May 2020 Moms

High Risk Check In November

For those of us going thru a high risk pregnancy; how are you doing emotionally and physically? Any special appointments looming? Any other thoughts or concerns. 

Re: High Risk Check In November

  • Hadn’t seen anything like this so I figured I would start. I’m high risk due to my two previous sons being born at 32w5d due to PROM and 32w0d due to placenta abruption. Have a new OB office this time and I’m very happy with them thus far. Our goal is 34 weeks. I will be happy with that. Should start progesterone around 20 weeks (did this with my last as well) My biggest concern outside of having a healthy viable baby is the amount of NICU time; especially since I don’t have much help in the way of care for my older two. 
  • Hi! I'm also high risk due to a partial abruption with my daughter. I delivered at 31w2d. They also found a microscopic amount of acreta when they tested my placenta, so they are watching me closely for that. I don't now how you have both acreta and an abruption, but I swear that's what they said! 

    I'm start progesterone at around 16 weeks, and baby aspirin next week. And at 16 weeks they'll start doing trans vag ultrasounds every 2 weeks. I feel like some of these dates might shift some based on what the specialist says. I have an appointment tomorrow, and my doc has been talking to the specialist in between appointments to try to get more answers, so I feel good about that. Depending on where the placenta attaches, they will decide if they'll let me attempt to go full term or not. 

    I am also concerned about NICU. How long were you in last time? We spent 30 days there... 

    Any tips about being on progesterone?
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  • @lfritos we were in 30 days with my first and 42 with my second (he could not get it together bless his heart)
    I honestly don’t remember feeling any side effects from the progesterone last time. Hoping for a full(ish) term pregnancy for you! 
  • @allywat Thanks! And that's good to know about the progesterone. Man 42 days... you are a champ!
  • Hi there. I am pregnant with twins, which automatically puts me in the high-risk category. My previous two pregnancies were very healthy, full-term (and beyond), so I am trying to remind myself of that to remain optimistic. I am worried about the higher risks associated with twin pregnancy, especially pre-term labour for the babies and pre-eclampsia/gestational diabetes for myself (though I have no prior history of either). Hoping things will go well. I am only 13 weeks along but feel like 20. 
  • I’ll be hanging out here due to a history of preterm labor and placenta previa. So far placenta seems to be nice and high, but it’s too early to say it will stay here. DS2 (placenta previa baby) was born at 36 weeks. DS1 was 38 weeks however I received a  steroid shot and a magnesium shot to stop labor at 28 weeks. Doctor is hopeful I’ll make it to 37 weeks, but you never know with two early babies and a history of complications. 

    We’ll know more after my anatomy scan about which way we’re leaning this pregnancy and I’ll likely go on bed rest late second trimester to help prevent preterm labor again. 
  • I’m here automatically as I’m pregnant with twins. As of right now at 13 weeks babies are growing evenly as they should. They talked last week about watching them closely and potentially splitting the placenta in half surgically if needed. I’m 100% hoping to avoid that! 
    I’ve been told by lots of people not to expect to go past 36 weeks, but have been hearing lots of stories of twins making it to their due dates too, so I’ve got my fingers crossed!
  • I’m high risk because my son was born with HLHS, a rare congenital heart defect. He was born February 14 this year and passed away 3 days later. We chose palliative care vs surgical intervention for many reasons. We should have been diagnosed at our anatomy scan, but unfortunately it was missed and we didn’t get the diagnosis until 32 weeks. We were past the point of legal termination in our state so I had to continue the pregnancy to term. This specific defect has a 5% recurrence rate, needless to say I am terrified. We have our first MFM appointment on 11/21 where we should get an idea if we are having a recurrence, followed by an echo on 12/2 which should tell us definitively one way or the other. Either way, this is absolutely my last pregnancy. I’ve got a healthy 4.5 year old daughter, so we are just white knuckling it until next Thursday. 
  • @ieles2531 Wow! I'm so sorry you went through that, it sounds devastating! I know what you mean about white knuckling it. That is a great way to refer to how I feel too. 
  • @ieles2531 so sorry for your loss. Praying for no reoccurrence with this pregnancy. 
  • So I just had a discussion with my ob about the new studies coming out about progesterone. So what was a for sure thing now I have to decide whether or not to do them. Curious if others are having the same convos and what they are thinking. ://www.npr.org/sections/health-shots/2019/11/04/776172053/controversy-kicks-up-over-a-drug-meant-to-prevent-preterm-birth
  • @allywat I'm scheduled to have the same conversation at my next appointment.
      I'm high risk, but not as severe.  I had early contractions with both kids, but they never resulted in cervical change.  My first was born at 38 weeks and the 2nd just a few days shy of 37 weeks.  My OB has recommended the shots, but MFM says no, due to that specific study and the fact that I was nearly full term with my youngest.  I'll be getting scans to check cervix length starting next week.  I feel like the shot is not needed in my case, and somewhat risky due to my history of depression, but if I ended up having a true preterm baby I know I'd never forgive myself for foregoing the progesterone.  Hoping my convo with the OB next week will give me peace of mind one way or the other. 
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  • @allywat Thank you for sharing this, I hadn't seen it. I'm planning on starting the progesterone in a couple weeks, but I'm definitely asking about this now. I'll probably still do it. I don't want to risk anything.  
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