Labor and Delivery Triage

So tonight Mike and I got to visit Labor and Delivery Triage. I hadn't felt well all day, was just a little off. I went to bed with socks on last night and when I woke up this morning, my left leg had swollen so much that the sock constricted my circulation and left a deep line. My feet look like hooves. My hands are porky. I had a slight headache (like a sinus headache), though that went away, and it was really uncomfortable to sit down all day due to pain in my left side. Later in the day, my lower back started to hurt and I started to feel a good amount of balling up in my stomach.

We went to our childbirth class tonight and I had to get up in the middle of it to go to the bathroom. All of a sudden, my stomach started hurting and I knew I had to poo. I ended up being in the bathroom so long Mike actually got up and came into the ladides' room to make sure I was okay. I was, but that sealed it for me-- time to go to L&D Triage.

Registering once we got there was easy, though we had to wait a little bit before I actually got any attention. I was taken to an exam room, put on a fetal heart rate monitor and blood pressure cuff. Took off my pants so they could do an internal exam to check my cervix. Drank some water so they could do a urine test to look at protein and sugar in my pee, plus check for a urinary tract infection.

It turns out I was having contractions about every 10 minutes. My blood pressure looked pretty good-- higher than during the NSTs, but low for me-- and the baby's heart was doing fine. My cervix is soft, the doctor said, but still high; she also said I will probably deliver early, though she wouldn't commit to how early. She said to think of what I was feeling today as my baseline; anything more than this means I'm getting closer to popping.

It was good practice to go tonight and to get to know what to expect. Mike was fabulous, as expected. He's going to be a great dad. So now we just wait and see when Poppy wants to make her appearance in the world.

New things to worry about

So I went in for my 1st non-stress test (NST) the other day. I actually found the test very relaxing. I laid there, they had monitors on the baby's heart and on my blood pressure, and they fed me ice chips to get the baby to move around. Mike went with me, which was nice, and they did another (though low-tech) ultrasound to check the fluid around the baby.

The nurse had a little card with my info on it, including the reason for my being there. As far as I knew going in, I am having 2 NSTs/week because of my high blood pressure. Imagine my surprise, then, to see "velamentous insertion" written on the card next to hypertension. I remembered one of the ultrasound techs saying something about the cord being attached on the side, but the tech didn't make a big deal out of it and my OB didn't make a big deal out of it, so it didn't really occur to me to be worried about it. That is, not until I got home and googled the condition.

Here's what I found: In velamentous insertion, the cord is not connected to the placental plate, and its vessels travel between the membranes before attaching eccentrically to the placenta. It happens in 1.1% in singleton pregnancies and 8.7% of twins.
Associated anomalies are found in 5.9-8.5% of cases. These include:

* Esophageal atresia.
* Obstructive uropathies.
* Congenital hip dislocation.
* Asymmetrical head shape.
* Spina bifida.
* Ventricular septal defects.
* Single umbilical artery.
* Bilobate placenta.
* Trisomy 21.

Yes, lots of good things. I immediately freaked out and sent a note to my doctor. I acknowledged in the note that I would image the genetic screening I went through would have identified some of those issues (like the trisomy 21) and that the monitoring with ultrasounds would have identified others (like asymmetrical head shape), but that I was concerned nonetheless and did I need to be? She wrote back that it's actually a common problem that doesn't generally cause issues and that the previous testing would have caught things. She said that the biggest issue with the condition is the baby not growing well, which obviously isn't a problem with my ginmormous Poppy. Her closing line? "Try not to worry."

Ah, yes. Try not to worry. Easier said than done.

I will say, though, that it's too late to do anything (as in terminate the pregnancy) if the baby did have some sort of problem and all I can do at this point is move forward. She has a strong heartbeat, has been kicking like crazy, looks fine (but big) on the ultrasounds. I have to hope things are fine. And soon enough, I'll find out for sure.

The other interesting thing that came out of my NST is that apparently I'm having a lot of contractions. The nurse said my uterus is "very active" and when another, different nurse saw the results of my monitoring, she commented on the contractions, too. They said if I feel 4+ contractions in an hour or the baby balling up or anything, that I need to go to Labor and Delivery triage immediately. That, of course, brought me right back to my concern about not knowing what exactly a contraction feels like. I've been thinking I'm having Braxton Hicks (and maybe this proves that I am?), but I'm not quite sure. So when I go in tomorrow, I am going to try to ask some more specific questions about what I should be feeling for. My plan up until this point has been unless something hurts or is incredibly, super uncomfortable, to assume I'm fine and not worry about it. Seems like that worked for most of human history, so it must be okay now, too, right?

