PREGNANCY-BIRTH Messages for May, 2000: Re: preterm labor

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Re: preterm labor

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 5 May 2000 23:45:38 -0500 (CDT)

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In reply to: Kim: "preterm labor"

At Fri, 5 May 2000, Kim wrote: >
>Hi! (I am 30 weeks) I have written before as I had a total previa but in
>the last four weeks it is COMPLETELY resolved!! It went from completely
>covering the internal OS to being 1.3 cm's away and now it is over 3
>cm's away YIPPEE!!! SO just as I was FREED from bedrest, well actually
>all along I have had contractions. Contractions that HURT wrap around
>my back into the tummy (this is my third baby, my other 2 were full
>term), I have had over 6 an hour for a few hours now. The contractions
>do not hurt worse but they just will NOT leave me alone. I have
>complained to the DR;s the other day, and the peri did a level 2 + he
>check my cervix via vaginal probe, MY CERVIX IS THE SAME no changes at
>all. No thinning out, not funneling no dialation. He pushed the baby
>down into the cervix to see what my cervix would do and the cervix
>stayed fine. SO, it looks like things stay the same no matter how many
>contractions I have, my question is. WHY AM I HAVING THEM, and the
>drinking of water and resting makes no difference.

Some women just have an irritable uterus and have annoying contractions that do not change theier cervix. BUT, if you are having 6 painful contractions an hour you MUST call your doc and follow those recommendations -- I'd have you come in for monitoring and a cervical check.

The PERI told me I >am at higher risk for an earlier labor/birth, but how early?

If your previa is resolved and you have no history of preterm labor, did he explain why you are at increased risk? Have they done any studies like fetal fibrinectin or salivary estriol if you've been contracting alot? )These tests are not very good at predicting preterm delivery, but are good at predicting who will NOT deliver within 1 -2 weeks of a negative result)

WHat should >I do?

Call your doc.

I hate to waste the Dr's time,

You're paying your doc to be there for you.

or be stuck in the hospital when >everything seems to be fine each time I see the DR...

Well, that is a drag, but not as big a drag as visiting a preterm baby in the intensive care nursery.... >
>What would you tell your patients if the presented a case like mine?

See above. Get checked.

My >other two babies WERE over due, and I NEVER had these contractions, I
>had BH they never hurt me.
>My baby is in the head down position.
>
>Thanks in advance for your time,
>
>--
>Kim
>

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

Replies are for educational purposes only and do not construe a doctor-patient relationship; they do not take the place of a face-to-face consultation with your own doctor.

PRIVATE E-MAILS WILL NOT BE ANSWERED! My daughter deserves some of my very limited free time!

Next message: Kelly Shanahan, MD: "Re: Xanax and Pregnancy"
Previous message: Cherine: "IUI Timing with LH surge"
In reply to: Kim: "preterm labor"

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