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Bad pain in lower back, hip pain, contractions-34 weeks and days

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My daughter is 34 weeks and 2 days. She could possibly be furhter along (her original due date was December 6th) and this past Saturday she was having steady contractions that was stopped with Terbutaline. She has a lot of pain in her lower back, legs and pressure. She was not dilated when she was at the hospital this past weekend, but the baby has dropped a lot since then. Baby is healthy as a horse with great heart rate (they did an ultrasound) so she says she just wants to wait. Her contractions aren't painful but she has a lot of back pain like she has been for some time. She walks with her legs spread apart at this point and says it feels like the baby is spreading her hips with his little hands. Tonight she started feeling twinges which makes me think dilation. She doesn't want to go until her contractions are more regular or something is in her face that she is in labor-but she didn't feel ANY of the contractions this past weekend, just "uncomfortable". She is having contractions but can't tell when one ends and another begins so hard to time them as she is barely feeling them.

Any advice and how long should we wait? All the Dr says is go to the hospital and be checked and that's it, but she is sick of going with no results and no answers.
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replied November 19th, 2012
Hi,
Welcome to ehealthforum,
The symptoms that she describes could also be due to exaggerated Braxton Hick’s contractions of late pregnancy, or been precipitated due to engagement (dropping of baby’s presenting part into pelvis) causing stretching of the lower uterine segment. However, if symptoms are getting worse, or not getting controlled, chances of uterine hyperactivity, or infective cause should be ruled out. If the symptoms are due to uterine hyperactivity, then getting started on uterine relaxants would help to continue pregnancy smoothly upto atleast completion of 37 weeks of gestation. If infection is suspected, she would be started on antibiotics. She should visit her doctor/gynecologist at the earliest for further evaluation and assistance. The exact cause can only be made out after careful and thorough evaluation. Treatment as appropriate (based on examination findings and investigations results) would be started to help her control the symptoms. Ultrasound scan done will also help to confirm the fetal wellbeing. She should look out for danger signs like increase in intensity and frequency/duration of abdominal cramps/tightening (or contractions), increasing back pain, fresh bleeding, water leak etc. She should drink plenty of water. She should avoid straining for bowel movement/passing stools. She should avoid use of caffeinated and carbonated beverages. She should consider being in regular monitoring and follow-up with her treating doctor/gynecologist and report any new/abnormal symptoms immediately.
Take care.



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replied November 23rd, 2012
severe lower back pain
this is my 39th week of pregnancy, but since the start of this week im having severe lower back pain & continuously feeling pressure in pelvis,dr told me labor can be arrive any time now,so is it a sign of labor o anything else?
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replied November 23rd, 2012
Almost 36 weeks now and still feeling awful...
She just had her 4th visit to the hospital in 2 1/2 weeks. They did say she had uterine irritation, but all they did was another urine test, no blood tests, and the ultrasound they finally did (after I posted the original question) he (the baby) scored 8 out of 8. As of last night, she now has re-occurring headaches that are behind her eyes and wrap around to her ears, a little bit of swelling in her feet and a bit in her face (which is noticeable since overall she is skinny looking still)along with severe nausea and still consistent lower back pain. They dismissed it saying she is young (17) and this is her 1st pregnancy, so she is just making a big deal out of regular pregnancy issues. My daughter is tough and never whines no matter how bad she feels unless it is REALLY bad. They even said she should have waited and would have fallen asleep and been fine-and I snapped and said she WAS asleep since she got off work at 3 PM and was sound asleep and the headache and nausea woke her up making her feel like throwing up. It wasn't just regular nausea, but a "sick headache".

They gave her 2 Lortabs and a Pecid AC (which she had taken before but does nothing for her and she told them this) and sent her home. Original plan was to do IV and even the nurse said her urine was quite dark, but they never did. She has a history of endometriosis (surgery last March lasering off growths after seeing her 7th Dr)

I told her maybe she should get a 2nd opinion, especially after the nurse assigned to her said she "can't find her cervix" and had her tilt her hips and said she was closed and the baby's head was "up here somewhere (pointing way above pelvic bone, when midwife said Friday his head was low). The nurse was sarcastic and said since it was Thanksgiving they had 70 patients all with the same complaints-problem is she worked and we didn't eat a big traditional dinner like most people.

She will be 36 weeks Sunday and is angry they dismissed her as some whiny teenager with a boo-boo. She went through hell with her endometriosis for 2 years with such severe pain she would curl up on her father's lap and just scream-and yet still took 7 doctors to find one to do surgery to see why (when they found her endo). I am made out as a worried mother, but they don't know I have a nursing background myself(not in OB) and I know things can go on that standard scans will not show. Thank you for your response-I think she should go in to our local hospital and be evaluated and see if they will run blood tests and give her IV and get a 2nd opinion, but am not a fan overall of this hospital. She has a history of dehydration, but the other hospital claims she didn't need the IV and was going to send her home to sleep. She was sleeping through pain as she has so much of it she hasn't got much choice but it isn't like it doesn't hurt as much as it does-she learned how to hide and cope with her pain to even function normally. I have this gut feeling something isn't right and was even more uneasy after last night's hurried trip. Just not sure how to go about a 2nd opinion other than going straight to the local hospital.
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