OB appt today. Dr. was running late - what is new, but he was there (shocking!). I had to remind the staff at the front that I needed an NST (something that can be done without obgyn there). They didn't have me scheduled for one- as usual. I guess everytime I check in now, I need to remind them. They were supposed to start my NSTs a few weeks before they did. Very annoying! I just wish I had told them sooner instead of waiting 30 minutes then saying something and wondering why I hadn't been brought back yet.
He came in while I was doing my NST and said it was textbook and everything seemed great. He asked me about my GD and I told him I monitor myself once a week per peri's orders. I told him my range and he said 'then why did you fail your GD test?' I told him because I was eating fruit for bkfst, etc. And I will go over if I eat a lot of carbs...
I always tell my DH that I'm a wannabe dr, so I asked the dr when he finally came into see me and measure me 'did the NST show that I was having a contraction at the end?' He said 'yeah, why? did you feel it'. I said 'not really, but I noticed the NST changed and I might have had a contrx because I had to go to the bathroom'. I just noticed the lines went weird at the end.
Interesting news:
Cervix is soft.
Dr. didn't want to check dilation because he didn't want to disturb things, but he said maybe fingertip dilated if anything. Cerclage is holding the cervix closed from dilating and he said if I was dilated more I would be bleeding (as I tear the cervix).
He said the baby's head is VERY LOW and in my pelvis (although I haven't felt the baby drop). My mom even told me on Saturday that I was still carrying the baby high.
OB said he thinks I am 80% effaced (!!!!!!) I think it kinda shocked him. He said 'well I thought I was going to come in here and think that you didn't really need the cerclage, but I think you needed it now. I can feel the stitch and your cervix is flat. Your cervix has changed'. I said 'well I have been doing more in the past 2 weeks.' He said 'that wouldn't affect it'. For those who don't always read my blog, my drs have never put me on bedrest but I put myself on bedrest and I'm 100% sure it has helped (DH is convinced too). My drs don't believe in bedrest.
I then asked him if I was 100% effaced (no cervix left) and he said 'no maybe 80%'. He then said 'don't be surprised if you dilate immediately to 3cm when they take your cerclage out next week'. DH asked if I will have the baby sooner and he said maybe not. I told him 'What if I have the baby in the next two weeks - you are on vacation?' He said 'well, you need to wait until I come back'. He still thinks I will not go into labor immediately. He said 'being effaced just means that labor will be shorter'. Hmmm....
On another note, I have been doing SO much this week. I spent part of yesterday and today cooking and standing up - making meals to freeze. We did go see a daycare today too. I've spent most of the day standing up and plan to do the same tomorrow - maybe I need to take it easy. I had more discharge today - I hope I haven't been losing my mucus plug slowly - especially with the effacement news.
Next post will be what I did from 30-35 weeks.
Showing posts with label dr appt. Show all posts
Showing posts with label dr appt. Show all posts
Tuesday, December 23, 2008
Thursday, December 18, 2008
OBGyn appt 34w4d
Well I had my first NST on Tuesday and it came back good. I was worried because my dr. wasn't there - he was stuck in surgery and the girls there didn't provide much encouragement or knowledge. They setup a nurse practioner who came to talk to me and she didn't even measure my stomach - she was being lazy. Wasn't confident in her evaluation of my results... She didn't provide much info. Baby did kick a few times, but also was sleeping part of the time. They offered to give me juice to wake him up and I had to tell them 'i can't drink juice due to GD'. So they gave me cold water...
I was worried because the baby is very sleepy - probably like his mom - lazy.
The positive was that the NST showed absolutely no contractions.
I called today to see if my dr had reviewed my NST so I could get his opinion. They said 'yeah he looked at it and said baby was responsive'. Gee, thanks for calling me.
Oh, I asked about circumsicion and they said they had no idea if the ob did these - like I said the girls were really helpful.
I go in next week for another NST and almost weekly after that. (except one week when I get an u/s at the peri's office). My peri said I didn't need NSTs, but honestly I am glad my obgyn is doing them. I think it's important to see how the baby is reacting.
