Tuesday, May 29, 2012

27 Weeks

How Far Along: 27 Weeks

Size of Baby: This week the baby is measuring approximately 14.4 inches crown to heel and is weighing in around 1.93 pounds on average...however, my baby isn't average! Last Thursday LC was already up to 2lbs2oz and measuring one week and one day ahead! Yay for bigger babies!!! 

Picture of Baby: This was taken last week at 26weeks 2days. Not the best shot as LC likes to hide in the placenta!

Maternity Clothes: My maternity clothes are quite comfortable but with this heat all I want to do is sit around in my underwear and eat ice cream!

Weight Gain: I don't quite remember what I weighed last week (probably intentionally) but I can tell that my weight is increasing rapidly. They told me last week at the doctors that I should be gaining 1 pound a week from here on out. Yikes!!

Belly: No new ones this week.
Stretch Marks: None yet.

Sleep: I have been taking Benadryl (25mg) at night because my allergies have been so bad and this has been making my sleep quite heavenly.

Best Moment of the Week:  Working on getting the nursery organized. I know that I am on bed rest, but there is no reason that I can't put a chair in front of the nursery closet and organize things. It actually makes me feel all warm and fuzzy inside!

Movement: Non-stop. I really don't think LC ever sleeps!!

Symptoms: The newest one is leaking boobs. I hate it!! It happens periodically but I notice that when I am talking to someone about the baby or something baby related, I look down and my shirt is soaked. 

Food Cravings: Mango Bubble Tea! This is a iced mango flavored tea with tapioca pearls on the bottom. Yum!

Gender: 4 days until the big reveal!! Can't wait to share the news!!

What I Miss: Walking! As nice as I thought it was having my ass wheeled around by my husband, I have now realized how much it sucks. All I want to do is walk like a normal person

What I'm Looking Forward to: My 3D/4D ultrasound which is this Thursday evening. I have to admit that I am a bit worried that LC isn't going to cooperate. LC tends to hide in the placenta so getting pictures has been difficult. I am also looking forward to my shower which is coming up this Saturday and also finally being able to reveal LC's gender and name!

Nursery: All the work is pretty much done. The furniture, with the exception of the rocker and ottoman, is being delivered on Friday. Once the furniture is in place I can decorate. The closet is in the process of getting organized. I seriously cannot believe all the clothes this kid already has!

Weekly Wisdom: Being happy doesn't mean that everything is perfect. It means that you've decided to look beyond the imperfections. 

Milestones: My next milestone will be the 3rd trimester which is in 3 days!! Also, once we hit 28 weeks I can breathe a big sigh of relief!

Friday, May 25, 2012

Yay For Good News!

Yesterday was my weekly ultrasound to check my cervix and my appointment with my MFM. Last week my cervix was back down to 1.6cm and had extensive funneling...again. This week my cervix was back up to 2.5cm and there was very minimal funneling. My MFM said that I have a very dynamic cervix so this is to be expected. The good news is that it is fluctuating between 1.6cm and 2.8cm and not really going much lower. He stressed again that our first goal is still 28 weeks, which is only 11 days away, and then our next goal is 32 weeks. He basically said that if we make it to 32 weeks that he doesn't care what happens after that. I asked him if he thought we would make it and he said "we shall see". They originally told me that making it to 28 weeks would be amazing so I believe, despite still being 11 days away, that I have exceeded their expectations.

I was also very pleased to find out that yesterday was our monthly growth scan. Three and a half weeks ago on April 30th, LC weighed 1lb2oz. and was measuring in the 47th percentile. Yesterday LC weighed approximately 2lbs2oz and was now measuring in the 59th percentile. LC was also measuring one week and one day ahead of our EDD of 8/28. I honestly believe that my gestational diabetes is playing a role in this increase. Since being discharged from the hospital for preterm labor, I have been having a really hard time tolerating the Glucophage. I am thinking that maybe this increase in growth rate is due to my higher blood sugars, but hey, who knows? My next growth scan is in four weeks so I can't wait to see how big LC is getting!

