So I got good news and bad news from my doctor yesterday at my appointment. We'll start with the bad news so we can end on a positive note.
~My contractions are coming too frequently for her comfort.
~Doc wants me to start taking terbutaline every 2 hours instead of every 4, around the clock.
~If baby comes before 36 weeks (Oct 8), I can't deliver at the local hospital (Castle). I'll have to go to Kapiolani where they have a NICU.
~My doctor doesn't go to Kapiolani so I'd have a random Dr I've never met before deliver baby.
~Baby is still breech. :(
I was kind of stressed out about this stuff last night. Upping the dose of the Terbo drug doesn't help at all as my heart rate is now through the roof and I'm more shaky than ever. Add headache and nausea to the list of side effects. It's truly the worst I've felt through this whole pregnancy so far. And the thought of delivering in an unfamiliar place with an unfamiliar doctor doesn't excite me in the least. And I was surprised that baby is still breech. I was sure I felt all this new pressure in my pevic area... turns out that's baby's feet stepping on my cervix. Oh. Ok. Time to start the moxibustion burning.
In more reassuring news...
~My cervix is not effaced and has not started dilating. Yea!
~Doc did a fetal fibronectin swab and it came back negative, which is great, because that is an indication that I am not going to go into labor in the next 2 weeks. Yea! That puts me at least to 35 weeks. At least.
I laid awake for hours last night... most of the night in fact... not due to stress about all this but rather because my heart was pounding so hard through my chest that I just couldn't doze off. I actually took my heart rate while watching the clock without touching a blood vessel- I could feel it that strongly- and it was 104 while I was laying down. I just kept thinking that this can't be good for me or my baby.
So I have contractions all the time. But they're not causing any change in my cervix. So I'm trying to understand why this is even an issue? Why am I on this terrible drug that makes me feel as bad as I've ever felt since before I peed on the stick? My understanding is that contractions, if they are not causing cervical changes, are fine and normal. My body knows how to be pregnant and deliver a baby. I really don't want to mess with it any more by adding pharmaceuticals to the mix when it seems to me they are unnecessary...
So then I did more research on this drug terbutaline. Turns out, it's indicated for asthma. Not pre-term labor. And in fact, there's much debate about whether or not it should even be used for pre-term labor. Apparently it has only been shown to work for the first 48 hours to delay impending labor. And in fact, I'm not even in pre-term labor b/c that's defined as cervical changes, which I don't have.
Clearly, another conversation needs to take place with my doctor. I'm definitely thinking that I'd rather deal with around the clock contractions than all the adverse events this drug is causing. I feel like I just want to trust my body... that it knows what its doing...