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Archive for contractions

Irritable

By Goddess in Progress · Comments (11)·   January 11th, 2011

The contractions started last night around 7:00.

I had gone to the grocery store and it wiped me out, so I laid down for a nap while M fed the kids and got them ready for bed.

They were painless. I remember what the contractions felt like when I went into labor, and these weren’t them.  These are the subtle kind. A tightening you might attribute to something else. The feeling like your stomach is dropping as when you drive over the crest of some rolling hills.  I’ve had them off and on for weeks, now. No big deal.

Except, there’s another one. And another one.

Better go drink some water.  Two quarts in an hour.  Tightening still subtle, but still there.  Watched the clock. Three minutes apart.  OK, fine, I’ll call the OB.  Contractions at 31 weeks? Don’t mess around. Get your pregnant ass to Labor & Delivery.

Off I go, 9:30 at night, by myself since they frown on leaving two sleeping preschoolers at home alone.  Hooked up to the monitors, baby girl is hard to track because she’s having a raging party in my belly. She looks great, happy as a clam.  Contractions are showing up on the monitor, not big, but 2-3 minutes apart.  If I’m distracted and talking to the nurse, I hardly notice them, but there they are.

Pee in a cup, swabs, internal exams (dammit). Shift change, waiting for labs to come back.  Group B strep and fFN negative. No UTI. Cervix of steel is in full effect, no changes. Doc is delivering a baby or two, wants me to stay on the monitors for a while longer. Baby is hard to keep on the monitor since she keeps moving around (so much space in there!), so I’m stuck in an odd position, trying to hold on to her tracing.  Uncomfortable bed, warm room. Back is killing me. 2:00 in the morning, tired and want to go home.  Finally, doc comes back. Another exam, all is well.  I can leave.

Diagnosis: Irritable Uterus.

Treatment: None. Stay hydrated. Take it easy. Tell us if they turn into real contractions.  Most likely course of action? Suck it up, see you in March.

Oh, I’m irritable, alright.

Comments (11)
Categories : Hospital, Pregnancy
Tags : braxton-hicks, contractions, irritable uterus, preterm labor

Birth Story, Part 1: Labor & Delivery

By Goddess in Progress · Comments (4)·   August 8th, 2007

Despite having a c-section scheduled for 36 weeks, 6 days, the babies decided to arrive a bit early. I won’t lie, after last week, I didn’t mind too much.

On Thursday, I was having some intermittent lower back pain. I knew they were likely contractions, but they were sparse and not terribly painful, so I chalked it up to one more discomfort. Around 10pm, that all changed. I was in bed, and was suddenly hit with a painful contraction that started in my back and wrapped its way around my belly like a really bad period cramp. It lasted a good minute. And then about 7 minutes later, it happened again.

I told my husband to get the stopwatch, and we started timing. They were very regular, coming about every 6 minutes. The worst part was that they seemed to be lasting about 2-3 minutes, peaking a couple of times. It was quickly becoming not at all fun. To add insult to injury, for whatever reason, I found I needed to pee really badly about every other contraction. So not only was I in quite a lot of pain from the contractions, but then I had to deal with the additional pain of rolling out of bed and hobbling to the bathroom.

Anyways, after three hours of timing the contractions, we decided they were not going away and made the call to the OB. At 2AM, we arrived at the hospital.

Because they knew I’d be a c-section if I delivered, they apparently decided I didn’t deserve one of the rooms with the nice beds. No, they basically put me on a stretcher. There’s nothing quite so lovely as having (what I presume to have been) back labor while on a flat, hard, not-adjustable stretcher. Once hooked up to the monitors, my contractions slowed for a while, so they were not entirely convinced I was really in labor. Great. But they checked my cervix, and I was indeed dilated to 3cm. So they hooked me up to an IV (which took three tries, of course) and gave me fluids. The contractions came back, but weren’t really registering on the monitor. They started saying how they wouldn’t just deliver a 36-weeker because I was “uncomfortable,” and it was all I could do not to cry. But they did pick up again, and upon another check, I had progressed to 4-5cm. Delivery would, indeed, be today.