This morning I had a routine appointment with my immunologist as he is following me closely with this pregnancy. He said that he is pleased with the way things are going, from his perspective, and is happy to see that I am doing so well. The one bit of exciting news that he gave me is that he is not going to let me (if I make it this far) go past 37 weeks and he said there is no way that I am doing a vaginal birth. We already knew that it was likely that I was going to be a c-section, but I often wondered what would happen if I went into labor early...again. So no matter when things happen, I will be having a c-section and if I make it "full term" I will be delivering on or around August 7th. My birthday is August 5th so this would be an incredible gift. As much as I would have like to have a normal pregnancy, not to mention being able to normally conceive, that is not the way things went for me. I refuse to sit here and dictate my birthing methods to my doctors and obsess over a specific birth plan. I have every intention on making a modified birth plan so the hospital knows my wishes for the baby, but for me, I am going to go with the flow. I am just happy to be where I am right now...pregnant with a healthy baby. Again, one day at a time!

Tuesday, May 22, 2012

26 Weeks

How Far Along: 26 Weeks

Size of Baby: This week the baby is measuring approximately 14 inches crown to heel and is weighing in around 1.7 pounds! 

Picture of Baby: This was taken last week at 25weeks 2days.
Maternity Clothes: I bought a tight black maternity dress back when I first started my 2nd trimester as I knew I had my shower and a wedding coming up. I have been so afraid that it wouldn't fit as I am huge now. I will admit that it is a bit "fitted" but I still can rock it. Thank God because I had no intention of going out to buy a new dress.

Weight Gain: The weight is packing on! As of last Thursday at my appointment I was up a total of 17 pounds! I know that I am supposed to gain weight as I am pregnant, but I won't lie, I can't help but be a bit obsessed with it. I am more motivated than ever to get it off once the baby is here. Yay for breastfeeding induced weight loss!!

Belly: This picture makes me realize that I am in desperate need for Botox and an eyebrow lift. Ugh!!

Stretch Marks: None yet.

Sleep: I am fatigued all day, but I have wicked insomnia so I can't sleep at night. I can't even nap anymore! I took Ambien in the hospital and it worked like a charm, despite being a tiny dose, so I have every intention to ask for it this week at my appointment. Taking it once in a while won't hurt anything. Not sleeping is worse!

Best Moment of the Week:  Seeing the nursery painted. Everything is becoming so real now!

Movement: Constant...and they are not the cute little jabs that I used to feel. These are major black belt type kicks and punches. The baby is most active starting around midnight so while I am laying in bed dealing with my insomnia I play "kick mommy's hand" with LC. Maybe it is just a fluke, but LC will kick back if I poke just right. 

Symptoms: Horrible, horrible back pain! It hurts only when I walk or stand. Those activities are minimal since I am on bed rest, but when I do get up, I want to scream. I have also reached the stage in pregnancy where I can't get comfortable to save my life. My husband will wake up to me sitting in bed crying at night because I can't can't comfortable. I know I can take Tylenol, but to me Tylenol is equivalent to water. 

Food Cravings: Nothing really. The only one thing that I have been wanting is a Mango Bubble Tea. It is quite refreshing.

Gender: 11 days until the big reveal!! Can't wait to share the news!!

What I Miss: Doing normal things. It is hard, especially when you feel pretty good, to sit in bed all day and do nothing. 

What I'm Looking Forward to: My next growth scan. While I have an ultrasound every week, they only take measurements on the baby every four weeks. I think my next growth scan is a week from Thursday so I am excited to see how big LC is getting. I am hoping to be at the 2 pound mark by then!

Nursery: The nursery is finally painted. I ordered decorative switch plate covers as I wanted to dress things up a bit. I have also decided against curtains and instead I am ordering custom roman shades (inside mount) for the windows. I also got a call from Pottery Barn Kids that the estimated delivery of my rocker and ottoman has been moved up. Originally they said it was expected to arrive August 21st, but now they have a date of June 28th. This makes me very happy!

Weekly Wisdom: I am not feeling wise this week. Maybe next week...

Milestones: My next milestone will be the 3rd trimester. If you go by all the apps which uses the first day of week 27, I have 7 days to go. If you divide the pregnancy into thirds, the 3rd trimester starts in 11 days. Actually, I am happy everyday that I am still pregnant!

Sunday, May 20, 2012

Total Meltdown. Is it the Hormones?

