Thursday, 14 June 2012
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Real Mom Blog: 35 Weeks and Breech
What a weekend so far! It's the busiest one I've had in a while. I think I held my own pretty well for 35 weeks preggo.
Friday morning I went to my chiropractor. I'm basically seeing her once a week at this point to get adjusted and make these last weeks of pregnancy more comfortable. She can only do so much for me, but it's better than nothing. I don't even want to know how I'd feel without her adjustments. She also employed the Webster Technique while I was there. The Webster is a technique that chiro's use on preggos like myself to help their babes turn because mine, bless her little heart, is still breech. She basically pressed really, really hard on some important ligaments that support the uterus to help them loosen. This basically gives the baby more room and my uterus more flexibility for her to turn. Space is scarce for her these days, so turning is either a chore that my body is making too difficult for her or she's just being stubborn. Whatever the case I want to start making an effort to help her turn. She just may turn on her own around 38 weeks, but for now I can at least try to help her along. I have an ultrasound on June 15th to check her position. If she turns before then, great! If not we'll see what my midwife has to say about that.
If she never does turn I hit 39 weeks I might be sent to the hospital for an external cephalic version, which is manual baby flipping from the outside. It's a more aggressive than the Webster in that it should make her turn right then and there, not press here and there and wait a few days to see what happens. Hell, they might do it earlier than 39 weeks because I'm looking at possibly not being allowed to go past my due date because of the diabetes. So they might do it earlier to give her time to drop? I dunno. Worst case scenario is that she's stubborn, my team gets impatient and the OB that I must now consult with due to the diabetes declares that I need a c-section. Makes me shudder thinking about it, but there is time yet!Speaking of an OB, I now have to see one along with my midwives because my endocrinologist put me on insulin for my diabetes. At first I thought it was a bold leap that ended up changing my prenatal care in a way that I wasn't happy with at all, but now that a few weeks have gone by and I'm recording my glucose numbers I now believe that it is necessary. My hormones are messing with me, man! Anyway, the insulin opens a whole new can of worms. I need an OB because I'm now considered high risk, but my midwife can still deliver my baby for me (phew!). I see this OB on Monday. I really need to ask her this whole induction thing my midwife mentioned. She said that the OB may not let me go overdue and I could be looking at a possible induction. I don't want an induction. I don't want to be hooked up to an IV and given Oxytocin so I can have a horribly more painful labor than is necessary and one that could go royally south because baby girl wasn't ready.
All this uncertainty is KILLING me. I really wish I had a solid answer: will I be allowed to go into labor on my own or am I looking at a scheduled induction? It is so important to me that things run their course and it's pissing me off that medical system is getting in the way of that. Anyway I have this ultrasound on Friday to check baby's position, but I'm more interested in going to find out how big she is. I think it might help the decision making factor about my delivery one way or the other. If she's big I might be screwed, if she's measuring right on I might be okay. I highly doubt she's measuring small. This blog post aside, I'm trying not to think too hard about it because I still have 5 weeks to go and I'm doing all that I can to keep my sugars under control. There is still time even though everything seems like it's right around the corner.In other baby news my last day of work is Thursday. I'm so excited! I'm just so happy to be done work. I don't hate my job, but it will be nice to get away from the customers and all of their retarded comments like, "Oh! You look like you're gonna go any day now!" Thanks a-lot, a**hole. Just say I look huge. Anyway when I first got pregnant I thought I'd take it to the end because I wouldn't know what to do with myself if I had this extra time. Well, I have a month and I know exactly what I'm going to do with myself: take it easy, take care of a few last minute things, go to my appointments, and get some daily exercise. Oh, and wait anxiously, lol, like every woman does at that stage of pregnancy. I'm getting to the point of being done, but at least I can feel that way leisurely and not add undue stress from work.
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Comments (14)
I know it's hard not to stress it when the unknown can be kind of scary, but try not to look too hard at all of the worst case scenarios. However that being said, has your midwife discussed with you what method they would use to induce, should they get the baby to turn and induction became necessary? Oxytocin (pitocin for those of us in the US) sucks, we all know this. But it isn't the only way to induce, just the most popular because it's the most reliable for whatever that is worth (since even that isn't always reliable).
Have you discussed pain management methods for the external version, should you need to do it? From the Moms I know who have had it, it's pretty shocking for some, not as bad for others. The best successes I've known were the Moms who were good at focused relaxation, because as we know, pain tension causes more pain as we fight against it.
