Hawaii Babies

Talk to me about amnios.... Long

Hi hi hi

went to my 32w check up today. Dr says no more u/s for me. The plan is to do an amnio at 37w to check lung maturity. If the lungs are mature, then csection the following day.

if not mature, then resched csection for 38w w/o a repeat amnio.

the idea of having an amnio is kinda freaking me out, so the dr. said I could skip the amnio & go straight to week 38 csection.

but her concern is that I wouldn't make it to 38w & would start bleeding/going into labor.

has anyone had amnio done? How about late in pg? I know the decision is just mine, but I wanted to get other thoughts... I've joined a high risk board on another site (mostly lurking) and it seems amnios aren't so bad.... ??? But I'm scared. I have a few weeks to make up my decision... Oh and the dr. Wants me to be on disability now, but I have to research if it'll impact my baby bonding time....
D started out as a LUCKY CHARM but ended up being our LOVEBUG image
hawaii 10.2008 plan ;P married bio ???

Re: Talk to me about amnios.... Long

  • i just saw your post on FB and was wondering why you have to get an amnio.

     hmm..is there reason for the doc to think that the lungs are not maturing fine? by 37 weeks you're full term so you should be good to give birth? 

     i can understand why you would freak out with the amino. i probably would too however, i know some women have had it and were fine.  not sure how late in the pregnancy though.

    not sure if it's the same policy everywhere but with our company, disability is completely separate from maternity leave. if i had complications and doc wanted me to stay home, i would have had to file disability. maternity leave starts the day i give birth.

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  • imageeacerna:
    by 37 weeks you're full term so you should be good to give birth?

    yes this is what i was thinking too.  unless you are really unsure about the baby's age, the lungs should be mature by 37 wks. so kind of pointless to do an amnio.  not risky, but pointless (your ob is probably just trying to cover her butt). if you aren't sure when you ovulated and think your baby's gestational age is way off, then i would do the amnio.  I believe that julie had one done early on? but at 37 wks the only real risk of an amnio is causing premature labor...which, technically at 37 wks is no longer considered "premature" since you would be full term.

    i know you want the baby to cook as long as possible but the risk of you going into labor and then bleeding out from the previa is real and i would probably just opt for the c/s at 37 wks.  if you go into labor on your own and start bleeding, it could be a matter of minutes before you bleed out w/the previa...not trying to scare you but just making sure you know everything in case your ob hasn't explained it well.

  • I think the amnio might be a liability thing too on their part...

    she told me about the bleeding & getting to the er right away, but I didn't know it was a matter of minutes... She did mention the riskof going into labor after the amnio, but I would be monitored afterwards.

    I told her i'ld do the amnio for baby if I had to.

    also, I'll look intothe disability before the maternity leave....
    D started out as a LUCKY CHARM but ended up being our LOVEBUG image
    hawaii 10.2008 plan ;P married bio ???
  • imagemrspresley:

    i know you want the baby to cook as long as possible but the risk of you going into labor and then bleeding out from the previa is real and i would probably just opt for the c/s at 37 wks.  if you go into labor on your own and start bleeding, it could be a matter of minutes before you bleed out w/the previa...not trying to scare you but just making sure you know everything in case your ob hasn't explained it well.

    This is what I was thinking, too.  I think the risk of you going into labor and bleeding out is probably more likely than immature lungs at this stage.

  • Nicole: that's what I thought too. But she won't do the 37w csection unless there's the amnio. The dr. was more worried about the bleeding/labor. So I guess it is a liability thing....

    Jaime: my placenta is anterior too, but the dr. said she wouldn't cut through it. She said she would try to cut high enough to not cut through. I asked her a ton of questions today. Also, she says there's no indication that the placenta has implanted itself too deep that it would cause additional problems, but she won't know for sure until she opens me up....

    thanks guys for the reassurance. I guess I'm leaning more towards the amnio & csection in 37w. I'm just gonna pray for lots of strength & peace.
    D started out as a LUCKY CHARM but ended up being our LOVEBUG image
    hawaii 10.2008 plan ;P married bio ???
  • Where I work we routinely do amnios for c/s before 38 wks. We do them in the morning and section in the afternoon if everything is okay. I'm not involved in the amnio itself so I'm not sure what the procedure is like, but I've never heard of any problems or complications after it. Most people with good dating (early us) go on to section.
  • I really don't have one stitch of advice to offer but I just wanted to send big hugs your way. Lots of thoughts and prayers for a safe, healthy, speedy delivery for baby and mama when the time comes! :)
  • I don't have any advice on amnio, but since we're in the same state, I do have info on disability/maternity leave since I've gone through it...