I don't know if it's the hormones, the heat, my anxiety, or the combination of all three. Over the past couple of days I have not been myself at all. I am worrying about everything, even things that I don't need to worry about. It started yesterday when I was giving myself my noontime injection of Lovenox. Since I give it in my belly, I squeeze my fat roll and go for it. Since my fat roll is slowly disappearing and becoming a hard baby bump, doing this is becoming quite difficult. Yesterday my stomach was hard from a combination of contractions and bloat so I really didn't have anything to pinch. I really didn't feel like fighting with my belly so I just stuck the needle in and started to inject. The second that I started to inject the medication, the baby freaked out. I immediately had a major panic attack, convincing myself that I just hit the baby with the needle. I cried uncontrollably for about 20 minutes with every thought going through my mind from "I am not going to be a good mother" to "what if I just hurt my baby." Once I calmed down I realized how stupid that worry was as it is impossible for me to "inject" the baby. Not only would I have to go through 7 layers of skin, I would also have to get through the layers of fat and muscle...and the needle isn't even that long.

Meltdown #2
My next little freak out occurred when I suddenly realized that this baby could technically come any day now. With the funneling and my cervix being as short as it is, I could go into labor any minute. I haven't had my shower, I don't have a car seat, I have nothing for the baby to sleep in, my breastpump hasn't been ordered yet...I am not prepared at all. Oh, and then what would happen if the baby did come out in the next couple of weeks? I would have to go back to work but then how would I take time off after the baby comes home? Actually, all most of these fears are rational, but there is nothing I can do about them. I can't control when my body decides to go into labor; I can't predict the NICU stay and how I will handle work; and it also doesn't matter if I have a car seat or a place for the baby to sleep right now because if the baby was to come now, the baby would be in the NICU for quite a while and I wouldn't need that stuff right away.

Meltdown #3
My shower. I am very excited about finally being able to celebrate this baby. I have been waiting for the day that I get to celebrate with friends and family this little miracle that I have in my belly. Not even 8 months ago I thought that I was never going to be a mom. Now here I am with this big ole belly, happy as can be. While I am not hosting my own shower (obviously) I am staying in touch with my mother to see who has and who hasn't RSVPd. I am a very organized person and everything needs to follow a schedule. My mom needs a final count as the favors need to be ordered by Tuesday and the seating arrangements need to be decided on so the venue can order the linens. The RSVP date is today, and my mom still has not heard from 25 people. Maybe I am "old school" but when someone sends me an invitation with an specific date to RSVP by, I always respond whether I am able to attend or not. I know that I shouldn't let this particular issue bother me but 1). I feel bad for my mom who is trying to keep everything in order and 2). I think it is just plain rude! The same thing happened at my wedding and thank God I had two wedding coordinators to deal with it, otherwise it would have made the day a nightmare for me. 

Meltdown #4
My boobs are leaking. They are not just leaking, they are squirting. They have leaked a tiny bit here and there over the past couple of weeks, but nothing like they did today. Instead of realizing that this is bound to happen sooner or later, I instead immediately started to panic thinking that I will go into labor within the next couple of days. My husband even knew better as he came running upstairs to calm me down and told me to call the doctor if I was that worried. Thinking how stupid that call would be, I immediately realized that I was being irrational yet again. For now I stuffed my bra with tissues but we are venturing out (in the wheelchair of course) later to get some breastpads.

I am really hoping that all this anxiety, fear, and worry passes and this isn't how I am going to be for the rest of this pregnancy. It is almost like my emotions are possessed and I cannot control them. I keep telling myself that it is just the hormones and to just ride it out, but I am really hoping that this passes sooner rather than later...as long as the baby stays put.

Thursday, May 17, 2012

Holding My Breath

Today was my dreaded weekly appointment with my MFMs. Since my cervix was measuring pretty good (2.8cm) last Thursday, I was feeling pretty optimistic about this appointment. As usual the baby looked great and was uncooperative with the ultrasound. I can't remember the last time we got a nice shot of the baby. Our baby apparently is a contortionist who loves to bury its head into the placenta. The ultrasound tech today said that if this continues that we may want to cancel our elective 3D/4D ultrasound that we have on the 31st. She tried to convert over to 3D just to see but there was no way that she would see anything. As usual the MFM came in to measure my cervix and unfortunately my cervix is back down. It was measuring 1.6cm and had extensive funneling. Not what I wanted to hear. The plan is to just keep an eye on things for now. I can only hope that it stays stable. If not, back in the hospital I go.

