Journey to Mommyhood Part 6

Being a nurse I wanted to avoid major surgery if at all possible so I opted for the epidural and trying the vacuum. (What fun it was to sit up, sit still, and not push through contractions for the epidural…but the anesthesiologist was great and I think it was only 3 contractions before it was in and they were laying me back down). When we got to the OR William’s heart rate promptly dropped a couple of times so the doctor was not comfortable trying the vacuum so they got things set up, gave me a little more medication in the epidural and we had a C-section. William did not cry immediately and looked blue and kind of floppy but the nurses were great and he cried before too long. After Eric left and they were finishing the C-section the nurse asked the doctor if she had seen the placenta. I asked her about this later and she said that the umbilical cord was implanted in the sac and then branched off into the placenta (this is called a velamentous insertion and occurs in only about 1% of singleton pregnancies). She told us that William was a miracle because a lot of babies don’t survive when the cord implants like this. In doing research on this, a velamentous insertion can be associated with abnormalities in the baby. As far as we can tell William is perfectly healthy with no issues.

My recovery was longer than I had hoped for. It took about 8 weeks for me to feel a little more normal. On top of major surgery, I had hormonal shifts and a newborn to care for.

How have you weathered the hormonal shifts after giving birth?

Journey to Mommyhood Part 5

I saw my OB doctors every week at this point and stayed on the terbutaline until I was almost 37 weeks. On March 31 I stopped taking the medicine. I mad it until April 5 when I woke up around 5 am with contractions every 4-8 minutes apart. I didn’t want to wake Eric so I just laid there keeping track of how close they were and waiting for his alarm to go off at 6 am. When I called my OB doctors around 7 am I was told to go to the hospital to be checked to see if this was indeed labor (although I had no doubt). We finished packing up some things and headed to the hospital.

I had decided to try to have a natural birth with no medications. When I arrived at the hospital I was 4 cm dilated and was admitted in labor. I was put on the monitor until they were satisfied that everything looked ok with the baby and then was taken off for almost an hour. However, when I was put back on the monitor they weren’t completely happy with how the baby looked so I had to stay on the monitor in bed just getting up to go to the bathroom. By the afternoon I was still only 4-5 cm dilated and the doctor wanted to break my water. I was not thrilled with this idea but gave in. Oh boy, did the contractions ever get painful (not that they weren’t before…they were just worse). My contractions started coming one on top of the other…like only a minute or less apart. So once again I was given a shot of terbutaline because this is way too close together. It was kind of funny when one nurse was looking for the Pitocin on the IV so she could turn it off. (Nope…sorry no IV Pitocin here just the natural stuff). By 3-4 hours later I only had a little bit of cervix left that she was able to push around the baby’s head. I started pushing. What a relief pushing felt. However, the baby’s head was turned to the side and wasn’t rotating like it should. I had to stop for 30 minutes or so because the doctor had to go to another delivery. The nurse actually let me push on my side when I felt the need since I didn’t have an epidural or any pain medication. Change of shift came and I was still pushing. Then there was a big discussion about the monitor strip. (I’ll spare you the details). William’s baseline heart rate had dropped and was dropping with every contraction. My options were to 1)get an epidural or spinal and go to the Operating Room to try a vacuum and if unsuccessful do a C-section or 2) just do the C-section.

Given the options I had to choose from what would you have done if you were in my shoes?

Journey to Mommyhood Part 4

At my 28 week appointment I once again mentioned the contractions (which I thought were Braxton Hicks). The doctor decided to check my cervix. She said it was soft but long and closed. Since my uterus was measuring a little smaller than it should she sent me for an ultrasound to check my fluid levels. This ultrasound showed that the baby was really low (the tech had a lot of difficulty getting a head measurement because he was so low but finally did). My fluid levels appeared fine and my cervix was long and closed.

I think I mentioned the contractions again at my 32 week appointment only to be told that the ultrasound had showed that my cervix was long and closed. She never checked me at this appointment. (By the way, the fact that my cervix was soft at 28 weeks probably should have been considered abnormal as this normally does not happen until much closer to labor). So…I kept doing my normal daily stuff (with lots of breaks to sit or lie down). On March 5-6 we had our childbirth class. When we got ready to go to the class on Saturday morning, March 6, I noticed that I had some mucus with just a little blood when I went to the bathroom. Since a woman can lose some of her mucus plug a week or more before labor I tried not to think too much about it. However, during the childbirth class I kept having pretty regular contractions. When we left the class around 5 or so I called the OB on call who told me to come to the hospital immediately. (He sounded kind of panicked when I talked to him…especially since I was only 33 ½ weeks at this point). When they put me on the monitor at the hospital I was contracting every 3-5 minutes (feeling them all in my lower back). My doctor had the nurses give me a shot of terbutaline (which worked for about 5 minutes). When he checked my cervix he said I was 3 cm dilated and 80-90% effaced. (Basically my cervix was thinning and opening in preparation for birth). I was admitted and started on Magnesium sulfate via IV to try to stop my labor. I ended up on that for 2 ½ days and then switching to terbutaline pills every 4 hours. All total I spent 5 days in the hospital. I was sent home on the terbutaline and on bedrest. My due date was April 22, 2010.