    In CA, you get 4 weeks *paid* disability leave PRIOR to your due date (aka your scheduled c-section) and it's regardless of how much time you take off after the baby is born to bond. It *does not* cut into your bonding time. But if you don't take it *before* the baby is born, then you lose it. So if you're scheduled to deliver via c/s at 37 weeks, I think you can take those 4 weeks starting at week 33. Of course with all CA disability leaves, the first week you don't get paid (it's sort of like a "grace period") but you'll be paid after that. Then after you deliver, you get your paid 12 weeks (6 more weeks of disability + 6 weeks PFL aka paid family leave). And if you have any other doctor-approved disability before those 4 weeks prior to scheduled due date, then it qualifies for a separate disability leave too. The state of CA gives you up to 52 weeks of total disability benefits.

    So for example, I took 1 month disability during my 1st trimester (for hyperemesis) +  4 weeks disability PRIOR to my due date + 12 weeks after delivery (6 weeks disability + 6 weeks PFL) for a total of ~20 weeks of disability/maternity leave.

    But this is just all info about the leave program from the state of CA, not about whether your company will keep your job for you for that long/etc--that depends on whether your company qualifies for FMLA (which is national) and whether they will keep your position for you or not, etc. Also, if your company has a separate, private disability plan for their employees, then it may be different from here. My company qualified for FMLA (I think it means that they have to have at least 50 employees, etc etc) and I was under the usual state of CA disability plan. It was pretty confusing when I first learned about it...I had to ask my HR a TON of questions, so you should definitely take advantage of your HR to ask them this and/or you can ask me more if you'd like as well =) I still kept all my forms and documents too and I remember everything pretty clearly since it was less than a year ago...

    Hopefully, that info helps a bit. Lots of hugs, thoughts, and prayers your way and wishing you a healthy and smooth delivery whatever your decision is.
    Sept 2008 Wedding | May 2010 & Mar 2012 Babies
  • imageHawaiian Honey:
    I really don't have one stitch of advice to offer but I just wanted to send big hugs your way. Lots of thoughts and prayers for a safe, healthy, speedy delivery for baby and mama when the time comes! :)

    Ditto. Good luck Jen...sounds like you're in GREAT hands. I hope you figure out the leave thing for work...if you have disability, that should cover your leave BEFORE giving birth. As Inamara wrotem, the State of CA has additional disability benefits that can be used too. Definitely talk with HR. Big hugs! Soon, your little on will be here!

  • Why do they want you to deliver at 37 weeks? If you start bleeding before 38 weeks or go into labor then they'd have to take the baby via c-section at that point, right? What would be the difference to amnio you at 37 weeks 1 day vs c-section at 38 weeks? It's a 6 day difference and honestly the lungs should be mature and fine by then but if they aren't 6 days wouldn't make a HUGE difference, it would only make a small difference....  I personally would opt to go to 38 weeks and do the c-section then, to skip the amnio and the headache of it all... unless they are worried about the health of you or the baby. 

    That said, I delivered my perfectly healthy baby girl at 35 weeks and 2 days. Her lungs were fine and she latched on with no difficulties (even though most of the nurses said there wasn't a chance in hell that she'd nurse). Now she's a thriving almost 18 month old! We've opted not to do extra ultrasounds to monitor this pregnancy because things are moving along on track and I didn't want the extra worries/headaches unless they were truly concerned for the baby or I. Come to find out, they said "well if you want more monitoring because you are nervous then we'll do it"... that's not what I wanted so we didn't. They clearly weren't/aren't concerned. 

    Good luck!  

  • I really don't have any advice but I just wanted to let you know I am thinking of you. I am sure what ever choice you make will be the best decision. You know your body and what you need to do.
  • I don't have anything to add either, just wanted to say I'm sorry you have to go through this Sad
    Arrived 4.5 weeks early due to PROM
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    Cerclage placed @ 21w6d due to CI (IC)
  • imagekinibruin:

    Jaime: my placenta is anterior too, but the dr. said she wouldn't cut through it. She said she would try to cut high enough to not cut through. I asked her a ton of questions today. Also, she says there's no indication that the placenta has implanted itself too deep that it would cause additional problems, but she won't know for sure until she opens me up....

    thanks guys for the reassurance. I guess I'm leaning more towards the amnio & csection in 37w. I'm just gonna pray for lots of strength & peace.

