10.11.09

Not Really What I Wanted to Hear

So. I haven't talked much about my own wrestling with the birth process and things because, well this was an infertility blog and there's only so much you probably want to hear about my internal wrestlings over epidurals or no....but I will say that after quite a bit of reading, your advice to investigate doulas, a very affirming birthing intensive class at a local yoga studio -- I have felt a sense of calm about the birth process -- knowing what I preferred going into it, trusting my body to be healthy and not betray me (as I'd felt for so long struggling with infertility which had nearly crushed my own belief in my body) -- so, in sum, I was at peace -- dare I say even.. excited.

And then this morning I had my 37 week OB appt. where I learned two things:


1. I am group b strep positive -- thus -- no laboring at home if water were to break -- directly to IV antibiotics without passing go. I understand why but I am still sort of bummed out about it.

2. They detected a slightly elevated protein level (+1 according to my clinics rating system) -- and a slightly elevated blood pressure -- though it was lower on the second try. I did notice that when I took my BP at home my diastolic pressure was in the 85 - 90 whereas in previous testings it was 65-70. If my protein remains elevated or were to go higher -- as with the BP -- and of course any other symptoms -- then I will be induced -- though it was unclear as to when that might happen.

They want me to keep an eye on other symptoms -- which of course has me evaluating every tinge --(did that abdominal cramp the other night signal something foreboding...)

Suddenly I am back on the medicalized bandwagon.

When the OB told me I actually said "shucks" -- I wanted to say 'fuuuuuuuck' -- but I was trying to be ladylike. "Darn." So Minnesotan of me.

So, any words of wisdom always welcome.


20 comments:

Rachel said...

You are so calm. I think I flipped when I got the call about being Group Strep B positive. I know every labor is different, but it really didn't make a big difference in mine. I had to go to the hospital earlier (although in retrospect I'm glad I did because I had no idea how far along I was), I had to get an IV put in, but other than that not such a big deal. Definitely did not disrupt the birth I wanted.

It's good to know that they're following your protein and bp - and here's to hoping they stay much the same for another couple of weeks.

Wordgirl said...

I seem calm but my poor brain is racing around in circles -- my mind is chattering again and my hard won calm surrounding this birth is suddenly shattered.

OOf.

Trying to relinquish control...trying... thanks for sharing your story -- it helps.

XO

Mommy Shoes said...

Honestly, the best thing you can do is not get wrapped up in what you think this birth might be like or what you want. Just focus on getting a healthy little baby out of this with a healthy mommy and try to just go along for the ride on how she gets here. I think too may women get wrapped up in what they want birth to be like and get disappointed because you just can't predict.

deanna said...

Just stopping by to let you know I'm thinking of you. You're almost there!!! Ah! I can hardly wait!

Sucks about the group b strep. My SIL had that, too, and that only issue that came of it was an incident of breastfeeding thrush a few weeks after the baby was born. (That cleared up quickly with meds, so no big deal.) Otherwise, she had no other complications, so here's wishing you lots of "no big deal."

And, Hugs!

Geohde said...

The main goal everybody has is a healthy birth for you. :)

That isn't a bad bit of minor words of wisdom. The rest of howit happens is just window dressing that shan't matter in the long term.

g

Evergreen said...

Here are some stats that may help ...

GBS is present 20-25% of the time. For homebirths (at least here in WA state) we do IV ABs just like in the hospital and it does very little in the way of interferring with labor and birth. Ask for a heplock/saline lock, so you won't need to be attached to the IV all the time.

Only 20% of labors start with the water breaking, so odds are yours won't. If it does, go in for ABs, but stay out of bed (unless it is nighttime or you are tired, then go to sleep). You may even be able to go walk outside in a nearby park (weather permitting...)

Your top bp # is a little high, but not very high. It is the # that increases with stress & emotions, & therefore the easier one to lower. Practice those relaxation techniques you've learned for labor a few times a day. Do them before/during a bp check. If it really is a problem, you won't be able to get it down that easily, so you won't be "scewing" the results with relaxation. does that make sense?

Your bottom # is great, & that's the # that is physiologic rather than emotional. It is the more important #, & yours is great.

And I agree with Mommy shoes, don't get too caught up on what your ideal birth is, because it will be different. Plan & prepare, then take what you are given. You will do great & soon you will be holding your sweet baby.

HTH!

Evergreen said...

me again. I just reread your post about your bp -- oops ( call it nursing brain....). But focusing on relaxation techs can still go a long way, & is great practice for labor.

awomanmyage said...

I don't know diddley bout birthing babies, but I do know (from my friend's recent experience) that getting induced is not a big deal. They just give you oxytocin to kickstart contractions, but it still takes hours. Good news is that they can monitor the baby's heartbeat at all times, so you can still have your doula there, you still gotta do all the hard work.

You'll be fine. You can do this, the rest is noise.

Courtney said...

You are right on the cusp of such an exciting change, and I am sorry all of the medical junk has to cloud the good stuff.

I was also strep B positive and had the IV intervention when induced at 40 wks 4 days. Nothing too bad, just slight burning from the antibiotics. Still curious about what 'natural' contractions feel like minus the pitocin.

I sincerely hope that no matter what happens, you feel completely satisfied with your own personal birthing experience. You have worked so hard for it.

Searching for Serenity said...

Been lingering here for a short while. We live in the same metro area so I thought I'd drop you a note.

