High-Risk Pregnancy

Opinions wanted, Multiple issues..35 weeks.

chanson10chanson10 member
edited November 2015 in High-Risk Pregnancy
After everything has been going well, this last check up have us news of multiple issues:
-high blood pressure
-measuring a couple weeks behind
-breech baby
-anterior placenta that looks old
-about 6.5cm of fluid
-baby is small and abdomen size shows the baby isn't gaining weight

They scheduled me for a C section at just over 37 weeks...they want me to make it there. I have an ultrasound this week and next.

What is the most concerning of these issues? Is there a high liklihood I could need to go in sooner?

Thanks! This is my first pregnancy...so don't know much!

Re: Opinions wanted, Multiple issues..35 weeks.

  • PlainJane8350PlainJane8350 member
    edited November 2015
    I'm no expert, but I did start having some of those problems, too: high B.P, low amniotic fluid and my baby went from the almost 90% down to closer to 50%.

    My doctor, who was a perinatologist, said that the further you get into pregnancy a lot of these things, while still not great, are normal just because you've been pregnant for so long.

    They had me rest and drink plenty of fluids and my amniotic fluid did increase...but I also think that ultrasounds vary so much with the technology themselves and depending on who's taking measurements and from where.

    Anyway, they had told me that they would induce if things got worse, but my water ended up breaking (at 37 weeks, 6 days) before then and she was totally fine. I definitely think it's better to be safe than sorry when it comes to our babies, but I wouldn't worry yourself too much. It sounds like what normally happens after your body has supported a pregnancy and, since you're being monitored, my doctor assured me that it isn't something that could happen over night. If things get worse, then they'll have time to induce you and you'll both be fine.
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  • I'd toss out there that the placenta itself is the reason you're a little low on fluid--it controls everything your little one has access to--fluid, nutrients, etc.  I was oligo with my DS (an anterior, which really shouldn't make that much difference) and, yes, it seems to depend as much on the ultrasound tech you have on a given day.  The thing to look at with oligo is what the baby sounds like on the monitor.  Is s/he experiencing a lot of decels--slowing of the heart rate, which means getting less oxygen too.  Decels are common when low on fluid because the umbilical cord can get pinched easily when there's less fluid to buffer.  If you have too many decels in a timed period, they might start pushing to induce you sooner.  Drink obscene amounts of water, and you may be able to help with your fluid level enough to take some of the stress away from this one--but it's still up to whether your placenta wants to cooperate.
    Like PP said, I wouldn't concern yourself too much with the low weight/lack of weight gain.  Some of that can just come with the territory.  Again, if your placenta isn't cooperating, it may be that in addition to withholding fluid, it's also withholding nutrients.  If the OB feels like the weight is an issue, they'll push to induce earlier because baby can get better nutrition once it no longer has to fight against the placenta.  This one you don't have much control over.  Just make sure the food you are eating is highly nutritious and not empty calories so that whatever does get through to baby can have the most positive effect.
    Have they talked to you at all about ways to get the baby to rotate in utero?  For most OBs these days, breech=C section.  If you are firmly against having a Cesarean, there are ways to massage the belly to encourage the baby to change position.  I'm inexperienced in this one, so you might have to do some research online, but it sounds like you still have some time before they'll really be pushing to deliver.  I'd say it can't hurt to try.
    Finally, the high blood pressure is probably the most concerning symptom that's popped up for you.  Pre-e can move things along rapidly.  My question would be, at what point in your appointment did they take your BP, and did they check it more than once throughout the appointment?  If they were throwing all these other risk factors at you, that in and of itself can elevate your BP.  However, if you truly are bordering on pre-e, do not mess with it.  This is the symptom on that list that sets your timeline more than any other.  But also know that, even at 35 wks, baby is highly viable.  It'll mean some time in the NICU, but your LO will most likely suffer few, if any, side effects from being a preemie, should it come to that. 
    You have to trust your doctor to make the decision at what point LO is better off outside the womb than inside.  Just know, others of us have been through it and have very healthy DSs and DDs to show for it.  Don't let the stress of the list overwhelm you and, in the end, exacerbate the situation.  Oh, and a little silver lining--after going through a similar list of issues with my DS (toss in some clotting and hyperemesis issues to boot), my second pregnancy has been incredibly healthy.  Don't let this experience scare you away from pregnancy in the future.  Best wishes!
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  • Thanks everyone :) last week they decided to push my c section back to Dec. 1st, so at 38 weeks. They did this because the baby looked ok, fluid was still low but not changing and while my blood pressure is slightly elevated, it wasn't changing and I didn't have high enough protein in my urine test to be an issue. The past few days I've been having a lot of headaches and the bottom number of my blood pressure has been higher...so we will see what they say at the appointment tomorrow!
  • I'd have the same headache for days. They finally made me take codeine. Good luck tomorrow and hopefully everything remains stablized!
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