Please help! Protein in Urine...(m)

Avatar for trishth
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Registered: 03-26-2003
Please help! Protein in Urine...(m)
7
Thu, 03-27-2003 - 2:56pm
I just had my 37 week prenatal appointment (actually 37 weeks 5 days). Today for the first time I had protein in my urine (30) and my glucose was 1/10. The resident tried to measure the baby's head and couldn't get it to engage in my pelvis. She claimed that the baby has a very large head (DD did too which led to the c-section after 24 hrs of labor) and that she will be at least a 9 lb baby (DD was 9 lbs 2 oz at 2 weeks overdue). So my Dr comes in and tells me that next week she will try and get the baby's head to engage, if it won't we should schedule the c-section. So now I don't know what to think. I didn't think that baby's heads engaged until you went into labor especially with a second pregancy (DD's head never engaged). Does this plan of attack make sense? I'm so upset. DH just wants to see the c-section done and over with, he even suggested we do it today. LOL! Thankfully my blood pressure was still low so as long as it stays that way we are doing okay. My Dr told me to watch for signs that my blood pressure is rising because that may show that I have pre-eclampsia (sp?).

Thanks for any advice,

Trish (who doesn't know what to think or do anymore)

iVillage Member
Registered: 03-26-2003
Thu, 03-27-2003 - 6:31pm
Trish - was the urine test the "dip stick" test? If it was, was the protein level pretty high? Could the sample have been contaminated? But the fact that your BP is still low is a good sign that it's not pre-eclampsia.(I'm the other way around - no protein but higher BP)

I didn't know that a doc could get a baby to engage in the pelvis manually. I thought the same thing as you - that in subsequent pgs, the baby's head often doesn't engage until in labour.

My DS's head was 37cm at birth, which I'm told is larger than average, but my MW & the consulting OB didn't mention going straight to a c-section. So your OB's plan of attack raises my eyebrows, but unfortunately it's probably common.

Tee

Avatar for trishth
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Registered: 03-26-2003
Fri, 03-28-2003 - 3:09am
Thanks Tee,

My protein level was 30. It was the dipstick test. And it wasn't contaminated (I did the test myself).

I'm not sure what to think. I've been crying off and on all day. I'm going to keep doing research and try and figure out a plan of attack before my appointment on Thursday.

Thanks,

Trish

Avatar for corismom1998
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Registered: 03-27-2003
Fri, 03-28-2003 - 8:35am
Trish,

My Vbac was 5 years ago and this sounds like a load of crap to me (head not engaging so lets do a c-section). When I went into labor (water ruptured prematurely by membranes being stripped) Cori was "sky high" and "floating". I delivered her via vbac after 9 hours. Ask the question you asked us to your doctor. If he won't give you an adequate explanation then I hate to say it but this doctor isn't on your VBAC team and you have 3 choices, find someone else (difficult this close to term I know) or fight him AND your husband every step of the way or give in. I'm sorry you are going through this. I hope things turn out better for you.

Hugs

Catherine
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Registered: 03-26-2003
Fri, 03-28-2003 - 10:18am
Trish, please don't stress too much over this! That will only make your BP artificially high and you don't want that for your next appt! One urine test with protein in it shouldn't be a red flag - I wouldn't be surprised if your next one was "clean." I am still concerned about the "engaging" that your OB wants to see happen. Is your OB generally supportive of VBAC?

Tee

iVillage Member
Registered: 03-28-2003
Fri, 03-28-2003 - 1:38pm
Sorry to burst in out of nowhere! Though you're right to be worried, a +1 (30) protein is not so bad- you'd have to have a +2 for a diagnosis of even mild preeclampsia.

The dipsticks are notoriously unreliable as they are largely dependent on how much fluid you drank that day. On days when I'm a little dry I'll read +1, normally hydrated as a trace and on days I drank lots of fluid I'm negative, where all my 24 hour urines come back with the same protein 200. If you can, go back and take it again while checking the specific gravity.

If your doc was really worried about pe they probably would have ordered either a spot urine with creatinine or a 24 hr urine to determine the real protein count for accurate diagnosis. They should watch you closely during labor as people prone to getting pe can spike during labor. Hope that helps!

Avatar for jennhh
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Registered: 03-27-2003
Sat, 03-29-2003 - 2:35pm
Trish,

I wouldn't worry too much about the head being engaged before labor. It does happen later with 2nd pregnancy. My dr. told me the my baby's head wasn't engaged on Wed. so we went out and got a birthing ball. I sat on it for much of the rest of that day and by 5:50 a.m. on Thurs I was in labor.

Just my 2 cents.

Jenn

Jenn
Avatar for baby_stinkbug
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Registered: 03-24-2003
Sun, 03-30-2003 - 12:27pm
how the heck do the doc and resident think they're goingto get the baby's head to engage? I've never heard of such a thing! baby's head not engaging before labor doesn't mean it's a sign that head won't fit or anything! sounds to me like your doc isn't all that keen on a vbac attempt.

I had protein in my urine during one of my pregnancies off and on... and I also found that the amount depended greatly on how much water I had been drinking. The more hydrated I was, the more likely to have a clean dip. I found the only times I showed protein were those days when I had a morning appt and hadn't had any/much water that morning.

I would definitely question your doc on this. I have never heard of a doc trying to get the head engaged or else do a c/s! I understand that your prior c/s was because the doc figured baby wouldn't fit, but I think positioning is everything.

My second's head engaged fairly early on- I think in large part because I was doing a lot of squats (upon being certain baby wasn't posterior) and a lot of squats in water. course then that led to some serious pelvic pain with his big old head lodged in there ;)

good luck!

kris #1 c/s, #2 vbac edd #3 9/03