thread for those pregnant after previous preterm birth

(99 Posts)
KD0706 Fri 16-Sep-11 22:22:45

Hi all
My DD was born at 31+1, as far as I know there was no reason found for why she came early.

I'm now 11 wks pg with DC2 and I've been told that when I have my first scan appointment I'll also have a consultant appointment to discuss how this pregnancy will be managed, answer any concerns I have etc.

I'm sure the consultant will no doubt cover everything but I thought I'd go in with a list just in case I forget something in the meeting and then later wish I'd addressed it.

My current thoughts are

1 brief chat about DD, what happened with her, confirm whether it was unexplained etc

2 chances of another prem birth (think I was told at the time 1 in 3 chance, and likely to be at same stage)

3 elcs or vbac (dd was emcs). If Caesarian then how will that be managed in a premature labour (with DD I was having regular contractions for four days before I was in 'proper' labour)

4 what if any extra scans or checks will I have? Will I have steroid injections as a matter of course - if so when?

5 I considered mentioning the progesterone pessary which I think has had some good trial results. Presumably not available on nhs but maybe privately?

6 what to do if I do start contractions again. Do I go in immediately I feel a twinge or wait till I'm sure it's something? And will they put me on the drip to try to stop it again?

If anybody has any other thoughts or any experiences they'd be willing to share I'd be v grateful.

missjulie Sun 18-Sep-11 20:33:37

Hello hun, I saw that this post was unanswered, and wished to come and say hi.
I too am the mum to a prem DD (33 & 2), it was a dreadful shock, anyway, that is another story.
I want to say that i think you are wonderful for having another DC! I take my hat off to you!
I can't think of any other questions I would have if it were me in your situation.
Keep us posted on the developments! smile
Good luck with the appointments, pregnancy, and birth. Hope you get as far as possible - wish we could have control over that!
Take care. x

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KD0706 Tue 20-Sep-11 07:50:13

Hi missjulie thanks for replying.

The second pregnancy wasn't actually planned! Its probably a good thing as if I'd thought too much about it I doubt I would have had another baby.

I'll report back how things go.

efeslight Tue 20-Sep-11 08:32:37

Hello KD0706,

I'm pregnant 2 years after my little boy came at 28 weeks for no reason at all apparently! so am in a similar situation.
We've seen the Dr once, we're in germany so things are slightly different here, I'm not sure we'll actually see a consultant, just my normal gyno at the moment.
The first meeting's message was just we'll have to wait and see... which of course is a bit frustrating, but common sense really, one prevention of problems with the placenta that was mentioned was possible daily injections of heparin, which is an anti clotting agent, as they suspect that's what went wrong with the placenta. Am currently going for blood tests and awaiting results...
good luck and am keen to hear how things go.

cheekydino Tue 20-Sep-11 09:02:26

Hi KD,

I am currently 38 weeks pregnant after having my last son at 31+5 after my waters broke out of the blue, and have (eventually) had quite good antenatal care, but just to prepare you - I think it very much depends where you are booked in and how much you know yourself beforehand. I volunteer for a neonatal board so knew a bit about what I could ask for. My 16 week consultant appt I expected to have a long chat about everything but it was all a bit of a rush - they don't automatically get your notes from your last birth, so she asked me if I knew why it had happened, and I just had the memories of what they had said to me at the time (no infection or preeclampsia etc). All she said was that i should come in if I had any concerns at all, that I was low-threshold for steroids (ie they would give them at the first sign of anything unusual happening). I wasn't offered anything else 'extra' aside from growth scans at 28 and 32 weeks to check baby's development, fluid levels and placenta function. There is a new test available now (called the fibronectin test) that can predict whether you are going to go into labour in the next few weeks which I had heard about, so I asked if I could have it and she said no - it was only used if there were any symptoms. I then referred myself to the preterm birth clinic at UCLH as I wanted a bit more monitoring than they were offering (which I think is fairly standard). At UCLH I was seen at 23 and 27 weeks, where they scanned my cervix (not done as a matter of course at regular scans, but can show if cervix is weakening and hence preterm labour more likely) and gave me the fibronectin test and swabbed for infections. Both are internal and a little uncomfortable! But - the results of both were good and hence my stress levels were reduced massively. I was also told that the chances of something happening again were small and most women go on to have a full term birth - I think my odds were one in 4 or 5. After the fibronectin test result that changed to one in 100, so worth getting for peace of mind if you can.

Sorry for mammoth post - but I would recommend asking at your later scans if they can check your cervical length (may need internal scan for that if they can't see it on the regular cross-tummy one) and asking if they might give you a fibronectin test between 24 and 28 weeks ish to reassure you (although it is v uncomfortable). There is also a national progesterone trial being done that your hospital might be involved with, but it is a dummy trial with a 50-50 chance of actually getting progesterone. I was offered this at UCLH but decided not to after getting a negative fibronectin result as the side effects were described as being like bad pmt - not sure my husband would have coped with that!

Good luck with the pregnancy, hope all goes well. I am very relieved to have made it this far, it has certainly been a scary experience, but worth it!

KD0706 Tue 20-Sep-11 16:39:58

Hi efeslight
wow, 28 weeks. That must have been horrid. I hope things work out for you this time, and this baby 'cooks' for longer. How many weeks are you now? Yes it would be great to hear how you get on too. Maybe we should start a thread something like 'support thread for those pregnant after prem burth' either here or in the pregnancy board and maybe there will be a few of us to hold hands?

cheekydino that was a really informative post, lots to think about. I think deep down I already knew there was a chance I might get crap care. Fingers crossed though. How did you know about the preterm clinic? Although I doubt there will be anything remotely near me if not at my maternity hospital. They do have a fab reputation for 'treating' prems, though of course that may not mean that they are also fab at preventing them!
How fab that you are 38 weeks. I would love love love to get that far. In fact my current dream is 35 weeks, I think the lungs are usually developed by then. All the best with the rest of your pregnancy (though not long now), and I will note down what you said and do a bit of my own research into the Fibronectin test.

evitas Tue 20-Sep-11 20:55:21

Hi ladies

congratulations to all of you, and thank you so much for sharing all this priceless information.
My DS was born at 35weeks with a spontaneous birth (no reason why it was a premature birth). No major problems apart from jaundice.
I'm also thinking about a second child, but I must say I was a bit traumatised by my experience and I keep postponing it.

KD I love your idea about a new thread.

I've been doing some research on this topic (although I don't know anything about medicine) and I have found some interesting statistics.

- Apparently, in the US: "the researchers found that after regression analysis, use of the progesterone was not a significant predictor of reduced risk for preterm birth. Only participation in the preterm birth prevention clinic and having private health insurance were significant factors in reducing risk for preterm birth before 37 weeks". full article here

- the Tommy's centre the UK found that "although progesterone reduces preterm birth in women with one baby, we found that it did not reduce preterm birth (if anything, it increased it) in women with a twin pregnancy". full article here

- as cheekydino mentioned the length of the cervix helps to determine the risk of a premature birth and this has been widely discussed in the scientific journals. I'm just not sure how to convince our consultants to do these tests hmm (maybe it's possible to have the measurement done in a private scan??))

- also, according to an article in 2009: "spontaneous preterm delivery, preeclampsia, and fetal growth deviation tend to recur and predispose to each other in a second pregnancy". "Compared with a delivery after 37 weeks, a first delivery between 32 and 36 weeks increased the risk of recurrence of preterm delivery in the second pregnancy from 2.7% to 14.7% (...) a first delivery before 28 weeks increased this risk to 26.0%" full article
here

sorry for the long post.
Good luck for your pregnancies!
x

Mandy21 Wed 21-Sep-11 12:43:44

Hi there, just wanted to give you my experience too. I had twins at 27+6, again no apparent reason, just one of those things and put down to being a twin pregnancy. I was therefore deemed to be 'low risk' even though I was a nervous wreck. I really pushed for consultant led care which meant I was seen at regular intervals by a consultant as well as a midwife. I had extra scans (I think I had the one at 12 weeks, paid for a private nuchal scan at 13 weeks I think, the 20 week scan and another at about 26 weeks).

