Saturday, September 28, 2013

Week 2: 28 Weeks

On Wednesday, (my 13th day in the hospital) I was released from the hospital.  Although they are not completely sure if it ever ruptured, the official diagnosis was a ruptured membrane that healed.  Apparently, determining whether or not a pregnant woman's water broke is not an exact science, but either way M and I thank God that everything seems like all is well with Sam.

I am still on bed rest, but being at home has really been a huge and wonderful blessing: my own shower, bed, closet, TV, and Internet connection. I am in heaven.  The doctor said I could even make short meals in the kitchen, but I have yet to do that, as I have been too scared to stand for that long.  Maybe after a week I will feel more daring.

The doctor also informed us that we would go to the hospital every Friday so that they can listen to the baby's heart and put me on the contraction monitor for a half hour.  I also see my doctor on every Tuesday for the same tests. 

When we arrived home from the hospital, I went directly to the bedroom and laid down and looked out the window for like an hour. It felt good to be home.

That night was not so great.  I fell asleep quickly enough, but I had a nightmare in the early morning.  I dreamed that I was in labor and for some reason I knew the baby needed to be delivered by c-section.  My parents, Matt and I jumped into the car to drive to the hospital, but I couldn't convince any of them not to stop at every restaurant in town for take out, and for some reason we needed to run some errands for my baby brother.  Everyone kept on telling me I was concerned about nothing, and then I woke up.  Relieved of course. Sam furiously kicking me.  Apparently, he didn't like the dream either. 

Thursday (9/25) marked our 28th week.  To celebrate, M and my Dad were able to set up the crib:




Obviously, we still have some work to do in the nursery, but this is a start. :)




On Friday, we had our first appointment at the hospital.  Going back to the hospital was really hard. Just for the test, we had to go through admitting again, and there were a ton of people coming in who were in labor.  By the time we got back to where they were going to have the test I was really trying to fight back the tears, and was convinced I was going to go into labor any second.  Luckily, the RN that does the testing was so nice and calming.  The testing went well: plenty of fluid, Sam's heart rate was great, my blood pressure normal, and no contractions.

So today is Saturday, three days at home. We continue to pray for a safe and continued pregnancy as well as peace.  Peace is something I have struggled with throughout my life, and I am really praying that God will help me control my mind and thoughts in the upcoming weeks as we strive to create a new "normal" while I am on bed rest.

xoxo,
-A


Thursday, September 19, 2013

Bed Rest: Week 1

Today marks the end of our first week in the hospital and my 27th week of pregnancy. M, Sam and I are still here, and despite last week’s scare Sam is still snug in his little home. He is very active, I think he likes that I don’t move much – more swimming room for him.

As the days go on, every day gets a little better. Sam is doing just fine . . . so emotionally I am feeling better. Not to mention that I am not as heavily medicated anymore during the day, and getting a dose of Ambien each night doesn’t hurt. Nothing like sleep to make a person feel better.

Friday – Sunday – After 48 hours they took me off the magnesium sulfate (the drug that prevents contractions), and they changed my antibiotic from IV to oral.  No more IV! This meant that the IV machine wasn’t dinging every time I bent my arm (every 15 minutes) throughout the day and during the night. This also meant that the dreaded catheter came out, and then a day later – no more bed pan.

So the catheter ... pretty much feels like you have a bladder infection the entire time its in. If you don’t know that feeling, then good for you, I hope you never do.

Now about that bed pan. I have to say, if I had actually been in pain it would have probably been fine and preferable. However, the fact that I was perfectly coherent and in no pain made the experience borderline traumatizing. Not to mention, I am six, almost seven months pregnant, so balancing on a bed pan was not the easiest task: "Help me Jesus, help me Oprah, help me Tom Cruise." (Will Ferrell Reference) I say no more.

Onto happier topics.

Monday – like totally unbelievably amazing. The OBGYN came by to check in to see how I was doing. She was pleasantly surprised to hear that I have had no contractions, and inexplicably there had been no more leaking since I was admitted on Thursday. That is when she announced I could have one shower, and a bedside commode instead of the bed pan.

Tuesday – Came and went without event except the premier of "The New Girl" and "Mindy Project."

Wednesday – the OBGYN came back with the ultrasound. The ultrasound showed that baby was doing well and that the fluid was still in the normal range. That was the first mention of – I could be going home if things stayed the same. So now I had bathroom privileges, and was told to move from bed, to chair, to couch a couple times to see if the trend would stay the same. Sounds a little high school but what can I say five steps to the bathroom is welcome exercise, and so much more civilized.

Thursday – Started not so well . . . we had our first cranky nurse. She came in and woke me at 7:00 a.m., and then began to lecture us about how much personal stuff we had in our room, and if they had to deliver the baby, what a nuisance it would be. Notably, we were told to bring a lot of personal stuff and move right in by every other nurse and doctor that we had, had so far. Then she apparently didn’t like that after I went to the bathroom I put the baby monitor back on myself. It seemed like she felt like she was losing control, and how dare I put a strap around my stomach and find my baby’s heartbeat. Ugh. After she left my room that morning, I noticed I didn’t have a butter knife on my breakfast tray so I buzzed the nurses desk (which I rarely do) and I asked if they would bring a butter knife. Apparently this was all cranky nurse number 1 could handle.