On a different note - how much should we trust drs? The reason I say this is because I talked to my friend who just had a h.ome b.irth. She was so brave to do this considering she was high risk and had t.wins (but one didn't make it past 18 wks). We have the same r.e. and same peri. Peri told her that she would want to d.eliver the live baby f.irst and the babies were positioned that way. Well, she delivered the other one first. She said she asked about cord and they told her at peri's office that it was not around the babies' neck. Well, when he was delivered the cord was w.rapped around 3 times. She said a few things our peri told her were not correct. I know medicine is not an exact science, but geez. I don't know much about the cord being around the neck, but she said it happens earlier when the baby moves around and they should be able to see that on the u/s. But not to discredit my peri - she also had a 4d u/s and they didn't notice that either.
I was worried because the baby is very sleepy - probably like his mom - lazy.
The positive was that the NST showed absolutely no contractions.
I called today to see if my dr had reviewed my NST so I could get his opinion. They said 'yeah he looked at it and said baby was responsive'. Gee, thanks for calling me.
Oh, I asked about circumsicion and they said they had no idea if the ob did these - like I said the girls were really helpful.
I go in next week for another NST and almost weekly after that. (except one week when I get an u/s at the peri's office). My peri said I didn't need NSTs, but honestly I am glad my obgyn is doing them. I think it's important to see how the baby is reacting.
On a different note - how much should we trust drs? The reason I say this is because I talked to my friend who just had a h.ome b.irth. She was so brave to do this considering she was high risk and had t.wins (but one didn't make it past 18 wks). We have the same r.e. and same peri. Peri told her that she would want to d.eliver the live baby f.irst and the babies were positioned that way. Well, she delivered the other one first. She said she asked about cord and they told her at peri's office that it was not around the babies' neck. Well, when he was delivered the cord was w.rapped around 3 times. She said a few things our peri told her were not correct. I know medicine is not an exact science, but geez. I don't know much about the cord being around the neck, but she said it happens earlier when the baby moves around and they should be able to see that on the u/s. But not to discredit my peri - she also had a 4d u/s and they didn't notice that either.
Tuesday, December 2, 2008
OBGYN appt - 32w4d
Dr measured me and I forgot to ask about fundal height. Ugh!
Baby's h/b was same almost as yesterday. They always have trouble finding it on one side and I tell them that it's easier on the oppposite side. Once I tell them that, they usually find it easily. Had to tell nurse that last time too.
Dr was so happy that I've made it this far. He was smiling and saying he was so glad I made it out of the 'red zone'. So last time, not sure if I posted when I was 28w5d or so and he said 'well you don't want to deliver now' when I asked him if I was out of the danger zone. So I guess he feels more comfortable now at my gestation. I told him 'maybe I'll go into labor when they take the stitch out' and he said 'not likely'. Boo, he agrees with my peri.
I'm guess I glad that I kept both my drs. as they know my history.
He says I'll get NSTs at his office at each visit from now on. I should have done one today instead of waiting 1 hr in the room for my dr to come. I think I'll be getting them because of GD. I told him peri won't do them. I think I mentioned yesterday how my peri says he doesn't like NSTs, prefers the u/s biophysical profile. He said obgyn could do them.
Dr. asked me if I felt uncomfortable - I told him yeah I was tired - but only because I had to sit there for an hr waiting for him. I left off the last part when telling him though. :)
Dr said if I was excited to deliver in the new location - I told him that the hospital website says they new women's section won't until spring next year. He told me that is not true and he has delivered babies there already. I'm excited as I thought he had it wrong when it he told me that months ago. I was counting on delivering at the same hospital but the old area for L&D. He opened the blinds to show me the new section of the hospital - it's across the street from his new office.
Baby's h/b was same almost as yesterday. They always have trouble finding it on one side and I tell them that it's easier on the oppposite side. Once I tell them that, they usually find it easily. Had to tell nurse that last time too.
Dr was so happy that I've made it this far. He was smiling and saying he was so glad I made it out of the 'red zone'. So last time, not sure if I posted when I was 28w5d or so and he said 'well you don't want to deliver now' when I asked him if I was out of the danger zone. So I guess he feels more comfortable now at my gestation. I told him 'maybe I'll go into labor when they take the stitch out' and he said 'not likely'. Boo, he agrees with my peri.
