I thought this thread could serve as a sounding board for those of us with the "high risk" designation. Or even moms who previously were and are not this time...we will take all the experience and advice we can gather!
What's your story? (AMA, Diabetes, History of Pre-E, Shoulder dystocia, placenta previa...etc)
Is this your first pregnancy? You first High Risk pregnancy?
Any special care required?
Questions, comments, concerns?
Re: High Risk Check-In (May)
I am a T1D, and also have a history of pre-E (HELLP syndrome with my first, but not my second). Both kids were a shoulder dystocia.
Is this your first pregnancy? You first High Risk pregnancy?
This is my 3rd pregnancy. I was diagnosed with GD at 28w with my last pregnancy so that was a standard concern on top of the pre-e risk. I now know that I had latent T1D and not really GD at all. So this pregnancy is actually considered safer because my sugars are monitored and in control from the jump.
Any special care required?
Lots of extra blood work, and a daily baby asprin. I send my sugars to my endo every week so she can modify my insulin if necessary. And after I'm 32 weeks I will have a couple of extra US and Non-stress tests. Growth scans will determine if we need to consider a planned C (due to history of shoulder dystocia- although my other 2 deliveries were vaginal and I want to avoid that if possible).
Questions, comments, concerns?
Wondering if anyone else has experience with previous vaginal births and then subsequent C-sections. It's not a definite but the possibility scares me.
Is this your first pregnancy? You first High Risk pregnancy? I am a thyroid cancer survivor. I have no thyroid or parathyroid glands. I have no control over calcium levels. This is my second pregnancy, but the first time I’ve been referred to MFM for prenatal care and delivery. Apparently the lack of thyroid can cause really small or really big babies depending on my hormone levels.
Any special care required? Extra blood work and ultrasounds. Medication for nausea to make sure my calcium levels and thyroid levels dont dio due to nausea and vomitting.
Questions, comments, concerns? I have to drive 90 minutes to Duke University Hospital when i deliver. Im really worried about waiting to long to go. I am also worried about having another big baby and tearing all over again. I do know my care will be better with the MFM doctors.
I’m old (will be 38 when I deliver), over-weight, pregnant with identical twins who share a placenta, and have a history of preterm delivery (27 week singleton and 33 week twins).
Is this your first pregnancy? You first High Risk pregnancy?
Third pregnancy, second considered high risk.
Any special care required?
So many ultrasounds, plus a couple fetal echocardiograms. They’re also watching me closely for gestational hypertension/pre-e.
Questions, comments, concerns?
I’ll be 39 when I deliver, which seems to be the least of what my doctor is worried about. She is most concerned about my risk for developing GD and preeclampsia.
Is this your first pregnancy? You first High Risk pregnancy?
First anything.
Any special care required?
I did a three hour glucose screening at 16? weeks. I’m on a daily aspirin regimen to reduce the risk of preeclampsia. Otherwise, everything seems to be as expected for lower risk pregnancies.
Questions, comments, concerns? Nope.
**my post May have some Triggers in it**
What's your story? (AMA, Diabetes, History of Pre-E, Shoulder dystocia, placenta previa...etc)
I’ve had hypertension since I was about 20 (30 now), and my brother was born with a heart defect that is genetic.
Is this your first pregnancy? Yep!
You first High Risk pregnancy? Yep!
Any special care required? For the blood pressure I am on labetalol and baby aspirin every day. I go to a maternal fetal medicine doctor (who I love, even though he’s an hour away). Between him and my OB I will start having serial ultrasounds mid way through my second trimester. At 32 weeks I will start doing non stress tests twice a week. With the genetic concern, my anatomy scan will spend extra time checking for deformities in the arm and hand that happen with the condition my brother had, I will also have a fetal echocardiogram at 24 weeks. So many things!!!!
Questions, comments, concerns? All the questions and concerns in the world pretty much. Right now just looking forward to hearing baby’s heartbeat again next week.
