Unstable lie - transverse??

[Heres Hoping]

Hi,

I know some of you other ladies have had issues with unstable lies. Was with the mw today and turns out my lo is transverse, which she described as an unstable lie. She says theres still room in there to move and i know ive got a few weeks yet but im worrying cos my first baby was breech which ended in a planned section. I was told it was due to the shape of my uterus so she basically had got stuck in that position!
She is bringing me back in two weeks (38weeks) to check position and if its still an unstable lie shes going to send me over to hosp for scan etc

I was wondering, at what stage/weeks did an unstable lie become an issue?
Also would the hosp allow you to carry on to due date to see if they change position or is it straight away booking a section?

I was really hoping for a vbac this time....fx thanks in advance x

 

[Jessiecat]

Oooh in an expert here lol!
I'm having my transverse baby by section tomorrow, not what I wanted but they're pretty sure my pelvis is too small for a baby to engage into as this is my second transverse baby, so I physicall can not birth a baby myself.

I'm suprised you've been let go to be honest, I was hospitalised t 36 weeks in case waters broke and a section would be needed within minutes. Have thy told you what to do if waters broke or you bought you were having contractions?
I've been in hospital for the last 3 weeks so Tomorrow has been a lon time coming but it's also not something you want to take a risk with (sorry I really don't want to worry you). As much as I now it would be awful for you to be hospitalised but with baby in that position at your stage it may be worth ringing the hospital and getting a consultants opinion on it. I know different areas do things differently but as this is classed as quite rare maybe your midwife is not experienced in this or know what the protocol is.

 

[Durhamchance]

I've been through the same, I was hospitalised at 36 weeks due to a transverse baby, but after three scans over three days they determined it to be unstable lie as baby was spinning around all over the place. My consultant allowed me to be discharged on the grounds that I wasn't high risk for pre-term labour.
I went back after a week for another scan and baby was head down, but not engaged. Had it been transverse I would have been admitted again with a section booked for 39 weeks.

I'm back in on weds for another scan, if baby is head down I can leave again and hope for a VBAC. If baby is transverse again I will be admitted and have my section the following day.

I got the impression that all consultants are different, some will admit you at 36 weeks- like Jessie and some weigh up the risks slightly differently and will wait a bit longer.

 

[Heres Hoping]

Thanks girls for your replies. I have to admit im a little bit worried now. How can the policy be so different in different areas! She didnt tell me what to do jesse if i start contracting or waters break, she didnt appear too concerned. I had mentioned that ive felt little random pains around my cervix this week so going early has been on my mind.
Would they still of admitted you jessie if this was your first transverse baby? Good luck tomorrow, will be looking forward to your update x

Durhamchance, can u tell what position baby is in now? I find it hard to tell some times, this ones a teal wriggler too.

Arghh I dont know what to do now, just wait and see what happens at 38wk appt or not?

 

[Jessiecat]

I'd have been admitted at 36 weeks regardless of my history, from what I've read it's just standard procedure in most places but there are a few exceptions.
But it obviously differs as like Durham sai she was sent home for a while, my hospital wouldn't even entertain the idea.

Maybe they're not at all concerned about you going early? Though I wasn't at risk for early labour either.
Ok it sounds scary but it your waters break you must phone for an ambulance and explain baby is transverse, get on all fours with your shoulder on floor and bum in the air, it's not dignified but could stop cord prolapsing.

If you start having contractions and yu feel they are very different to BH then go and get checked straight away rather than wait to be in established labour etc because yu just don't know when your waters could go and that's the risk of transverse lie.

The risk of you your waters spontaneously breaking are very slim, and it's unlikely that the cord would prolapse but if these unlikely things do happen it would be an emergency so you would need to act straight away.

I'm really sorry if it comes across as scrary but I think it's important that you have the information and I'm shocked that your midwife has done nothing about it.

 

[Durhamchance]

I'm not sure at the moment and have my suspicions that baby is transverse again. I'm seeing my MW tomorrow so I'm sure she'll tell me. Not sure what will happen if she tells me it is, I might just have to go straight to hospital again.