The nurses prepped me, the neonatologist and anesthesiologist talked to me about what to expect, and my husband was given his set of papery blue scrubs. Around 5:30AM, I was wheeled down to the operating room. Somehow, I didn’t really feel all that nervous. For once in my life, I was kind of just living in the moment, not really thinking much about what would come next. Maybe the pain was distracting me from my usual distractions, I don’t know. Excited as I was, I didn’t freak out.

Getting the spinal was a little strange. The shot of lidocaine to numb my back hurt more than the “actual” spinal. As soon as he gave me the anesthesia, I was to lie down as quickly as possible. Suddenly my lower body started to tingle. The strange part was that I was still quite aware of people touching and prepping my belly, but no pain. Husband came in a minute or two later, and things were underway. There was plenty of tugging and pressure, as they tell you, and I did feel a little bit of pain very low in my pelvic bone. But the anesthesiologist didn’t want to give me any more meds until the babies were out, so they wouldn’t get any of it, so I just stuck it out. It wasn’t bad.

The next thing I knew, I heard them say “head is out,” and then “I need a time of birth for Baby A!” The anesthesiologist responded, “6:03.” A gurgly, underwater-sounding cry came from somewhere on the other side of the sheet at my chest. Very shortly thereafter, another gurgly cry and a “time of birth for Baby B, please.”
“6:03″
“No, that was baby A. I need a time for baby B.”
“Still 6:03.”
That’s how fast Rebecca came out after her brother.

Immediately after they were out, the anesthesiologist gave me an extra dose of “happy juice,” and according to my husband, I started snoring. I think I was only out for a few minutes, and when I woke back up, he was able to give me reports on condition and weights. Daniel was 6lb 2oz, and Rebecca was 4lb8oz. Daniel was working a little bit hard to breathe, so they took him off to the special care nursery. Rebecca was breathing better, so she got a little cuddle time with her dad, and was wheeled back with me on the stretcher to the recovery room.

C-section was fast and relatively painless, and before I knew it, we were back in the room I had so hated a few hours earlier. I sleepily looked to the other side of the room and saw my husband in a chair, gazing adoringly at our new daughter. Not such a bad room, after all.

More later on the days that followed. For now, some pictures.

Skinny Ms. Rebecca was first to get on the scale.

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Daniel looks downright pudgy by comparison.

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Happy daddy in the operating room.

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Comments (4)
Categories : Hospital, Newborns, Pregnancy
Tags : c-section, contractions, discomfort, preterm labor

I wasn’t all wrong

By Goddess in Progress · Comments (4)·   July 31st, 2007

Still pregnant!

But I wasn’t totally off the mark, as yesterday was a rather new and different day.

I called my OB’s office to report the new pressure I was having, mostly to ask if I should do anything or ask for anything special while I was already going to be at the hospital. My doctor wasn’t in, but my favorite doctor (ha!) from a few weeks ago called back and said I should come by the office after the NST for an exam, presumably to see if my cervix was dilating. Sounds like fun!

Off to the hospital. The BPP ultrasound went just fine, both babies dutifully practicing their breathing motions, still plenty of fluid, all of that good stuff. The non-stress test started rough, though. For some reason, little miss really likes to sleep during those, so it’s been taking a while to get her to be “reactive.” We keep ending up needing to zap her with the little buzzer or poke her to get the heartrate variation we want. Once we finally had the results we wanted, the nurse was almost ready to let me go when she realized she had never taken my blood pressure. And then it got interesting. I never heard the actual reading, but it was apparently high enough that they decided to keep me a bit longer for monitoring, especially since it was taken after an hour of me lying down. The on-call doctor ordered blood tests to see if I was developing preeclampsia. Basically, if the bloodwork didn’t come back with good results, it was going to be birthday time. Yikes! Thankfully, it all came back just fine, kidney and liver function were good. Four hours after the start of the NST, they sent me home. I had missed the opportunity to go in and get checked at the OB’s office, so I was instructed to call her in the morning.

