Need Input from the Pros

Specialties Ob/Gyn

Published

First, let me just say that over the last few weeks I've developed a profound appreciation for what nurses do on a daily basis. Whatever your are paid is not enough and all of you are deserving of praise for the sorts of situations you face every day. It didn't take long to realize that neither my wife nor I have the sort of mettle needed to be a member of this profession.

I hope nobody minds this outsider posting to your forum. Here's our situation.

My wife is pregnant with our first. During a routine exam at 24 weeks 0 days, her doctor (who we both really like) discovered she was 1 cm dialated. She was immediately admited to the hospital. Here's what has gone down so far:

Day 1: given steroid shot should baby arrive early, strict bedrest starts.

Day 2: another shot. Ultrasound revealed cervix at 1.7cm with some funneling

Day 4: Ultrasound shows 2.76 cm with minimal funneling

Day 7: ultrasound shows 3.1 cm with almost no funneling. Doctor allows my wife to get up for bathroom breaks and to take 3 minute showers.

Day 14: ultrasound shows 2.74 cm with minor funneling, wife put back on strict bedrest (only allowed up to for BMs)

We are now at 26weeks and 2 days. During this time, there has been no change in dialation, still 1 cm. She has had no contractions other than the occasional Braxton Hicks and those are few and far between. She's pregnant with a girl, which I understand can be a plus.

After the last ultrasound, our doctor decided against sending her home until at least week 28. Her opinion at that time (now 3 days ago) was this:

"...28 weeks is extremely likely at this point and I think 32 weeks is very do-able."

I've done a lot of research and my concerns are what sort of long term problems we can expect depending on how far along we get. My feeling right now is that I don't want to subject a tiny baby to the tortures of heroic, life saving efforts.

I guess my question for those in the know is this:

- given the info I provided, what's your gut feel for a likely outcome, both number of weeks we can hope to get and the sorts of short and long term problems for our little girl?

Thanks so much for your time,

Stressed Daddy to B

Specializes in Maternal - Child Health.

Glad to hear the encouraging news! Continued best wishes to you all!

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Sounds encouraging. Keep up the good work and hang in there.

Specializes in ICU/CCU/MICU/SICU/CTICU.

I have been following your posts and am so happy to hear things are looking better. Keep us updated!

Specializes in ICU/CCU/MICU/SICU/CTICU.

I have been following your posts and am so happy to hear things are looking better. Keep us updated!

:) 30 weeks, 1 day, and counting... :)

Mom-to-be is still upbeat but, understandably, the stress of being on bedrest is starting to take its toll. Being at home has helped us a lot but I'd be going out of my mind by now if I were her. There's only so many DVDs, reading, TV, and web-surfing you can do when you're on your back. Having her mom stay with us has been a Godsend. And I know she misses going to work since she's been doing a fair bit of telecommuting from our bedroom.

From the medical journals I've been reading online, 30 weeks was a major milestone with survival rates over 90% and the risk of a major disability beginning to approach that of a term-infant, although minor disabilities apparently are still fairly likely until week 34 as is an NICU stay of some length.

On a side note, I would like to send the L&D nurses something to show our appreciation for the personal attention given to both my wife and I during her 5 week stay. Any suggestions? Would a letter copied to the hospital admin be a good idea?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

woohoo 30 weeks is HUGE! Way to go! Keep up the wonderful work. I am very encouraged by all of this. Things are looking better each day. Thanks for the update.

Specializes in Maternal - Child Health.
:) 30 weeks, 1 day, and counting... :)

Mom-to-be is still upbeat but, understandably, the stress of being on bedrest is starting to take its toll. Being at home has helped us a lot but I'd be going out of my mind by now if I were her. There's only so many DVDs, reading, TV, and web-surfing you can do when you're on your back. Having her mom stay with us has been a Godsend. And I know she misses going to work since she's been doing a fair bit of telecommuting from our bedroom.

From the medical journals I've been reading online, 30 weeks was a major milestone with survival rates over 90% and the risk of a major disability beginning to approach that of a term-infant, although minor disabilities apparently are still fairly likely until week 34 as is an NICU stay of some length.

On a side note, I would like to send the L&D nurses something to show our appreciation for the personal attention given to both my wife and I during her 5 week stay. Any suggestions? Would a letter copied to the hospital admin be a good idea?

Absolutely!!! Let the "powers that be" know how appreciative you are!!! (Food is also good!)

As a nurse, it is also nice to receive a hand written note of thanks. I have a little book where I've kept every one from 11 years in nursing.

I was a frequent flier with both of my pregnancies, spending many weeks in the hospital, especially with my oldest. Unbeknownst to me, the nurses planned a baby shower, including a hand-made quilt crafted by my usual night shift nurse. The doctor, also unaware of the nurses' plans, came in one Friday and told me I could go home on a trial of new meds. The nurses had a fit, and made him change his orders, because the quilt was not yet ready. He gave me a lame excuse about needing another U/S which couldn't be scheduled until the next day. The gave the nurse the night off to finish the quilt, and had my party the next day. Never did have the U/s. I'll never forget their kindness, and still keep the quilt on our rocking chair, even though my "baby" is now 10 years old!

Continued best wishes!

Specializes in ICU/CCU/MICU/SICU/CTICU.

One more day or week marked off on the calendar. :balloons:

A letter to administration as well as to the nurses would be a great idea. Nothing like showing the higher ups what a great job their staff does, as well as showing the staff that you think enough of them to brag on them!

Specializes in Adult Med-Surg, Rehab, and Ambulatory Care.

I have been following this thread, and your last post has me smiling. Many continuing prayers and best wishes for you and your (growing) family!

Specializes in NICU.

I have been following this thread too. Congrats on reaching 30 weeks! Hang in there for the rest!

A letter of appreciation to admin is a good idea. And like another poster said, food is always well-received too. Candy, chips and dip, veggies and dip, cake, doughnuts, bagels, etc. Just about any kind of food will get eaten! As a gentle reminder, you might give more than one set of goodies to catch day shift AND night shift! And put a note on it too so they all know who it's from!

A routine doctor's appointment and another week down. Now at 31w2d.

Doctor happy with how things are proceeding - she decided against an internal check believing the value of what could be learned wasn't worth the risk of stirring things up. We have an ultrasound scheduled with the high risk specialist in 2 weeks, then (I believe) just normal follow-ups. Still on strict bedrest at home until week...uhh, 35 maybe? 36? Don't recall. Doctor told us she wants my wife up and moving around by then and would clear her to go back to working at her office instead of from bed if she so chose.

I think we may be moving into uncharted territory now. Our doctors were all quite optimistic that we'd get to 32 weeks but are no longer willing to say how much further we may go beyond that. The primary doctor isn't ruling out full term based on ultrasound results from two weeks ago but she's no longer willling to commit to X number of weeks going forward.

We're a a long way from the stress and fear the night we went in at 24w0d.

Not out of the woods yet, but another few weeks and, based on my online research, I think we may be nearly free and clear.

Specializes in Maternal - Child Health.

Big cheers going up!!!

Good work, Mom and Dad!

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