So, since I always do what I'm told, I monitored from 7-8pm tonight and sent it in. And AGAIN, I had eleven contractions. I'm sensing a trend here, and betting that tomorrow morning I won't have very many. And I'm betting that we're moving toward having auto doses increase again or move to every three hours instead of every four hours. Because, really, WHY NOT?
Ahem.
We now return you to your regularly scheduled programming.
Update: Per protocol, I gave myself an additional demand dose at 9pm and re-monitored from 9:30-10:30 and re-sent in the data. I had 5 contractions. The good news is that on Monday I got my doctor to raise my threshold from 4 contractions to 6, so I made it in just under the wire. If I'd had 6, they would have had to call the doctor and who knows what would have happened from there. Suffice it to say, I was just as happy to have avoided that, since I was quite tired.
Tuesday, August 07, 2007
I Certainly Can't Be Accused of Underachievement
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12 comments:
no more contractions missy! and i mean it.
I hope they calm down.
Too bad you can't get paid for this new full-time job you've picked up. Goodness knows you've certainly learned enough!
Glad to hear the monsters are measuring well and looking good. Now let's all focus on getting these contractions and your (maybe-I-do-maybe-I-don't-have) gestational diabetes in check, okay?
So what are you doing during the day that's getting your uterus all irritated? Hmmm? I really hope it settles down for you and that whatever changes are coming on the pump will even out the contractions so that there are few if any during your monitoring sessions.
I'm really glad to hear the babes are measuring well and have moved to positions that keep your cervix from being a kickball or punching bag!
Okay, another auto-doses/basal question: Doesn't the observed pattern of contractions indicate that you need increased delivery of the terb in the evenings but not in the morning?
What's the criteria for raising the threshold? How do your doctors decide what's a safe rate of contractions?
Hope you all get a handle on the evening spike in contractions. Maybe measure midday too, to determine when the peak begins, in order to have more data to help tailor the extra terb delivery properly?
so glad the babies have a good size. I really hope the contractions are going to stay under control. Thinking of you
The nurses in hospital eventually discovered that I had a predictable irritable period every single day at 10pm. I was fine, or bordeline, every other time they monitored me, but that last monitoring session was a nightmare. Often I'd end up past midnight getting extra drugs (a problem, because with GD I couldn't easily handle terbutaline) and then I'd be fine the next morning.
Ah well, it gives you something to do on bedrest, no?
Take care of yourself now, less than 8 weeks to go....
Even on hospital bedrest I always contracted more in the evenings, but they always calmed down by bedtime. I also took herbs to help calm my uterus and help avoid the dreaded extra terb shot.
Did you get your FFN results yet? I had a negative at 28 weeks, and it was right. No babies until 33 weeks.
Sending you calm uterus vibes!
I spotted the update on the earlier post and commented there after having already commented here.
Related to what was discussed there, this is possibly a scenario where taking advantage of the pump capabilities beyond that which mimics oral protocols could be helpful. Is there a way to have the pump deliver increased auto-doses coinciding only with the higher-activity timeframe of the evening? The idea of increased dosing during times when an increase isn't necessary doesn't seem quite right.
Also, from what you and also Jody mention, it sounds like you don't want to have more terb than absolutely necessary not only because of the side effects you've described experiencing all along but also because of the GD issues. Yes, elevated bgs and controlled contractions over tighter bgs and uncontrolled contractions, but you don't need excess terb, right?
Actually, though, doesn't GD lead to larger babies? Is it ridiculous that GD could be helpful in avoiding tiny preemies?
Still, you are PCOS, and we all want you to avoid having the GD turn into lasting Type II, as much as you can without putting the babies at risk.
Happy 27 weeks today! 27 is three to the third, so, for gematria if nothing else, 27 weeks must be a good milestone for triplets!
oh wow, just doesn't sound fun!
Hi :) Just a test!
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