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.