Its hard because if there is no reason, the medical staff can't give you an "answer". In my case, the implication was that my body couldn't cope with 2 babies so my question was what would happen when my single baby was as big as my 2 prem babies (if that makes sense). They were 2lb 6oz each so I wanted to know if I'd deliver again if my baby got to 4lb 12 ! No-one could give me an answer but I think by giving me extra appointments just to have a reassurance scan and have my blood pressure checked that I felt they were doing all that they could.

I also pushed for infection monitoring - there was a mention in relation to my 1st pregnancy that I had some kind of vaginal infection although this apparently never appeared on my notes. I was therefore given swabs - just big cotton buds and tubes) that I could swab myself and drop off with the GP every month for testing. It probably made no difference to my pregnancy but it put my mind at rest.

I was still early - but only by a day this time so all was well.

Wishing you a very healthy and long pregnancy!

Bearcrumble Fri 23-Sep-11 12:28:41

Did anyone start the new thread for those pregnant again after prem birth? Or is this it?

I am pregnant again after having DS at 35 weeks by elcs because of high blood pressure and severe IUGR. He was 4lb 5oz and after 2 weeks in SCBU came home without any problems.

I am now 10 weeks pregnant and nervous as hell about having growth problems again. Don't know how I am going cope as the last pregnancy was like having a 9-month-long panic attack. It was incredibly difficult as I had a lot of bleeding early on (subchorionic heamatoma) then at the 12 week scan I was told I had low PAPP-A and that they'd be monitoring me for growth problems and then when I had the caesarian the surgeon told me I also have a bicornuate uterus which can cause problems. I feel like the odds are against me and this is going to be a rough ride.

On the positive side I am going to be seen by my old consultant a couple of days after my 12 week scan. I am at King's College Hospital which is pretty much the best place to be for complicated pregnancies. I know I will have excellent care.

KD0706 Fri 23-Sep-11 15:23:18

Hi all
No bear I don't think anybody has started another thread. I wonder whether I should just ask MNHQ to change the title of this thread, though the first post will maybe look a bit odd.

I've got through my appointment. 4th October. Scan at 8.40 then doc app at 9.10. The letter said the whole thing could take up to two hours. So it doesn't sound like they're planning on rushing it!

Will report back once I've had the appointment.

I think we're at similar stages bear. I'm not 100% sure how far on I am but I'm roughly 10-11 weeks I think.

Bearcrumble Fri 23-Sep-11 15:40:22

Oh don't worry about it - I've found you now that's the main thing. I am also on the April ante-natal thread and the high risk ante natal thread.

Good luck with your appointments, KD0706. My scan is the day after yours and then the consultant is on Friday 7th.

efeslight Thu 29-Sep-11 12:55:55

Hello again, am nearly 10 weeks now and have been put on daily injections of clexane, an anti clotting agent to try to prevent problems experienced last time. My lo was born very small, 1lb 11oz and was in hospital for 3 months with various problems, but is now 2 and doing extremely well.
I didn't go into premature labour, but it was found that the flow of blood etc to him was almost in reverse, so he had to be delivered quickly by c-section at 28 weeks. Really hoping that things go better this time!
Good luck to all, have next scan etc on Oct 7th, so will keep posting.

iowmum88 Fri 30-Sep-11 19:51:45

Hi can I join please my DS was born at 34 weeks is now 2. I'm now 5 weeks pregnant and got GP appointment Tuesday. I'm so so scared that it's going to happen again.
My experience was I was having contractions all day but was unsure as they where all in my back was suffering from constipation (lovely I know sorry) but then that evening my waters broke so instantly went into hospital and I'm sure no one believed me as took so long for me to get seen.
My DS was a normal birth but obviously had to be rushed down to NICU, ( I found out at a later date that he had had respiratory problems straight after birth which I had to read in a letter after a check up ( not good)) but he was in NICU for 2 weeks suffered from jaundice a couple of times and few other minor problems.
It was one of the most terrifying things I have ever had to go through and really don't want to go through it again so if anyone has any advice and its great for support with people that have been through it before!

KD0706 Wed 05-Oct-11 14:43:36

Hello everybody. How are you all getting on?
Hope the appointment went well yesterday iowmum let us know how you got on.

I had my scan and consultant appointment yesterday. It all went really well and I feel much more relaxed now, just because I feel in safe hands. I will try to remember everything but if I miss anything out please do ask. I think it really helped that I went in there fairly well informed (albeit mainly by dr google!)

As I really expected they said they can't give me any concrete guidance on whether this baby will come early or not. In my case I just started contracting so they don't think it was caused by cervical incompetence. Although on the 9th centile, DD wasn't unusually small so they don't think it was a problem w the placenta. Basically it was just one of those things.

I had some niggles throughout my pregnancy with DD which I just dismissed at the time but they've given me a number to ring if that happens again do I can be checked out. Said I can go in and be checked out as many times as I want, due to my history (they say) I won't be fobbed off.

They took a lower vaginal swab at this appointment and will take further swabs at 22 and 30 weeks.

I'm going in at 22 weeks for a scan to double check blood flow through the placenta, Fibronectin test and an upper vaginal swab for infection. Regardless of the Fibronectin result I am eligible for the progesterone trial (which my hosp are taking part in). Although that is a double blind so I may not necessarily get progesterone.

I'm also in for another scan plus whatever other tests seem appropriate based on the 22 week tests, at 30 weeks.

I felt very much that I wasn't being dismissed and certainly the doctors said that I can make appointments any time I need reassurance or I want checked out. They seemed very approachable and helpful. So my mind is at ease. I hope the medical care I receive matches up to what I was told.

The scan went really well too. The baby was much more active than DD had been at her first scan and I think that helped me to really believe that this is a different pregnancy, and won't necessarily follow the same pattern as my previous pregnancy. The nuchal measurement was only 1mm so I was really happy with that.

I also discussed an elective section and the docs were very supportive if that. With DD I was 10cm dilated and the docs were unable to deliver her by foreceps. The two doctors I spoke to said they'd been discussing me in the doctors room beforehand and everybody was shocked that it had been impossible to deliver a 31 weeker (and not a huge one at that). They also said that the ob who had attempted the foreceps delivery was one of their most experienced doctors and that if he couldn't get her out then nobody could have. That all fitted with my memory which was that the staff thought without a doubt DD would come out. And would explain why the doctor had five (!!) shots.
So it was left that they are obliged to give me a leaflet about the benefits of vbac but in the doctors words 'if you are inclined towards elective section we would not in any way try to dissuade you from that'.
If I go into prem labour obviously they will leave me as long as they can but once I reach the point of no return they will section me rather than move me to a delivery room.

Sorry that was epic! Would love to hear how you're all getting on. I must change the title of this thread!
It would be good if we could all chat about our boring everyday stuff as well as this stressful prem malarkey!

Oh, almost forgot, scan put me at 12 weeks so due 17 April.

KD0706 Wed 05-Oct-11 14:47:24

iowmum I had a similar experience to you - when we went to see the geneticist (DD had suspected 'some sort of syndrom' but it turned out her face was just so bloody mangled by the numerous foreceps attempts sad )

She looked at DDs file and commented how lucky she was to be here and how it's fairly unusual to see a baby born with an apgar score of 2 survive, and when they do it's usually not without serious brain damage.

