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April 2019 Moms
MRDCle
member
High Risk A19ers Discussion
MRDCle
member
Whatever your reason for being high risk, share your questions, concerns, advice here.
1) Reason for being classified high risk
2) Current appointments/care plan
3) Questions/concern
4) Birth plan? Do you have a delivery date set up?
5) Are you doing OK with the changes? Taking care of your mental health?
Re: High Risk A19ers Discussion
1) Reason for being classified high risk: Complete placenta previa
2) Current appointments/care plan: This week is technically my last (and only) two week appointment, starting next week I go every week.
3) Questions/concern: I'm so panicked about going into labor early, I'm constantly worried over every little pain that it is a BH or checking every time I go to the bathroom to make sure there isn't blood.
4) Birth plan? Do you have a delivery date set up? The delivery plan all along has been to have a planned c-section. I was told at my MFM appointment that now with the previa, they will not even consider a vaginal birth (which is fine, but sucks to have that option taken away if he was placed right). I will have him at 36+4 via c-section. My OB said that they are going to deliver him that early because *most* preterm labor occurs after 37 weeks and they want to prevent me going into labor on my own if at all possible, because then the risk of hemorrhages increases dramatically.
5) Are you doing OK with the changes? Taking care of your mental health? Initially, no. I was super upset that I will not have a 'normal' pregnancy, yet again (DD had heart issues beginning at 27 weeks so the last half of her pregnancy was also extremely stressful). I'm doing better now and I am excited that I get to meet him (6 weeks from today!). Since birth is out of my control (relatively speaking), I'm doing what I can to control preparing for him and getting ready in general.
Sorry for the novel, it's nice to have other women to talk about high risk stuff with.
1) Reason for being classified high risk - Mo-Di Twins
2) Current appointments/care plan - been on weekly OB since 28w, starting next week I have weekly US as well including BPPs
3) Questions/concern - I have a headache today that isn't really letting up with Tylenol/water so I'm going to give my OB a call here in a few minutes to see if I need to do anything. With a history of pre-e and the increased risk with multiples I'm not screwing around.
4) Birth plan? Do you have a delivery date set up? Sigh. No. Ideally sometime during the week of 3/18, but if they decide they want to come earlier or if something comes up (TTTS, TAPS, pre-e etc.) it'll be earlier.
5) Are you doing OK with the changes? Taking care of your mental health? We've had a long time to come to terms (known for 22 weeks now holy crap) but I'm starting to freak out that in less than six weeks we'll be a family of five.
Whatever your reason for being high risk, share your questions, concerns, advice here.
1) Reason for being classified high risk- I am considered high risk due to my age. So far so good though and have even been dismissed from MFM doc. Just found out that since I am not 40 I am actually considered vama (very advanced maternal age) as opposed to just ama.
2) Current appointments/care plan Growth scans every 4 weeks. Potentially inducing early due to size of baby as well as higher percent of positive outcomes if delivered before 40 weeks.
3) Questions/concern- The size of baby is making me nervous but I am trying to just remain calm as possible.
4) Birth plan? Do you have a delivery date set up? Nothing set yet Most likely will deliver in early April.
5) Are you doing OK with the changes? Taking care of your mental health? My anxiety sometimes sneaks up but I am trying to just have faith that all will be well!
1) Reason for being classified high risk: history of PPROM and preterm labor
2) Current appointments/care plan: MFM comanagement; weekly progesterone shots, weeks 16-36; biweekly cervical ultrasounds, weeks 16-22; monthly growth scans, weeks 20/24. We’re down to shots only, but up to biweekly appts for standard prenatal care and have been dismissed from MFM.
3) Questions/concerns: nope
4) Birth plan? Do you have a delivery date set up? Hoping for a standard delivery, no current indications to deliver early
5) Are you doing OK with the changes? Taking care of your mental health? BH contractions - or what I think might be them - are terrifying, and I feel like DH loses his patience too quickly when I sort of shut out everything going on inside the house to focus on my body and resting. Obviously I’m going to try to keep DD safe, but I’m not going to clean and I’m going to ask him to take on more childcare responsibility, and he starts thinking the next seven weeks (or six months) are going to be like that. We have to keep communicating to each other that it’s a temporary situation.