Another ultrasound

The one good thing about being a "high risk" pregnancy (because of my blood pressure) is that we get an extra ultrasound to make sure the baby is growing appropriately. Tomorrow morning is our growth scan, and Mike and I are both really excited to see how big Poppy has gotten. I'm nervous, of course. I have fears that one of her limbs will have fallen off or that something's going to be wrong. I guess that's just part of being a mom. She's been actively kicking me, her heartbeat has sounded good each time I've been to the doctor, etc. So hopefully tomorrow we'll find that everything is okay and I can stop worrying. For now. ;)

Things are going well

I went to the doctor this morning for a routine appointment and am happy to report that everything is on track. My blood pressure was 122/77-- which is amazing for me!-- and the baby's heartbeat was strong and healthy. I'm not having any weird symptoms except two different types on itching. One is a rash that seems to happen when I get too hot or sweaty. It's gross and uncomfortable, but the doctor said that may just be how I react to being pregnant and that I should 1) try some spray on antiperspirant where I tend to get the rash and 2) be happy it's starting to cool down. The other rash is a little more serious, potentially. The palms of my hands and soles of my feet get red, swollen, and itchy. It may be a sign of problems with my liver or gallbladder, so I am going to have some blood work done in two weeks when I go for my glucose test and rhogam shot. My mom has hepatitis, and the itchy palms and soles is one of her symptoms. I have empathy now, because it's miserable!

All that being said, I'm really pleased with how everything is going. Sure, I complain about the day-to-day frustrations and annoyances, but all in all, it's been an easy pregnancy. I haven't had to worry about "is my baby okay?" "Is my baby going to make it?" or anything else. No cramping, no bleeding, no contractions, no nothing. Smooth sailing. For that, I am very thankful. I honestly didn't think it'd be that way.

My next appointment is towards the end of October, then one in the middle of November. Then I start going more frequently, unless my blood pressure starts acting up, in which case I'll go probably once a week. I'm in the home stretch!

Halfway there!

I had another doctor's appointment on Thursday and while the doctor hadn't looked at the images from the ultrasound in great detail, she said if something had been obviously wrong, the tech would have called in a radiologist and they would have called her. So it's sort of a "no news is good news" situation. Same with the genetic testing.

Somehow the doctor and her office forgot to tell me I needed 2nd trimester blood work done for the genetic screening. I was surprised to get a letter when I got home at 7 p.m. on the 18th saying I needed to have the blood work done on/by the 20th or else they couldn't do any screening. I was NOT happy. It worked out fine and I was able to have it done on the 20th, after my prenatal appointment.

While I was there, the doctor also ordered some general blood and urine screening because I explained I've been a little tired, a little swollen, and sensitive to sugar. My results came back later that day and they all look sort of funky to me. My red blood count from the CBC was really low. That probably explains why I'm so exhausted all the time. I need to follow up with the doctor to see if I should be taking supplements or something.

In a concession to my health, and thinking of Poppy's, I went back to taking prenatal vitamins last night. The ones I was taking before made me really sick, so I switched to regular adult gummie vitamins. But the prenatal ones have more good stuff that I obviously need, so that's that.

I'm happy that everything is going well and amazed at how quickly the days have passed. I'm 20 weeks along today-- halfway there!

Great news!

Mike was late for our appointment. Well, he wasn't late, exactly. He was late for check-in, and they ended up taking me slightly early. He didn't miss anything. Just the least talkative technician in the world running his wand over my belly (and excruciatingly full bladder). Mike arrived, he watched. I couldn't see anything from where I was. I asked the guy, "is the baby still in there? Heart still beating?" He said yes, so that was a relief, but he didn't say ANYTHING else. Mike tried to ask the guy a question or two, but the tech just said, "you'll have to ask the doctor. I can't make any diagnoses." I don't want a diagnosis-- and by the way, does that mean something's wrong?!?-- but I'd love to know what you're looking at/for.

The tech took a million images. My bladder was threatening a revolt, so I got up and peed halfway through the exam. There was one image he was trying to get, but it took a long time. The tech kept pushing the wand into me harder and jostling me, to get the baby to change positions, I guess.

Then, finally, he turned the screen around so I could see. And what did I see? A little baby! Moving! In my belly! PHEW! He showed us head and profile and feet and arms and heartbeat... and... female genitalia! It's a girl!

He also moved the date up a bit, saying I'm really 20+ weeks along. Moved my due date from January 9, 2010 to December 29, 2009. By far, that's the easiest "week" of pregnancy I've had!

I'm off (in about a half hour) to another doctor's appointment, where we will review the sonogram images and I'll have some more blood work done. More on the blood work later.

Thump thump

We had a little mix-up at the appointment today-- turns out I wasn't set for a sonogram at all. The receptionist was supposed to give me the info and instructions to schedule an appointment with radiology at 20 weeks for my sonogram, but instead, she gave it to me and told me it was for my appointment today. I was annoyed, but what can you do?

At today's appointment, I got to see a doctor, who I really liked. She's very nice, very personable. Answered all of my questions and then some. I'll get to continue seeing her throughout the rest of my pregnancy, though she most likely won't be there for delivery.

Anyway. At today's appointment, we heard the baby's heart beat! It was ticking away strongly and quickly. Hard to believe there's a baby in my belly!

Today's appointment was the one I was waiting for, and now we can start telling people. Mike's called each of his grandmas-- in fact, he's on the phone with one as I type-- and I'll call the few friends on my list (my best friends know, and most of my other friends will get an email or will see it on Facebook).