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Talk about every stage of pregnancy, from early symptoms to preparing for birth.

So upset - week 41 and all of a sudden I am told I am "high risk"

67 replies

ladyfoucault · 15/04/2012 04:30

Sorry, this is a long story ... I am now week 41 and so far I was told I had a low risk pregnancy. In week 38, I made the mistake to ring one of the community midwives (my own midwife was away) to say that I had been very thirsty. That midwife told me to get a blood glucose test done at the hospital which I did. The second score (after the fasting) was slightly raised so I was seen by the diabetes team afterwards. I had another blood glucose test plus did home testing plus had a growth scan which showed the baby was a normal size, possibly on the small side. The diabetes consultant said to me he was confident that I did not have gestational diabetes, he said at that stage they would not usually carry out the blood glucose test (I forgot the reason unfortunately) plus the other tests and the scan were reassuring. So far, so good, I was pleased with this of course and took it that I was therefore still low risk.
Now being past the 40 weeks I was on edge this week. A few days ago, after a night of no sleep and following a quite unsettling telephone conversation with my parents who live far away I was particularly anxious and because I couldn't remember whether I had felt the baby move I rang the hospital. They told me to come in where I got a CTG done. It was fine. The midwife who saw me there showed my notes to the consultant who said they would like me to come in for an induction the next day. I had been to the hospital twice before, earlier in my pregnancy, because I couldn't remember whether I had felt the baby move (I guess I am of a nervous disposition) - it was always fine - but this was cited as a reason. I said I didn't want an induction but would see my midwife the next day and discuss what to do. The consultant and the midwife at the hospital were fine with this (I didn't see the consultant but the midwife spoke to him). They booked me in for another CTG at the weekend.
On Friday, I saw my midwife who supported me when I said I didn't want to have an induction. She said as long as I felt the baby move well this was okay. The plan was for me to monitor the baby and to think about having a sweep at the beginning of next week.
Yesterday, when I had the CTG the consultant said that due to a history of lack of fetal movements and a raised blood glucose level I was high risk, and being overdue I should have an induction and the plan I had made with my community midwife was putting my baby at risk. I had an argument with him when I said that I was told by the diabetes consultant that I did not have gestational diabetes, and that me having come to hospital three times was possibly more to do with my anxiety than a proper lack of fetal movements.
This consultant, who most of the time did not even address me or look at me but conversed with my partner instead, said I should come into hospital for daily monitoring if I don't have an induction, so I am now booked in again today for a CTG. I can feel all the work I have done of weeks of hypnotherapy being ruined, I am starting to associate hospital with stress and fear and I wonder what to do. I don't know why this consultant yesterday reacted so strongly, and I feel this is not evidence based. Ideally, I would like to monitor the baby at home (baby is moving about wildly as I write this) and stay away from the hospital as long as possible as it does nothing for my peace of mind. I know I could do this but this consultant has scared me so much. What do I do?

OP posts:
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Codandchops · 18/04/2012 16:34

Thinking of you Lady - hope you are either in labour or are already cuddling a gorgeous bundle.

GodisaDJ · 18/04/2012 17:18

I keep checking back, hope everything is ok lady and you and baby are good Smile

ohforfoxsake · 18/04/2012 17:54

Me too. I hope she's had the baby and all is well.

If not Lady, best of luck or tomorrow. Hope it all goes well. These worries will seem like a distant memory once you have your baby in your arms Smile

