6 years ago
Saturday, September 11, 2010
Update
Wow, I am terrible at this blogging thing. A lot has happened since my last post. Here is the short version. I ended up transferring my OB care to a midwife group at Iowa City. I went into labor naturally and was allowed to VBAC. I went through 19 hours of labor with no pain medication, but in the end had to have another c-section. Unfortunately I have an android shaped pelvis on top of the hip dysplasia. My type of pelvis is the hardest for babies to pass through. My daughter, Margaret Irene, was face up, her head and neck where tilted up instead of down, and she was 8 lbs 13 oz. None of those factors help when you have an android pelvis. My son presented in the exact same way, so my body for some reason puts babies in the absolute worst position.
Labor wasn't so bad, I had a doula and I was able to sit in the whirlpool tub for several hours, everything progressed very well, until it was time to push. I tried squatting and every other position available, but Maggie never budged from the zero station. After almost 4 hours of pushing, I knew that I wouldn't be giving birth naturally. She was so stuck against my pelvic bone that the OB sounded like she was giving birth with all the grunting she did trying to get Maggie out.
The thing I remember the most was that toward the end my left hip hurt more than the labor pains. It felt like I need to stretch it out and not put anymore weight on it. My left hip is still super weak and the pregnancy did not help. If anyone is contemplating pregnancy after the PAO I would recommend waiting a little longer before pregnancy. The hip did great during the pregnancy I don't remember having a lot of pain, no locking up, no feeling like I couldn't walk.
Emotionally this has been very hard for me, another surgery, the third in 4 years. I am grateful for my beautiful daughter but my husband and I worked so hard to have a natural birth. I really believed that I would be able to do it, and when it didn't happen I was devastated.
The second c-section was more difficult, my wound had to be re-opened because of all the scar tissue I had from the last one. Once again my wonderful husband had to take care of me. He had to pack my wound twice a day for about 4 weeks, and put up with my emotional break downs.
Today Maggie is 12 weeks old, I just went back to work last week and life is starting to get back to normal. I am concerned that I will have to have another PAO. I hope not, but righty has been stiff in the mornings and it takes me awhile to get going. I haven't had any follow up in a year since my pregnancy prevented x-rays from being taken. I plan to make an appointment for the fall, hopefully I will get good news and righty will behave.
Labor wasn't so bad, I had a doula and I was able to sit in the whirlpool tub for several hours, everything progressed very well, until it was time to push. I tried squatting and every other position available, but Maggie never budged from the zero station. After almost 4 hours of pushing, I knew that I wouldn't be giving birth naturally. She was so stuck against my pelvic bone that the OB sounded like she was giving birth with all the grunting she did trying to get Maggie out.
The thing I remember the most was that toward the end my left hip hurt more than the labor pains. It felt like I need to stretch it out and not put anymore weight on it. My left hip is still super weak and the pregnancy did not help. If anyone is contemplating pregnancy after the PAO I would recommend waiting a little longer before pregnancy. The hip did great during the pregnancy I don't remember having a lot of pain, no locking up, no feeling like I couldn't walk.
Emotionally this has been very hard for me, another surgery, the third in 4 years. I am grateful for my beautiful daughter but my husband and I worked so hard to have a natural birth. I really believed that I would be able to do it, and when it didn't happen I was devastated.
The second c-section was more difficult, my wound had to be re-opened because of all the scar tissue I had from the last one. Once again my wonderful husband had to take care of me. He had to pack my wound twice a day for about 4 weeks, and put up with my emotional break downs.
Today Maggie is 12 weeks old, I just went back to work last week and life is starting to get back to normal. I am concerned that I will have to have another PAO. I hope not, but righty has been stiff in the mornings and it takes me awhile to get going. I haven't had any follow up in a year since my pregnancy prevented x-rays from being taken. I plan to make an appointment for the fall, hopefully I will get good news and righty will behave.
Friday, May 7, 2010
1 year past LPAO & 34 weeks pregnant!
It is a big day at the Carlson household, my one year anniversary from my LPAO. According to my husband, "It feels like it was a lifetime ago." I feel like it was a little more recent. If I wasn't 25 pounds heavier and would have kept up with my physical therapy exercises, maybe I would be feeling further along. Dr. Mckinley said my recovery would be slowed down by the pregnancy, he was right again! I have no issues standing all day at work or walking long distances. There is no more locking up of the left hip, but I do have a nagging pain in the back of my left hip that gets worse if I move the wrong way. I didn't start to notice this pain until recently in my pregnancy so I am hoping it is due to the extra weight I am packing on.
I have started doing prenatal yoga once a week. I feel great while I am doing it. (I do the best I can, I always was the most inflexible person I ever knew!) Unfortunately the day after I am SORE and then noticed this little nagging pain. I also discovered that my hip flexors in my left hip are really weak, which I have to say really surprised me. I can barely lift my own weight of the left leg when I am sitting down with legs extended in front of me. It is getting better though I can lift it a little easier than I did when I started the yoga class.
I am also seeing my D.O. again for manipulations. I am seeing him just as much as my OB for prenatal adjustments. In the beginning my left pelvic bone wouldn't move at all, now last week it is moving so hopefully that will mean success for my VBAC. I switched OB offices to have a group that is a little (not much) more supportive of VBACs.