I have a history of Pre-e. I had it severe with my 1st, and mild with my 2nd. The assumption is that I will most likely get it again. I also have GD, which was diagnosed early. I had it with my 2nd.
Is this your first pregnancy? You first High Risk pregnancy?
This is my 3rd pregnancy, my first being high risk from the beginning. With my 1st, I wasn’t high risk until 36 weeks and with my 2nd, until 34 weeks.
Any special care required?
I get to see the perinatologist for growth checks as well as my OB and I’m also seeing the diabetes counselor once a week, hopefully down to once every 2 weeks soon. I know as we get closer, I’ll be doing twice a week NSTs and check ups.
Questions, comments, concerns?
Juggling all my appointments is going to be a fun!
Pre-E and HELLP syndrome
Is this your first pregnancy? You first High Risk pregnancy?
Second pregnancy, first was great until they had to do an emergency c-section due to being diagnosed with HELLP
Any special care required?
Daily aspirin, MFM appointments
Questions, comments, concerns?
Planning on a second c-section and hoping I get to that date
I was diagnosed type 2 diabetic shortly after finding out I was pregnant with this babe. I'm not surprised, between genetics, pcos, and my weight it was bound to happen. I was also borderline pre-e with DS.
Is this your first pregnancy? You first High Risk pregnancy? 5th pregnancy (3 mc, 1 DS) but first high risk.
Any special care required?
Daily 81 mg aspirin. I also check my sugar 4 times daily and my BP morning and night and submitt them weekly to my MFM. I will also need extra US starting at 22 weeks to monitor growth.
Questions, comments, concerns? I'm concerned about everything honestly. I'm just anxious for my appointment Friday. I feel fine but I've only felt baby move a handful of time (which is totally normal at this point) and I really just want to know that everything is ok.
I'm def here to vent to.
What's your story? (AMA, Diabetes, History of Pre-E, Shoulder dystocia, placenta previa...etc)
Previous blood clot has me on blood thinners for pregnancy. I thought it was NBD but doc has got it labeled as high risk as of my last appt. She still hasn't said anything particularly scary, though.
Is this your first pregnancy? You first High Risk pregnancy?
Yes and yes
Any special care required?
Just injecting myself in the stomach nightly, and then will be induced. That's all I've heard so far.
Questions, comments, concerns?
The fact that she's now calling it high risk on paperwork is a bit concerning. Great for insurance coverage, but concerning. She hasn't said anything yet, but knows I suffer from some anxiety (not on meds, just who I am!) so I'm a little skeptical that she's holding some suspicions in the wings and just isn't saying anything until we truly need to worry. Also hoping baby has finally tilted forward by next u/s so that I don't need to deal with that, too.
Also- I'm an anxious person too. No meds, but regular therapy and CBT exercises for panic attacks. So believe me, I so get where you are coming from.
I just found it weird that we knew I had to take blood thinner all along, but nothing on my paperwork was labeled high risk until my last appointment a few weeks ago. I may ask her for context next week at the next appointment - hopefully she'll share a similar soundbite!
*TW*
With DS I failed my 1 hr, passed my 3 hr, and upon losing 5 lbs at 35 weeks my OB made me start checking my sugar. At my 38 week appointment i showed my OB my readings ( mind you nothing was explained to me other than that I needed to record the readings) I was told I was lucky my son was alive and rushed across the street to be induced. 6 weeks later I took the 1 hr and passed no problem. They told me was borderline diabetic and to watch what i eat and I'd be good. And fast forward to now... *End TW*
AMA (40yrs), overweight
Is this your first pregnancy? You first High Risk pregnancy?
5th baby, 2nd high risk
Any special care required?
Additional glucose testing for possible GD
Questions, comments, concerns?
My previous pregnancy in addition to AMA and being overweight, my anatomy scan detected some anomaly in my daughter's growth (forgot what they called it exactly). From then until my scheduled induction, I had weekly stress tests and ultrasounds. Naturally I'm anxious about this scan at the end of the month and praying it doesn't reveal any similar findings.
I should prob make a High Risk Check-in for June!