I was like shock
I'd known she was on a ventilator at first but hadn't really known just how close we came to losing her. Still makes me shiver to think of it.

iowmum88 Wed 05-Oct-11 19:26:19

Hi spoke to GP and she didn't help me at all or tell me anything I didn't know all ready. So hoping to get my booking in appointment soon so midwife will possibly help me fingers crossed. GP basically told me 2 just wait and see which doesn't help at all.
KD0706 thanks so much for getting back to me. So glad it's all going well for u especially the progesterone trial that will be interesting to see how that goes. I live on the isle of Wight so I doubt very much anyone can help me here but if not will possibly look into going private. Not feeling confident at the min with the NHS which is a shame!!

OB1sMum Wed 05-Oct-11 20:26:56

hi all, I had ds at 29+4 same as many of you for no aparrent reason, waters trickkled for a few days (i thought i had lost my pelvic floor and was peeing myself!!) and then went into labour (but thought i had trapped wind!)
after 6 loooong weeks ds came home and has grown from strenght to strenght - to look at him now you would never know! anyway....recently sufferred a very early misscarriage and wondered if perhaps my body just doesn't like/isn't very good at growing babies?? anyone else sufferred this after prem labour b4? x

KD0706 Wed 05-Oct-11 21:07:20

iowmum that's rubbish about the GP. If you went into prem labour would you be sent to the mainland (or is that me being stupid about the IoW?).
Maybe at your booking in app with the midwife you could ask to be referred for a chat with whatever hospital would care for you if you did go into labour prematurely?
To be fair to GPs their job description is really jack of all trades, master of none, so I guess that might be why yours wasn't much help - he/she just maybe didn't have a clue.

OB1sMum I'm very lucky that I've never had a miscarriage (unless I've had a vv early one that I wasn't aware of). But I think unfortunately miscarriage is fairly common and many women miscarry, sometimes multiple times, then go on to carry one or more babies to term. I'm sure it's not that your body is unsuited to carrying a child. But maybe worth seeing if your gp could refer you to somebody who could discuss it with you?

My understanding from my docs yesterday is that in the majority of cases they don't know why a baby arrived early, which I guess is why things like this progesterone trial are so important.

I think bear had her scan today. Hope it went well.

iowmum88 Thu 06-Oct-11 11:38:27

KD0706 no dont have to travel to the mainland they actually have just updated the NICU unit since having DS and have heard really good things about it.
when my DS was in there they where ok but i think they tend to forget your a mum and was doing things like changing my DS nappy and giving him a wash when i couldnt go in and see him during the "quiet periods" and then calling the ward and getting the midwife to tell me that they had done it! so me being me was very very upset as that was pretty much the only contact i was allowed.
it was also obvious there was a devide between NICU staff and staff on the maternity ward and i was encouraged to complain about the NICU staff so felt very stuck in the middle and it shudnt of been that way so added to the stress of the whole situation so am not looking forward to it again but i am going to make it known that i was soooo not happy last time and hopefully i will get treated a little better if not will look into going private if possible.

KD0706 Thu 06-Oct-11 14:28:53

Ah, I see. I am fairly crap at uk geography. I'm from Scotland and all our islands must be much much smaller. Good that you have a 'local' nicu.

That sounds really bad the way you were treated. My nicu were actually really good and once dd was out of intensive care they basically forced me to do her tube feeds, wash and nappy change. I'm pleased they did as I just didn't want to interact with her. I think partly because I was scared I would hurt her because she was so small. But also, I couldn't reconcile the little bundle in the incubator with the baby I had been expecting.

Even with me doing so much of her care I still really struggled to find with her. I think she'd been home for about six weeks (after one month in hospital) before I started to actually feel I loved her.

Savannahrose Fri 07-Oct-11 21:34:25

Hi

My DD is 20 weeks born at 35 weeks. I am currently 14 weeks pregnant and anxious

X

KD0706 Sat 08-Oct-11 14:29:36

Hi Savannahrose
have you had a chance to talk to any of your care team about what happened with DD, and how your care will be managed this time. Do you know why your DD was prem?

I hope your DD is fine now. Out of interest, was she in NNU and how long for?

Sorry lots of questions!!

It's nice that there are a few of us at similar stages in our pregnancies, we can hand hold as the weeks pass!

efeslight Fri 14-Oct-11 14:08:58

well, life seems to have been non stop scans, blood tests, appointments but its all settled down a little now. had a scare last week during a nuchal fold? measurement that seemed too high (possible downs syndrome) and was sent to a specialist, but happily after more tests, it came back with better odds that we had expected. I'm 37, so lots of potential problems.
urine test is showing blood and protein so not good news.
and whenever i go for a blood test to check the clexane injections are not too high a dosage i seem to faint, one time that thought i was having a fit with clenched teeth and fists...

iowmum88, i agree, it was absolutely terrifying, so am trying to keep positive, otherwise i think i'd start to unravel...

KD0706, i am due around the same time as you, april 22nd

OBIsmum, i understand your point about just feeling that you're not being very good at carrying a child, i feel exactly the same, although no miscarriage that i know of, it just sometimes feels like many people breeze through pregnancy (i know they don't!) and we seem to lurch from worry after another at the moment. am sending positive thoughts to all...

harrygracejessica Sun 16-Oct-11 22:47:18

Hey - can I be slightly positive :-)

I had twins prem at 33+3 due to twin 1s waters breaking for no reason, was in scbu for 20 days with both mainly for feeding and growing a bit of temp control and one had sleep apnea. When they were 2 I ended up with an unplanned pregnancy and it turned out to be more twins so I was warned it was likely to be even earlier than last time and at 29 weeks I was ambulanced from my hospital to another with neonatal for younger babies!! I was let out after 4 days as still contracting but not doing anything and less painful so was constantly waiting and waiting for it all to start when it did - at 36+5!!!!! So I practically got to term with twins - unfortunately one was poorly at birth so had a stay in scbu on c-pap but home quickly this time.

The main thing i did the 2nd time was rest tonnes!!! i was basically bed ridden with SPD anyway - the first time I decided my sons bedroom needed wallpaper stripping 4 days before the girls were born lol so this time I was warned by my famly not to be decorating AT ALL :-)

KD0706 Mon 17-Oct-11 18:36:59

Sounds like you're having a rough time efeslight
Pleased the test results were clear in the end, but it must have been a worrying time for you.
I know nothing at all about the injections you're having, but I guess it will be good to feel you're doing something to hopefully prevent a repeat of last time. Seizures at the blood tests don't sound good though. Are you able to take it easy? I don't remember how old your DC1 is, but I know I'm struggling to rest with my active 17mo. Family come to visit to help out when they can, but there's nobody close enough to help on a regular basis.

Harrygracejessica thank you for your positive story. You're right it's not all doom and gloom. And plenty of women go on to carry to term after a previous preterm birth.

I also think that even if this baby does come early, I'll be a bit better equipped emotionally to cope with it. Of course practically it will be so different with a toddler at home. But I think I'll be much more aware that the baby won't be in hospital forever, and that it will pass.

Bearcrumble Tue 18-Oct-11 13:29:50

Efeslight I'm sorry to hear you're having a difficult time of it. Thinking of you.

I am now on 75mg aspirin daily, and due to see the consultants again at 20 weeks. My scan and bloods were fine (especially happy that the PAPP-A was normal). I am collecting my wee today for a 24 hour urine - extremely glamourous. Going to take it into the hospital tomorrow, see the midwife and have some more blood tests.

I went to the GPs today and used their blood pressure machine in the waiting room - reading was a bit higher than I would like it to be but obviously more accurate results when done by a human being so hoping the readings done by the mw will be better.

Have managed to find the heartbeat a couple of times with my doppler. I don't do it that often because I get so nervous moving it around and waiting to hear anything. I am now 14+2 by my reckoning and 14+5 according to the 12 week scan.

KD0706 Sat 22-Oct-11 09:27:41

Hi bearcrumble sounds like they're really keeping an eye on you, which can only be a good thing.
Pleased you were happy with your blood results too.