Of course, as soon as I left, the back pain I had been experiencing in the uncomfortable hospital bed turned into pressure, and soon I was having regular cramping. By 7:30, it would start as a low back pain that wrapped around my lower belly like a really bad menstrual cramp. Hubby and I started timing them, and they were about 9-10 minutes apart, with sometimes a lesser aftershock at 4-5 minutes. I remembered my OB saying I should call anytime I had anything regular and painful, so call I did. The on-call doctor sent me back to L&D, so at nearly 11pm, off we went. The cramps indeed showed up as contractions on the monitor (it’s not all in my head), and babies were good and active, not distressed at all by these new developments. They were still relatively far apart and somewhat irregular, though. And when the nurse did my very first internal exam (short fingers! OW!!), we discovered I was not even a little bit dilated. The contractions, fun though they were, were not making changes in my cervix. So at about 1:00am, back home we went. I had been worried about a “false alarm,” but the nurse reassured me that I had done the right thing to call and come in, and not to worry about it.

Unfortunately, the contractions stuck around all night, ranging between 4 and 20 minutes apart. And these were not the painless braxton hicks I’ve had for the last many weeks. These hurt, enough that I had to really concentrate on breathing through them and not tensing up the rest of my body. Needless to say, it was an awful night’s sleep.

I talked to my OB this morning. I’d be lying if I said there wasn’t a big part of me that sort of hoped she’d tell me to head in and just deliver today. But as the contractions were still irregular and not close together, she wanted me to stick it out and wait at least for tomorrow’s growth check at the peri’s office. Much as I’d love to be done, the babies are still officially premature at this point, so we need a better reason than discomfort to justify delivering them. She was kind enough to say that she half hoped that tomorrow’s ultrasound would show slowed growth so I could get it over with, but in the meantime, the plan is to just kind of suck it up. (No, she obviously doesn’t want my babies to not grow well! She just understands how “done” I am…)

After a few more contractions this morning, they more or less petered out by about 11am. I’m still having some low back pain, but it’s definitely not the contractions I was having earlier. I’m resting and drinking my water like a good girl, and hopefully will get in a good nap to try to make up for last night.

Tomorrow at 11 is the big (final!) growth ultrasound, so we’ll see how it looks. If either of them has slowed down or stopped growing, it may very well be delivery time. If not, well, I get to keep on hanging out until I either go into labor on my own (which is feeling more likely!) or make it to August 9.

Things are getting interesting around here!

Comments (4)
Categories : Hospital, Pregnancy, Ultrasounds
Tags : blood draw, blood pressure, contractions, nonreactive, NST/BPP, preterm labor

Floating away

By Goddess in Progress · Comments (1)·   July 15th, 2007

I’ve long been a water nut. Not always, but especially once I started Weight Watchers many years ago (and stopped, and started again, but that’s another post) and saw the miracle of lost water weight, I was a convert. Water seems to be the cure for whatever ails ye. I noticed how much better I felt when I got my two quarts per day. Headaches fade away, rings fit better. The sun would shine and birds would chirp. I began to notice the alternate differences, too. If I had less water, suddenly I felt sluggish, and had to coax my wedding ring on and off my finger.

I knew pregnancy would throw things off just a little, but I figured if I just upped my intake a bit, I could keep on top of things. Sure, my rings stopped fitting around 12 weeks, but they were already snug due to extra weight I had put on pre-pregnancy, so that was to be expected. I kept drinking my 2-3 quarts per day, and all seemed well.

And then it got warm. My feet started to swell somewhat alarmingly, though a good night’s sleep and upping my minimum water intake to 3 quarts seemed to help. The last couple of weeks, even that hasn’t been enough. The best I can get out of my feet at the moment is “only slightly puffy.” And I used to have pretty nice feet! Alas, now they range from pillowy to sausage-like. Charming. But my seemingly good water intake has no noticeable effect. I mean, I suppose it might be keeping the worst of it at bay, but it certainly doesn’t bring things back to normal.

