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What is your rule for heading to L&D


Forum: July, August & September 2012 Playroom

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  • 2 Post By Kumii
  • 1 Post By therevslady
  • 1 Post By Starr33
  • 1 Post By silverlife
  • 1 Post By Kumii
  • 1 Post By THE angry uterus
  • 1 Post By AnotherOnTheWay
  • 1 Post By Kumii
  • 1 Post By forest
  • 1 Post By Chevy_Gurl
  • 3 Post By therevslady

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  #1  
June 13th, 2012, 05:19 PM
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Two years ago with DS I think it was contractions every 5 minutes or breaking of water. I had to go in immediately for the breaking of water as I have strep B and I need antibiotics asap.
I kind of freaked out last night while having contractions. I was not sure when to go in. I am over 5 cm dilated, but would hate going in for nothing and being put on pitocin to get things more real.

So what do you go by? Depending on how progressed you are and how far away you are from the hospital.

I will speak with my doctor tomorrow and see what she suggests this time around.
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  #2  
June 13th, 2012, 05:23 PM
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Last time my contractions never got closer together than 10 mins apart, even in pushing (thank goodness I only pushed for three contractions... or was it three pushes? I can't remember). BUT my contractions lasted 1.5-2 mins long.

If I were planning on a hospital birth again this time, I would go in when I started vocalizing during contractions, when I was only concentrating on labor and nothing else, when I got serious and cut the jokes, when contractions started to last anywhere from 60-90 seconds long, and if I had no warning before that, I would definitely leave at the point of vomiting/bowel pressure.

But I'm planning on a homebirth this time around since my last baby didn't give much warning. I went from ho-hum labor to WHOA THIS BABY IS COMING OUT RIGHT NOW!!!
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  #3  
June 13th, 2012, 05:25 PM
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With my first I started feeling what I thought were just uncomfortable cramps, but they were every 2 mins from the start...So I guess I waited about 30 mins and then my water broke...I was 35 weeks so off to the hospital I went...
With my second it was the same type of contractions...And after 30 mins I said, o.k this is it, and then when I went to the bathroom I was spotting so I knew it was that.
My 3rd it was a scheduled c-section at 37 weeks and this one is a scheduled c-section at 39 weeks, but I am hoping to go before then with contractions etc. and then they will do the c-section then. I am sooo done with pregnancy...I cannot take another 3 weeks.....
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  #4  
June 14th, 2012, 05:53 AM
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I've been told that if it's not your first baby to go in when contractions are 5-minutes apart and 1-minute long for an hour. But honestly, my braxton hicks contractions were frequently that close with my daughter and my real contractions never had a pattern to them.

With my daughter, the real contractions felt a lot different. The braxton hicks were only in the lower front part of my belly. The real ones were in my back. When proper contractions started I had bloody show. But what told me to go in was when I was walking to the bathroom when a contraction hit and I couldn't keep walking--I had to stop and relax. I think we got to the hospital about 45 minutes after that and I was about 7cm and had my daughter 3 hours later.
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  #5  
June 14th, 2012, 06:21 AM
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Wow! Five CM?! Lucky girl!! You're half way there, lol!

At my appt yestderday the doc said to go in if my water broke, if I thought it broke, or if it was leaking. He also said If I start to contract, to drink some water and lay down. If the contractions didn't get better intensity wise or got worse after 30 min of laying, head in. I'm with you though, I don't want to go in too early and get stuck with pitocin.

I never heard them say to go in so early though, so I think they are taking a few extra precautions since I'm on #5 and I have a history of fast labor/deliveries. He also said he didn't care about how close the contractions were, just the intensity of them. I imagine they would need to be at least 10 min apart for me to notice them.

*I* like to wait until I'm spotting before I go in cause I seem to contract all the time and spotting let's me know I'm dilating.

Kumii, did you spot at all with your dilation?
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  #6  
June 14th, 2012, 06:28 AM
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Quote:
Originally Posted by silverlife View Post
With my daughter, the real contractions felt a lot different.
My labors/contrations have all felt very different from each other. Its kind of embarrassing since its like I'm never quite sure what to expect or if they are true contractions or not, lol. With this being #5, you'd think I would be a pro at this point!

With DD#3, I honestly didn't know I was contracting until much later cause all I felt were waves of pressure and they just happned to be 3-5 min apart.

I also tend to have longer prelabor then active labor (duh). Once active labor starts it's just a HOT mess from there and I progress very quickly.
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  #7  
June 14th, 2012, 06:35 AM
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I need to ask since we have a long drive. Unless told otherwise any consistent contractions for 30 mins I'm calling and heading up. I have an hour drive and slightly longer if rush hour (2 hrs on a Friday rush hour).
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  #8  
June 14th, 2012, 07:02 AM
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Quote:
Originally Posted by THE angry uterus View Post


Kumii, did you spot at all with your dilation?
I have not spotted once this pregnancy. I have had weekly checks as of 29 weeks and never spotted after an exam. With DS I spotted every time, as far as I remember. I have lost a lot of mucus plug and it is still coming, again no spotting. No spotting after DTD either. Nothing!

I am quite certain today I am going to get my membranes swept if not sent straight to the hospital.
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  #9  
June 14th, 2012, 07:05 AM
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My guidelines since the PTL scare and hospitalization are to go in If I have:
~more than 6 contractions in an hour lasting for more than 1 minute each.
~ bleeding bright red blood or spotting of red blood
~ water breaks or leaking of fluids

My docs say things with twins can happen faster than not and be safe rather than sorry and head in or call if I think things have changed.