I'm guess I glad that I kept both my drs. as they know my history.
He says I'll get NSTs at his office at each visit from now on. I should have done one today instead of waiting 1 hr in the room for my dr to come. I think I'll be getting them because of GD. I told him peri won't do them. I think I mentioned yesterday how my peri says he doesn't like NSTs, prefers the u/s biophysical profile. He said obgyn could do them.
Dr. asked me if I felt uncomfortable - I told him yeah I was tired - but only because I had to sit there for an hr waiting for him. I left off the last part when telling him though. :)
Dr said if I was excited to deliver in the new location - I told him that the hospital website says they new women's section won't until spring next year. He told me that is not true and he has delivered babies there already. I'm excited as I thought he had it wrong when it he told me that months ago. I was counting on delivering at the same hospital but the old area for L&D. He opened the blinds to show me the new section of the hospital - it's across the street from his new office.
Monday, December 1, 2008
32w3d peri appt
Stats:
Baby is measuring 4lbs 9oz - 50th percentile
It had me measuring a week to a week and a half ahead. Who knows...
Heartbeat was 147bpm
Baby was smacking his lips.
Baby is still head down.
Amniotic level is perfect - always my concern since I've been leaking urine since 4 weeks pregnant. I told him I really wouldn't know if it was amniotic fluid except last time I felt a slight gush a few hrs before my water broke. My leaking urine never gushes like that.
Cervical length was 3.02cm - down from last time, but peri didn't even comment or look at it. It goes down around this time for normal pregnant women. In fact, most girls on the IC forum I frequent don't get measured after 26/28 wks. I've been walking more, doing more around the house and doing stairs daily. So I'm glad those haven't affected my CL too much...I bought a bunch of gift bags yesterday - went out to the dollar tree - but DH didn't want me to stand in line so I went to sit in the car. We also went out to eat lunch. So I don't plan to really wrap presents even though I probably could manage it.
Baby was measuring on target - all body parts, so they aren't concerned with my gestational diabetes. Peri said if baby was 90% percentile or something they would worry. He also said that based on my week long numbers that I'm really borderline if anything. My obgyn's office never gave them my 3hr results and I forgot yet again to bring them. They aren't good at talking to each other - I think that isn't good. I did have a rough estimate of my numbers and he said I wasn't past the 2nd threshold.
Peri was not too concerned, but then again I've never seen him stressed or concerned. :) Actually, I lied - the one time I did him concerned was at my cerclage placement right before they knocked me out. He saw my cervix was opening from the bottom and he looked slightly panicked. He has so much confidence and is so laid back that I'm not sure how he handles patients with problems. I don't want to find out.
So back to my gestational diabetes conversation with him... He said I don't have to do insulin and if I did, it would bring my normal levels TOO low. Yea for no drugs!
I did test my blood for more than 7 days as they suggested because of the holidays. So I tested for 12 days total. I went over twice - the day after thanksgiving (once) and yesterday (once). I was good on thanksgiving and didn't stuff my face and even cheated and ate a small piece of pumpkin pie & pecan pie. My levels on thanksgiving were great. Peri said just to stick to my diet and test only once a week (4 times in one day) and send them my results. He said he would throw out those two bad results since all my other ones were perfect.
Oh, I won't be doing stress tests, but I do get ultrasounds once a week starting at 36 weeks but really it will be more like almost 37w5d as I get cerclage out at my next appt - 36w5d and then he said once a week for a month. I like the extra ultrasounds as I didn't expect them. I've read online that some people get NST - he said the u/s are much better (biophysical profile). I told him I'll have the baby on dec. 31st when they take the stitch out. Peri said 'not likely, that's pretty rare'. :) He estimates I'll go into labor 2 weeks after stitch removal. Oh, I told him I wanted to keep the stitch and he said that's fine. :) I know I'm weird. I want to compare it to others as there are a wide range of which type people use. He said it looks like a shoe lace. I'm curious to see what it looks like.
Next peri appt is cerclage removal - I never thought I would make it this far!
I have a baby shower this weekend. I'm excited, but nervous as always that I could go into labor before then. For anyone who has been through a loss, the worry is always there.
