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What would you do? (Long, sorry!)


Forum: August 2013 Playroom

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  • 2 Post By soccermamatomany
  • 1 Post By mamalamb

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  #1  
April 8th, 2013, 08:52 AM
Husher's Avatar B & E complete me.
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Most of you probably remember that I had bleeding a couple of weeks ago (on Tuesday, March 26th). My midwives got me in immediately for an ultrasound that day. We found out we're having a boy, and all looked great with the baby. My placenta was at the top of my uterus and my cervix looked good from an abdominal ultrasound. My DH wasn't happy with the bleeding being unexplained, so he pushed for me to ask to be seen by an OB just in case.

So I got an appointment for the next morning with an OB. He did an internal exam and saw a red spot on my cervix, which he said must be where the bleeding was coming from. He did a pap smear, and then called a few days later saying the results came back normal and that he wished me a happy and healthy pregnancy.

Then last Monday (April 1st), I had more bleeding. Both this time and the time before happened when I'd also had a BM. I have at least one BM every day, and am not constipated, but one thought is that the pushing from the BM could be irritating my cervix. But that's just a guess. Again I called the midwives and they spoke to a specialist. The specialist recommended doing monthly ultrasounds to check baby's growth, but that was pretty much it. I was also told to keep updating them if the bleeding continued.

This past Saturday evening I had bleeding again, and this time it wasn't associated with a BM. However, this time the blood when I first wiped was brown and not red like it was the first two times. I took that as a good sign, and thought that maybe it was from the BM earlier in the day and didn't say anything to my DH about it. But then an hour later when I wiped, the blood was more pink and not brown at all. I still had some slight pink discoloration in each wipe after that up until the next morning.

When I called the midwife again on Saturday, she didn't seem too concerned about it and suggested again that it could be a polyp that couldn't be seen during the OB's exam. At first this made sense, but the more I thought about it, I realized it was unlikely since the OB had actually seen a red spot and not a polyp.

My DH was again not happy with the bleeding being unexplained, so he asked me to call the OB back again this morning. I did, but since I'm not technically under the care of the OB it's not like he's my doctor. His nurse urged me to talk more in depth with the midwives and consider switching to the OB's care, but that would mean I'd be seen by a high risk doctor and I would have to give up my birth center birth.

Having a healthy pregnancy is the most important thing to me, but I can't help but wonder if this is being blown out of proportion. Every time I've had the bleeding, it's only been a few wipes of bright red (and the last time it was never "red" at all) and the remaining wipes turned pink and then brown very quickly. I'm not having any painful cramping and the baby is moving around a lot.

If you were me, would you ask to see the OB again or would you remain in the care of the midwives and just do the monthly ultrasounds? I know bleeding three times in less than two weeks is not normal, but what if it really is just me pushing too hard when I'm having a BM?

Plus, my thought is that if I do end up switching to an OB, I'd rather just switch to an office closer to where I live. The high risk OB I saw and my midwives are both about 50 minutes to an hour away, and I only go that far now because I love the birth center, and there isn't another one closer to me. If I had to be under the care of an OB, I'd rather not drive that far.

I'd love to hear your thoughts and what you think you'd do. Thanks!
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Last edited by Husher; April 8th, 2013 at 08:56 AM.
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  #2  
April 8th, 2013, 08:58 AM
soccermamatomany's Avatar Mega Super Mommy
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What is your gut telling you to do? We, women, usually have pretty good intuition about this kind of stuff.
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  #3  
April 8th, 2013, 09:10 AM
Husher's Avatar B & E complete me.
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Yolanta, my instinct is that it's nothing major, but then I worry about what it could mean later in pregnancy as the baby gets heavier. What if it's not something to worry about now because the baby doesn't weigh much, but as the baby gets bigger, maybe it will be? Then I worry that if I just go with the plan to do nothing but have the monthly ultrasounds that and something bad happens then I'd never forgive myself. With that being said, though, I'm not sure the high risk OB would do anything above and beyond that either. They just would have better knowledge of situations like mine, I guess?
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  #4  
April 8th, 2013, 09:12 AM
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I second that. Most of the time with decisions like this, there is one answer that will make you feel calmer and more in control, and the other option will make you more nervous and worried. What do you need to do to have peace of mind?
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  #5  
April 8th, 2013, 09:48 AM
Husher's Avatar B & E complete me.
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I do think the OB thing will make me "feel" more like I've taken action, but I panic at the idea of having another hospital birth, even though I know I can do it. I've done it once before. I just really, really, really don't WANT to.
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  #6  
April 8th, 2013, 09:49 AM
ElliotsMommy13's Avatar Mega Super Mommy
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Im sorry you are dealing with this scare! I have no idea what I would do.. but I would definitely agree with the others and just say, trust your instinct and do what you feel more at peace and more comfortable with.
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  #7  
April 8th, 2013, 09:55 AM
soccermamatomany's Avatar Mega Super Mommy
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If it were me, I would talk to a second OB. Get a second opinion (or third). If they all agree it is nothing to worry about, stick with your MWs. If this second OB also believes that you should switch care, I would switch care to an OB. I am only saying this because I am a total hypochondriac! If you feel comfortable staying with your MWs without any further follow up, trust your insticts.
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  #8  
April 8th, 2013, 10:32 AM
mamalamb's Avatar Platinum Supermommy
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I agree with Yolanta 100%!
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  #9  
April 8th, 2013, 01:02 PM
Husher's Avatar B & E complete me.
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Quote:
Originally Posted by soccermamatomany View Post
If it were me, I would talk to a second OB. Get a second opinion (or third). If they all agree it is nothing to worry about, stick with your MWs. If this second OB also believes that you should switch care, I would switch care to an OB. I am only saying this because I am a total hypochondriac! If you feel comfortable staying with your MWs without any further follow up, trust your insticts.
Great idea! I don't know why it didn't occur to me to ask to see another OB that's in my area. I'll definitely look into doing that tomorrow when I see my midwife for the 20 week check-up. Thank you! I honestly don't know what I'd do without you ladies sometimes.
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