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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To not know if I'm wasting NHS time and resources? (Pregnancy, anxiety)

29 replies

NameChangeyMcChangerson · 29/06/2018 13:49

So, this might be a long one...

I'm 37 and a half weeks pregnant. It's been a generally fine but a bit up and down pregnancy - they were briefly mildly worried about the baby's heart, but the irregular beat resolved itself; they were then worried about slow growth, but again this has now resolved itself (as confirmed by a scan on Monday just gone). So now it could just be a 'normal' pregnancy - except that I've had a few episodes of reduced fetal movement, and am still going through stages of being very worried about them. So they still have me on CTG scans twice a week, and the consultant recommended that I'm induced at 40 weeks if I still think the movements are a concern at that point, so basically left it up to me.

The thing is, I can't work out if this is now all in my head. The couple of times I initially went into hospital with reduced movements I hadn't felt baby at all all day, but since then my fear is always that they've slowed down and reduced, but not disappeared - which is much more subjective. I've tried counting them but even that doesn't help that much because I can't always tell if I'm feeling very faint movements or not. Every time they hook me up to the CTG the baby is absolutely fine and moves normally - but I can only ever feel about half the movements the machine can measure. The baby has never had a very regular pattern, which I know is almost certainly because I have an anterior placenta, not because something is wrong.

Highly relevant here: I have a history of anxiety and depression. I had a really bad episode a few years ago that was very centred on work; I also had another low patch last year after having three (very early) miscarriages before conceiving this baby. It has always centred very highly on not being able to trust myself - when I had the work-related episode (which lasted about eight months and required medication in the end) I used to check the same piece of information over and over again but never trust I'd got it right; I'd literally get up in the night to check again. So this 'am I feeling reduced movements or not?' feels very much in this pattern; I feel like I lose a sense of what I do and don't know.

At the same time as this constant anxiety over movements, I'm also becoming really anxious over the idea that what I'm doing now is time-wasting, attention-seeking and selfish - that I'm taking resources from women who actually need them. I lie awake at night berating myself for this, and I feel so embarrassed when I go in for my CTGs - every single midwife has always been lovely to me, but I know they must be internally rolling their eyes that here I am, anxious about nothing again. Again, I recognise this as part of old anxiety patterns: it has always started as a complete loss of faith in my own abilities, but then it slips into a belief that I'm not just a stupid person but a bad one.

So, obviously, it's clear that this is at least part a mental health thing. But what do I do? I've had counselling in the past and found it helpful, but realistically I'm not going to get an appointment, let alone make meaningful progress, in 2.5 weeks. The previous coping strategy I was taught was 'And if I am right that I've got it all wrong, what are the consequences of that?' - which worked well for work, but less so for this, where both the outcomes are actually severe; I'm terrified that I'm basically (inadvertently) faking my way to unnecessary medical intervention and potentially a much worse birth, and stealing time and resources on the way, but obviously the other, all-pervading fear is that I'll say that the movements are fine, they stop monitoring and the baby dies.

Sorry for the very long post; it helps a bit to write it down, but I still just don't know what to do from here. I deliberately posted in AIBU knowing that I might get some harsh/brusque responses, and that that might be what I need - maybe I just need someone to talk some sense into me.

By the way, have namechanged as details so specific and so outing - there might be people who recognise me from other threads, which is fine but please don't out me!

OP posts:
Onestepawayfromtheshoeshine · 01/07/2018 09:59

Please do not worry about the induction. If you do have one you and baby will be monitored throughout and you will be care and looked after. The monitoring means they will be aware of what is happening to you and any changes with your baby.
I was induced with dc1, I'll be honest it wasn't the best labour. However dc1 had shown heart rate problems during monitoring and I was confident it was the best approach. She was born healthy and we were both fine.
I went in 4 times for reduced movements with DC3, having never done so with previous pregnancies. Like you I lost faith in my ability to tell if something was wrong or if it was ok and just a change in patterns. I told the team this and they were wonderful, had me in for monitoring every other day, saw consultant about an induction (was begging for one at 37 weeks), it wasn't needed as she arrived 5 days early! She too was a perfectly healthy baby.
The team constantly made me feel cared for and reassured me that if I had any doubts/niggles to go in and I was happy to do so.
Please keep going on to see them and contact the mental health midwife if you can.

MrJohnReese · 01/07/2018 09:59

Could've written most of the first post myself. OP, just to reiterate what others have said....you will never be wasting anyone's time or resources by getting your concerns checked. I'm under 2 hospitals with this pregnancy and both consultants and my midwife have drilled it in to me, any concern over movement get it checked!! Midwife actually said it doesn't matter if he's still moving regularly, if I'm concerned or feel it's reduced at all to go in...even if that means going everyday.

I'm being induced on Tues at 38weeks and although I'm not relishing the prospect I feel that things are less likely to go wrong as I'll be more closely monitored. With my first child I went into labour naturally but then ended up being induced for failure to progress, at least this way I know what I'm getting!

Good luck OP Flowers

Jeds55 · 01/07/2018 09:59

Typed long message that's disappeared Angry but wanted to say I know exactly how you feel. It's all on us to determine whether the movement has reduced or not and in cases like mine (and yours) it's so hard to tell. I went in frequently with reduced movement as some days I couldn't feel her at all - also had an anterior placenta and excess fluid so masked it more. Every time they hooked me up she was moving away (except the last) but I could feel about 10% of it. I always felt that i was damned if i went in and all was fine (as a craxy neurotic mum to be) but way more damned if i didnt and something bad happened. Like you everyone I saw told me I had done the right thing by coming in. I was induced eventually at 38+3 and by then I just felt relieved that soon she would be here and I could see that she was ok. Also in the last scan she didn't move once so made my mind up pretty quickly to agree to induction. It's not the way I envisaged giving birth but I was well looked after and now she is 3 months old and it doesn't matter how she arrived at all - as soon as baby is here most birth experiences fade quickly.
I guess I'm trying to say that I felt exactly the same as you - it's such a huge responsibility (and I had no pre exiting mh history). It's normal to feel this way. You're nearly there then he'll be here. Sorry rushing to type this but hope I've got my point across. I wish you well xxx

Verbena87 · 01/07/2018 10:07

Right, call the mental health midwife definitely, as it’s her job to support mums who are struggling. You sound really self-aware, which will mean you’re easier to help as you can clearly explain where you are emotionally, what coping strategies you’ve already tried, and what has helped you in the past.

If you’re worried about movements, keep getting checked. Far better to be over cautious and midwives will agree.

Also try not to worry about induction. I was induced and terrified, but found the majority of my labour totally bareable. I did end up needing forceps, but this was because baby was forehead presentation, back to back, and very big, not connected to the induction itself.

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