Well with Sara, it was the icing on the cake. My peri said as soon as she saw me that I was done. She came into the waiting room to bring me back and she said I looked awful and I told her I felt awful. She asked what my bps were and I told her. She said those are stroke level my dear. Today is the day. I told her I had been in contact with my ob. That's when she said let's find a reason to have a baby today. Then she told me it would be up to my ob for the decision. Quite frankly I think he knew I was done but he wanted the peri's advice and he absolutely wanted that last US done. When he had seen me the day before, he said that if anything changed, the peri would call him. He told me DO NOT MISS that appt. ummm, I hadn't missed one yet, I don't know why he would think I would all of a sudden start. So I don't think he was too suprised to get the call during lunch. He had my appts with him and the peri memorized. It just ended up when they did the NST, she had already left a message for him but it was lunch time and his office closes, that Sara had decels on the NST. It was after I got my medical records when I found out that they were late decels. Late decels are a bad thing because it means that something is seriously wrong. Every piece of research I could find called it omnimous. Meaning bad and she was starting to go into distress. Early decels are not as bad as late. I saw the decels on the strip at her office and thought, I have never seen that on a strip before. But everything happened so fast and she was like you have to go to the hospital NOW. Do not pass go, do not collect $200, just go. Your ob is waiting for you. She never mentioned the decels. My ob when he came over from the office to check me in said, Today is the day! I understand baby had some decels but that is ok cause she is coming out today. I was like WHAT? Then he started giving the nurse her orders for me. My OB cared about my well being, but I didn't want to be transferred like I was with Kirsten. I wanted MY doc that I had had the entire pregnancy. Unfortunately, I live in a small town that has a small rural hospital (only 126 beds). They have no advance care for sick infants and no NICU. I thought that they could care for a RSV baby cause Sara had RSV in January. Nope they transfer them by ambulance or air to Childrens. So my ob was trying to abide by my wishes but also trying to make sure that Sara could breathe on her own. When it came time to induce, the first thing I asked the peri besides asking if Sara was ok was can I go back home and have her. She said yep, but let me check with Dr XXX first because you are preterm and they may want you to go to Children's.
If your bps are high, they should not be allowing you to go overdue. I think the most my ob was willing to keep me pregnant period was 37 weeks. I am dying to know how long for next time. I figure that way I can just tell myself I am due at 37 weeks. I have a thing about not getting through the last month.
Anyway, if I ever get pregnant again, my Primary Care Dr will NOT touch me with a ten foot pole and she has already told me that. She said I was too high risk for her and that if I got pregnant I am going immediately back to my ob, no ifs, ands, or buts. I meant to ask my ob the last time if he would be taking over my total care. Meaning if I get a sinus infection, do I call him or my pcp. Last time, I saw my pcp (different one, I changed after Sara was born for bronchitis and stuff). But this pcp is clearly not comfortable with caring for me as a pregnant woman. I know that a lot of OBs will totally care for the patient while pregnant. They are also trained as pcps too. It was the mw who put me on bedrest when I came in for an appt when I had severe bronchitis. So I imagine he can do it. It would probably be easier because the pcps ask what meds can you take while pregnant, ummmm your the doc! My pcp is also not comfortable with complicated GYN issues either. She can do regular exams and some issues but I have been having awful GYN issues since Sara was born and she is like go talk with Dr XXXX about that. That is his specialty. But if it is primary care, no problem!
I can't imagine being seen by a family doc and then being delivered by someone you don't know at the hospital. Well ok I can because my ob with Kirsten dumped me and left me to rot in the hospital for 9 days before she came to see me. That was only because I called the base and said I was leaving the next day. She thought she should be the one to try and convince me to stay. HAH. I was like done with you, I want to see an American dr. So I had a dr that I did not know and drs that I did not have a clue as to who they were caring for me. It was like a dark curtain and not knowing anything. The only reason I know I was passed from each oncall doc was because I finally got my medical records. There were only four times that I remember talking with a dr in the days before and after delivery. Once when they came in and said that they were terminating the pregnancy (sounds like I was having an abortion or something, it was awful to hear that), once when I crashed and the dr on call said I was really sick and they needed to start another iv line (mag sulfate, ick), when Kirsten was born, and when my original ob tried to talk me into staying a few more days. Kirsten was born in a Belgian hospital because we were living overseas at the time with the military.
Being on bp medicine, while it is awful to be on is probably for the best. I certainly didn't want to be on it and every time my ob raised it made me think My goodness if this is hard on me what is it doing to my baby. However my ped says that is what allowed Sara to grow and be healthy. I wasn't nearly on as much meds with Kirsten (27 weeks, 750mg of Aldomet a day) vs Sara (17 weeks, increased with frequency to 2000mg of Aldomet and 60mg of Procardia a day). My ped says that that made all the difference for Sara that I had good prenatal care.
Wow this got long. Sorry. You are going tobe fine. Just stay on top of things and head on in if needed. Let us know how things are going.