It's funny how many of us are at very similar stages. Going by scan dates I'm just a couple of days behind you.

I'm not showing at all yet, which is totally normal as I'm just 14 weeks, but I'm very anxious that I want the baby to be as big as possible in case it's early. Although not teeny or iugr, DD was only on the 9th centile and smaller than other 31 weekers who were on nicu with her.

KD0706 Wed 26-Oct-11 17:40:58

Hello how's everybody getting on? This thread isn't exactly rocking is it?? smile

I'm 15 weeks now. I feel quite different this time to how I felt with DD. by this stage with her I was buying little new born size clothes etc. I haven't bought anything this time and I don't intend buying anything till about 35 weeks, if I'm lucky enough to get that far.

We've had a couple of tentative chats about names but I think we're just not letting ourselves get too excited. With DD after the 12 week scan I just thought everything would be fine. But this time I'm so conscious that DD nearly died at 31 weeks so absolutely anything is possible.

Anyway... On that cheery note I will be off!

iowmum88 Wed 26-Oct-11 22:22:07

Hiya I'm 9 weeks now and waiting for my scan date and I get to see the consultant as well so hopefully that will put my mind more at rest. I'm just trying to stay positive but obviously difficult until I get to see lil bubba on the scan and hear the heart beat!
Hope everyone is doing ok! I think pretty much everyone in this thread is anxious and scared to enjoy the pregnancy but please try to I'm trying my hardest not to worry, but obviously difficult for all of us!
Positive thinking people!!!!!!!!

KD0706 Sat 05-Nov-11 23:18:35

Hi. Just thought I'd check in. Hope everybody is well. All fine here. except me getting annoyed by the fireworks still going off at 11 pm.

I'm 16 weeks now. Not really showing and only getting the odd bit of teensy fluttering movement from baby. Midwife didn't listen to the heartbeat at my 16 week app. I think they did last time, but I understand that they often don't try because of the fairly high chance they won't hear it. It seems such a long time between the 12 and 20 week scan, but my 20 week scan is on 29 nov so hopefully the time will fly in.

Sending lots of positive vibes to everybody!!

Jemeraldx Thu 10-Nov-11 01:29:20

I had twins @ 29+2 oldest was fine. youngest one (by 15 minutes) had lots of problems ( to save explanation just type in 'Joshua Ashton Dolan' on youtube). Both of his lungs collapsed.& he had to be rescucitated & put on the ventilator. He then had to be transferred to another hospital to have an inguinal hernia repair. Even though there is an higher chance of preterm labour with twins it looks as though it was brought on by a urine infection.I'm currently (accidently) pregnant with 3rd (& last). A liittle girl & I am still a little bit anxious.

KD0706 Wed 16-Nov-11 22:22:18

Hi jemeraldx that sounds awful.
How far on are you? I'm guessing you're well into your second trimester if you know you're having a girl.

If your labour was brought on by a uti, does that mean another preterm labour is avoidable if they're vigilant enough?

I hope you have a long and not too stressful pregnancy. Are you due any tests etc?

I'm 18 weeks and due a barrage of tests, scans etc at 22 weeks. I'm actually quietly optimistic about this pregnancy as I had cramping pains on and off with DD from about 16 weeks and so far in this pregnancy I've not had any pains. Fingers crossed.

Bearcrumble Tue 22-Nov-11 12:36:18

Hi all,

I'm 19w 3d now - had an appointment with the blood pressure consultant's clinic today. BP is perfect - so that's nice.

I've started to feel the odd kick which is reassuring.

My anomaly scan is at 22 weeks so on the 9th Dec.

Going back to the BP clinic at 28 weeks for a growth scan (or before if my blood pressure goes up above 140/90). Also have to do another 24 hr urine and blood tests a few days prior to that so they have the results there.

That's all my news really, so far so boring and hoping it stays that way.

Rikalaily Tue 22-Nov-11 13:37:44

Hiya, my first was born at 35 weeks which isn't very early but he was low birthweight for gestation ( he was 4lb 15oz, more like an average 33 weeker). I wasn't given a firm reason for his prem birth (waters broke spontaniously) but his placenta wasn't looking great and probably wasn't feeding him well hense the low birthweight. The doctors said it may have been a case of my body knew something wasn't right and evicted him.

I've gone on to have another 3 children, all were full term and normal weights (39+5 8lb 11oz, 40+1 8lb 15.5oz & 40+3 7lb 9.5oz). Sometimes babies are born early because something isn't quite right inside so our body gets them out because it is probably safer for the baby to be born vs staying inside a bit longer.

I was told that if there is no obvious reason found (infection, incompetent cervix etc) for the preterm birth then there is a chance that it may happen again but you are more likely to have a normal pregnancy next time, this has been true for me. I did go into preterm labour with no.2 (at 35 weeks again)but it was brought on by me having the Norovirus + another bug at the same time and I became severely dehydrated in a very short time which brought on contractions. It all settled down by itself when I was rehydrated by drip, they didn't give me steroids because if my labour had carried on it's more than likely the drugs wouldn't have had time to have any effect anyway.

iowmum88 Sat 26-Nov-11 22:46:54

Hi all had my 1st scan the other day and was amazing to see my little baby! They are putting me on the optimum trial If anyone has heard of it. Has made me feel a lot more reassured that i will find out in January if I'm likely to have another prem birth and if so get put on the progesterone trial. Need to read more about it really but feel a lot happier about it all!
Hope everyone is doing well and enjoying there pregnancies!

KD0706 Fri 02-Dec-11 17:33:16

Hello everybody.

Nice to hear a positive story rikalaily fingers crossed I'll have my own positive story in a few months.

Good to hear you're getting on well bearcrumble

I am on the optimum trial too iowmum
I get all the tests etc on 16 December and depending on the results I will know a bit more about the likelihood of a prem birth and may be offered the progesterone trial.

I'm 20 weeks now. I had my anomoly scan on Tuesday and all was fine. To be honest I'm more anxious about the specific prematurity tests on 16 December than I was about the anomoly scan.

I agree bearcrumble that a boring pregnancy is what we should be aiming for. So I wish everybody a very boring, uneventful and long pregnancy.

efeslight Wed 07-Dec-11 09:50:11

hello to everyone,

hope all is well and no news is good news for all.
Going well here, still on daily injections to thin the blood and 100mg of aspirin, which i think is a fairly low dose.
20 weeks now, and have another appt next week to check the placenta.
also feeling kicks.
what are the specific prematurity tests KD0706? hope they go well.
best wishes to all on the thread.

KD0706 Thu 08-Dec-11 17:05:17

I can't remember exactly what tests they're doing. They did explain it all to me. A whole 9 weeks ago (!!) and I can't remember.
They're definitely looking at my cervix to check length, if it's still closed etc. testing for fibronectin (presence of which can indicate likelihood of a preterm labour), and doing upper and lower vaginal swabs.

There may be other things that I've forgotten. There's nothing specific for them to test for I don't think as they don't know why DD came early.

I had been really hopeful about everything as with DD I had odd pains on and off from about 16 weeks, which when I went into labour I realised had actually been contractions / sore braxton hicks.
I hadn't had any pains at all this pregnancy and was really chuffed. But I got one this afternoon. I'm 21 weeks, which I suspect is a bit early for bh. But since it seems to have started five weeks later this pregnancy, maybe that means I'll go into labour five weeks later, at 35 weeks and have baby at 36 weeks smile here's hoping!!!