GodisaDJ · 20/04/2012 06:57

Still no word from you lady, I do hope you and baby are ok

ladyfoucault · 29/04/2012 11:00

Hi, I am sorry it has taken me so long to reply. Thanks for your advice and concerns. I had a little boy, he is healthy and cute. The birth was bad and has left me shell-shocked. I should have trusted my instincts and wait for a natural birth. It was so unnatural and really led to a cascade of interventions. I was in so much pain and so scared, I drifted in and out so am not even sure I remember it all correctly. On the day of the induction, which I feared so much, they gave me one pessary. Usually they give four lots to progress things but I was in early labour after the first one. Contractions came so quick, I had them every minute / every two minutes, but only for 30 to 45 seconds. Midwives left me to it. A few hours later I felt like pushing, and was told I was fully dilated. Pushing was unsuccessful, as contractions were not long enough, or so I believe. Pethidine did not help the pain. Lots of doctors came into the room all of a sudden, blood was taken from baby's head, it showed baby was distressed, had emergency c-section. Spinal did not work so had general anaesthetics which I was happy to have just not to be in pain any more. Baby was delivered, the few hours in the recovery room were heavenly, just my partner, baby and me and a lovely recovery worker. I was then taken to the postnatal ward where it was so noisy, a woman was waiting to be discharged and had all her family around (which is against the policy of the ward but nobody cared), they were so inconsiderate. We then paid for an amenity room and I spent two days there, unable to sleep. My little baby was lovely, not crying much, my partner was there with me most of the time, only went home to sleep. On day two I was told I wasn't breastfeeding correctly - the midwives before had not said that. I was then anxious about it and asked the midwives all the time if he had latched on correctly - whenever I rang the bell, someone said they would send the midwife but one never came - they were that busy. So I got discharged totally unsure whether I could breastfeed or not, which made me feel bad.
Yes, I am so bitter about what I decided, which is to have an induction, as I think this is why I feel so upset now. I keep crying, and am overwhelmed, and nervous. Am thinking of giving up breastfeeding as it is such a struggle. Not sure if he is latching on correctly. The midwives who visit are hands-off and not much good. Of course they tell me not to give up breastfeeding, but they also don't give me the right support.
It is all a bit grim, really. I want to get into a more positive frame of mind. I wonder if it is too early to see my G? As I said, one anxiety is about breastfeeding, maybe mumsnet can help me.

OP posts:
luckysocks · 29/04/2012 11:17

Sending sympathy OP, it's so difficult to know what to do, isn't it.

You are bound to get contrasting opinions on a thread such as this from the two 'camps'.

I think if two different consultants had told me the same thing I'd be taking it seriously, even though I'm also wary of induction. You also sound quite sensible (it's normal to be anxious during pregnancy) and presumably if you were worried about fetal movements there was some grounding in that, even if baby was fine. Equally, it many not be GD but your level was raised and enough for it to have an impact (you went in because you'd noticed increased thirst).

Keep calm but listen to the professionals and take their advice on board, would be my advice. It's fine to aspire to a natural birth but like others have said, ultimately a healthy mum and baby is what really matters.

luckysocks · 29/04/2012 11:21

Oh gosh sorry, missed the 3rd page Blush Congratulations but so sorry to hear that you had such a difficult time.

Try to focus on the fact that you now have a beautiful baby boy in your arms as much as possible, I also had a terrible 1st birth but eventually found some closure in knowing that I would do all that and more all over again if that's what I had to do to keep him.

Thinking of you x

EdlessAllenPoe · 29/04/2012 11:29

i can't believe the scaremongering - up to 42 weeks is normal term

there are reasons why induction isn't routinely offered until +10-+14 (depending on hospital policy) in this country - that is because induction comes with its own risk which are not outweighed until 42 weeks!

EdlessAllenPoe · 29/04/2012 11:36

you need real life help for breastfeeding -

NCT - The NCT?s other helplines include the Breastfeeding Line on 0300 330 0771 open seven days a week 8am ? 10pm, and the Pregnancy & Birth Line 0300 330 0772, open Mon ? Fri 9am ? 10pm. All the Helplines are staffed by qualified NCT experts.

or La leche league
Call 0845 120 2918

ask the counsellor to come out to you.

EdlessAllenPoe · 29/04/2012 11:38

Don't feel bad about asking for help - you need it. You and your baby should come first right now!

GodisaDJ · 29/04/2012 11:46

Lady - so sorry to hear you are feeling sad and down about the whole experience. You can only make the right decision based on the information you had at the time. Your ds is here now, healthy and happy.

Hopefully MN can help and support you now -

Breastfeeding - have you posted in the 'breast and bottle' section? If not, do so, there are some really experienced professionals (tiktok and truthsweet) and lots of mums who have experienced problems.

How many wet nappies is DS having per day? If he has 6-8 wet ones then he is taking milk.
When your DS is latched, can you see his jaw moving by his cheek?
Has he been checked for tongue tie? (when tongue is attached to bottom of mouth)?
Have you got a breastfeeding cafe near by (normally run by nhs)? If so, call them and arrange to go in and see a bf facilitator - they will help you (as will the other mums there). Take your dh too, he can listen to everything and support you.