Thanks for the support ladies! I know I don't have many people who read this blog, but I hope someone finds it useful. Monica, Ariella and Busted, I know you are pretty much my only readers. Thank you for being there!
Baby is measuring 4lbs 9oz - 50th percentile
It had me measuring a week to a week and a half ahead. Who knows...
Heartbeat was 147bpm
Baby was smacking his lips.
Baby is still head down.
Amniotic level is perfect - always my concern since I've been leaking urine since 4 weeks pregnant. I told him I really wouldn't know if it was amniotic fluid except last time I felt a slight gush a few hrs before my water broke. My leaking urine never gushes like that.
Cervical length was 3.02cm - down from last time, but peri didn't even comment or look at it. It goes down around this time for normal pregnant women. In fact, most girls on the IC forum I frequent don't get measured after 26/28 wks. I've been walking more, doing more around the house and doing stairs daily. So I'm glad those haven't affected my CL too much...I bought a bunch of gift bags yesterday - went out to the dollar tree - but DH didn't want me to stand in line so I went to sit in the car. We also went out to eat lunch. So I don't plan to really wrap presents even though I probably could manage it.
Baby was measuring on target - all body parts, so they aren't concerned with my gestational diabetes. Peri said if baby was 90% percentile or something they would worry. He also said that based on my week long numbers that I'm really borderline if anything. My obgyn's office never gave them my 3hr results and I forgot yet again to bring them. They aren't good at talking to each other - I think that isn't good. I did have a rough estimate of my numbers and he said I wasn't past the 2nd threshold.
Peri was not too concerned, but then again I've never seen him stressed or concerned. :) Actually, I lied - the one time I did him concerned was at my cerclage placement right before they knocked me out. He saw my cervix was opening from the bottom and he looked slightly panicked. He has so much confidence and is so laid back that I'm not sure how he handles patients with problems. I don't want to find out.
So back to my gestational diabetes conversation with him... He said I don't have to do insulin and if I did, it would bring my normal levels TOO low. Yea for no drugs!
I did test my blood for more than 7 days as they suggested because of the holidays. So I tested for 12 days total. I went over twice - the day after thanksgiving (once) and yesterday (once). I was good on thanksgiving and didn't stuff my face and even cheated and ate a small piece of pumpkin pie & pecan pie. My levels on thanksgiving were great. Peri said just to stick to my diet and test only once a week (4 times in one day) and send them my results. He said he would throw out those two bad results since all my other ones were perfect.
Oh, I won't be doing stress tests, but I do get ultrasounds once a week starting at 36 weeks but really it will be more like almost 37w5d as I get cerclage out at my next appt - 36w5d and then he said once a week for a month. I like the extra ultrasounds as I didn't expect them. I've read online that some people get NST - he said the u/s are much better (biophysical profile). I told him I'll have the baby on dec. 31st when they take the stitch out. Peri said 'not likely, that's pretty rare'. :) He estimates I'll go into labor 2 weeks after stitch removal. Oh, I told him I wanted to keep the stitch and he said that's fine. :) I know I'm weird. I want to compare it to others as there are a wide range of which type people use. He said it looks like a shoe lace. I'm curious to see what it looks like.
Next peri appt is cerclage removal - I never thought I would make it this far!
I have a baby shower this weekend. I'm excited, but nervous as always that I could go into labor before then. For anyone who has been through a loss, the worry is always there.
Thanks for the support ladies! I know I don't have many people who read this blog, but I hope someone finds it useful. Monica, Ariella and Busted, I know you are pretty much my only readers. Thank you for being there!
Wednesday, November 19, 2008
OB appt - 30w5d
My obgyn couldn't make it so I saw a nurse practioner (what is new).
She was a new one -or one I hadn't seen before and was pretty good.
Baby h/b was 145bpm
Belly measuring at 31 weeks - I always forget to ask them what the measurement was.
I haven't gained 1 pound in 2 weeks (!!). She said she wasn't concerned because of my diet changes. I'm supposed to be gaining 1/2 a pd a week.
Blood pressure is great. Urine is ok I think.