Savannahrose Fri 09-Dec-11 19:35:13

Hi KD0706

Thought I'd drop by. Been weeks since I posted! I'm now 24 weeks pregnant and getting very nervous as its only 10 weeks from now that my 7 month old DD was born. To date I've seen my midwife twice...and have both been replacements. Rubbish, I no.
I have seen a consultant once who has basically told me, I HAVE to have a VBAC. She started blabbing on about how much it cost the NHS per c section and I was getting very angry. She didn't even listen in even tho I said I hadn't felt anything....
I am feeling a few kicks now but it's very low down, is that normal???
Hope your getting on ok......
Merry Christmas
smile

KD0706 Fri 16-Dec-11 22:02:03

Hi all.

savannahrose I am feeling lots of movement this time, much more than I did with DD so I think pregnancies just vary. Do you not have a midwife appointment about now where you'll get to listen to the heartbeat? I have an appointment at 24 weeks. If you don't have one, why not phone the midwife and ask to go in, just so they can reassure you?

I had my 'special prem' tests today but to be honest I don't really think its added anything. Swabs are clear, the only thing that showed up was group b strep which they're not fussed about, certainly not from a preterm birth point of view.

I tested negative for fibronectin which is good, but I don't actually feel that reassured by it. If I had tested positive then I would have been very likely to go into labour in the next fortnight. But I'm 22 weeks now and last time went into labour at 30 weeks. And they say I only have a 1% chance of delivering before 28 weeks. But again, I was 31 weeks before I had DD. and I believe that if I have another preterm labour it's likely to be at the same time as with DD. So like I say, I just don't feel it's reassured me.

Also my cervix is still closed and is 33mm long which the docs are pleased with.

They still want me to take part in the Optimum trial. But I am unsure about what to do. It is a double blind trial, half the participants getting a placebo. The drug they are testing is a progesterone pessary.

I actually have a good feeling about this pregnancy. I've convinced myself this baby is in there for the long run. Hopefully I'll be proven correct

KD0706 Fri 16-Dec-11 22:06:25

Also savannah have you seen that there are new nice guidelines which say that all women, regardless of previous birth history, should get allowed a c section if they ask for one. Might be worth looking into, but my understanding is that you can simply insist on a c section and they are not allowed to refuse you.

lemontop Sat 17-Dec-11 21:54:18

Hi

Just found this thread. Hope you don't mind if I join you?

My DS was born at 34 weeks and am 10 weeks pregnant. I went in to spontaneous labour with DS and was never given any reason as to why it happened or if it might happen again. I had gestational diabetes when pregnant so DS was actually a very healthy 6lb at birth and was bigger than many of the full term babies in SCBU. He had difficulty feeding, jaundice etc but no serious complications. Oddly my mum had both me and my brother 5 and 4 weeks early too.

My main worries are the obvious risks of going into labour even earlier and how on earth I would cope with looking after a toddler and having a baby in SCBU.

I have my booking in appointment with the midwife on Tues so should hopefully be able to chat about some of my concerns.

KD0706 Mon 19-Dec-11 17:29:05

Hi lemontop welcome and pull up a pew.
I'm similar to you in that I went into labour spontaneously and the doctors don't know why. And yes I get the concerns about having a toddler plus a baby in SCBU. Not a nice thought!

Let us know how the booking in appointment goes.

My latest is that I've been scaring myself by googling cervix length!
Mine was 3.3cm at 22 weeks and according to dr google you wouldn't expect to see a length shorter than 3.5 until after 32 weeks!!! So it's not short enough to warrant a stitch but definitely on the short side and probably shorter than it should be.
I need to ban myself from google

iowmum88 Thu 22-Dec-11 18:09:25

I also have the worry of a toddler as well and do wonder how I would juggle it all if baby was in NICU, but feel more reassured that I'm moving in a few weeks time and will be closer to my family so they can help.
KD0706 cheers for the update on optimum trial, why do you not feel more reassured?
I may not be able to have it done now as moving so not sure how I feel about that! Not much else going on am 17 weeks and have started to feel a few flutters which is great!

KD0706 Fri 23-Dec-11 23:36:36

iowmum just because all the tests seem geared towards predicting labour pre 28 weeks. I never thought I would go into labour before 28 weeks, I've been more worried about it happening at 30 weeks again like it did with DD.

Does that make sense? So although obviously its great that they think I'll hold on till 28 weeks, it's the unknown beyond that which scares me.

I'm not even sure if I'm going to take part in the trial as at the moment DH really isn't convinced about it. And I don't want to do it if he isn't on board. Will discuss it with him over Christmas period, but if I am taking part I need to start in a week so will need to get my skates on.

Bearcrumble Mon 02-Jan-12 13:09:02

KD0706 - I don't know much about cervical length but mine was 30mm at my 12 week scan and 28 at my 22 week scan so shorter than yours and no one said anything to me about it being short! I am under King's as well so probably the best antenatal scanning dept in the country... I'm sure they would have said if it was a worry. I'm being seen again at 28 weeks so will ask then.

My pre-term delivery last time (at 35 w) wasn't because of spontaneous labour, it was for high blood pressure and IUGR.

I'm 25w 2d now. All seems well - I had an episode of quite strong Braxton Hicks on Christmas Eve evening and Christmas Day morning (great timing) and I was a bit concerned but it went away. I did wash my hand thoroughly and have a feel to make sure my cervix was still in place. It was smile.

KD0706 Fri 06-Jan-12 12:48:33

Hi bearcrumble you're quite right, I've been back to hospital twice since my last post. Cervix hasn't changed at all and I spoke to my consultant who assured me google is wrong and there's nothing wrong with my cervix length.

Not much chat here. I've started the progesterone/placebo pessaries, which are fine, I don't think I'm having any effects really. I'm 25 weeks now so a bit anxious as I approach the time I went into labour with DD.

Not due back at hospital now until 31 weeks. Fingers crossed I am still pregnant then!

Hope everybody else is well.

Bearcrumble Thu 12-Jan-12 15:10:19

That's good news about your cervix, KD0706 - hope you're doing ok.

Hope everyone else is doing well too - any other updates?

I've not been well this week, got horrid sinus cold thingy. Luckily my mum has taken DS today and will have him tomorrow and fingers crossed I'll be well by the weekend. I started to feel better on Tuesday but then it came back with a vengeance yesterday.

I'm going to be 27 weeks tomorrow. At least being ill has made this week go fast. It's a shame I spend a lot of time wishing the pregnancy away and not just enjoying it - starting to really worry about the repeat caesarian as well.

KD0706 Thu 19-Jan-12 21:40:54

Just thought I'd pop in.
I'm 27+2 now. Had a scare at 25+6, started contracting and had a night in hospital. They were just medium tone contractions and didn't do anything re dilating cervix etc. I got a shot of morphine which calmed things down but I'm still having irregular painful tightenings.

The doctors are happy for me to keep an eye on it and just go back in if I get concerned again.

Anyway... Any updates from anybody else? Hope everybody is having uneventful pregnancies.

Bearcrumble Tue 24-Jan-12 17:17:57

KD0706 - Sorry to hear about your scare - hope things are ok with you at the moment. When are they checking you again?

I had an appointment with my consultant yesterday. He's happy with my blood pressure and the baby's growth. He said as long as it continues like this they're looking at doing a caesarian at 39 weeks. Because the surgeon who did my caesarian last time had to cut vertically as well as horizontally I'm at much higher risk of uterine rupture should I go into labour. He didn't seem worried about my bicornuate uterus and said it could stretch to hold a a full sized baby. Baby is head down right now.

I feel quite happy and relaxed really (don't want to jinx anything by saying that!) - have another scan at 32 weeks and seeing the consultant again at 34 (28w 4d now).

efeslight Thu 26-Jan-12 13:24:49

hello ladies,

hope everyone is well, have had good news recently, at the doppler scan the dr said one of the uterine arteries is back to normal, so no notching which is good news. the other artery is still showing the same problem as before,but apparently we can get by with just the one functioning normally.
the last time sounds similar to yours bearcrumble, IUGR and completely failed placenta, so had to deliver straight away.
have to have the test for gestational diabetes, as the consultant thinks we have slightly too much amniotic fluid, that appt is next week.
KD0706, glad to hear the contractions have lessened a little, will be thinking of you and everyone else.