I then met with the other MFM for my appointment. They changed my pessary yet again as they were concerned that it was too big. I guess this type of thing is trial and error, but I really wish we could figure it out as having that thing constantly yanked out and then shoved back in is not the most pleasant experience. We also talked about the timing of the steroid shots. Obviously we want to hold off as long as possible but we need to make sure that we don't wait too long. She said that we would take this issue one week at a time. At this point, this whole ordeal is a waiting game. I don't deal well with the unknowns, but at this point I really don't have a choice. Like I did with the fertility treatments, I need to realize that I can't control the outcome of things, and there is no way of knowing what the end result will be. This lack of control is probably the most difficult thing for me to deal with, and I hide my anxiety well using my humor, but what choice do I have? Unfortunately there is no crystal ball to tell me how things are going to go. All I can do is sit back, relax, and take things day by day.

Tuesday, May 15, 2012

25 Weeks!

How Far Along: 25 Weeks

Size of Baby: This week the baby is measuring approximately 13.6 inches crown to heel and is weighing in around a pound and a half! 

Picture of Baby: Baby wouldn't cooperate on Thursday so we have no new pictures. Hoping to get some good ones this Thursday.

Maternity Clothes: Still rocking my sweatpants and t-shirts for bed rest. My husband did get me out on Saturday in my wheelchair though so I was finally able to wear the cute striped maternity maxi dress I got from Gap.

Weight Gain:  Up a total of 16 pounds, although I stepped on the scale yesterday and I was down 3 pounds. Must be a fluke as I am eating every couple of hours now.

Belly: None this week...see the one from my last post.
Stretch Marks: None yet.

Sleep: The fatigue is back. I wake up around 8am to eat breakfast and I am back to sleep by 11am. I think LC is going through another growth spurt!

Best Moment of the Week:  Finally getting the courage to order my nursery furniture. It wasn't that I didn't have faith that everything was going to be okay, I was just being my superstitious self.

Movement: All the time! LC is head down so I am getting kicked in the gut and punched in the cervix. Yesterday LC moved so far up that I couldn't eat from all of the pressure as it was making me nauseous. At my ultrasound on Thursday, LC's feet were about three inches above my bellybutton.

Symptoms: Still having a lot of ligament pain. I am also very hungry all the time.

Food Cravings: Cupcakes! My husband made me two dozen cupcakes Thursday night and I managed to polish them off by Sunday evening.

Gender: 18 days until the big reveal!!

What I Miss: Doing normal things. Bed rest sucks, plain and simple!

What I'm Looking Forward to: For the next ten weeks to fly by. My MFM first said it would be amazing for me to make it to 28 weeks. On Thursday he upped that to 32 weeks. I am shooting for 35 weeks as that is when NICU time would be minimal if not non-existent.

Nursery: We ordered the furniture last week. The crib and the changing table system will be delivered on June 1st. They wanted to deliver it this Friday but I have doctors appointments all day so I will not be home. My rocker and ottoman isn't scheduled to be here until the 21st of August. Since I ordered a custom chair, I knew that it would take a while, but never expected it to take that long. PBK is going to call me next week as they think that date was the "absolute latest" date so I am hoping that they have some updated information for me. The painter is coming Wednesday morning so I am starting to get excited.

Weekly Wisdom: One day at a time...

Milestones: My next milestone will be the 3rd trimester which officially starts June 1st (only 17 more days), the day before my shower and the day the nursery furniture is getting delivered. 

Friday, May 11, 2012

MFM Follow-Up

(24 Weeks 2 Days)

I thought that I would start this post off with a picture. Since I had to get dressed for a doctors appointment yesterday, I thought it would be a good time to take a belly shot. I have to say that I am liking this growing belly as it really minimizes how large the rest of me really is. 