I told her I feel less movement and she just asked if I got 10 kicks a day - well yeah!!!!! But 1) I thought it was 10 kicks every 2 hrs and 2) I'm used to getting A LOT of kicks daily - 50-100 maybe. She said he may be running out of room or positioned differently.
I started walking daily to the mailbox. It's great because it hasn't given me BH contx and I haven't had discharge.
Oh, I only told my mom about having GD. She said that my sister had it with her last pregnancy (which was a boy and she was also 37 almost 38). My mom says 'everyone gets that'. Well maybe everyone in her family. :)
She was a new one -or one I hadn't seen before and was pretty good.
Baby h/b was 145bpm
Belly measuring at 31 weeks - I always forget to ask them what the measurement was.
I haven't gained 1 pound in 2 weeks (!!). She said she wasn't concerned because of my diet changes. I'm supposed to be gaining 1/2 a pd a week.
Blood pressure is great. Urine is ok I think.
I told her I feel less movement and she just asked if I got 10 kicks a day - well yeah!!!!! But 1) I thought it was 10 kicks every 2 hrs and 2) I'm used to getting A LOT of kicks daily - 50-100 maybe. She said he may be running out of room or positioned differently.
I started walking daily to the mailbox. It's great because it hasn't given me BH contx and I haven't had discharge.
Oh, I only told my mom about having GD. She said that my sister had it with her last pregnancy (which was a boy and she was also 37 almost 38). My mom says 'everyone gets that'. Well maybe everyone in her family. :)
Wednesday, November 5, 2008
28w5d Peri appt
Babies h/b was 153 bpm today.
I think he is measuring ahead, but I didn't write down what they calculated.
He is 2 lbs 15 oz. Yea!
His eyes were opening and closing and you could see that on u/s. DH thinks he looks like me and I think he looks like DH. His face is looking more recognizable. On a different note, we won't do the 3d u/s - we want to be surprised - although I know you can't exactly see what the babies look like on the 3d u/s.
He has no hair, but does have long eyelashes you could see on u/s.
Cervix is getting harder to see - but they measured it at 3.6cm. Of course, they do this on the abdomen, which isn't as accurate as TVU.
Bad news: I found out I failed my glucose test from yesterday - have to take the 3 hr test next week. I did eat right before my test, but instructions said that was ok.
They asked me if my baby was very active and I asked 'is it a bad thing if they move constantly'. There are times when he doesn't move though. But sometimes it scares me when he moves around too much. I think the election got him excited as he was kicking a lot last night and I might have had some bh contx. I guess he is an O.bama baby. I went to sleep before Obama's speech as I wanted to make sure the baby went to sleep.
I'm glad my cervical length is measuring good because I did go up the stairs on Friday and plan to go up again tomorrow maybe.
Forgot to mention you could see him practicing his breathing. U/s tech said 'he must be practicing for a marathon'. Funny she said that since both me and DH are runners.
He even covered his face when she started focusing on it.
I had them check yet again - 3rd time - if he was a boy (because friends and families keep asking me if I am sure.) LOL
Thanks for the support ladies!
I think he is measuring ahead, but I didn't write down what they calculated.
He is 2 lbs 15 oz. Yea!
His eyes were opening and closing and you could see that on u/s. DH thinks he looks like me and I think he looks like DH. His face is looking more recognizable. On a different note, we won't do the 3d u/s - we want to be surprised - although I know you can't exactly see what the babies look like on the 3d u/s.
He has no hair, but does have long eyelashes you could see on u/s.
Cervix is getting harder to see - but they measured it at 3.6cm. Of course, they do this on the abdomen, which isn't as accurate as TVU.
Bad news: I found out I failed my glucose test from yesterday - have to take the 3 hr test next week. I did eat right before my test, but instructions said that was ok.
They asked me if my baby was very active and I asked 'is it a bad thing if they move constantly'. There are times when he doesn't move though. But sometimes it scares me when he moves around too much. I think the election got him excited as he was kicking a lot last night and I might have had some bh contx. I guess he is an O.bama baby. I went to sleep before Obama's speech as I wanted to make sure the baby went to sleep.
I'm glad my cervical length is measuring good because I did go up the stairs on Friday and plan to go up again tomorrow maybe.
