Wednesday, March 6, 2013
First time meeting Oliver. |
My first two trimesters of pregnancy were pretty normal with all the average pains and discomforts. I started getting pretty bad swelling in the middle of my second trimester. Around week 24 I even had to get an ultrasound on my left leg because they were concerned I had a blood clot. It was around that time they started drilling the symptoms of pre-e into my head, telling me to call immediately if I started to experience them. My swelling improved a little with pressure stockings and I continued on in my pregnancy. Around week 28 I was diagnosed with Gestational Diabetes and was warned that this also increased my risk for pre-e. But it wasn't until around week 30 that I went in for a normal check-up and my blood pressure was very high. I was sent straight to the hospital to get a Non-stress test in labor and delivery. It was scary but after laying down for about an hour my blood pressure went down to a safe place. I was sent home and the next day I did my first 24-hour collection test. I ended up in labor and delivery the next day with really high blood pressure again. This time my NST took about 6 hours while they tried different things to get the readings they wanted from my son. Eventually they gave me IV fluids (it took them 4 tries to get the IV placed!) and was released again afterwards. From there on out I was on bed rest. I had no idea what to do with myself, I went from working over 40 hours a week managing a salon which I walked to and from every day, to not even being able to walk down to my mailbox.
The next few weeks were full of marathon napping and intense boredom and loneliness. My favorite days were the 2 days each week I would go in for NST's. They told me to have my bags packed for the hospital because any appointment may end in me being sent to deliver. They did a growth ultrasound at 34 weeks and I was told my son was already 5 lbs and would likely be around 8 or 9 if I went to 40 weeks. I was put on labetalol to try and lower my blood pressure, though it just continued to rise even as we increased my dosage. I'm really glad I was able to hold out as long as I did and that my son was already so big (from the GD I guess?). I made it to week 35 before another 24 hour collection test came back showing a high level of protein in my urine. The same day the results came back my left leg had suddenly swollen a massive amount. My OB had me go in to see her and scheduled another ultrasound for my leg. When I got to my OB's office she checked me out and tested my reflexes. My reflexes were scary jumpy, she told me she was cancelling the ultrasound on my leg and would have someone do it later on in the hospital. I was sent straight to labor and delivery to get on a magnesium drip to prevent a seizure. When we got there we had to check in, I remember the lady at the desk asked me my name and when I opened my mouth to tell her I just started crying. My husband had to check me in.
First snuggles at 4 days old. |
So we got settled into the hospital room. Again it took the nurses a few tries to place my IV. This was the beginning of becoming a human pin cushion for the next three days. Blood draws every 3 hours, and testing my blood sugar every hour until I had delivered. They started my induction around 6pm with prostaglandin gel, later on adding pitocin to my IV. My OB was on call at her other hospital so the on-call from her practice was in charge of me for most of my labor. I had never met her before but I am so grateful for her. I really didn't want my induction to end in a c-section and I really felt like she was on my team. I labored for 12 hours before my cervix did anything. She told me before she checked it that as long as it had done something she would let me keep laboring. I was only a fingertip dilated, which she said was less than a cm, but it was a change so she would let me keep going. I had another six hours to get to 3-4cm to have my waters broken or it was off to c-section land. Well about 5 hours later my water broke on it's own (my tiny victory!). This was also when labor really started to get unpleasant. There was lots of throwing up, my IV site was throbbing, the pitocin induced contractions sans the bag of waters were more painful than I could handle. The nurse let me get into a hot bath (with the IV, monitors, blood pressure cuff and all) but it did not help as much as I had hoped it would. So I finally agreed to an epidural. I had really wanted to "go natural". But really there is nothing natural about being induced, pumped full of magnesium and pitocin, and being strapped into bed with monitors around your stomach and a blood pressure cuff squeezing the life out of your arm every 10 minutes...so...I decided the "natural" ship had sailed anyway. After the epidural I got to relax for less than an hour before the pressure on my pelvic floor was so intense I asked the nurse to check me. 10 cm and baby at station +1! They called my OB, who got someone to cover her on-call shift at the other hospital, so she could come deliver my son. She got there an hour later and we started pushing. It took awhile, and I definitely almost fainted, but finally I pushed out my 5lb 5oz little shmooshie.
I was scared, of course, when my OB told me I had to be induced. I was nervous when she explained the odds and statistics of what most babies born at 35 weeks are like. For some reason I was really optimistic, I had not really prepared myself mentally that he might not be ok.
I remember my OB placing him on my stomach with his back to me, I reached down to touch him but immediately someone from the NICU picked him up and said "I'm taking him." There was a lot of hustle and bustle around the little baby station at the other side of the room. My husband and mother watched the nurses work and I couldn't hear my baby. I was so scared, I kept asking them what was happening but no one responded to me. Finally I started hearing baby noises. At the time I thought they were good noises but later it was explained to me they were just labored grunts from my son trying to breathe. While I laid in the bed having a tear sewn up they bundled up my son, bagged him, and wheeled him out of the room. It was like I had been in a car wreck, it happened so quick and I really wasn't expecting it and then he was gone.
I got to meet my son about an hour later (I think?) down in the nicu. He was born in respiratory distress and had some fluid retention in his lungs. The first few days were scary and confusing, the cpap was a bit of a roller coaster. People kept assuring me he was fine but then alarms kept going off and they would increase his oxygen. It took a few days but he finally got over the desats. When they switched him to the high flow nasal cannula at 4 days old I finally got to hold him. His IV came out after 6 days and he spent the rest of his nicu stay learning how to eat, a few tries at the breast but mostly the bottle. He was in the nicu for a total of 13 days.
Oliver's Graduation Day, unplugged and ready to peace out! |
Labels:
35 weeks,
bedrest,
epidural,
gestational diabetes,
hospital bedrest,
magnesium,
pre-e
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1 comments:
Thank you very Steady info ... hopefully more successful.
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