I went for my follow up appointment yesterday with my MFM. I wasn't really too anxious about this appointment as I knew that I could not control the outcome, and if my cervix shortened again and was put back in the hospital, there was nothing I could do. When we arrived at the office there was a sign posted that the ultrasound department was running 60 minutes behind. Due to this, I ended up having my MFM appointment before my ultrasound. It was pretty uneventful. They had to put in a larger pessary as the weight of the baby was too much for the one that I had in. We talked about getting the steroid shots, switching over to Heparin and delivery. It was decided that we are going to hold off on the steroid shots to the very last minute. Since you can only get them twice, and they are only good for a short amount of time, I would rather save them for when they are extremely necessary. It is still up in the air when I will be switched to Heparin. Being on the Lovenox and being at high risk for preterm labor and needing a c-section, puts me at risk of needing general anesthesia for delivery. The half-life of Lovenox is pretty long, so this means that if I go into sudden labor shortly after taking my Lovenox, I wouldn't be able to get an epidural for 12-48 hours (depending on my labs). Since obviously a c-section requires an epidural, general anesthesia would have to be used which would mean that I would miss the birth of my baby and so would my husband as they would not allow him in the OR if I was completely under. Heparin has a much shorter half-life (6 hours I think) so this would be a better option. The trick of all this is trying to figure out when to switch me. Do we base it on my cervix? Do we base it on my high risk for preterm labor? Unfortunately no one can tell me what the right thing to do is. If I make it to 32 weeks I will switch at that point for sure, but what about before than? Heparin carries a much greater risk for hemorrhage than Lovenox, so putting me on it prematurely could be harmful.    

Finally, after 90 minutes from my original appointment, I got called back for my ultrasound. The baby looked great as usual and had a heart rate of 156bpm. The baby was butt up so again we were not able to get a good view of the face. The head was down, resting on my cervix, and the feet were up about two inches above and to the right of my bellybutton. After verifying that the baby was still perfect, the MFM came in to check my cervix. I immediately noticed that it looked much different. I said to the MFM "why can't I see the funneling" and he responded "because I really can't see any either". Not only did the funneling almost disappear but the shortest measurement that they got was 2.8cm when just over a week ago it was measuring 1cm. The MFM said that the cervix is very dynamic so even though we got a great reading now, in an hour I could come back and it could be down under 2cm. He said that this measurement was really reassuring though as it showed us that my cervix is fluctuating up, rather than down. I was extremely happy with this and felt very relieved. Hopefully next week's appointment will be just as good!

Tuesday, May 8, 2012

Viability Day: 24 Weeks

How Far Along: 24 Weeks

Size of Baby: This week the baby is measuring just about a foot long crown to heel and is weighing in close to a pound and a third! When I had my growth scan at 22 weeks 6 days, the baby weighted 1 pound 2 ounces and expected to put on between 4 and 6 ounces a week for the next couple of weeks.

Picture of Baby: This picture was from yesterday when I had my ultrasound in the hospital.
 (sucking the thumb again)
Maternity Clothes: Lately all I have been wearing, besides hospital gowns, is sweatpants, maternity t-shirts and my husband's long-sleeve t-shirts. I really don't need to make a fashion statement while I am on bed rest.

Weight Gain:  I am up a total of 15 pounds. I was told that I am on the low end for weight gain but still within the normal range. I honestly can't understand how this is as I feel as though I am eating 24/7.

Belly: None this week. I was going to take one today but since I am on bed rest I had no desire to get dressed and fix myself up for the picture.
Stretch Marks: None yet but if the tearing sensation that I am feeling across the skin of my belly is any indication of things to come, I am totally screwed.

Sleep: While I was in the hospital they ended up having to give me a small dose of Ambien as I wasn't sleeping at all. My first night home last night I was able to sleep for almost 10 hours, including having to get up a few times to pee.

Best Moment of the Week:  Finding out the not only did my cervix stabilize, it actually improved a little. It gave me hope. It was also pretty cool to hear hiccups on the doppler...that was a first.

Movement: Constant. I seriously don't know when LC sleeps. LC is constantly kicking and punching. The one thing we discovered is that LC does not like NSTs. During them LC would target the heart rate probe and constantly kick it out of place. While the nurses were not amused with having to reset it constantly, I enjoyed watching my belly move all over the place.

Symptoms: Lots of pelvic pressure and round ligament pain. My belly is going through a major growth spurt along with LC. 

Food Cravings: I'm back to craving sweets. On Sunday I woke up from a nap with the overwhelming need for Twizzlers. Thank God the vending machine near the elevators had them!

Gender: Still not telling. Less than 4 weeks until our big reveal!

What I Miss: The concept of a normal pregnancy. Not only was getting pregnant a nightmare but this pregnancy is also turning out to be quite the challenge.

What I'm Looking Forward to: I'm really not sure. I am so scared at this point that I am just taking things one day at a time. I look forward to everyday that I am still pregnant.