1) Reason for being classified high risk
On insulin for GD, possible IUGR
2) Current appointments/care plan
Biweekly check ins on my blood sugar levels, growth scan on Saturday to get a follow up on her size, and I’m assuming biweekly or more frequent appointments/NSTs /BPPs to be discussed at my follow up on Tuesday
3) Questions/concern
Not right now since this is mostly familiar from last time, worried about how small she could be since DD was so small at full term
4) Birth plan? Do you have a delivery date set up?
38 to 39 weeks depending on BP/blood sugar
5) Are you doing OK with the changes? Taking care of your mental health?
I’ve got most of the signs of antenatal anxiety and will be requesting meds on Tuesday. Most of the things weren’t so much surprises as they were a disappointment that pregnancy is never anything short of complicated/extra difficult for me. Though being negative for cholestasis was a big relief. Non pregnancy stress is seriously going to eat me alive right now though. We were in such a great place when I got pregnant and then life threw us some serious curve balls.
prevously helloblueeyes
Me:32 DH:33 Married:04/2012 DD:07/2014
BFP 8/14/2018 #2 due 4/18/2019
Whatever your reason for being high risk, share your questions, concerns, advice here.
1) Reason for being classified high risk: Dignosed with intrahepatic cholestasis <28 weeks.
2) Current appointments/care plan: Supposed to be getting a call from fetal assessment to set up weekly NST's and u/s. OB follow up Feb 19. Weekly bile acid blood draws (supposed to, they missed this week).
3) Questions/concern: Just concerned with how long it seems to be taking to come up with a 'plan'. My ob isn't too familiar with icp so she's going through other drs to figure out what to do but it's taking a while.
4) Birth plan? Do you have a delivery date set up? A bit up in the air. Saw the on call OB last Monday who said definite early induction or c-section. Could be anywhere between 28-35 weeks she said. I'm hoping for 36/37 but will have to wait until seeing fetal assessment to find out the plan.
5) Are you doing OK with the changes? Taking care of your mental health? Doing ok now that I've researched so much about it since I had no clue what it was. Just frustrated with my ob for dropping the ball lately. A consult to FAU was supposed to be made 3 weeks ago and they told me she just called them yesterday so I'm getting a bit anxious hoping nothing goes wrong in the meantime.
prevously helloblueeyes
Me:32 DH:33 Married:04/2012 DD:07/2014
BFP 8/14/2018 #2 due 4/18/2019
1) Reason for being classified high risk low Papp-a hormone level, bumps me into risk zones for IUGR and Pre-E, my weight also technically puts me at risk for pre-e although my BP is usually great and has been all pregnancy
2) Current appointments/care plan
Appointments every 2 weeks starting 6weeks ago, growth ultrasound on Saturday,
3) Questions/concern my fundal height was normal until this last visit so I’m trying not to be concerned it was only a little off (1cm) and hope the ultrasound is normal.
4) Birth plan? Do you have a delivery date set up? As long as the BP and growth stay on track I’ll deliver with a surprise date. Otherwise they’d induce?
5) Are you doing OK with the changes? Taking care of your mental health?
Woah i didnt realize so many of us were labeled high risk! I look forward to hearing all of us are happy and healthy with our babys in our arms.
1l) Reason for being classified high risk - stroke risk and risk of dissecting major arteries.
2) Current appointments/care plan - i just recently switched high risk doctors because he seems way more well versed in the crazy things that tend to show up in my medical history. My doctors have decided that i didnt need a strong blood thinner thru this pregnancy. Thankfully a baby aspirin daily is all ive had to take. I want to avoid bed rest and of course early labor. The act of me pushing could be dangerous so we recently scheduled a c-section date for April 5th, 6 days before my due date.