I likely won't call until I'm there as I called the last time and was diverted to a different hospital...I know about EMTALA rights and will be invoking mine this time ( if all goes according to plan...)
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  #10  
June 14th, 2012, 07:09 AM
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Quote:
Originally Posted by Kumii View Post
I have not spotted once this pregnancy. I have had weekly checks as of 29 weeks and never spotted after an exam. With DS I spotted every time, as far as I remember. I have lost a lot of mucus plug and it is still coming, again no spotting. No spotting after DTD either. Nothing!

I am quite certain today I am going to get my membranes swept if not sent straight to the hospital.
Good luck! KUP!!

Quote:
Originally Posted by LadyBugMommyof1 View Post
I know about EMTALA rights and will be invoking mine this time ( if all goes according to plan...)
What are those? I've never heard of them.

Never mind! I've heard of them, I just haven't heard them phrased that way, LOL!
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  #11  
June 14th, 2012, 08:07 AM
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I per-registered at the birthing centre last week and the nurse who did the run down with me told me to call first (its a 40 minute drive) if I decide to come in and see what they think. She said they get women all the time who didn't really need to come in but just weren't comfortable staying at home any longer and that's totally ok too. I don't want to be at the hospital for ages and ages and ages though... I think the nurses and doctors gets antsy.
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  #12  
June 14th, 2012, 08:07 AM
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I get tons and tons of BH, but I knew it was different by how much stronger and intense the real labor contractions were....especially last time. And they were very regular, unlike BH which I would get super close together sometimes. The real contx were more spaced out but I would have to stop what I was doing and relax thru it.

With my 2nd I woke up with them 5 min apart and started throwing up right away so I pretty much knew it was time
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  #13  
June 14th, 2012, 08:11 AM
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My two kiddos were very different. I went in with my first when my water broke. I didn't realize that what I thought were BH were real LOL! So when my water broke, I knew it was time.

I went into preterm labor with my son at 34 weeks. I was having regular contractions, every 10 min, no matter what I did. I went on for that for like 4 hours before I broke down and called L&D. I wouldn't have except my son had to be born 3 hours away due to his heart defects so they told me not to mess around if I felt my contractions were regular. So I went into the local hospital and transported 3 hours away. They were able to stop labor at the new hospital and I stayed with my parents. I was in and out of labor two weeks and actually was in full blown labor in the middle of one of my weekly check ups so I was directly admitted then.

This time, I will probably wait quite a bit before heading in. Probably if contractions are regularly 5 min apart or seem to be getting more prominent. I'm sure I will hit the "yep, I'm in labor" feeling and that is when I will go.
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  #14  
June 14th, 2012, 07:15 PM
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I don't go off of what they say (the whole it's real come in if u can't speak thru the contrax) because more often than none I do the opposite. I typically believe it's go time when the bathtub isn't so comfy anymore and swaying starts to last a lil longer during the waves. I don't typically time them I just kinda go off comfort level. This time though I'm gonna have to rethink that since the hospital is kinda a ways away this go and I need time to take into account a cpl things like parking, tunnel congestion, and traffic.
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  #15  
June 15th, 2012, 05:44 AM
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Ok.. I spoke with my doctor and she suggested:
- contractions every 5 minutes for more than one hour. I have to try taking a warm bath to relax my body and if they continue to come in.
- the usual breaking of water or leaking.
- bleeding

She also mentioned that if I come in with false labor she wont let me go home and simply break my water ( all this with me being dilated to 5 cm already ).
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  #16  
June 15th, 2012, 06:26 AM
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My doctor said they normally tell people once contractions are 10 minutes apart for an hour to go to the hospital.

We live 30 minutes from the hospital though, so he said if mine are 30 minutes apart for a couple hours, then to go then.

If water breaks, I'm to immediately.
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  #17  
June 15th, 2012, 11:05 AM
forest's Avatar Cara, Mom to two girls
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With my first it was easy because my water broke. With my second we cut it way too close. I made it to the hospital and L&D but not to the delivery room. I didn't think I was as far along as I was because my contractions were never consistent. I would have one at 10 minutes, one 6 minutes later, 10, 6.....then they would get closer but still never all at xxx minutes apart. I think this time I will go based more on how they feel and if I start having ones that come 5 minutes after another one, even if it isn't a bunch of ones 5 minutes apart. I would actually like to deliver in a delivery room this time.
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  #18  
June 20th, 2012, 08:50 AM
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I have 2 rules...

1. If my water breaks I'll go in within 24 hrs before heading into L&D if I haven't had any contractions.

or

2. If I have contractions I try to labor at home the majority of the time till I can't handle it and then head in.
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  #19  
June 20th, 2012, 02:53 PM
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I have a great handout made by my doula certifying agency that I give to my clients. If anyone is interested in reading it, you can PM. I cannot post it on the board since I am not the author and the author frowns upon that.

But the hand out is very good at explaining your options for going in.

Just remember, that when you get to the hospital, you will still have to register and sign consent forms even if you have pre-registered and answer a health history questionnaire. Some places will try to get 1-4 vials of blood to test your white blood cell count and platelets (among other things), and this is important if you want an epidural. Usually if you go by the rule: ctx's e/3-5 mins, lasting 60+ sec, for at least an hour long (think 5-1-1) works great for most first time moms. For second time moms or more, I'd go in if you have any contractions lasting more than 60 secs long for at least an hour). This usually puts you somewhere near 4cm, which is a great place to be when checking in for most moms.
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  #20  
June 21st, 2012, 07:46 AM
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My DR said the rule for me is if I am having contrations 10 mins apart to head in or if my water breaks . She said because of how fast I have delivered my last 2 that she doesnt want me to waste any time and I live about 40 mins away from the hospital and was only in labor with my last dd for 1.5 hrs .
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