Nursery: Since I went into labor, we had to put the painter off. He is now coming a week from tomorrow. The one thing that we did do is that we finally ordered all of the nursery furniture.

Weekly Wisdom: Learn from yesterday, live for today, hope for tomorrow.

Milestones: Making it officially to viability.

Monday, May 7, 2012

I'm A Believer!

I have talked on here before about my struggles with faith since fighting infertility. I wanted to find faith again, but found it impossible, especially when I thought of all my husband and I endured over the past three years. When things started going downhill with this pregnancy a few weeks ago, I did something that I haven't done in a really long time. I reached out to family and friends and asked them to keep us in their prayers. I don't know exactly what made me do this but I needed to put my worries and fears on something other than myself. Particularly after I went into preterm labor last Sunday, I knew that I was not strong enough to deal with this all on my own. Over the past few weeks, especially this last week, I have received an overwhelming number of comments and emails from people letting me know that they were thinking of me and my family and praying for us. In some strange way I found this to be very comforting. Over these past few days I kept thinking about all of the stressful things that had taken place since I had been in the hospital, particularly the talk we had with the Neonatologist on Monday. I can tell you that if you haven't been through the talk, especially when you are this early in the pregnancy, there is no way you can understand the sadness, fear, and anger you feel when you have to hear this stuff. Monday afternoon I was listening to a doctor tell me all of the awful, painful things they would have to do to my baby if we were to deliver in the next week or two. Instead of picking out things for the nursery, I was signing resuscitation orders for my baby. I had to sit there and hear every awful detail of what would need to be done to our Little Cannoli if my body continued to fail me. As I was sitting there listening to the words coming out of her mouth, I couldn't help but think about how unfair this was. Haven't we been through enough? As she handed my husband and I the resuscitation orders to sign, I just lost it. It wasn't supposed to be this way. I never planned for this and I was not ready to handle it. After the Neonatologist left the room, my husband and I just sat in silence as we were too numb to say anything. On Saturday, I was sitting in my hospital bed thinking about all of this when it hit me. I had all these people praying for me. The thought of this suddenly gave me the strength I needed to say to myself, "the hell with this. This baby isn't coming out anytime soon." I kept telling myself over and over again that I wasn't going to let my body win this time. It is my body and I am in control of it. All weekend I kept repeating this to myself knowing that my ultrasound was coming up on Monday morning. My whole attitude changed. I stopped crying, I stopped being scared, and I stopped feeling sorry for myself. This morning, I do have to admit, I was a little anxious knowing that this ultrasound was going to tell us if birth was right around the corner, or if things had stabilized. My MFM walked in shortly after 9 this morning and told me that we are going into this with positive thoughts and that we could only hope that things had stabilized. Shortly after that the nurse wheeled me down to ultrasound where my MFM and two Residents (who have been working with me all week) were waiting for me. First they did an abdominal ultrasound to get a good look at the baby. The baby looked great. Heart rate was 152 and it was moving all over the place. Now it was time for the transvaginal ultrasound as this is really the only accurate way to measure the cervix and to assess funneling. All three of the doctors, including the tech, just stood there staring at the screen, not saying anything. My heart immediately sunk as something had to be wrong. They then started taking measurements...2.2, 1.8, 2.1. What? Then the Resident said "wow, the funneling even improved." Since they need to take the smallest measurement of the cervix, it was documented as being 1.8cm, up .8cm from a week ago. I couldn't believe it. Things not only stabilized, they had improved! After much discussion it was decided that they would be willing to send me home on pretty strict bed rest. I am allowed to do the stairs only one time per day, I can't be tooling around in my wheelchair at the grocery store, and I could get up to use the bathroom or to get myself something "quick" to eat. I go back to my MFM office on Thursday at which time they will reassess my cervix. If my cervix shortens again I was told that I will have a permanent room at the hospital where I will remain until I deliver or get into a "safe" zone...like 32 weeks. Things are still a bit touch and go but I couldn't be more pleased with the way things turned out today. I am home right now sitting in my chair with my feet up. My husband has been truly amazing and honesty deserves the husband of the year award. It is going to be a tough couple of months but I know that we will get through this. Thanks again to everyone who has been praying for us. It truly means the world to me. Love you all!

