The definition of preterm labor is contractions that are changing your cervix. You can have contractions all day long, and not necessarily be moving towards labor. The scary piece is that you don't know when your cervix has changed. We see a lot of women at work that come in contracting and simply are dehydrated, have an infection, or simply need to take it easy. Sometimes, we see the real deal, someone who is going to deliver a preterm baby. Depending on how many weeks pregnant the mom is this can cause extreme anxiety for everyone involved. Most of the time the team of docs and midwives ere on the side of rest, hydration, and treat the cause.
I was on the wrong side of the equation, I was 28 weeks pregnant with Aiden when the contractions started. Working, I thought maybe it was my imagination. It wasn't. I told the charge nurse what was going on, asked if I could give report on my patients and put myself on the electronic fetal monitor to check out how often my contractions were coming. As it turned out they were 2 to 3 minutes apart, I asked the midwife on call the check my cervix and was found to be a finger tip dilated and had some effacement as well. The not so comical part of this story was that at the same time, two other pregnant nurses on my floor were going through the same thing. One was already an inpatient, the other started contracting the next day as I lay in my hospital bed. The nurse Paula, came over to me and said, "what do you think, can you palpate my stomach to see if you feel contractions?" I did, she was later transferred to a larger hospital being more at risk for delivery.
All I could think of was, I have to care and keep this baby inside as long as possible. I was given medications to slow the contractions down. They worked, I was sent home on, you guessed it bed rest ! Tom being the ever patient man, fed me my many meals, took care of the house hold, and brought me to all my appointments. The guys were amazing as well, daily telephone calls to check in, and just being an added support for Tom. Our kids helped out to, they kept me company, and loved seeing my growing belly.
I kept Aiden in for the designated time period, and then some. I was off bed rest at 36 weeks gestation and than the wait to meet him began.
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