I also wanted to try labor on my own and attempt the natural route. Due to a congenital heart defect that I've had since birth it was highly suggested that I have an early epidural. Not what I had planned at all. My birth story didn't play out how I'd always imagined, but it was bliss nonetheless.

My one bit of advice for you is to consider seeking acupuncture to help ripen your cervix in preperation for delivery. I had an appointment scheduled the day I delivered because I was trying to avoid a medical indcution. My docs didn't want me to exceed 40 weeks so I was determined to naturally coax my little one to arrive before a medical induction was necessary. He arrived healthy and beautiful at exactly 37 weeks. I never made it to my acupuncture appointment, by the way.

As for my referral, I highly suggest Jennifer Johnson at the Dharma Wellness Center in the Yoga Center for Minneapolis. I was treated by her for 6 months leading up to the conception of my son. I truly believe in her knowlege and expertise in women's health.

It may not be for you, so take it for what it's worth. Feel free to contact me if you have any questions.

I will continue to follow your journey and wish for a healthy and smooth delivery.

Elizabeth said...

I really resonate with your situation - I had finally come to want as natural a birth as possible, hired a doula, and then found myself on hospital bedrest with a scheduled c-section because on top of the hypertension baby was breech and not turning. It was very frustrating but in the end what made the biggest difference for me, in terms of being able to be fully present for the birth and have it be as holistic a process as possible was continuing to work with the doula throughout.

I don't know anything about the group B strep.

I do second what others have said about relaxation and acupuncture. As with ttc, saying "just relax" can be kind of annoying but really and truly give yourself permission for as much self-indulgence as you can around caring for W.

My doula said that we all have the birth we're meant to have. Wishing you all the best.

Kork said...

Try to stay calm, use your relaxation and focus techniques. Remember that even with the GBS+ result, you'll still be able to walk, or labor standing, sitting, in a chair, in the tub, even on a fit ball if you want. The only time you have to labor in bed is if they give you the pitocin and/or epidural (then it's just a CYA rule that you stay in bed for the hospital). Whatever thoughts you have about birth, they will, in some way, on some level, be blown away by something that occurs during the actual labor and delivery.

I will also tell you that when it's all over, and you're holding that precious girl in your arms, staring at her perfect features, feeling her fingers around your own, and her breath on your body whatever happens won't matter.

Praying for your peace of mind and heart, for the doctors, staff and your doula to have wisdom and kindness for you and G.

I can hardly wait for the announcement that you're off to the hospital, and then that you're home...I'm so excited for you...she's going to be the most amazing thing EVER!!! :D

Lyn said...

I haven't been there...and I haven't done that....but I am so amazed to see the support system that you have built for yourself here. These are self assured, knowing, LOVING peers you have here, woman. Relax. Enjoy the moments. Anticipate only the positive....and it will happen. Can NOT wait to 'hold' this little munchkin....even via internet connections. : )

SS said...

I had group b strep, and had to be induced (due to being past due and my RA), ultimately leading to a c-section. it upset me for a long time and I am going for a VBAC this time around. But in the end I recovered nicely and all was well with mommy and baby. I do disagree with poster who says getting induced is not a big deal. c-scetion rates for all hospital births are like 30%. c-scetion rates for inductions are like 50%. Only induce if you and doc really feel it necessary (and protein and high blood pressure would fall into the necessary category!!)-

You're getting so close- can't wait to see those first pics and hear about your birth experience- you'll do great, no matter what path you go down-

Tobacco Brunette said...

I echo what Gheode said. Healthy baby, healthy mommy (you're going to be a mommy!).

And I'm thinking about you all the time.

XOXOXO

Betty M said...

Induction is not so bad in my own experience. You may hear some not so helpful stories but you get those with very single variety of birth process.

The OB's aim is to have a healthy you and a healthy baby too. And that is coming very soon - soo exciting!

Fertilized said...

sending you very calm vibes, hugs and lots of relaxation techniques

sharah said...

I ended up with an epidural, the doctor breaking my water, the internal fetal monitor and contraction monitor, pitocin, and an episiotomy. None of which I had really planned for/wanted when I started labor. But you know what? It made my labor and delivery a breeze, the boy came out beautifully healthy and strong, and two weeks later I'd never know any of it happened. So you may not want a medicalized delivery, but they are not always the terrifying or dehumanizing experiences that natural birth advocates make them out to be. Just remember that the end goal is to get your daughter into the world as safely as possible, and that everything else can go to the wayside beside that goal.

And as for a little bit of assvice thrown in, if you end up with an epidural, tell the nurse that you don't want to see the needle. They rolled me over and I never even saw the anesthesiologist until after the procedure was over -- it helped take the edge off of my terror of that needle.

JamieD said...

I know it is disheartening to find out your delivery may not be precisely 'textbook.' After all you have been through to get to this point, all you want is something normal and easy.

I promise, once your little girl is in your arms all the rest will seem like a blip on the map. It is really funny, looking back, how little I remember of my own delivery. I guess that is God's way of makes sure the human race continues!

Ms. Planner said...

One piece of birthing advice that I rec'd ended up being the most helpful of all: have a post-birth plan for the baby. For instance:

- Yes or no to a pacifier before she learns to latch on?
- Yes or no to a Hep B shot?
- Keep her in your room while you are sleeping or not?

The L&D nurses are terrific, however, once the child arrives, there definitely is a protocol - a way of doing things with the babies - that seemed kind of rote (at least to me). If you have a few specific things, please note them and remind the staff often. You are now your baby's own best advocate.