At that point happy nurse from yesterday appeared with a butter knife and said she was taking over, and that some people were just really cranky today.

Later that morning, the OBGYN came and checked my condition around noon. Two thumbs up! She also mentioned that she wanted to send me home, but the parinatologist wouldn’t clear me to go home, and still insisted that I needed to stay until 34 weeks (7 weeks away). The Parinatologist is the high risk pregnancy specialist. Although she assured me she would get a second opinion, emotionally, I fell apart once again. The exit door seemed so close, just to slip through my fingers. I mentally imagined the trailer for that new Sandra Bullock movie "Gravity" where the spaceship is falling a part and Sandra is grasping with her fingertips to hold on, just to miss holding on to the ship by a centimeter. Let’s just say . . . no space travel is in my future.

Eventually, during the day a somewhat good attitude came back.

It’s a hard thing to realize that you are not in control of anything in your life, and as an adult, even harder to realize that you are never going to be. Throughout my life I have realized and taken note of that, but then of course, daily life and routine sets in again, and I am guessing for most of us we once again lose sight of this reality.

If this situation has taught me anything so far its how to be a blessing to people that are in the same situation. I think until you are here, its hard to understand how much little notes of encouragement, gifts, flowers and phone calls etc. are to someone that is in the hospital. Before, there was often times when I thought, oh if I visit I’ll just be a bother, or I don’t know them well enough for anything I would say to matter. Once you’re here, you realize that’s not true. And everything from the smallest gesture to the biggest gesture is much appreciated and helpful.

xoxo,

-A



 

 

 

 

 

 

 

Sunday, September 15, 2013

We're In the Hospital Now

Well you know what  they say about well laid plans.  M and I are making ourselves at home here at the hospital.  We are hoping to me here (believe it or not) for the next two months.

We were admitted on Thursday night. When I came home from work on Thursday I had some unusual symptoms. I felt no pain though.  M convinced me I should call the doctor, and the doctor said I should go to nearest hospital.

We were admitted upon arrival at the hospital.  They did tests on me and the baby, and everything at first seemed fine. The last test they did showed that my water had broke or there was a tear. We were of course both shocked.  I said, but I am only 26 weeks.  The nurse assured us that they had just delivered a 23 weeker, and everyone would be in place if I started contractions.

From that point on they made it clear that we weren't leaving until the baby was born, no matter when that is going to be.

We were told that the first 24 hrs are the most critical. They started me on meds to prevent contractions, meds to prevent brain aneurism if baby was born that night, and gave me a heafty dose of steriods to jolt the babies lungs to grow faster. The second dose we were told was to occur 24 hrs later, and that would be the end of the first milestone.

At about 10:00 p.m. doctors and nurses from the micro premie nursery came in to tell us about the protocol and about what they could do if the baby was born now. "Team of 6 specialists with specials skills to incubate and put IVs in the smallest of veins, a special incubater etc." Was about all I could comprehend.

By midnight I had so many tubes in me it was hard to move.  The monitors were on most the night, dinging almost every hour.  I was told I couldn't move at all and needed to lay on my back.  Of course M and I hardly slept.

On Friday, we met with our new obgyn since my ob is through a different hospital and we will be with the new hospital for the remainder of the pregnancy.

8:00 a.m. the new OB performed an ultrasound. Relief all good news.  I had no contractions through the night and the fluid around the baby was still in the normal range. Apparently, the baby makes the fluid and can replenish what has been lost.  Baby's heartrate and vitals were also good. The doctor suggested there may be a small break in the amniotic sac, and best case scenario it could heal. However, even if it healed, I would still have to stay in hospital, but I would be given some more freedom. Meaning I could take a shower and get out of bed to use the bathroom. (Small pleasure for most... Huge pleasure for me)

Friday afternoon we spoke to the high risk pregnancy specialist from the USC Group. He performed another ultrasound. Said baby was on target for weight and size about 2lbs at this point.  He looked over my vitals and he said that the biggest thing they worry about is infection after barrier between mom and baby has been broken.  As of now, they said that there was no indication of  infection, but to prevent infection they would start me on a antibiotic cocktail for the next 48 hrs.


He gave us a printout of the ultrasound:

http://instagram.com/p/eSzw5ulEeE/

The specialist gave us a milestone timeline.  Although he reiterated that everyday from this point until 28 weeks was important. He gave us a breakdown of millstones to look forward to. 

First milestone was that night when I would get my last steroid shot for the baby.


Next milestone could be next week if all goes well, they could take me off of some of the IVs, I could take a shower etc.

Next milestone, September 26 (28 weeks) if baby born lungs would be more fully formed.

Next milestone, October 24 (32 weeks).

Next milestone, November 7 (34 wks) baby coming out, risk of coming out less than benefit being in.  Baby would only need short time in hospital.

So far no contractions still, so that is good.

Xoxo,

Ahttp://instagram.com/p/eSzw5ulEeE/