    well she will definitely do whatever she can to avoid cutting through the placenta once she is in there b/c if she does, there will be blood everywhere and she will have to work to stop the bleeding. if she does cut through it is not the end of the world but it is a bloody mess and a pain to deal with and not as quick as a regular c/s.  i am obviously not an ob and don't have direct experience w/this but just speaking in terms of general surgical principles with which i am familiar :)

    if you are just bleeding a little bit there is time to get to the ER but there is always the off chance that a larger vessel ruptures, in which case there is hardly any time to save your life.  again, i don't want to scare you but i will share w/you a birth story from another mama.....i don't know how it happened but somehow they did not know that she had previa...perhaps it was partial and then missed? i don't know but that is beyond the point of the story. basically they did not know this so when she went into labor they continued to do internal exams as they usually do...well at one point the doctor pulls his/her hand out and sees blood on it....and then they look back down at her pelvis and start to see more blood...turns out the the ob ruptured a blood vessel while checking to see how dilated she was....as soon as they realized this, she said they were hollering everywhere to get a team together and literally wisked her away in seconds w/o even telling her what was going on... they wheeled her into the OR, gave her a general anesthetic in her IV and didn't even have time to scrub her abdomen and prep it for surgery, they simply dumped a huge bucket of iodine (or chlorhexidine, i can't remember what they used) and the ob started cutting her immediately.  when she came to after surgery they explained everything to her but told her that she was very lucky to be in the hospital when that happened b/c if they had not operated as quickly as they had, she could have bled out and died.

    again, i am sure that this particular story is just one end of the extreme and mild bleeding with tons of time to get to the hospital is possible too... i just want you to fully understand the scope of what could happen b/c it doesn't sound like you were fully aware

    i am sorry that you have had such a complicated PG and even now in the final days you do not have it easy :(  just think about how much more you will cherish your LO after all you have done to get to this point :)  big hugs for whatever decision you end up making, just pray about it and talk about it with DH to figure out what you think is best for your family.  if you want to talk more about it, or anything else for that matter, just email me :) i am no expert but i'm happy to listen and be a sounding board!

  • imageMarried2MrWright:

    imageHawaiian Honey:
    I really don't have one stitch of advice to offer but I just wanted to send big hugs your way. Lots of thoughts and prayers for a safe, healthy, speedy delivery for baby and mama when the time comes! :)

    Ditto. Good luck Jen...sounds like you're in GREAT hands. I hope you figure out the leave thing for work...if you have disability, that should cover your leave BEFORE giving birth. As Inamara wrotem, the State of CA has additional disability benefits that can be used too. Definitely talk with HR. Big hugs! Soon, your little on will be here!

    this.  and healthy mama & baby vibes!

    imageLilypie Second Birthday tickersDaisypath Anniversary tickers
  • Hi Jen, sorry you are having such a difficult pregnancy :-(

    I had an amnio done at 15 weeks, which might be very different than doing it later in the game, idk? The needle itself going in did not really hurt at all, I would say a 1 on a scale of 1-10. Once the needle was in and they started withdrawling the amniotic fluid is when I got uncomfortable. It was about a 3 or 4 on a scale of 1-10. It was like nails on a chalk board too while they were taking it out. It might have been b/c I was feaking out b/c the lady who did mine had absolutely no bedside manner and asked me to be quiet when she was doing it (b/c she didn't say one word until she asked me to be quiet). Maybe if I felt more confident in who was doing it, therefore being more relaxed it would have been better.

    Also IMO, I think it would be a good thing to go out on disability now like your doctor said. As pp mentioned, disability and maternity leave are two seperate things. I was put on disability at 29 weeks because my doctor didn't want me to lift anything over 20 pounds. I had my full maternity leave and then was put back on disability for another 4 weeks. My midwife felt I needed more time to bond with Ryan since we had such a rough start so she wrote me out for PPD (as you probably remember... and thank you again for all you kind words during that crazy time). It differs from place to place I know.

    Back to the original point, amnio really wasn't too bad and afterwards was like nothing even happened. Hang in there Mama!

     

  • Hi all!

    wow! So much information about amnios, pp, mat leave, etc. & so much support!

    I've reflected on EVERYTHING you guys have said & I really take it all into consideration.

    I told work about the dr. & how she wanted me to take leave but that I still wanted to work. & they just said to stop working now. It makes me feel relieved, but I hope I don't go too crazy being home so long! I think it's a blessing though 'cause now I can rest & slowly nest without overdoing it.

    I'm going to ask more questions of the dr. Re all the options out there. Having you guys as sounding boards helps me to advocate for myself because I wouldn't think of these things myself.

    much mahalos!!!!
    D started out as a LUCKY CHARM but ended up being our LOVEBUG image
    hawaii 10.2008 plan ;P married bio ???
  • Well said! and Ditto!
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