I love that you're seeing a chiropractor and having the Webster technique done! Seriously, in the US you would be so in the minority it isn't even funny. I only know about these things because I went way out of the realm of "normal" when I did hypnosis for childbirth and networked with a lot of other moms who did these more natural methods (like chiropractors and midwives).
Interestingly, the Society of Obstetricians and Gynecologists of Canada no longer push cesareans on breech babies. Link here for the read and info if you want it http://www.theglobeandmail.com/life/parenting/c-section-not-best-option-for-breech-birth/article597103/
I really, really hope you keep us updated! It is an encouragement for those moms looking for normal birth to hear about these other natural methods we are not offered in the US. And if we don't know about them, we can't ask why it isn't an option or find someone who will support alternative choices that are also safe (sometimes even safer). Thank you for sharing! Kudos to you, and good luck!
@the_Coley_he_seeks@xanga - Thank you for the advice. This post of mine is a little dated and I've since talked to an OB. Unfortunately, c-section is my only option for breech birth because my hospital doesn't do vaginal breech births. Yes, I think it's unfortunate and that every hospital should have the option. The OB said they don't do it because there's too much risk with the head getting stuck. I get that, but if doctor's had some proper training in vaginal breech births then I don't think it would be that much of issue. So, unfortunately, I wouldn't have much of a choice. It's upsetting, to be sure, but it's not a matter of my wishes be ignored. At that point it becomes a matter of my baby is stubborn and this is how we have to deal with the situation. I am a big advocate for natural vaginal birth, but I have to keep my options open to keep my baby safe. She still has time to turn and I have 4-ish weeks to help her out since I'm no longer working. So I've put the panic aside because stress won't do any favors for me or my baby.
I absolutely agree that c-sections are unnecessary when it comes to birth weight. I wouldn't accept my diabetes as a good enough reason to have one just because they think she would be too big.
With the ultrasound, I'm aware that weight thing isn't accurate. It's more out of curiosity and if they tell me she's weighing 6 lbs then I can assume she could be only 5 lbs or pushing 7 lbs. I know that fundal height isn't very indicative of weight either, but I'd much rather use my fundal measurement to be reassured that she is both growing and a reasonable size if I am measuring right on. But, ultimately, I don't really have that much control over how much she is going weigh. I can do what I can to control my diabetes, but anything else is out of my hands and I'm learning to accept that.
Without giving up on the things I want to get out of my labor and delivery, I'm getting to the point where I just want to get her here. However, I'm realizing that compromises might have to be made to get her here safely.
@OhFiddleheads@xanga - Re-reading my post, it did probably come off as a little preachy/know-it-all, my sincere apologies. I'm sorry to hear that the hospital won't allow a vaginal breech birth. However, the key to a safe(r) breech birth is having an experienced provider, and if that's not available, it's just not available.... you go with what you have, as you said. Please be assured that there is definitely no judgement from me!
Anyway, I've been awake for far too long now, (darn caffeine, I know better, really!) so rather than continue on an unnecessary soap box of preaching to the choir, I'm just gonna say.... Turn, baby, turn!
My little girl was breech at 34 weeks, 35 weeks, 36 weeks and finally flipped at 37. She spent some time in the middle there transverse, which is great fun when they are that big. In the end, it is likely she was breech because she had the cord around her neck twice. Check out spinningbabies.com for more techniques to get your LO to flip.
I narrowly avoided a csection even with my head down baby due to the cord issue, but all in all I had great medical providers and my baby girl was delivered safely.
They can turn late in the game, so hang in there. And good luck to you.
@shortcake2675@xanga - Spinningbabies.com was highly recommended by the midwives and doulas in my hypnobabies discussion group when I was pregnant. Good resource. I'm glad your little one turned in time. Did you use the spinning babies technique yourself? Or any other method?
Okay, I'm gonna be the dumb one here.... but can someone explain to me why C-sections are to be avoided at all costs? I had my own birth all natural, no epidural or anything, and it was a nightmare for me. I would have loved it if someone had just given me a painkiller, cut the baby out of me, and then let me rest for a week in bed with morphine and juice while all my needs were taken care of. Am I being naive in thinking that's what a c-section is like? Surely it can't be that bad, or at least as bad as natural birth which I found to be the worst pain in my entire life.
In short, why are mothers so afraid of C-sections? Admittedly I've never had a C-section in my life so I'm maybe (okay, probably) idealizing what it's like. Still, I'm curious.
