I go to a practice that employs 3 doctors, you routinely see all three so you know them all so when you go into labor, the doctor that happens to be on call that day, you are familiar with and he is familiar with you. The 3rd doctor only joined the practice a year or so ago, and this appointment happened to be my first with him. So anyway, he asked me the normal questions and blah blah blah, lays me down to check the baby's heart rate. Now, I learned a little something from my molar pregnancy-- be concerned when a doctor takes longer to do something you've seen done a million times and is silent. Silent = bad. My doctor was silent, and after a long time I was like, "what is wrong?" He tells me that the he detects an irregularity in the baby's heart rate. He said right there that at 28 weeks, that could be completely normal, but it's hard to tell with only listening for a few minutes and he wanted to monitor me for a longer amount of time hooked up to a machine. Keeping my panic at bay (who am I kidding? TRYING to keep my panic at bay), I follow him into a little room with lazy boys and monitors and a nurse hooks me up. She leaves and Rob and I are looking at each other like, "are you kidding me (kitten me?)" and we watch the heart monitor record our baby's beats. It seemed all over the place (we later learned that is a good thing), but after 20 minutes, the doctor reviewed it and saw some dips he didn't like. I guess the rate went down really low a few times and he then explained that it could be a pinched cord or the cord could be around the baby's neck. He gave me instructions to monitor the baby's movements a few times a day (10 movements in an hour = good), he reassured me that the baby measured perfectly and is growing right on target, which in this situation is a really good thing. He also wanted to see me again in a week to check the heart again, he said that at this point, a week of growth will be significant enough in umbilical cord growth and strength and baby growth to possibly leave all this behind us, assuming that the baby is still kicking around a lot. I was still hooked up as he was talking and I had told him that I had had a contraction or two during the monitoring and that seemed to concern him a little. But while he was talking he noticed the baby's rate drop again and he asked me if I was having a contraction and I was, so he said, "ok, I've changed my mind, I want to have an ultrasound done again to check the fluids and then I'd like to send you to the hospital and have them monitor you for a little while there." Rob piped up then with many questions, as this was getting fairly scary. He got out of him that it isn't the baby's development that has him concerned, it was stress associated with the umbilical cord. This was somewhat cheering, as thoughts of a baby with a bum heart were swimming through our brains and dying babies that need heart surgery at birth is not quite what we want in our near future. As I've said before-- WE LIKE HEALTHY BABIES!!!
So, we had our ultrasound and got to see little bean, and her fluid looked good. The doctor liked that news, as low levels of amniotic fluid can be a bad sign in this situation. So, we drive over to the hospital and get hooked up in a room and kind of go through the same thing. Scout found all of this quite interesting and fell in love with our nurse, who brought her vanilla "biscuits" and wafers and orange juice. She kept saying that she liked what she saw, and didn't see any of the drops the doc did in the office, this is explained by the baby possibly was hanging on to her cord, or pinching it with her shoulder or other such shenanigans. What she did see/hear was an arrhythmia though. So, I don't know if these two things are connected or what or really what is going on right now. I was armed with the knowledge that this is fairly common at my baby's age and also that in 99% of these cases, the arrhythmia resolves on it's own around birth. I tried to get out of her what happens to the other 1% of babies (as we all know, I now laugh at odds). She wasn't sure and told us that a pediatrician would know more then her about that, I said "surgery?" and she nodded in a non committal fashion.
So, after two hours in the same position, pressing on a monitor because the baby was squirmy and kept kicking it, and Rob having had skipped lunch, and Scout getting progressively more wired thanks to cookies and juice laced with monkey beans, we were very happily discharged and got hamburgers and went home (but not before the nurse gave her a few biscuts for the road).
Tonight, I think I am ok with this, I feel good about the baby showing no signs of distress while at the hospital. I am ok with the baby's "odds" that she will get over this, and be a normal happy healthy newborn, yet, inevitably, I know I will worry. I know I will be doing the fetal movement checks several times a day. I know I will rejoice with every kick she gives my rib cage from now on, knowing that she is alive and kicking. I know I will constantly be thinking about that tiny little heart in there, and hoping it is doing it's thing and being a good little heart for my little one. I suppose I'll know more next week (or not), my appointment is on Tues afternoon, and I will update you all with the latest.
I guess Rob and I are made to be kept on our toes for this one still. Why? Wish I knew. We talked tonight how we again long for the days of Scout's carefree pregnancy. Ah, those were the days......
***Update***
I did a little internet research today on the subject of irregular fetal heart rates and am feeling a lot better about the whole thing. It seems that it is a low level of these babies that do have any sort of problems, and these babies are associated with having a heart beat that goes very high (over 200) for a period of time and my baby's never went over 160. Even then, this seems to be fixed with medication in utero and after birth. No one said anything about surgery, so that is certainly good news to us. Here is one such example of the articles I read that seemed informative and from a reliable source if you're interested.
I did a little internet research today on the subject of irregular fetal heart rates and am feeling a lot better about the whole thing. It seems that it is a low level of these babies that do have any sort of problems, and these babies are associated with having a heart beat that goes very high (over 200) for a period of time and my baby's never went over 160. Even then, this seems to be fixed with medication in utero and after birth. No one said anything about surgery, so that is certainly good news to us. Here is one such example of the articles I read that seemed informative and from a reliable source if you're interested.





















