PREGNANCY-BIRTH Messages for April, 2000: Re: contractions/previa/premature labor?

Re: contractions/previa/premature labor?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Apr 2000 14:41:19 -0500 (CDT)

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At Sat, 29 Apr 2000, Kim wrote: >
>I have written before about my eventful pregnancy..Now I am 29 weeks, I
>still have a partial previa, and daily contractions. This is my third
>baby, so I have had two healthy uneventful/pregnancies full term
>babies..
>I have had a previa since the 13th week, but was ordered on bedrest
>since week 24 (yes i feel like a cow now).
>Anyhow I get a lot of contractions, they HURT a lot and sometimes I will
>have 4-5-6 an hour and then things will stop. I have NEVER had this
>happen in previous pregnancies, and once I went to the hospital and the
>moniter did not pick them up but the peri did when she was performing an
>ultrasound. I have been contracting since week 24, I have had no
>bleeds, well once a small one after sex during the 24 week (i know no
>sex, fingers or tampons with a previa NOW, but was not told that then).
>ANyhow last night and today I had this horrible(LOWER) backache, it came
>and went rythmatically and was radiating down in between my legs like
>when I have my period. It felt like menstural cramps, I was going to
>call the MD, but then I got up had a HOT HOT shower and just sort of
>relaxed in there for a while. When I got out I felt a little better. I
>woke up and had three BIG contractions this AM, I mean the ones you have
>to breath thru. NOTHING is staying consistant, and if it does it lets
>up after a couple hours. I am SO freaked out about this, cause I never
>know if it is going to stop and everytime I ask my DR his reply is,
>"This is your third baby, they are BH nothing to be alarmed about." Of
>course since I have the previa I have not been examed to see if I am
>thinning out of dialted EXCEPT when I have had ultrasound and the last
>one was over a month ago. My peri, said that it could be the placenta
>is irritating the uterus and causing the contracts. My ob said maybe
>just an abnormality of the pregnancy. They seem cool and collected
>about this, while I sit home in a panic everytime this happens, the pain
>is unreal (and I have birthed 2 big babies vaginally)..
>
>Any ideas? Do you think I am over reacting? What do you tell your
>patients about these things?
>
>Thanks in advance for your time.
>
>--
>Kim
>

Kim I agree with both of your OB's. This is probably a combo of both things. There is no doubt that a previa does lead to more contractions as it is irritating the lower uterine segment and will lead to more activity. I also know that moms that are on their third child will contract more as they have been stretched before. Now, you MUST be very careful due to the previa. I usually tell my patients that if they are experiencing an increase in their uterine activity that they need to get off their feet, drink 2 large glasses of water and alert me if things have not slacked off in the next hour. Good Luck.

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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In reply to: Kim: "contractions/previa/premature labor?"

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