Tag: midwife blog

High Risk vs. Low Risk

Pregnancy

Keeping with the pregnancy labels theme I want to know what you all think of the terminology ‘High risk vs low risk’ and have you been labelled one of these in pregnancy?

I remember doing my midwifery training and a friend told me that her sister was having a baby and she was told that she was “high risk”. My friends words were… “High risk of what exactly… becoming ill? A cesarean? Having a Stillbirth??” And this really stuck with me. What are midwives or doctors actually saying when we say this term?

Because even though you may fall into a category that may increase your chances of an intervention happening, you still can’t really say that the risk of that intervention is HIGH. It may be higher than others but for lots of things it’s still more than likely going to be very low. Take a VBAC (vaginal birth after cesarean) as an example, you’d fall into the high risk category and be advised to have your baby on a delivery suite where Drs are present. But your chance of having a cesarean is between 25 and 28% which is only slightly higher than the uk average and the main risk is the scar rupturing which is in fact a 0.5% risk. A risk that I’m not saying should be ignored but carefully considered when weighing up all of your options.

If you have a raised BMI you could be classed as high risk, “too” young or “too” old, existing medical conditions the list goes on. My point is not that these characteristics go unrecognised but the classification and terminology used is improved. I wonder if telling someone in their pregnancy they fit a certain risk category what effect that has on their decision making during birth and the anxieties that brings during the pregnancy. We’re saying that the one category is free from concerns and will lead in a healthy birth, where as the other category will be filled with problems, potential complications and managed medically, often without considering a holistic approach. The term “high risk” gives reason to worry and encourages choices to be made from a place of fear and risk adversion.

Risk is not just about statistics and numbers it’s about a women’s experiences, her perceptions, thoughts and beliefs. Risk is subjective. One woman’s risk of a cesarean is another woman’s first choice. The risk of a stillbirth will always feel higher to a pregnant mother who’s had someone close by experience the heartbreaking effects of this, should the mothers feelings of risks be ignored in this situation if she fits the “low-risk” pregnancy category?

Words are everything in pregnancy. It’s as much about what we think we say as to what’s actually interpreted.

Photo creds Little Cheltenham

I had big plans…

Pregnancy

I had big plans for this pregnancy with it being my last. I was going to spend my days in flouncy dresses, drinking green juices and doing yoga 3 times a week. But, that was far from the reality. I couldn’t bare to cook, the smell of meat would make me vom. The kids lived off anything that could go in the oven for 12 weeks and I went through loaves and jars of buttery, marmite on toast. Nothing veg-like entered my mouth and the only shade of green I saw was the colour of my face after I tried yoga the once. Doing the sun salutation was like being on the worlds windiest rollercoaster (and I’ve never liked rollercoaster.)

It all kicked off about 8 weeks, the week before I booked a scan at Early Life Ultrasound as I felt NOTHING. Not a single pregnancy symptom. Not a tingley nipple, no nausea, no bloodhound nose… Zilch. 8 weeks from the moment you pee on the stick to the NHS scan is a looong ass time to wait to know that all is ok. So off I went to my scan, feeling all the sickness by this point. Nancy played with all the toys in the waiting room whilst I sat and flicked through pregnancy magazines. Moments later we got called in and there was my 4th little nugget on the screen. Heart rate flickering away. It was awesome. This grey little smudge on the screen that was in 9months time going to be part of the Kitt- Holden crew. I got my photos and then went off for lunch. I’m so glad I have these photos because the day of my NHS 12 week scan, turmoil broke out. Rob went to work with the car AND with my wallet in it. I scraped the house to get pennies for the bus then walked the rest of the way to the hospital with 3 kids in tow. Was so dehydrated because of the marathon walk in the heat that there was nothing in my bladder for the scan so had to wait for my bladder to fill drowning myself in water in the waiting room. I then didn’t have enough money for the scan photos either. Was one of those epic fail moments… no not moments, days. So no 12 week photos for this baby.

I’m the worst at keeping secrets, more so my own exciting ones. But the crazy intuition of midwives is second to none in guessing who’s pregnant. I remember telling one midwife at work that I’d managed to sleep all day before a night shift… she immediately thought, pregnant! Plus when you’re heard vomiting in the toilet no one suspects a bug. A baby is far more suspected amongst the midwives.

I would be sick whilst getting in the car, sick when getting out of bed, sick whilst entering the house from a day out. My fave place for those months was in the safety of my own home or better still, bed, where no one could see. It can be a pretty lonely place! I ate what made me feel better, I took a back seat at life and I did not feel guilty about it.

Being now 18weeks, I’m back to my coffee/tea drinking self and feeling a lot more normal. I’m still holding on to my green juice/yoga plans… watch this space. Although, I’m four pregnancies in and I’m still waiting for that glow. Second trimester you owe me…

Pregnancy- The happiest reason to feel like crap.

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The Bump to Baby Chapter

Winner of 🌟The Best Pregnancy Support Service in Gloucestershire 2017🌟, The Bump to Baby Chapter has something for everyone. 🌟For expectant couple wanting to know all you need to know about labour, baby and those early days we have midwife led antenatal courses. 🌟For a second or third time mother wanting to birth without fear after a negative birth experience. There’s hypnobirthing one day classes for the busy Mum. 🌟Free blogs with tips on birth and baby for all 🌟Buggy walks in Cheltenham for new mothers to bring the sisterhood in motherhood. So whatever stage of pregnancy and whatever number baby have a look at the page, website and get involved 🌟
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I’ve cancelled most plans this week thinking that labour was happening. Each day with my start/stop contractions/braxton hicks I’ve been so sure that this was it. So I’ve stayed home, bounced on my ball, drinking my raspberry leaf tea and smothering myself with clary sage thinking ‘yesss 🙌🏼 early labour’ LIKE THE MUG THAT I AM! This baby is already making a fool out of me!

Today however, was different. I did not sit and wait around, contractions or no contractions. I got up, put my make up on, got dressed and went for lunch and have felt so much better for it. It also meant that Nancy got to spend a bit of time with her new boyf Grayson.

I know early labour can be like this and it’s normal. At TBTBC antenatal classes and hypnobirthing we always say how this bit can take a couple of days, sometimes a week with irregular contractions. And we always say that the worst thing to do is to stay at home and wait for them to become regular 🤦🏼‍♀️. Normal is one thing though and liking it is something totally different. Today though, thanks to these two little sweethearts, was a good day.

What were your experiences of early labour?
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