KD0706 Tue 07-Feb-12 13:44:00

Hello. Pleased all is going well * bearcrumble* and efeslight

All fine here. No more dramas. I'm not feeling 100% but no idea whether I'm just being paranoid. My bump is really achey, and I'm getting pains in my back, hips and pelvis. But I don't know whether that's just normal (or certainly within normal range) for somebody in their third trimester.
Having tightenings/braxton hicks/contractions on and off. Some sorer than others, but no real pattern, and they're certainly not developing any, so fingers crossed.

I'm now 30 weeks pregnant. I have my fingers crossed I can hold on to at least 34. In my hospital (maybe all), that's the stage at which they say the babies lungs are developed so no need for steroids. Fingers crossed.

Hope everybody else is having a positive uneventful pregnancy.

iowmum88 Mon 13-Feb-12 15:59:25

hi all been ages since i last post glad everyone is doing well and getting positive news!
had the optimum trial and like you KD0706 dont really feel reassured by it.
but supose i just have to nuckle down and get on with it.
moved area as well and we are staying with my DPs while we look for a place which im finding to be more stressful then originally thought!
am 24+5 now and enjoying feeling LO moving around and being very active.
will try check back in here more often now!
sending hopeful thoughts to u all that we reach are targets and more!

clabsyqueen Wed 15-Feb-12 23:33:42

Good luck to all the ladies on here. There are few names I recognise and I have all my fingers crossed for you. Hoping to find myself on here in the not too distant future but the OH needs to agree first!!!

Hi can I join? Am 20 weeks pregnant with number 5 after delivering at 35,31,33,34 weeks. Having four weekly scans and monthly swabs but nothing is showing up, booked in for steroids at 28 weeks.
Consultant is refusing to do cervix length scans and any other tests.

Bearcrumble Fri 17-Feb-12 19:05:28

Hi all,

sparklygothcat - Congrats on being pregnant again. Can't believe your consultant is refusing after your history! I'd demand a new one - that's just shit and careless. Where are you based? Cervical length at your gestation is a good indicator of whether or not you're going to go into early labour and studies show progesterone pessaries can help. So if there's something that can be done it should be.

efeslight Glad to hear one of your arteries is back to normal. Good luck with the GD test.

KD0706 Sorry you've not been feeling all that. Hope things are ok now - let us know what's going on with you.

IOWmum88 Hope you find a place soon.

I had my 32 week growth scan and uterine artery dopplers today, all looks well. Blood pressure read high the first couple of times they took it which was weird as everything else looked ok but then the doctor did it again and it was normal so probably just a blip with the machine. I wasn't feeling stressed out or anything. We have a sphyg at home so will get DH to check it more regularly now we're in the zone where it might start to go up.

Is it just me or do all of you feel like even though things are going ok you won't actually believe it is going to be ok until you are holding your living, breathing baby? There's still a part of me that doesn't want to count my chickens until they are hatched. I don't mean I'm in a constant state of panic like I was last time when things weren't right, just that I have that sense of 'you never know' and I'm holding back a little bit on the being happy/excited stuff. Hasn't stopped me buying loads of cute little girl clothes though!

Hi. I'm in herts. I going to phone st Thomas hospital on Monday as I spoke to a midwife there earlier in my pregnancy and she said she would refer me to the consultants there if my team were crap.

KD0706 Sat 18-Feb-12 21:14:19

Hi all. Good to hear everybody is doing well.
sparkly I agree you should seek a second opinion re getting cervical length scans etc. we had fibronectin test too.

Well, my chat... I'm 31+4 now. For the past week or so I've been having really sore contraction like pains for the past week or two. As sore as proper contractions but not lasting very long, maybe 15-20 secs, and no pattern to them. I'm also losing my mucus plug.

I've spoken to my consultant. She said I just have to keep an eye on things and go into hospital as soon as there's any pattern to the pains. She says they are braxton hicks, though I didn't think braxton hicks were supposed to hurt this much. I'm also having lots of pain free tightenings, and am generally feeling a constant period like ache in my bump.

I am assuming my cervix is dilating a bit, hence losing the mucus plug. But my consultant doesn't want to risk examining me in case she sets things off.

Anyway, my good news is that I had a growth scan at 31 weeks and the baby is growing really well, it's sitting at the top of the 'normal' section on the growth chart. And I delivered DD at 31+1 so I have already beaten my own record!

I totally know what you mean bearcrumble about not quite believing it until I hold my baby. I haven't bought much, I'm too scared to. But I am starting to feel more optimistic that even if the baby came along now it would have a really good chance of coming through it all unscathed.

I went to my consultant with a list of things I wanted done to check and he just said there was no point. So st Thomas it is

KD0706 Sun 19-Feb-12 14:38:17

I hope st Thomas can sort you out with the care you deserve, sparkly

I am in hospital sad
Up in the night contracting roughly every three mins, for about 30 sec at a time. It's not really moved on from there, still about the same timings.

Had a foetal fibronectin test which was negative, which is great - 99% chance I won't go into labour proper in next fortnight. But what the heck is happening to me?? I just know I wish it would stop.

I've had first dose of steroids and various painkillers in an effort to make me more comfortable and slow things down. Nothing's really working though and it really hurts

Bearcrumble Sun 19-Feb-12 15:16:14

Oh no, thinking of you KD0706 - I hope things settle down and they are able to discharge you.

Have you been tested for infections - swabs and urine?

Good news about the fibronectin test.

Have they done a cervical scan?

So sorry you are in pain and scared. It's horrible. I wish I could do something to help, you've been so supportive to everyone on this thread.

Keep us updated.

KD0706 Mon 20-Feb-12 11:06:29

Hi bear thanks for your message.

Looks like I'm one of the 0.7% who can have negative fibronectin and still go into labour.

I had an internal last night which showed I was 1-2 cm dilated and had bulging waters. Waters still intact but I've had a bloody show.

I'm on a drip to stop/slow down labour, which is working and I'll be on it till my last dose of steroids, at 8 tonight. Then it's anybody's guess.

I will update, albeit that my story maybe isn't what you other ladies want to hear.

Bearcrumble Mon 20-Feb-12 12:33:01

I'm so sorry you are going through this again, it's so unfair.

Babies born at this gestation are usually as healthy (eventually) as those born full term, you've had a chance to have the steroids which will mature baby's lungs so hopefully she or he will be able to breathe alone or with a little bit of help.

I'm sorry you're going to have to spend time in SCBU, it sucks. Sending lots of love and un-mumsnetty hugs. Please remember none of this is your fault so don't start feeling guilty.

Of course we want to hear how you and baby are getting on, don't think otherwise for a second.

Which hospital are you in?

efeslight Mon 20-Feb-12 20:51:18

Hello KD0706,

will be thinking of you, hope the labour slows down soon, and you have plenty of help and support. xx keep posting if you can

KD0706 Mon 20-Feb-12 23:41:30

If you want to 'follow' me (sounds like twitter!) Ive got a thread in chat called something like 'is anybody awake and want to contraction watch with me'

I'm off the drip and having moderate pains every 10-15 mins. Don't think it's looking good for longer term but I'm 32 weeks in 20 mins!!!

KD0706 Mon 20-Feb-12 23:41:54

And thank you for your lovely wishes

KD0706 Tue 21-Feb-12 21:43:18

Just a quick update that DD2 was born at 5.22am, not even 12 hrs after her last dose of steroids. She weighed 1800g which was a fab weight for her gestation.

She cried when she was born and breathed fine on her own, but was put on cpap (just air, no oxygen) for her first 12 hrs to support her breathing. She's off the cpap now but is being given caffeine due to having a few wee apnoeias.

