Good Morning Mamas!!
The Austin/Round Rock March of Dimes March for Babies was this past Saturday, March 9th. It was a wonderful event with over 6000 participants here in the Central Texas area. There were several corporate groups, hospital groups, families and yes, little ole me, representing Mamas on Bedrest & Beyond. It was fun to be out mingling with all the families and learning about what is being done by the March of Dimes to support families of Preterm infants. It was also really interesting to hear the stories and as you’ll see, meet beautiful little ones who fought tenaciously and made it! It is also very sobering to meet families who are walking in memory of their precious babies.
When I was leaving the event, they announced that this particular walk had raised about $280,000, but there were still monies coming in so that number is sure to climb. How fantastic for Central Texas families! I also know that a few other Mamas on Bedrest were walking in their areas. Former Mama on Bedrest Parijat Deshpande was walking out in Silicon Valley California with her family as the Ambassador family for that particular walk. Charisse Mora Medina was (or will be) walking in Southern California. I also know that KeepEmCookin and Better Bedrest both support the March of Dimes March for Babies in Maryland.
I also want to take a moment to thank those of you who graciously donated to our March for Babies campaign. We raised $205 dollars for the Central Texas March for Babies and I am very grateful for your support on behalf of Mamas on Bedrest & Beyond.
And just to give you a little taste of what the walk was like, I collected the photos that I took into a short video montage. Enjoy!!
I am very pleased to present to you the interview that I had with Dr. Anthony Scisione, Maternal-Fetal Medicine Specialist.
Anthony Sciscione, D.O., serves as director of the Delaware Center for Maternal & Fetal Medicine and program director of the Christiana Care OB/GYN Residency Program. He is also Director of the Division of Maternal Fetal Medicine and the OB-Gyn Residency Program at Christiana Care Health System, the Director of the Delaware Center for Maternal & Fetal Medicine and Professor of Obstetrics and Gynecology at the Sidney Kimmel Medical College at Thomas Jefferson University. Dr. Sciscione is widely published and is a principle and co-investigator on a number of national clinical studies in Maternal-Fetal medicine as well as a reviewer for articles in maternal-fetal medicine/health and obstetrics and gynecology.
Dr. Sciscione graciously agreed review the role of progesterone in the treatment of preterm labor as well as in the treatment of incompetent cervix. He gives a great overview, shares what is currently going on in the research arena and answers questions submitted by Mamas on Bedrest.
Please enjoy this very informative podcast and share your comments, suggestions and questions about progesterone therapy in the comments section below.
I received the following inquiry from a Mama on Bedrest:
“Hi. I’m 24 weeks along and on my last prenatal visit, my OB noted that my cervix was short. After ultrasound evaluation, he determined that a cerclage was needed. I had the cerclage placed, but my OB has not put me on bed rest. I asked if I should limit my activity and he said only if I felt contractions or otherwise uncomfortable.
Most other women that I know who have been in this situation were prescribed bed rest. I’m really nervous that something will go wrong and I will lose my baby. What should I do?”
This is an excellent question!! First and foremost, a Mama should always listen to and follow her health care provider’s recommendations. I say this because you have “contracted” with this person to care for you and your unborn child. It only makes sense that you follow their recommendations. Now, if you find that you disagree with your health care provider on many or at least one major decision, I suggest you first talk with your health care provider and ask why they have chosen the treatment plan that they are implementing. Make sure that you understand the ENTIRE rationale behind their decision, and that you understand and are comfortable with the treatment plan going forward, including potential adverse outcomes.
If you are still uncomfortable after speaking candidly with your health care provider, I suggest getting a second opinion. Sometimes having another assessment of your situation will put your concerns to rest. Also, sometimes another person can explain things differently so that they make more sense to you and ease your mind.
Finally, if you have spoken with your health care provider and not gotten the answers that satisfy you, and you have consulted with another provider and gotten a second opinion-regardless of whether they agree or disagree with your original health care provider, you may want/need to change providers. Now I don’t say this lightly. Changing providers mid-pregnancy is most certainly not optimum, however, if you are really feeling uncomfortable with your current provider, it is in your best interest (and that of your baby’s) to work with a provider in whom you implicitly trust, with whom you feel completely comfortable and who will consult with you every step of the way making sure that you are included in treatment decisions, that you understand all treatment decisions and with whom you can speak to freely and as often as you need. If you don’t feel completely comfortable with your health care provider and feel anxious and uncomfortable with his/her treatment plan, then you may need to consider a change. But again, I highly suggest you do all that you can to work with this person who already knows you and your case.
Now, if it isn’t a conflict with your provider and you are just concerned that you should be on bed rest and they haven’t prescribed it, trust your health care provider as they are doing you a HUGE service not placing you on bed rest if it isn’t medically indicated. In our e-book, “From Mamas to Mamas:The Essential Guide to Surviving Bedrest” I spent an entire chapter discussing how bed rest is not an evidence-based treatment and that many, many obstetricians, maternal-fetal medicine specialists and many of the medical societies caring for pregnant women and their babies are urging providers NOT to prescribe bed rest, but to instead treat the pregnancy complication without the activity restriction. It sounds like this obstetrician is doing just that. What our mama should now do is at her next prenatal visit, ask her health care provider to explain to her EXACTLY why s/he did not prescribe bed rest, what s/he expects to happen with cerclage alone, what other treatments they will implement if the cervix continues to shorten to prevent preterm birth and what she can do to improve her pregnancy outcomes. In this way, Mama will have all the information she needs to take exquisite care of herself and her baby-and hopefully have all her fears and anxieties addressed and “laid to rest.”
What was your response to being put on bed rest or not being prescribed bed rest? Share your experience below in our comments section.
If you want to learn more about Bedrest not being an evidence based treatment for the prevention of preterm labor and preterm birth, read all about it in our e-book, “From Mamas to Mamas: The Essential Guide to Surviving Bedrest” available for immediate download from Amazon.com.