Im on my phone but my tips to help:

  • lots of skin to skin with DS. Go to bed, strip off and cuddle, put a light blanket or sheet over you. This will release lots of hormones for your milk to come in (if it hasn't already) or produce more. Baby will also have free access to latch this way.
  • cancel visitors, this is about you and DS getting to know each other. If people insist on popping in, ask for them to bring dinner (casserole, lasagna etc). You need to eat well
  • get dp/family to do all other jobs like cooking, changing nappies etc
  • call la leche league for support or visit their website for information. Likewise kellymom is an excellent source of information and support on breastfeeding
  • use lansinol (sp?) cream for your nipples. Even if not cracked now, they may get worse if latch isn't correct. It will help

bf'ing is hard at the beginning and with everything you've been through, don't think just because you are finding it difficult you arent doing it right. Bf'ing is painful, even if latch is right, your nipples are a sensitive area and have never been sucked like this before!

I know it's hard but try and focus on DS and not the birth/trauma, it sounds horrific lady but you did what you needed to do, and he is here now.

Un-mumsnetty hugs Smile

PollyIndia · 29/04/2012 18:16

My sister had a very similar sounding birth (inc interventions) and problems with breastfeeding. She said the first 2 weeks were really hard and she cried every day but then they figured out breastfeeding and it all got so much easier. The extreme exhaustion doesn't help. LeLeche league helped her as did borrowing some industrial kind of breast pump (from hp LL) to get her milk going.

A friend who is a doctor and had another very similar birth 2 weeks ago has also been going through similar problems re breastfeeding. She is the most practical and pragmatic person I know, and I have NEVER known her doubt herself and even she is feeling hopelessly inadequate. It's really tough.

I didn't want to read and not respond. Mainly just wanted to send you big hugs.

highland80 · 29/04/2012 18:25

All I can say is well done for doing so well with feeding. I had an emergency section with GA/ no time for spinal. Breastfeeding just didn't happen. Ended up giving up after 4 day. With my 2nd dc I fed for 8 months but did have lots of help at start. MW was great and sent someone round to house to help.
Get as much help as you can.

tentative123 · 29/04/2012 21:22

Since my somewhat traumatic birth I have learnt that intervention can have an effect on breastfeeding - no one told me that at the time.

If you are not getting the nappies explained get help. We were slow to get help (didn't realise we needed it) and our dd lost a lot of weight and had to be hospitalised, happily we had lots of support there - insisted on it and we're very determined and bf is going really well now and our dd is 6 weeks. You can do it, grit your teeth and demand help!

PestoPenguin · 29/04/2012 23:57

Firstly, congratulations on your gorgeous baby Smile

I am so sorry to hear about your dreadful experiences Sad. It's going to take you some time to process what has happened and come to terms with it. Given that you're in the middle of newborness and breastfeeding now, this may be something you need to reflect back on in weeks/months time. When you are ready your hospital may have a birth reflections service that might help, and you will have the option of getting your notes and/or complaining formally or informally.

Right now, it sounds like you need support with feeding. The bf helplines are v good at this and emotional support too. The sort of birth you've had is relevant and they should listen to you talk this through as well if that will help. The National Breastfeeding Helpline is 0300 100 0212 (open 9.30am-9.30pm daily).

Also, try starting a post on the breast and bottle feeding topic where you will get loads of support and helpful info from knowledgable MNetters. Yo can always copy and paste your post from here rather than re-typing it.

I hope you have an OK night.

ladyfoucault · 30/04/2012 12:06

Thanks, ladies, for all your kind words and good advice and for the hugs! Things are still rocky and I don't know if I am doing the right thing. I have called the helplines but have not found them useful, they say it sounds like I am doing the right thing. What I need at the moment is someone to spend a day and a night with me to tell me exactly what to do ... I have started posting in the Breast and Bottle feeding section and am getting great advice.
In regards to coming to terms with the birth experience, there is a midwife locally who does birth stories. I will contact her in due course, when things are a bit less frantic. I am pretty angry with the medical professionals but not sure what to complain about, they'll say what they have done is backed by policy.
I am sure things will get better if I get my confidence back, which to be honest will take some time after health professionals have intervened in a way that made me lose trust in my body.
Thanks! x

OP posts:
PollyIndia · 30/04/2012 17:58

Hi there
I spoke to my sister and asked specifically what she did - and I am sure you have been given this advice already - but LeLeche said to her she needed to pump to get her milk supply going and to hire a hospital grade pump to do this. So she did, and supplemented the breast feeding with expressed milk in bottles in the early days to make sure her baby was getting the food she needed.
Maybe helpful, maybe not, but wanted to post what she said.
The whole intervention procedure followed by the NHS does seem to be more about following process rather than looking at the specifics relating to each case.
I am sure getting your confidence back just takes a bit of time. I hope you are doing ok.
xx

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