Last night was yet another wake-up call on hydration. Around 6:30pm, just sitting around watching TV, I noticed a contraction. Not painful, not particularly different from the occasional ones I’ve had for several weeks now. But then it happened again. I checked the time. I got probably six in about 45 minutes. As instructed, I dutifully contacted the on-call doctor. She asked how much water I’d had that day (2.5 quarts so far, thank you), and if I’d been particularly active (not in the least). As to be expected, I was instructed to lie down and drink as much water as I could. She also made sure to remind me to empty my bladder often. Since the great irony is that two causes for contractions are dehydration and a full bladder.

I was mildly skeptical, since after already consuming nearly 3 quarts of water, I couldn’t possibly be dehydrated. But she said that, if I came in, the first thing they’d do was hook me up to IV fluids. And since I’m really not a fan of unnecessary needles in my arm, I figured I’d follow orders at home. If the contractions didn’t peter out in an hour and a half, I was to call back.

Sure enough, one hour, half a gallon of water, and about nine trips to the bathroom later, the contractions had faded.

This was a wake-up call on several levels. For one, I was suddenly faced with the reality that things can change awfully quickly. Though I doubt I would have delivered the babies last night, there was suddenly a very real possibility of being placed on restrictions or drugs to postpone labor. Of course, that possibility had always been out there, but it suddenly felt real. It also alerted me to just how much water I should be drinking. It seems incredible. I can hardly keep up, just one refill of the Nalgene after another. And I thought I was peeing a lot before…

But hey, whatever it takes, right? Anything to keep these babies on the inside just a few more weeks. Even if it means I spend 1/3 of the day drinking water and another 1/3 on the toilet. If you see my eyes floating in their sockets, you’ll know I’m doing well.

Time for another refill.

Comments (1)
Categories : Pregnancy, Weird things no one tells you
Tags : contractions, hydration, pregnancy symptoms, preterm labor

Day at the hospital, 29w5d

By Goddess in Progress · Comments (2)·   June 21st, 2007

Yesterday afternoon was my usual ultrasound with the perinatologist. My mom was in town, so she got to come with us. She’d never had an ultrasound with me or my brother, so it was neat for her to be able to see everything.

Both babies look good, moving a lot, plenty of fluid, all of that good stuff. And for the first time, they are both head-down (I thought my belly looked different…). Baby girl put on another 7 oz to measure 2lb8oz, still hanging out around the 28th percentile. Her brother, on the other hand, put on 15 oz, up now to a whopping 3lb9oz. So not only is there a full pound difference between them, but he has shoved her out of her “baby A” position. She is now relegated to Baby B status.

Given her continued peanut-ness, my perinatologist decided to err on the side of caution and start my weekly non-stress tests now. So after leaving briefly to get some lunch, I headed back into Labor & Delivery to be hooked up to monitors for an hour. Both babies were tracking just perfectly. They were very active for a large portion of the time (probably helps that I’d just eaten a very carb-heavy lunch), and their heartrates were very good. Interestingly, though, I was having somewhat frequent contractions! It was not a new sensation, but one that I hadn’t been entirely sure was a contraction. Well, now I know. The nurse, a very nice Irish woman named Mary, had me drink some extra water and they spaced out a bit further. And since I’d just had my cervix checked and it was still a good 4cm, they decided it was not an issue of major concern. She just advised me to continue taking it easy, and pretty much to drink as much water as I could manage. (Yes, lie on my left side and drink lots of water.)

So, I now have an ultrasound, followed by a non-stress test, every week from now until August 15 (the peri pretty much promised I wouldn’t go past then, thankfully). That’s at least two hours in the hospital, and that’s if nothing goes wrong in between appointments. Oh, and that’s not including my usual OB appointments. We’ll see how long I manage to keep working…

It’s hard not to worry about my little girl, and how very little she is. But she technically isn’t “growth-restricted,” since that’s a designation for being under the 10th percentile, and she keeps plugging along and growing, which is good. I’m just a little worried that her enormous brother is going to take up all of the space and cause problems for her. But for now, she’s showing no signs of distress, and though her movements are frequently more subtle than her brother’s, she’s still kicking away.

We’ll see what next week brings.

Comments (2)
Categories : Hospital, Pregnancy, Ultrasounds
Tags : contractions, discordant growth, hydration, NST/BPP, perinatologist
   

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