Monday, November 8, 2010

C-section scheduled for 11/11!!!

I had an appointment this morning.  I'm such a wimp.  I was kind of fuming and feeling hostile before the OB came in, and of course then I softened.  I hope I parent better than that!  But I did at least talk about my concerns this time.  I said that I had read online, and known people, who had pregnancy induced hypertension and they were all induced as early as possible and here I am at 38.5 weeks.  I made it clear that I wasn't just googling worst case scenarios etc.  She said that a new study had come out showing that yes those 3 days were actually pretty crucial and they weren't allowed to induce or have c-sections in less than emergency situations (such as pre-ecalmpsia) before 39 weeks.  I don't know if it's a VA law, or something their insurance mandates; but at least I know they're taking the matter seriously and their hands are tied.  She didn't promise anything about exactly 39 weeks then though, but I still had to do my ultrasound so she said we'd talk about things after that.

Teddy measured 8 pounds and 9 ounces at the ultrasound!  That's huge, but makes me feel better.  At the biophysical profiles we had done at the hospital he was measuring 7 pounds 11 ounces, nearly 2 weeks after the last growth scan when he measured 7 pounds 8 ounces.  I was getting really concerned that he wasn't growing and not getting enough food and oxygen- which happens with pregnancy induced hypertension.  The same tech that did this one did the last one (supposed to be more accurate) and my fluid level went down (that's bed rest for you) so there's less of a chance of that weight being attributed to the fluid.  Of course it can still be off by a pound, she said (I've read even 2 pounds).  But he measured in the 97th percentile for his belly, last time he was 95, time before that 94.  So very broad on all 3 scans.  They medically advised a c-section and I told them they didn't have to talk me into it at all.  As worried as I've been about him the last few weeks I am not going to risk it now with the birth.  I just read a birth story yesterday of a woman who's baby was estimated heavy but not broad (she didn't have GD so there weren't tons of scans done) and he got stuck and it quickly turned into an emergency situation.  Thankfully both baby and mother ended up alright.  I could never knowingly walk into that situation just because I'd rather avoid a c-section.  The risk is just way too high.

So she said that was a great attitude and asked said, "What about Thursday?!"  I was so excited, I clapped and nearly jumped off the table.  Haha.  I wouldn't be surprised if part of the decision was based on the fact that I've been to L&D on my own 2 times due to high bp/migraines and am clearly concerned about it and they just don't want to hear from me any more.  But, also, they sent me once and it's not like I'm faking it or something.  But it feels so good to know that the PIH will only be a problem for the next few days.  By the time we checked out I had bounced between excited and terrified about 7 times at least.  Not terrified of the surgery, but just the fact that I'm going to be a Mom.  Forever.  And now I know exactly when.  I of course can't be sure, but I think it feels different knowing than it does just sitting there knowing that "any time now" you could give birth.  And the weird thing is that several weeks ago I wrote about wanting to know exactly when since most likely a c-section would be needed, or at least have an induction date set.  Hahaha, guess the doctors know better after all!  Now that it's coming it doesn't seem like a very long time period at all.  It seems like there's a lot to do, but of course I still shouldn't be doing that much.

We go back on Wednesday for another BPP, and to go over all the rules etc.  It's set for 11:30 and we'll arrive at 9:30 am.  On Wednesday we'll be told about prepping and recovery, visiting hours etc.  It all feels so surreal!!  Well, I definitely have quite a few things I need to do so I'd better get off!  I'm so grateful to finally have some relief from the stress!

3 comments:

  1. Hey Chasity--it's Morgan (Showalter) Shirkey. I stumbled onto your blog via B's blog and I must say--if you're having that much trouble with SWHC def change to Hburg OB! I would trust Dr. Botticelli repeatedly!! He did an amazing job on my c-section, and he was sooooo good with me. So was Dr. Keatts--she was always late for appointments, but she was good with me. And all of them answered any questions I had each time. I wasn't always informed of results of testing, but they tell you "if we don't mention your tests you can ask us--but if we don't mention them, it's because they were just fine. We'll tell you if they're not." Having gone through weekly biophysical profiles for a while, an NST or two, induction, and c-section...I feel your pain. Though I luckily skipped the migraines, GD and possible pre-e! I feel for you though. Good luck tomorrow on the c-section!

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  2. Thanks, Morgan! Dr. Botticelli was the one I saw for my gyno appointments before we moved to Alaska. I do wish I had gone back to them instead of just taking the recommendation of my midwife. On Monday the OB seemed kind of annoyed by the fact that her hands were tied, so I guess maybe that's not something they wanted to go around telling patients, but I'm just the type of person who needs info. Dr. Botticelli was great for me back then, finally got a diagnosis of polycystic ovarian syndrome after years of not knowing what the heck was going on. I tried calling them last week about changing and no one got back with me. I tried calling another practice and they said there's no way they'd let me transfer and she didn't think anyone in town would either. But things finally got resolved this week...

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  3. Not that you'll get this for a while (you're busy!) but it's probably best to wait til after your post-partum appointment and then just call Hburg OB and tell them you want to be a patient. Remind them you were a patient before up until X date. Then make SWHC send your records over after they take you. They should take you....

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