3) Questions/concern - my main concern is dissecting an artery again or having a full on stroke. I still have effects from my original incident to this day and would hate it if my health kept me from taking care of my baby.
4) Birth plan? Do you have a delivery date set up? Im fine with doing a c-section and super excited to know the date. I also have another genetic disorder called CCD. My bone structure is different than the average womans. My hips are more narrow than average so passing an average size baby through the birth canal would just not work for me. I still have found ways for us to have a tiny bit of control over the birth. My boyfriend and mom are going to be in the operating room. My mom is there to take pictures. (Yes i want all the pics i can get! I dont want to miss a thing since ill be on my back.) I am asking for the clear drape so i can see as much as possible. My boyfriend is my moral support obviously and we would like my boyfriend to cut the cord and also for him to hand her to me for the first time. I want her to have skin to skin with one of us right away. And my boyfriend knows if anything goes wrong that hes to stay with the baby and my mom will go with me. Most likely while in the hospital ill have some repeat MRIs with contrast to make sure that i didnt dissect an artery again through the pregnancy but then ill be able to go home and figure out life with my new little bundle of joy and terror.
5) Are you doing OK with the changes? Taking care of your mental health?
I honestly feel better in some ways pregnant than i did before. A lot of my chronic issues came from blood flow problems but because of the increased blood supply from baby ive been feeling great pain-wise. Im usually a very miserable migraine sufferer (like 2-4 migranes a week) and i have had maybe one or two this whole pregnancy. Its made it a lot easier to focus on just getting her here safely. I can say that dizzy spells or moments when i feel faint give me a lot of anxiety so i have to learn to breath through those.
1) Reason for being classified high risk
Age, weight, and previous surgeries (abdominal myomecmtomy)
2) Current appointments/care plan
After my next appointment on 2/26 -- I will see my OB weekly for monitoring and ultra sounds-- I'm actually happy about this because my appointments have been pretty similar to those not high risk and I love the US pictures.
3) Questions/concern
none, so far. I just hope I carry till week 37 or 38. The doctors think because of all my previous surgeries that my uterus may rupture if I go into labor so I have a scheduled c-section around 4/16 -- give or take.
4) Birth plan? Do you have a delivery date set up?
No birth plan yet -- but we are working on one. Due Date 4/16
5) Are you doing OK with the changes? Taking care of your mental health?
I am -- since I had to have IVF -- my mental health was so challenged in the beginning of this journey that now it seems like I'm smooth sailing
1) Reason for being classified high risk
Mono-di (identical) twins.
2) Current appointments/care plan
Every two weeks with fetal medicine unit
3) Questions/concern
Babies may have type 1 SIUGR, but baby A seems to have caught up in size, although a discrepancy still exists... I am concerned that I am not going to the hospital for appointments more often, but I guess it's a good thing because everything looks good.
4) Birth plan? Do you have a delivery date set up?
FMU docs reluctant to make any promises... because baby a is head down vaginal delivery seems possible, but will depend on many other factors!
5) Are you doing OK with the changes? Taking care of your mental health?
This whole pregnancy has been a roller coaster of potential issues with the twins - so doesnt feel like changes - things seem to be changing all the time! I have embraced it - babies are doing well and am staying calm until they tell me something actually concerning rather than just what the risks are.
1) Reason for being classified high risk My water broke (pPROM) at 11w2d, then the sudden lack of volume caused the membranes of the amniotic sac to tear away from each other and from the placenta (which is on top like an umbrella), and I had gushing bleeds over the next few weeks. I am at risk of having another PROM and the reduced amniotic fluid put baby at high risk for delayed lung development.
2) Current appointments/care plan I currently live in South Africa, so advanced care is hard to find. I am SO privileged to have access to hospitals and specialists, even if it's less care than I would have in the US or EU. I saw a fetal specialist after my pPROM and again for an advanced anatomy scan/determination of viability at 20 weeks. Unfortunately I won't see her again unless something else goes wrong, but my OB is still in contact with her regarding my care. I am currently seeing him every 3 weeks for a check up and US, although I have his private cell phone number and am supposed to call for anything abnormal.