@phoebester@xanga - They do seem rather convenient, but I recommend doing some research on ALL of the risk involved with major abdominal surgery, which is exactly what it is. There are more risks involved with the mother AND the baby. Plus, imagine not only cutting through your skin and fat layer, they're cutting through your abdominal muscles AND your uterine muscles and cause a lot of unnecessary blood loss. With a deep incision like that a mother is put at risk for serious infection and if the uterus doesn't heal properly it could ruin her chances of carrying another baby. Not to mention the chances of a repeat c-section are MUCH higher because VBAC's are a whole other can of worms that docs are reluctant to open these days. The recovery time is longer than that of a vaginal birth as well. It extends your postpartum period to 8 weeks and it takes you longer to get back on your feet as your incision heals. There is a whole whack-load of other risks that are involved, but these are the ones that bother me the most personally.
C-sections nowadays have a stigma surrounding them for these risks and because it's used more for convenience than out of necessity. I believe that there is a time and place for them, but it's not like vaginal breech births are completely unheard of. They're totally doable, so why put my body through that kind of trauma? Well the problem is that doctors are not properly trained in childbirth anymore. If they were any one of them could tackle a vaginal breech birth like it was any other. So in a way having a c-section because a baby is breech is still doing it out of convenience, they just make it seem necessary because they claim a vaginal birth is too "risky". What blows my mind is that by risk they mean liability, but to me it seems like there is WAY more liability in doing a c-section than helping a woman deliver a breech baby vaginally.
Anyway if anyone who's had a c-section can help me out on this I would appreciate it. I've never had one, but I'm trying to avoid one for the reasons mentioned above and all the others that I can't name right now. But I've done some research and have come to understand that they are often an unnecessarily horrible experience. Sure you get your baby within 20 minutes, but there's no satisfaction in being partially paralyzed on an operating table, not being handed your baby immediately after birth because they have to put you back together and stitch you up, followed by a healing process that seems daunting when you suddenly have a newborn to care for.
@phoebester@xanga - I have had both a cesarean and a vaginal birth (so can compare them). And I wholeheartedly agree with @OhFiddleheads@xanga. All of the reasons she stated were right on the money for why I preferred the vaginal birth.
My personal experience with my cesarean was that I hated it. It was traumatic physically and emotionally. I wasn't personally able to even change my daughter's diapers for the first week of her life. Is changing diapers awesome? No. But to be unable to take care of a basic need of your newborn sucks. I was also not able to hold my daughter after birth. I was not able to hold her until I was stitched up, held in recovery for 2 hours (which I have absolutely no memory of due to the drugs), and then back in my room and awake enough not to drop her. This delay also makes breastfeeding more difficult.
Mothers with cesareans have more difficulty initiating breastfeeding. The reason is three-fold, the delay in starting as I mentioned above is the first. Second, the medication necessary to control the pain after such abdominal surgery makes the baby sleepy. A sleepy baby isn't that interested in learning new things, like how to suckle. Third, when you first start breastfeeding and in the first few weeks after the baby is born, no matter the method, the nursing baby causes uterine contractions. This is a good and necessary thing, as it helps the uterus to shrink back to its normal size. But it hurts like menstrual cramps, and hurts a lot more if you have just had that muscle cut up by the cesarean.
I don't remember the hospital stay after my cesarean other than bits and pieces. I don't remember who visited. I don't remember my daughter's first latch, or any of the other immediate firsts. I don't remember these things because of the post-surgery medication.
I had my cesarean 6 years ago, and at that time (I don't know if it has changed since then) it was recommended that you shouldn't drive for 6 weeks following the surgery. That is also something to consider.
@phoebester@xanga - I forgot about the pain comparison. For me, I agree that the vaginal birth was very painful (because my labor was only like an hour long, so it was hot and heavy and oh.my.lord.). However, I would rather have tremendous pain for a few hours at the most than to have the kind of post-cesarean pain most women have for weeks. In other words, I'd rather have a really sucky day than a really sucky week.
The pain comparison doesn't apply to some moms who have had their cesareans scheduled. Surgery on a relaxed, non-contracting muscle hurts less and is less traumatic. So when those of us who receive the c-section after having labored all day and then "needing" the surgery for whatever reason - we're basically recovering from two births rather than one.
@sarahsmurfette@xanga - I didn't. I wasn't aware of the site until after I had my daughter. So far, my current pregnancy seems to be progressing normally. I'm almost 35 weeks.
@sarahsmurfette@xanga - Thank you for mentioning this. I didn't think of an emergency c-section that way. If that's the case then I think for the sake of better healing I'll take the scheduled c-section if it becomes my last resort. I'm wondering, though, do they give a muscle relaxant immediately prior to an emergency c-section to stop the uterus from contracting?