Friday, May 4, 2012

Preterm Labor UPDATE

Thanks so everyone who has kept me, my husband, and my baby in their thoughts and prayers. Yesterday was my follow up ultrasound and I am very happy to report that things have stabilized. My cervix on Monday morning was at 1cm with extensive funneling. They had also noted a large blood clot in my cervix where the funneling was. Yesterday my cervix was measuring in at 1.3cm, still with extensive funneling and the blood clot is starting to break up. While they doctors doubt that my cervix has increased in length, they said that this new measurement shows that my cervix is stabilizing that this is the best we can hope for. The baby is doing perfectly and is measuring in the 47th percentile. I was also really happy to hear the my fFN was negative so that means "theoretically" that I have less than a 5% chance of delivering in the next two weeks. While the long term plan is to keep me here in the hospital until 28 weeks (23+3 today), they said that they would consider discharge to home on strict bed rest if things remain stable over a period of time. While I am not holding my breath, I am staying hopeful. The nice thing, if I do have stay in the hospital, is that they will be able to give me a day pass to go to my shower. I have been waiting so long to celebrate a pregnancy with a family and friends, that this shower means a lot to me. Obviously the health of my baby is most important but I would love to keep things as normal as possible. I will post another update shortly.

Wednesday, May 2, 2012

Preterm Labor

Sunday afternoon my mom stopped by to drop off a pot of stew my grandmother had made for me. I ended up having a large bowl of it and then went to go sit with my feet up for the rest of the day. Around 6pm I started feeling quite sick to my stomach but chalked it up to the fat content of the stew. By 8pm I was miserable, feeling like I had food poisoning. I decided to call my doctor to see what was safe to take. The on-call doc told me that I should probably come in to get checked out but I told her I would be fine if I could just take something to help my stomach. By 10:30 I was on my hands and knees screaming in pain so my husband decided to was time to go to the hospital.

We live about an hour from the medical center where my docs are so we decided to go to our local ER instead. By the time we got there, not only was I screaming in pain but I was dry-heaving uncontrollably. They quickly got me onto a room where the nurses started two IVs on me and started pumping me full of fluids. To be on the safe side the nurses called labor and delivery to come over and check on the baby. When they came in they hooked me up for a NST and to everyone's horror I was contracting every ten minutes or so. I immediately told them that I wanted to be transferred immediately to the medical center. About an hour and a half after I first arrived the ER doctor finally came in. I had my head covered but I recognized his voice immediately. He was the same doctor that missed my ectopic. He started asking me a bunch of stupid questions like "what seems to be the problem" and "do you still see the fertility doctor" (after I told him who my MFM was). I said " no you idiot, I'm 23 weeks and he is the cheif of Maternal Fetal Medicine". He walked out and then came back within ten minutes to tell me that there was nothing they could do as I was too early for any intervention. What!! As they wheeled me over to labor and delivery they were talking about a possible emergency c-section so I was on the phone to my doctor who apparently was mortified with what was going on. He talked to the OB on call and told him to immediately start Magnesium and transfer me to the medical center. They did a 4 gram bolus of Magnesium which made me extremely sick and bottomed out my pressure. As soon as the bolus was done, which took about twenty minutes, they prepped me for transfer while the remaining Magnesium continued to be infused.

Shortly before 4am I arrived at the medical center. I don't remember too much as I was so sick from the Mag, but they had me hooked up to all sorts of machines. The one thing I remember is that they told me that the contractions were now irregular and farther apart. About four hours after I arrived two of my MFMs came in to do a detailed ultrasound. The baby looked great and was weighing in at 1.2 pounds. My cervix had decreased to 1cm and I had developed a blood clot where my cervix was funneling. At about 10am they stopped the Mag. It was making my blood pressure bottom out and my O2 saturation kept falling into the 80's. They started me on Indocin instead which is given every six hours for a total of 48 hours.

Since then I really haven't had any contractions. I am in a ante-partum room where I will be until they feel like it is safe for me to go home. Most of the doctors agree that I will be here for the next five weeks or so but I guess we will see. Since I have waited a long time to celebrate the arrival of a baby, I have been quite anxious about my shower. They told me that if everything is stable that they will most likely give me a day pass so that I can attend. I have worked so hard to get to this point so I just want to be able to celebrate this miracle-to-be with my family and friends...one day at a time though. Tomorrow morning is my next ultrasound to determine if there were anymore changes with my cervix. I will try to post another update shortly after that.