I am really hoping to avoid a PAO on the right, I think it is still too soon to tell if I will need one or not, I am just taking one day at a time.
I have started doing prenatal yoga once a week. I feel great while I am doing it. (I do the best I can, I always was the most inflexible person I ever knew!) Unfortunately the day after I am SORE and then noticed this little nagging pain. I also discovered that my hip flexors in my left hip are really weak, which I have to say really surprised me. I can barely lift my own weight of the left leg when I am sitting down with legs extended in front of me. It is getting better though I can lift it a little easier than I did when I started the yoga class.
I am also seeing my D.O. again for manipulations. I am seeing him just as much as my OB for prenatal adjustments. In the beginning my left pelvic bone wouldn't move at all, now last week it is moving so hopefully that will mean success for my VBAC. I switched OB offices to have a group that is a little (not much) more supportive of VBACs.
I am really hoping to avoid a PAO on the right, I think it is still too soon to tell if I will need one or not, I am just taking one day at a time.
Saturday, March 13, 2010
10 months post PAO
It is crazy how time flies and how I keep meaning to post more often than I do. Since my last post we have found out that I am having a girl! We are very excited to complete our family. What could be more perfect than a boy and a girl?
Hip wise things have been ok. I do feel quite a bit of weakness in the left hip. I imagine it has to do with the lack of weight lifting I have not been doing. My OB does not want me to do a lot of lifting so I have been using the exercise bike a few times a week. It does help, but it is so boring! I have some numbness when I lay on my left during sleep, I always was a tummy sleeper and the belly is making that impossible. Thankfully there is no locking up so I am happy with that result! I do have pain in the left buttock now and then, I think this is do to the weakness and fact that I am adding the extra weight from the pregnancy. All in all the aches and pains are not much different than my last pregnancy.
In the back of my head I am worried I will have to have a PAO on my right. The relaxin released in pregnancy is great for birthing babies, but not so great for dysplastic hips. I have had some locking and weakness in the right hip. I will worry about that bridge later though. Right now the big dilemma is to have a vaginal birth after cesarean (VBAC) or not.
My last post said I was 85% sure I was doing a repeat C-Section, but now as it gets closer the thought of one more surgery is not appealing to me. So many worries though, wondering if my hips will allow me to do it since Caleb never got past my pelvis before. (He was 9lbs and face up - the most difficult position to push out!) I know the PAO should not have any effect on the vaginal birth, but my right hip bone is smaller than my left so in the back of my mind I wonder if my hips expand the way they should. Of course there is no one to answer this question. My OB's want me to do the C-section, they say I have a 13% chance of success with the VBAC based on how my last labor went. (Fully dilated and pushed for 2 hours with no movement from the "0" position) That percentage comes from a study done in 1997 though so I wonder how accurate it is anymore. The big worry is uterine rupture, only a 1% chance, but the outcome could be catastrophic and I am usually the worst case scenario type person. So, like I said not an easy decision. I would like to see if these hips and my body could do a natural childbirth, but still not sure if it is the right decision for me. I will keep everyone updated with my decision, I promise! I would like to thank all of the Hip Women on the yahoo group for their quick responses and great advice, it does help to chat with people who have been through the same things I am going through.
Hip wise things have been ok. I do feel quite a bit of weakness in the left hip. I imagine it has to do with the lack of weight lifting I have not been doing. My OB does not want me to do a lot of lifting so I have been using the exercise bike a few times a week. It does help, but it is so boring! I have some numbness when I lay on my left during sleep, I always was a tummy sleeper and the belly is making that impossible. Thankfully there is no locking up so I am happy with that result! I do have pain in the left buttock now and then, I think this is do to the weakness and fact that I am adding the extra weight from the pregnancy. All in all the aches and pains are not much different than my last pregnancy.
In the back of my head I am worried I will have to have a PAO on my right. The relaxin released in pregnancy is great for birthing babies, but not so great for dysplastic hips. I have had some locking and weakness in the right hip. I will worry about that bridge later though. Right now the big dilemma is to have a vaginal birth after cesarean (VBAC) or not.
My last post said I was 85% sure I was doing a repeat C-Section, but now as it gets closer the thought of one more surgery is not appealing to me. So many worries though, wondering if my hips will allow me to do it since Caleb never got past my pelvis before. (He was 9lbs and face up - the most difficult position to push out!) I know the PAO should not have any effect on the vaginal birth, but my right hip bone is smaller than my left so in the back of my mind I wonder if my hips expand the way they should. Of course there is no one to answer this question. My OB's want me to do the C-section, they say I have a 13% chance of success with the VBAC based on how my last labor went. (Fully dilated and pushed for 2 hours with no movement from the "0" position) That percentage comes from a study done in 1997 though so I wonder how accurate it is anymore. The big worry is uterine rupture, only a 1% chance, but the outcome could be catastrophic and I am usually the worst case scenario type person. So, like I said not an easy decision. I would like to see if these hips and my body could do a natural childbirth, but still not sure if it is the right decision for me. I will keep everyone updated with my decision, I promise! I would like to thank all of the Hip Women on the yahoo group for their quick responses and great advice, it does help to chat with people who have been through the same things I am going through.
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