Forgot to mention you could see him practicing his breathing. U/s tech said 'he must be practicing for a marathon'. Funny she said that since both me and DH are runners.
He even covered his face when she started focusing on it.
I had them check yet again - 3rd time - if he was a boy (because friends and families keep asking me if I am sure.) LOL
Thanks for the support ladies!
Tuesday, November 4, 2008
Boring OB appt
Last time I went in - it was an emergency appt so I didn't see my dr.
Today, I took my gestational diabetes (GD) test before going into my appt. I don't know the results, but hope all is well.
I asked my dr a lot of questions - I forgot to bring a list of stuff so of course I forgot to ask him some stuff.
It took him awhile to find the h/b and I forgot to ask what it was. I just lied there with my eyes closed trying to listen to the h/b.
My obgyn thinks everything will be ok. He is very laid back. He has tattoos, crazy hair, and a soul p.atch. I have been seeing him for 15 years I guess. I trust him, but honestly he wasn't the best at getting me pg or even the expert on my issue. I strongly advise high risk girls to see a high risk obgyn or peri.
I asked him about my infections (BV and UTI) - he said urine looked great today (as I told my DH beforehand that it didn't look cloudy). I'm a wannabe dr. :)
He said those infections can't harm the baby and I was 'what if they get up into the uterus (as my last loss was due to an infection)'. He said 'well not those kind'.
He said he is glad I got the cerclage and maybe it is helping me, but maybe not. He said it is just a safetynet, but it could be the reason I have made it this far. Gee thanks. I told him 'well I don't know if you know but my cervix was opening from the bottom at 12w4d when I had the cerclage placed'. He said 'i didn't know that but that can happen in normal ppl and its worse if it is opening from the top.' I honestly think I would have lost another baby without the cerclage. He said 'but some women have issues with the cerclage like PTL or infection'.
I asked him about the baby's head being down -as it was down already at 24w3d and he said 'that's great - it should be doing that'.
I had diarrhea this weekend and he said it wasn't a sign of labor and it is fine.
I like boring appts. I'm at the point where I'll be seen every 2 weeks now. Tomorrow I see my high risk peri.
Oh, he asked if my peri had offered to do steroids. I said 'believe me I've asked him but he said no unless things start going badly'. He said 'well he is the expert, so I would go with what he says'.
Today, I took my gestational diabetes (GD) test before going into my appt. I don't know the results, but hope all is well.
I asked my dr a lot of questions - I forgot to bring a list of stuff so of course I forgot to ask him some stuff.
It took him awhile to find the h/b and I forgot to ask what it was. I just lied there with my eyes closed trying to listen to the h/b.
My obgyn thinks everything will be ok. He is very laid back. He has tattoos, crazy hair, and a soul p.atch. I have been seeing him for 15 years I guess. I trust him, but honestly he wasn't the best at getting me pg or even the expert on my issue. I strongly advise high risk girls to see a high risk obgyn or peri.
I asked him about my infections (BV and UTI) - he said urine looked great today (as I told my DH beforehand that it didn't look cloudy). I'm a wannabe dr. :)
He said those infections can't harm the baby and I was 'what if they get up into the uterus (as my last loss was due to an infection)'. He said 'well not those kind'.
He said he is glad I got the cerclage and maybe it is helping me, but maybe not. He said it is just a safetynet, but it could be the reason I have made it this far. Gee thanks. I told him 'well I don't know if you know but my cervix was opening from the bottom at 12w4d when I had the cerclage placed'. He said 'i didn't know that but that can happen in normal ppl and its worse if it is opening from the top.' I honestly think I would have lost another baby without the cerclage. He said 'but some women have issues with the cerclage like PTL or infection'.
I asked him about the baby's head being down -as it was down already at 24w3d and he said 'that's great - it should be doing that'.
I had diarrhea this weekend and he said it wasn't a sign of labor and it is fine.
I like boring appts. I'm at the point where I'll be seen every 2 weeks now. Tomorrow I see my high risk peri.
Oh, he asked if my peri had offered to do steroids. I said 'believe me I've asked him but he said no unless things start going badly'. He said 'well he is the expert, so I would go with what he says'.
Subscribe to:
Posts (Atom)