3) Questions/concerns As of TODAY I am exactly 30 weeks, which was the specialist's estimate for viability/life without major handicap if I were to deliver. I see my OB next week. Now that I can deliver in a normal hospital I have a bunch of questions about the plan for the rest of pregnancy and the birth.
4) Birth plan? Do you have a delivery date set up? I honestly hadn't really thought too much about a normal birth plan until now. If baby is pre-term it will be a CS and NICU stay. The OB did mention last time that I may have to deliver by 38 weeks, but when I asked how that would affect lung development he admitted that he needed to talk to the specialist again to determine the optimal date. Really anxious to find out what they say!
5) Are you doing OK with the changes? Taking care of your mental health? I am stressed beyond belief but SO much better than I was in second tri. I'm trying to focus on finishing everything on my to-do list and just getting through each week.
DS#2 due 25 April 2019
1) Reason for being classified high risk. Asthma, family history of a neural tube disorder, and now fetal macrosomia - which as my MFM put it, means LO isn't so little. At 30w, 3d he was measuring in the 95 percentile in weight for his fetal age, so my doctors have started classifying me as high-risk because of all those factors.
2) Current appointments/care plan. I had a 30 week growth scan, with the original plan being a 6 week follow up with my MFM office. My MFM has said that while I don't have GD, she still would like me to watch my carbs and sugar intakes because I may be slightly insulin resistant (I failed the 1 hour glucose test) and take more walks to see if that helps to stall his weight gains slightly to keep him under 9lbs at birth. My regular check-in with my OB's office this week led to them changing the plan to two additional scans (one at 34 weeks and one at 38 weeks) so that we can get an idea of how rapidly he's growing and give us a better idea of whether we need to consider a c-section (which they won't consider until they see what the 38 week scan looks like).
3) Questions/concerns. It took me awhile to get to the bottom of this whole thing because my OB's office has it in my charts that I'm high-risk with no details. I had to also consult my MFM charts (my MFM writes letters to my OB that are included in my online chart and after a lot of Googling the medical terms, I finally had my answers). I was also able to talk with the midwife at my OB practice to get some clarification on some things in my chart that I didn't feel were explained well. I'm working on keeping track of questions to ask my OB at my next check-up and am going to try to come up with questions for my MFM too, that way I can walk out without so many worries.
4) Birth plan? Do you have a delivery date set up? We are currently waiting and seeing. My OB said we're not in a place yet where we need to be talking about a c-section because LO could even out weight-wise or we may be able to help improve on his weight gains with diet changes and more walking. No mention of inducing early, although my MFM noted that an early induction doesn't really help to ease symptoms because his size could lead to a longer and harder labor for me that could end up resulting in a c-section anyways. We're waiting on his final two scans to determine a plan. He's currently due on 4/13.
5) Are you doing OK with the changes? Taking care of your mental health? I have been extremely overwhelmed for the last week or so since I met with my MFM and that feeling probably increased after my OB appointment this week. I have to make an appointment with my therapist to walk through the anxiety because it doesn't benefit me or LO. I was really struggling to wrap my head around the possibility of having a c-section (I really just hadn't thought about it prior to the last week or so), but as my mom said to me "the most important thing is to get him out in the safest way for both of you". And my OB keeps assuring me that we are not in a place yet where I need to think about a c-section. They want me to try and enjoy the end of my pregnancy rather than stress about it (which is much easier said than done).
Edited to fix a spelling error that was driving me crazy once I noticed it.
1) Reason for being classified high risk
My weight and the fact that baby is measuring small. She's in the 17th percentile and her head is measuring small.
2) Current appointments/care plan
I have weekly ultrasounds and maybe weekly NSTs. I go for my first NST next Wed.
3) Questions/concern
Should I be worried? The doctor doesn't seem overly concerned but then he keeps adding test and appts and its freaking me out.
4) Birth plan? Do you have a delivery date set up?
