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.

9 comments:

  1. Oh my, Krystyn, I'm sorry you are having such a tough time. (I am so behind in my blog reading that I didn't even realize you were pregnant!)

    "One day at a time" is absolutely the right approach. Here's hoping your uterus stays calm and your little one stays put for a while longer.

    ReplyDelete
  2. Thinking of you and hoping things calm down and stay calm as long as possible. FX.

    ReplyDelete
  3. I am so sorry you are having to go through all of this. I know the Mag sucks sooooo bad (I have pictures of me with bags of ice all over every visible part of my body while I cried from the sensation that I was burning), but I'm soooo glad that the contractions have stopped. That is a great sign. Please let me know if and when you are ready for visitors. Bed rest is tough...doing it alone is impossible. You are in the best possible place for you and your baby (can't believe the ER doctor...UGH!) and I have so much faith that your MFM is going to make the right choices for you and the baby. I will keep praying for you. Thank you so much for giving an update (I've been Facebook stalking you all day long).

    ReplyDelete
  4. Why are ER doctors so incompetent? In my experience they really suck…I am glad you called your MFM and he took over! You are in my thoughts.

    ReplyDelete
  5. Here from Project Progeny. Sending all my good thoughts/vibes your way.

    ReplyDelete
  6. Came here from Project Progeny - just wanted to let you know that complete strangers are pulling for you and sending good energy your way.

    ReplyDelete
  7. Just stopping in to let you know I've been thinking about you, hoping everything is working out for the better and sending every positive thought/vibe your way possible!

    ReplyDelete
  8. "Why are ER doctors so incompetent? In my experience they really suck…"

    Sorry don't mean to start any controversy but thats really offensive. The ER doctors are very special, they have to know tons of stuff about every single issue, unlike doctors that specialize, so I don't think people should expect everything. yes some of them come across as rude and some of them really are, and some of them even make (horrible) mistakes, but that's ER for you. Also don't forget that they work 24 hours shifts and so they do get tired too. Also many people that come there are in serious distress so they exaggerate and/or do not cooperate, making them look worse than they are. Kudos to you that you took matters in your hands and had your regular doctor take over. I hope you will have a wonderful baby shower, you deserve nothing less!

    ReplyDelete