Midwife Update

I had my midwife appointment today.  Most everything looks normal 🙂  I have two issues that will more than likely not be a problem but should still be “observed.”

The UTI that I had was what is known as Group B Staff.  It’s an infection that if not looked after could have possible effects on the baby (fingers crossed I don’t hear back from my last test, meaning it’s gone!).  They are going to do another test later in my pregnancy to see if it has returned.  I guess once you have it there is a slight possibility it could return late in the pregnancy.  If there are signs of it then, they will be putting me on antibiotics during my labor so that baby will be ok 🙂

UPDATE:  Was just reading up on GBS online and I guess it’s something that I have permanently.  It causes UTI’s.  Right now I would be low risk which is why they would check around 37-38 weeks pregnant to see if that has changed.  If it has and I am at a high risk of it being passed on to my baby, they will give me antibiotics during labor so the chances of it passing on decreases (without antibiotics 1/100-200 babies receive it, with antibiotics, 1/4,000 babies receive it.)  If it is passed on to the baby, he/she may become sick.  Here are the symptoms for if it has been passed on (you can read more here (http://www.americanpregnancy.org/pregnancycomplications/groupbstrepinfection.html):

How does Group B Strep infection affect a newborn baby?

Babies may experience early or late-onset of GBS.

The signs and symptoms of early onset GBS include:

  • Signs and symptoms occurring within hours of delivery
  • Breathing problems, heart and blood pressure instability
  • Gastrointestinal and kidney problems
  • Sepsis, pneumonia and meningitis are the most common complications

Newborns with early-onset are treated the same as the mothers, which is through intravenous antibiotics.

The signs and symptoms of late-onset GBS include:

  • Signs and symptoms occurring within a week or a few months of delivery
  • Meningitis is the most common symptom
  • Late-onset GBS is not as common as early-onset

Late-onset of GBS could be a result of delivery, or the baby may have contracted it by coming into contact with someone who has GBS.

Also, my last ultrasound showed that I have a Low Lying Placenta.  It’s about 2cm from the cervix.  This early on there’s no worries because most women’s body will correct itself and the placenta should “move” up.  This next ultrasound will show whether it has moved.  If it still has not I will need to go see my midwife and we’ll need to talk about doing some things differently.  From what I’ve been reading on it, if a Low Lying Placenta does not “move” up by 28 weeks I would be diagnosed with  Placenta Previa, which means rest, rest, rest…and possible pre-term labor…and possible C-Section.  Most women are able to go full term (and the body may even correct it before 32 weeks!), but are normally on bed rest to prevent bleeding and pre-term labor.

Anyways, all that to say I have a Low Lying Placenta that may not even be Low Lying by next weeks ultrasound, lol.  But still, it’s a concern we have right now.  I thought I’d paste this article I found about Low Lying Placenta (www.womens-health.co.uk)  for your reading pleasure 🙂

Low Lying Placenta

The placenta is also called the afterbirth. It is this that allows your baby to get all its oxygen and nutrients from you. Normally the placenta implants or buries itself into toward the middle or top of the womb. This means that it is well out of the way of the ‘exit’ when it comes to labour, and the baby has an easy passage out. When this doesn’t happen, though, and an ultrasound scan reveals that the placenta has implanted in the lower part of the womb, you are said to have a ‘low lying placenta’. This can potentially cause complications when it comes time to give birth.

How Common is This and How Often Does it Stay Low Lying?

A low-lying placenta is not an uncommon finding on second trimester ultrasound scan. As many as 15% to 20% (one in five to six) of pregnancies have a low lying placenta. Fortunately, only 5% (one in 20) of these remain low lying at 32 weeks and only one third of those are low lying at term (37 weeks). After 28 weeks, a low lying placenta is known as placenta praevia.

The vast majority of pregnant women will have their placenta issues resolved by the time labour starts and will not have any problems.

How Does the Placenta Move?

It doesn’t actually ‘move’ but the growth of the womb and placenta relative to each other mean that it appears to do this.

The lower part of the womb – the lower segment – grows a great deal in mid to late pregnancy. After 28 weeks, its size increases by more than ten-fold. In addition, the placenta grows most toward the top of the womb, where the blood supply is best.

It is because of these two events that most women with a low lying placenta have no problems.

How Will I Know if it Has Moved or Not?

You will be asked to come back for another scan, probably around 32 weeks, by which time most women will be reassured that all is well and the placenta is now positioned toward the top of the womb.

What do I Need to do Now?

If you’re placenta remains near the bottom of your uterus, then there is nothing you can do to try and encourage the placenta to move.

Unfortunately, because of the placenta’s position over the cervix, there is an increased risk of early labour and bleeding. Very rarely the bleeding can be quite heavy.

If you notice any fresh blood or regular pains, it is important to contact your doctor or delivery suite right away. This is not something that is common.

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