She is being tube fed and is already taking 6ml every three hrs, about to increase to 9mlz. So she's keeping me busy on the expressing front.

I'm knackered but very proud of her and delighted at her progress so far.

LeBFG Wed 22-Feb-12 08:47:47

Congratulations KD - wonderful news. They come when they want to - not much anyone can do I suppose. Perhaps she knew something you and the doctors didn't and it was best for her to come out. Sounds like she's going to be just fine!

Aww congrats kd. Sounds like she is doing well xx

iowmum88 Thu 23-Feb-12 19:04:47

Congratulations KD hope ur both doing well. So much for the fibronectin test. Keep us updated on her progress.

Bearcrumble Thu 23-Feb-12 22:26:19

Congratulations KD and well done on the expressing. Sounds like she is doing brilliantly.

KD0706 Sun 26-Feb-12 14:08:55

Hi all.
DD is doing ok. She's out of intensive care and on high dependency.

She is breathing completely on her own, and never needed ventilated at all. Her feeds were up at 21ml every three hours but she had a vomit and an aspirate the night before last so they stopped her milk feeds and are now gradually increasing them. She's up to 12ml, with the majority of her nutrition coming from tpn on a drip.

She is on antibiotics as they thought she had an infection but initial tests are showing no infection so hopefully she'll be off the antibiotics tomorrow.

I think that's all our chat. I think it's just a case of time, waiting till she gets a bit bigger and stronger.

Hope everybody else is well.

And yes iowmum so much for the allegedly infallible fibronectin!! Or else I'm just a freak of nature!!

BadNails Sun 26-Feb-12 16:19:39

Congratulations KD. Sounds like your DD is doing amazing, very impressed with those feeding stats smile 32 weeks is very respectable, you both did good x

clabsyqueen Sun 26-Feb-12 20:44:34

Congratulations KD! 1800g is great and it sounds like she's doing well. Bloomin' awful to be going through the SCBU experience again but you'll be an expert with those docs now! and hopefully skilled in the art of 'taking every day as it comes'!!

KD0706 Mon 27-Feb-12 16:56:56

Latest update.
They've confirmed DD doesn't have an infection do they've stopped her antibiotics.
Her feeds are racing up and she's on 24ml per feed.
They are talking about moving her out of her incubator and into a heated cot.
And putting clothes on her!

Oh and when she had her 2pm tube feed she sucked on her finger, so fingers crossed there's some sucking reflex / appetite there.

How is your little one badnails ? Hope she's doing well.

And I hope all the pregnant ladies are doing well, I'm assuming that no news is good news from you all.

BadNails Mon 27-Feb-12 18:43:09

Great news KD, hopefully this is a short trip in NICU for the both of you. Fingers crossed for a hot cot and clothes. Ah, clothes, what a good day it is when that happens smile

My DD is doing really well, thank you for asking. HV has been and DD is a whiff off weighing 6lbs!!

Hope it's a good day for everyone x

Bearcrumble Wed 29-Feb-12 13:59:03

It's lovely to hear that she doesn't need the antibiotics - and great news about the feeds.

Is she in her cot today? Have you been able to have many cuddles?

Any pics?

KD0706 Thu 01-Mar-12 12:23:29

Pleased your DD is doing well badnails, you guys have been through so much.

My DD2 is doing well. In the hot cot a couple of days ago and keeping her body temperature really well. She's still on 33ml every three hours, she's being possetting her milk a bit (teeny pukes) so they are adding thickener to her milk.

The past two days she's put on 40g and 50g and is now just 10g off her birth weight, which at 9 days old is I think spot on timing.

She's not really showing any interest in feeding, but she should just be 33+2 so I guess it's early days. Yesterday she kind of latched on to my boob, her lips were curled round my nipple the correct way. But she didn't feed, she just kind of made little lapping motions. She came away with milk around her mouth though so hopefully she's getting the idea.

The nurses are encouraging me to try her on the boob at least once a day so I'll be trying again before her 2pm feed today.

efeslight Thu 01-Mar-12 16:17:38

super news KD, sounds like she's doing really well, i remember the lovely little licks i used to get, like a tiny little rabbit... pleased to hear she's in a heated cot, its certainly looks less scary in there.

we are ok, now have CTG once a week, and the clexane certainly seems to have done its job, we have an expected weight of 1800gr at 33 weeks, a whole kilo more than my little boy, so feeling less worried now, hope everyone is doing well.x

KD0706 Mon 05-Mar-12 17:43:30

Hi. Hope everybody is well.

DDs weight has been a bit up and down so at two weeks old she's still 50g under birthweight. But she seems to be on the up now fingers crossed.

She should be 34 weeks tomorrow.

Her feeds are up at 37ml every three hours with thickener in it as she had some vomits. She's still a sicky baby occasionally but just a mouthfull a couple of times a day.

She's in a normal cot as she was keeping herself warm. She just went in today so I have my fingers crossed she stays there.

Feeds still all tube feeds but today she started to breastfeed, but gave up after about thirty seconds. Still pleased that she gave it a go. Fingers crossed she might start to take bottles / breast in the next week or so. I want her home!!!

capecath Fri 09-Mar-12 13:08:49

Hey KD, thanks for sharing your experiences here. Glad to hear your little one sounds like she is progressing just fine and hopefully you'll have her home in no time. Hang in there!

And glad I have found this thread. DS was born at 33 weeks which I know wasn't super early and he was ok (in hospital for 4 weeks but only because he was early really), but I am now 17 weeks with DC2 and growing increasingly paranoid about giving birth prematurely again. I dream about it most night and regularly wake up with my hands on my tummy. Don't think I realised how much it must have affected me at the time! It scared me so much when he came out not breathing and I regret that I wasn't able to hold him right away like you imagine doing.

It's so frustrating not knowing what caused it. They think it might have been a low-lying placenta which started coming away (the placenta def started coming away anyway) but as far as I know they don't know cause for sure. Have a consultant appointment booked for 24 weeks so will hopefully get some answers then and also will get another scan at 32 weeks.

How are you managing with looking after your other DD?

KD0706 Sun 11-Mar-12 14:36:43

Hello everybody and especially capecath

DD is doing well though obviously I'm wishing she would progress quicker.
She is in normal non heated cot. Keeping all her feeds down and putting on weight well. She is two kilo today!

The past two days she has managed two bottles a day. The rest are tube feeds. She's not really getting breast feeding. But my DD1 'got' bottles about two or three weeks before she started breast feeding. So maybe DD2 will be the same.

It is hard spending as much time as I'd like at hospital because of DD1. We don't have any family around so I'm relying heavily on friends and feel bad for abandoning DD1 with a different friend each day.

Practically it is much harder this time round. But emotionally it's not as bad, I think having been here before makes it easier to cope emotionally.

I am of course knackered with the expressing and caring for DD1 and visiting hospital as much as I can. DH is going away for work today, back on Thursday. So this will be a hard week. But I don't imagine I'm any more tired than any other mum who has a toddler and an almost three week old.

KD0706 Sun 11-Mar-12 14:38:26

Ps capecath you might like to look into the optimum (sp?) trial to see if your hospital are taking part, and think if its something youd like to do. I took part but I imagine I was on the placebo drug. Or else progesterone isn't as good as the Internet says it is.

Quick update! I'm 23 weeks and finally ,after changing consultants, I have progesterone pessaries!! I couldn't believe it when she offered it to me. I jumped at the chance and nearly cried with happiness. I could have kissed her! grin

iowmum88 Thu 15-Mar-12 10:24:54

Hay KD hope all is well sounds like ur juggling everything brilliantly and DD2 is doing extremely well. Must be very difficult trying to keep DD1 in the loop. Even if I get to term I have no idea how I'm going to manage 2 kids seems impossible at the min.

Am 29 weeks now have got SPD which is a bit of a nightmare but can live with it.