So far he says hes probably taking her a week early. Thats in 7 weeks.
5) Are you doing OK with the changes? Taking care of your mental health?
Im honestly just overwhelmed. I have pretty bad anxiety anyway and the hormones have me a mess now add in this new stress and I'm constantly close to tears.
prevously helloblueeyes
Me:32 DH:33 Married:04/2012 DD:07/2014
BFP 8/14/2018 #2 due 4/18/2019
She also said that I’m doing really well and since my GD numbers are so well controlled that my next appointment is at 36 weeks and we’ll start the NSTs/bpps then unless something pops up beforehand.
It’s odd since with DD I think they had me in every 2 weeks at this point and bi-weekly NSTs starting at 32 weeks.
Baby seems to be doing well and I’m taking them saying everything is going really well and that I don’t need super extra monitoring as a good sign.
She also is reluctant to give me straight up anxiety meds at this point, partly because I’m so close to the end and as of right now the risk doesn’t justify the means without trying other things first. So I have a phone appointment with a counselor who specializes in antenatal anxiety/depression and some otc/exercises/natural remedies to try to help out in the meantime. And I’m okay with that plan.
prevously helloblueeyes
Me:32 DH:33 Married:04/2012 DD:07/2014
BFP 8/14/2018 #2 due 4/18/2019
I was told today I need to start coming in to a third weekly appointment now - NSTs every Thursday or Friday. I truly appreciate how much thought and consideration they’re putting in to the care of my boys but holy shit am I just burnt out.
they are better at ultrasounds now, but I’m sure you will find a safe way to deliver.
we had measurements via ultrasound on saturday and results results came back with 44% which is well within acceptable and not uterine growth restricted. So as long as my BP stays low and the asthma stays under control my high risk is highly managed.
@thatbaintforbetty happy to hear that your GD numbers look good! Also glad that you have a plan you’re okay with regarding anxiety. My therapist has already started talking to me about my first post-birth visit.
@blueberrymomma I told DH about your SIL’s sister and he was a little freaked out and he’s a little over dramatic so that was at least entertaining for me. But I also second @mrstmoose and @thatbaintforbetty’s reactions when I first read your comment lol.
@MRDCle three appointments a week? Glad they're keeping on top of things so well but I'm sure you're exhausted.
@kbirchtree happy your u/s had good news too! Do you normally have pretty bad asthma? DH has it really bad and it's terrifying seeing him have an asthma attack (which luckily I've only seen twice). He never complains about anything but can sure tell when it's bothering him in the spring and fall with all the dust and pollen. FX yours stays under control!
Just got back from my OB apt- got there and found out she's on holidays which actually worked out really well cause the fill in OB was awesome. She sent us for another NST and more bloodwork and said I will be induced between March 15 and April 1 as long as things keep going ok. So anywhere between 34 and 36 weeks. Just waiting to hear more at fetal assessment tomorrow.
But it tends to translate as me feeling thirsty for oxygen more than anything. Anyway, now we know so I will be upping my dose before due date (hoping he doesn’t come early) and have my inhaler there and ready... or have them have one for me if we have time, and hopefully I won’t have an issue this time. Unmanaged asthma ups the risk for both PreE and UTGR which I have a wonky hormonal imbalance this time also making me at risk, so double! But everything is going well, except sleeping.
1) Reason for being classified high risk
Abnormal AFP, fetal hydronephrosis
2) Current appointments/care plan
Monthly level II ultrasounds, NSTs twice a week
3) Questions/concern
None really, just trying to take it easy
4) Birth plan? Do you have a delivery date set up?
Nope. There a good chance I will be induced slightly early because DD was born with shoulder dystocia due to fetal macrosomia but he didn't want to talk about it at the last appt. I've since had an ultrasound showing this baby is measuring big so maybe he will discuss it on Tues
5) Are you doing OK with the changes? Taking care of your mental health?
I feel like this pregnancy is so different and I have no idea what to expect which aggravates my anxiety.
plan: bonus ultrasound
DS#2 due 25 April 2019