Have any of you been hospitalized during your pregnancy? How about on bedrest? How did you handle this?

Journey to Mommyhood Part 3

On December 4 I had my 20 week ultrasound where they once again told us we were having a boy. Nothing seemed out of the ordinary but then around the December 10 or 11 I started feeling like it was hard to breathe. I was only about half way through the pregnancy so it was too early for it to be the uterus pushing on my lungs and diaphragm. I had an appointment scheduled with my OB for December 14 so I waited it out. Since I had been diagnosed with exercise-induced asthma as a young teen she said the pregnancy had activated this and gave me a prescription for an antibiotic (z-pack) and an inhaler (albuterol). I took the antibiotic and used the inhaler but in 2 weeks still was not any better. My OB office told me to go to my primary care provider (PCP). So…I made an appointment and saw the nurse practitioner there. I ended up seeing her twice. Taking another z-pack, then taking another antibiotic and using a steroid inhaler (Advair) with the approval of my OB doctors. None of these things seemed to make my breathing that much better. Some days it would be really good and I would think that it was improving and then it would get worse again. This would be an ongoing struggle until about 2-3 weeks after I delivered. On top of this I was having some contractions pretty much every day. They weren’t that painful (just kind of uncomfortable) and they weren’t regular so I just mentioned them to my OB starting around 24 weeks. Again, I wondered if something was wrong.

Have any of you had preterm labor?

Journey to Mommyhood Part 2

Eric & I went to the appointment. I was sure that I was going to be given devastating news again. However, when they did the ultrasound there was the baby with a strong heart beat. The doctor thought I wasn’t quite as far along (by about 5 days) as we had thought and wanted me to follow up in 2 weeks for a repeat ultrasound to check the dates. On September 16 we went for the follow up ultrasound. A different doctor did this ultrasound and said we should just stick with the original due date since the discrepancy was only a few days. Everything looked fine. He did see a pocket of what he thought was blood that would explain the bleeding. He said it is not out of the ordinary for a woman to have bleeding in the first trimester and he thought that the pocket was part of implantation. He told us that this can happen and can either be reabsorbed or could cause bleeding like I had been experiencing.

Around the end of September or beginning of October I once again experienced painless bright red bleeding. It was on a Saturday and since I was still in the first trimester I waited until Monday and made an appointment with the OB office. Again I was told that it is “normal” for some women to have bleeding during the first trimester. I ended up calling back about a week later to see if the doctor would order an ultrasound. She did but I had to go to an outpatient radiology office to have it done. So…around 13 weeks we had our third ultrasound. The tech even asked us if we wanted to know what we were having. We had decided to find out so she told us it was a boy. Eric said he knew as soon as she asked that it was a boy because they couldn’t be so certain at 13 weeks if it were a girl. That ultrasound did not show any reason for the bleeding but the doctors weren’t too concerned. I, on the other hand, kept thinking that something is not quite right.

Did you opt to find out your baby's gender or to be surprised?

Have any of you had feelings that something was not quite right during your pregnancy? Were they accurate?

Journey to Mommyhood (Part 1)

I thought I would start this blog by sharing my pregnancy and childbirth journey. Since it is rather lengthy I will be sharing it in increments.

In August 2009 we found out that we were expecting. We were excited but a little tentative also. You see, we had thought we were going to have a new little one in our home in October 2009 but I ended up being diagnosed with a blighted ovum and having a D&C right before Valentine’s Day because my body was not miscarrying on its own and I was at the 10 weeks “pregnant” point. If you don’t know what a blighted ovum is basically the egg and sperm meet and things begin but do not continue as they should and no embryo ever forms. We had 3 ultrasounds before we had the D&C…just in case the dates were off. This was a difficult time for me. So while I was excited at this new pregnancy, I was also a little on edge.

My first OB appointment was on August 25, 2009. They did the typical first appointment stuff…took my history, asked if I was sure about the dates, drew bloodwork, etc. I received the call a day or two later that I was indeed expecting and the bloodwork looked fine.

The next week I started nursing clinicals as adjunct faculty for a local University. That morning I woke up and didn’t notice anything out of the ordinary until I went to the bathroom. Then I noticed bright red blood. My heart sank. I had to go to clinicals…there was no one to take my place. This was a difficult day for me, to say the least. But I was able to schedule an appointment with my OB the next day for an ultrasound.

Have any of you had first trimester bleeding or other complications with any of your pregnancies?

What medical topics are you most interested in learning more about?