KD did u start to worry when u were coming up to the time u had 1st DD or did u just not worry and had the mentality of if it happens it happens?

Bearcrumble Thu 22-Mar-12 08:34:55

KD Hope things are still ok. How do you feel at the moment? How is she doing? I hope she 'twigs' about BFing soon, but you've done brilliantly whatever. Any idea when she might come home?

I'm having my caesarian in 2 weeks time (as long as I don't go into natural labour before that). I'll be 37 weeks tomorrow.

I've been very lucky not to have a repeat of the high blood pressure/IUGR this time round. I guess the main difference is that this was a natural pregnancy rather than an IVF one. Keeping my fingers crossed that the remaining 2 weeks are as uneventful as the rest of the pregnancy.

How's everyone else?

efeslight Thu 22-Mar-12 09:14:57

Hello to KD, Bear and everyone else,

over 35 weeks now and all going fairly well, still injecting clexane, which you have to stop taking before a c-section, or causes bleeding in the spine at the sight of pain relief injection, so just waiting to see what happens, nothing planned as yet.

GD test was negative so one less thing to worry about.

growth has slowed down a little, down to about 5th percentile, so slight IUGR, but nothing like as serious as last time. one uterine artery still working ok.

hope your little girl is stilll doing well KD, i hope you can start planning her homecoming soon.

glad to hear you have got this far Bear.

KD0706 Thu 22-Mar-12 18:20:33

Wow bear and efeslight you guys are doing fab to have carried your babies so long. iowmum fingers crossed you'll be the same. Hope the spd doesn't get worse for you.

Well, our big news is that DD came home yesterday. Fully on bottle feeds, but I managed a breastfeed at her 12 o'clock feed today and she refused a bottle top up. Slightly less successful at 4 with her only taking one side of boob and drinking about 25-30 ml from a bottle. (usual feeds 70-80ml). But previous to today her best effort involved latching on, sucking a few times and going to sleep.

So fingers crossed we will get there.

We are no way going to risk having another baby after this latest experience but I am very content to have my family completed and to have two healthy daughters (DD2 certainly has no identified problems, and DD1 is doing super).

I will pop in now and again to see how you are all doing, and I hope you are all as blessed as me. smile

Bearcrumble Thu 22-Mar-12 18:27:07

I am so happy to hear that she is home with her family. Congratulations!

iowmum88 Fri 23-Mar-12 20:25:28

Congratulations KD must be so good to have her home!!

Bearcrumble Mon 26-Mar-12 16:40:37

Hi all,

efeslight - Sorry to hear that you have IUGR again, but hopefully you'll reach term before having to deliver. Hope you are still doing ok.

IOWmum How is your SPD? Is everything else ok?

I saw my consultant today and unfortunately my blood pressure has gone right up since last Monday. It was 105/70 then but today it was 142/89 - so he's started me on medication to bring it down and I am going back in on Wednesday at lunchtime. I don't know if you remember but with my DS I had pregnancy induced hypertension and IUGR which all started at around 28 weeks so I've done a lot better to get this far. He scanned me and the baby is slightly above the 50th centile (estimated weight 7lb 3oz) and all the dopplers are fine. I shouldn't be worried but I did have a cry when I got home. I only have 10 days til my caesarian and I'm sure that if my consultant is at all concerned he will just bring it forward. I'm 37w 3d now so any time is fine.

Bearcrumble Mon 26-Mar-12 16:41:07

And of course KD - how are you? Would love to hear how the little girl is doing at home?

efeslight Mon 09-Apr-12 09:21:48

Hello everyone, we now have a little girl at home with us, born at 37 weeks, weighing 2100 grammes/4lb 11oz, so quite small, but healthy.

I went to the hospital about 2 weeks ago (on a sat night after a wedding!) as i thought i had noticed less movement, they kept me in and did an ultrasound then and there on the Saturday night and again on the wed showing growth had pretty much stopped and the baby was quite small.

We then tried for 4 days to induce labour, with the gel. Constant CTGs, about 8 hours a day, showed some drops in her heart rate occasionally, so on the fourth day when there was no real progress with the induction, we decided to have a c-section.

She only stayed in hospital for four days to make sure she was putting on some weight and to check her glucose levels which were up and down.

She is actually smaller (less than the 3rd centile) than her big brother when he came home after 3 months, but obviously without the complications of prematurity.

As she is small and quite weak, i am again attached to the medela symphony breast pump, hoping that we have more success in this area than last time.

Hope it has all gone to plan Bearcrumble, and happy to hear you are all happy at home KD.

iowmum88 Mon 09-Apr-12 14:35:10

efeslight congratulation!! Sounds a little traumatic to begin with but glad you are both well and home!
Had a scan last week (32 weeks) to see how baby is growing and he's doing fine weighing around 4lbs so totally bang on average for now. Fingers crossed he stays in a little longer.
Hope everyone else is doing well.

Bearcrumble Wed 11-Apr-12 12:34:25

Congratulations, Efeslight. So glad baby girl is here and healthy - albeit a bit small. Great that you didn't have to spend long in hospital. Good luck with breastfeeding.

I had my little girl, Marianne, on the 5th April by elective caesarian. My BP went up a bit but was well controlled with tablets. I was 38w 6d. She weighed 6lb exactly. We stayed in two nights. She's doing fine, still very sleepy but seems to be feeding well - except that she doesn't open her mouth very wide and prefers to just suck the nipple rather than the whole areola. My boobs feel massive but she's pooing and weeing a lot so I'm hoping as she gets bigger she'll latch on a bit more the way she should.

Hope everyone else is doing ok. KD how are you?

clabsyqueen Thu 12-Apr-12 22:16:10

Congratulations Efeslight! And good luck Bearcrumble!

clabsyqueen Thu 12-Apr-12 22:17:39

So sorry! That should be congratulations to you too Bearcrumble!

KD0706 Tue 17-Apr-12 21:27:07

I'm so pleased I popped back here. Huge congratulations efeslight and bearcrumble

If somebody had said back at the start of this thread that your pregnancies would be so successful (and long!) I bet you wouldn't have believed it.

How is the feeding going? Still on the pump efeslight ?

We have managed to get DD ebf and her weight gain is good. It's her due date today. She had her first lot of vaccines today poor pet. She was weighed and is now 6lb 11oz. She seems proper newborn baby sized.

Also I notice we are all having girls, how lovely!

missjulie Fri 15-Jun-12 00:58:12

Hope you don't mind me posting this here..

A friend posted a Michael Jackson video on the birth trauma association FB page, along with a comment that her sister had said after she was asked how she was feeling. She replied, "i just feel like screaming, but i know if i do, i might never stop."
Michael Jackson's, "Cry" - www.youtube.com/watch?v=mj3MfUR35CM&ob=av2e

My friend also added to BTA, "imagine a certain day, time and place....lets do it! "
Well, the response was amazing, so many women who have gone through birth trauma thought it was an amazing idea, so my friend wrote to the birth trauma association, and they were absolutely thrilled with the idea, and when it is all arranged, it will be filmed, and used as a video for raising awareness. So my friend, her sister, me and some other lovely ladies, are in the process of writing to singers/songwriters, to see if they would like to write some music for the video, and also finding a venue. We are also writing to stars who we know of that have endured birth trauma.
Its very exciting!
My friend writes, "Personally, this is for my sister, for all she has gone through in the last 2 months, for the women who have been a great help and support to her, and for everyone who has suffered a traumatic time in childbirth."

I know of so very many women that have been affected by childbirth, and suffered some sort of trauma.
Please comment if you like this idea and if you would like to be involved in this too, in the video with us. Please feel free to message me, or to share with this with anyone and everyone. The more people the better! Spread the word! Sorry for duplicating this post!

This is such an exciting venture!

Let's spread the word about birth trauma, and help women!

Thank you! Julie xxxx

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