 

[Heres Hoping]

Ahh it sounds scarey but id rather be informed, i wouldnt of known what to do. I think I'll maybe ring up antenatal tomorrow and see what they say. Would feel more content if i was at least getting seen earlier than 38 and 40 weeks. Thanks for your help ladies, will let you know what they say. Good luck to yous both tomorrow x

 

[Jessiecat]

Maybe a phone call to them is all you need to put your mind at rest. I hope it goes well il make sure I check back to his post in the next few days so be ire to let us know

 

[twinkletoes220]

Without meaning to sound rude,but surely it is different for everyone. I can't imagine that if her midwife was concerned that she'd just leave it and not warn her. Perhaps her midwife knows what she's doing and has made a professional judgement that she's not at risk! I think all advice given on here should be thought about before posted because what has been said is very scary and probably whirring around in Here's Hopings head! My advice would be to speak to your midwife if you're concerned or ring the maternity unit rather than rely on non-medical advice! It may be very different for different people and the risks may be different. This does not mean that your midwife doesn't know what she's doing or doesn't care about you!! Just air your concerns with her and talk about how you feel about it-that's what they are there for. Some advice on here needs to be taken with a pinch of salt. You can take or leave my advice but just remember these people are trained to do what they do and care for 100s of ladies having babies-rest assured they know what they're doing!! They are there 24/7 if you have any concerns-just ring them!! Good luck Hun xxxx

 

[Durhamchance]

Actually you have come across as being rude. A question was asked about unstable lie and as me and Jessie are experiencing the exact same thing right now we have shared our stories. Both of us were warned to call an ambulance if our waters break, Jessie was kept in and I was allowed home. There will be differences everywhere.

Here's hoping is a grown woman and perfectly aware that she can call her midwife for further advice, we have also advised this. I'm sure she is also capable of taking on board what we have said and using her own judgement to determine how to proceed.

 

[Jessiecat]

Agree with Durham it's not a case of some people not being at risk for this, if your waters break with a transverse baby you're in trouble.
And as above we're not givingsome advice we read on google, we're living it!!
Before I posted with the risks I took a minute to think about whether I should but then I thought here'shoping at least deserves to know the risks an how to act on them in case it happens and I truly believe that if her midwife has not told her this then she has failed her. I know they're the professionals but they don't get it right every time so if I can are my knowledge to help another human being then I will do, I wouldn't live with mysel if I chose not to knowing what the implications can be.


Here's hoping I hope you don't feel we are scare mongering you but as I've written above I'm only sharing my knwledge and experience in yours and babies best interest I believe human nature should look out for each other . Fingers crossed this will all become irrelevant when baby goes head down today

 

[Lilmisshopeful]

I'm gonna butt in too lol cos I can. The ambulance advice is correct and should have been advised. My sister had a prolapse and had minutes to live. From the ward to her son being delivered was 6 minutes. She doesn't have a neat tiny section scar she looks like she was a victim to a serial killer. Her son survived but only because she felt "wrong" and demanded someone check her. She was lucky she was in hospital. Her son was born with strangulation grazes all around his neck.

I was kept in hospital with my baby who was head down but free due to the risk of a prolapse as I had had a pessary that failed to work. Had to wait for theatre to be free before breaking my waters. Waters breaking with a baby who isn't head down and locked in is a medical emergency.

It's sad to say but sometimes the medical staff meant to care for us do fail us. My son was born with an apgar score of 2 and had carbon dioxide in his blood with than failing to get him out quick enough after I told them a thousand times something is wrong. They said his heart was just dipping cos he wasn't engaged and he didn't like being pushed down. Turns out his head was cocked at an angle and he was stuck

Deffo call your midwife hun and have them explain everything in detail to you and demand to be seen before 2 weeks. Massive hugs xxx

 

[buttonbear]

I had a transverse baby for a while and at first the mw wasnt TOO concerned as i was early and time to turn. However I would have had a c section at 36 weeks if baby hadnt have turned due to the complications and risk factors, it is a big thing and not to just be dismissed. I had no idea about it really until i got advice from here and I am so thankful for the help of jessie etc from her experiences.

Hope baby turns my love x

 

[Heres Hoping]

Thanks everyone for your replies, i do appreciate hearing different opinions and experiences. I'll be honest i am bit worried now, its something i havent had to consider before, was really hoping to stay on course for my vbac. I dont think the girls were scaremongering though, yes from their experience their advice sounds scarey but at same time im glad i now know what to do if waters break or have contractions. My mw really played it down and didnt give me any "just in case" advice. I spoke to a friend whos a mw and she advised same.

To update i rung clinic, they have given me an earlier appointment for 38weeks. Its the day after my com mw appt so dont really feel much further forward. I am bit worried now as ive always thought id go before my due date due to wee pains and size of baby etc, even dreamt last night my waters broke. Will get on my gym ball more to see if i can get this baby turned, just hope it doesnt encourage any thing else to happen :/ Sums up my pregnancy really, never goes smoothly. Think if theres anything unusual at all I'll get my myself down to mat admission & assess quickly just in case. Just wish care & procedures were consistent through out the trusts x