk because of my history of heart defect. Next week I have a fetal echo that will now double as a growth check. At my appointment Monday my belly growth has now dropped behind by three weeks. And of course I assume all the worst. And by anxiety is through the freaking roof.
I know my PTSD with DS pregnancy is only going to magnify as I get further along. I think I'll reach out to my Doula and see if she knows of anyone and go from there. Sometimes I just need a reminder that self care (i.e. Therapist) is the perfect place to start. Thank you!
Will be thinking of you and your visit. Keep us updated. I've had a few friends who have similar body types as you and their bellies always were a little behind (athletic, smaller muscular build) but babies all were super healthy and eventually (32-35 weeks) their bellies caught up. ::Hugs::
DH: 29
DS: 18 months 4/2/2015
Baby #2 EDD: 6/1/2017
I'd also say that if you are having any slightly odd symptoms (like bumps, or continued itchiness), I'd always vote to call your doctor to see if it's something that they would worry about (and thus want to just take a look).
And just so you know - even for someone who didn't have any major issues with her first pregnancy, being high risk now is indeed anxiety-provoking. Whether it's feeling less movement or worrying about my lack of weight gain, it all is definitely more stressful.
Hang in there, and PM if you want to chat more.
@MotherofDragons - Good luck with everything you're dealing with right now - I know it's no fun to have measurements be "off" when there could be a reason for it (or just be normal variability.)
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
DH: 29
DS: 18 months 4/2/2015
Baby #2 EDD: 6/1/2017
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
She uses a tool from a man Dr. Michael Rice. It is based off of the idea that goals in life are often a source of anxiety/fear/stress. They cause these feelings because the goal hasn't been "checked off your list" persay. So, what the exercise is to do is go back find whatever goal it is in your life, and cancel it. Cancel the goal. Take it out of your life. And then you re-write the goal out of love and positivity and ask whatever higher powers you believe in to guide you through your new goal.
Within that process, you specifically name what is causing your feelings. Whether it be fear, uncertainty, sadness, etc. For example:
My goal that is causing me fear:
"Having an uncomplicated pregnancy." We went through this and canceled that goal. I repeated after her a series of affirmations to cancel it with deep breathes. She checked in with me asking how I felt, and eventually we got to the root of my "goal" that's causing me so much fear...which was:
"I'm scared there is something wrong with my body that the doctors don't know about and the same thing is going to happen in this pregnancy"...which lead me to a ball of tears but it was SO AMAZING to finally acknowledge it and made me realize how much I was/am holding on to. So, I canceled that goal and re-wrote my new one:
"I will trust my body to do whatever it needs for mine and Chase's health during this pregnancy. I'm asking you God to guide me through with love and positivity."
Peace for tonight! E-mailing the lovely women she recommended to me tonight.
DH: 29
DS: 18 months 4/2/2015
Baby #2 EDD: 6/1/2017
BFP #1 6/13 DD 3/14
Mirena 10/14-5/16
BFP #2 9/2/16, CP confirmed 9/8/16
BFP #3 10/10/16 EDD 6/22/17
I have cut out google and research completely, I know it spikes my anxiety even if I'm initially reassured. I've switched to buying myself something special after every good ultrasound
I was reading an NIH study about it and the findings report that when DXd in the 2nd tri, most move out of the way by 28 weeks +/-5 weeks (somewhere in the 90%+ ballpark)
My OB says he's fairly confident that things will be fine by the next time he checks at 29 Weeks.
He says we won't take any further steps or plans until that point.
FX for good news on your end as well.
To echo your previous question for our BTDT Moms: any have placenta previa that moved? When was it DXd vs discovered that it moved? When did you find out it didn't move and had to make c-section plans?