Well, this is not the post that I was hoping to write. I felt relieved last week when an OB agreed that this pregnancy deserve extra monitoring based on my history. I honestly believe that this relief has led to a better outcome for me on an emotional and physical level. I am getting less contractions and emotionally feel more comfortable about this pregnancy. Well, after this morning, I'm back to contractions, back pain, overall distress, and nearly to the point of tears.
For starters, BP doing well. 123/88. I'm so excited to see it staying low, maybe we won't actually get pre-e again. I'm up 15.5 lbs and I think the HUGE dinner that I had last night probably aided in that. I have started losing mucus plug since Tuesday, so I was anxious to meet with the care provider. I get into the room and she starts discussing my continued care plan. It seems that for high risk patients, like myself, all the physicians meet together in the morning meeting and discuss our care plans so everyone can brainstorm and keep the care consistent throughout. I have started a feud among the doctors. One half of the doctors (mainly OBs) believe that my best option is for continued cervix checks, early start of NSTs (30w), modified bedrest, early delivery of steroids should my cervix start to shorten, etc. The other group (mainly MDs, MDWF) believe that I should continue normal activity without restriction, every 2w appts, NSTs (32w), and steroids once I'm in active labor. They cannot find common ground. They are also using my MFMs notes on the subject to back up their laissez-faire approach that he made nearly 8w ago. Neither parties have decided to contact him on the matter. I'm very fortunate to see him in a few weeks.
This has me left feeling defeated. And even more secure in the knowledge that base was never and will never be equipped to handle my unique case. I can tell that they are nearly as puzzled and I am dazed. I know my case is not common, but can't they find common ground? If it were my choice, I would continued to be monitored weekly until 30w, when baby girl would have much better chance outside the womb should we miss steroids and then go to every 2w unless other complications started to arise.
After discussing my care plan with this new caregiver, I can understand why they are feuding. Some of the things she said to me, made absolutely no sense based on what my MFM, OB, and my research have said. I've also always believed the better safe than sorry approach.
I think between laying down and running, I'll choose to walk. I'm going to listen to my body because I know it best. And my body is telling me that it needs rest and zen.
Next appt is with the same provider as today on 10/11.
27w - Frustration and Confusion Over Care
Thursday, October 3, 2013
Labels:
27w,
cervical length,
restricted activity
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