Be Careful what you wish for: Part 2

D4AA3B48-AFEF-42DA-B129-E4CBD66AFFE5So I actually need to back up a little bit in order to tell the full story. A week or so before my iron infusion I got sick (like really sick, 104 fever, chills, aches, sore throat, ears etc. “doubly” fun when you are hugely pregnant) a couple of nights before my infusion and stress test I felt like I couldn’t breathe (literally), my fever was at its highest and I was hot and cold and shaking. Not being able to breathe actually got to me as I was struggling sitting up in bed propped up by pillows.

I even (embarrassingly enough) recoded my own shallow breathing on my phone (mostly to share with my mom but potentially the doctor. I felt a little like I was overreacting (being Swedish and all) but I was actually scared. I ended up pacing the house for hours that night not being able to even sit up in bed because of the shortened of breath and pressure on my chest.

I called my mom a little “panic-y” in the early morning (afternoon in Sweden). She wasn’t concerned until I told her exactly how freaked out I really was. She diagnosed..heart attack or pneumonia and voted for a doctor’s visit.

Luckily I got an appointment the very same day (they probably considered my pregnancy as well) and luckily it wasn’t my heart (but since my mom is always right) it WAS pneumonia. I had to do an x-ray which is always scary while pregnant but they completely covered my huge bump with that heavy protector blanket and let me know baby would be fine (actually the illness is way more worrisome for the baby than the x-ray procedure). I was so sick that I even had to cancel two stress tests for baby and I .

When I went to my iron infusion that rainy winter morning, I was still  sick. I had to disclose my pneumonia diagnosis to the receptionist as I checked in, despite having been on antibiotics (3 days in and feeling  better). They immediately gave me a mask (making me feel self conscious and like a giant threat amongst all the moms-to-be in the waiting room area).

Fast forward to the week later. I had just been released after my 48 hour stay in the hospital STILL feeling feverish, achy and under the weather, complaining to my mom that my antibiotics must not be working (5+ days and I felt like after some progress I had gone backwards to feeling worse again. I have this issue with antibiotics too-might be since I’ve had a “few” doses in my life, where they sometimes don’t work or I’ll have to switch to a stronger kind, stay in them longer or double the dose). My mother wisely told me that the antibiotics only works for bacterial infection not viral ones…

Anyways, back to what happened after our Skype call. I hang up with my mom and feel instantly better after all the venting (as always) and put our 21 months old down for his nap.

Something wakes me up and it all happens EXACTLY like like last time, a huge fish of water streams down my legs and into the carpet (sorry TMI and about to get worse) as I run towards the tiled bathroom. I yank down my maternity pants and underwear and proceed towards the toilet but something is different…

Something is not “exactly like last time”, something is off and I have feeling that something is not good…

Not good at all…

Be careful what you wish for…

At 35 weeks after an iron infusions at the hospital I walk straight over to my doctor’s office for my regular stress test (third THIS week-3 times a week every week after 30 week gestation).

During the test, baby doesn’t cooperate at all. His hear rate is all over the place (I have to turn around, walk around, sip cold water then orange juice) and towards the end I start getting contractions so strong they are (literally) off the chart. They feel just like labor contractions and my heart is racing (just like my baby’s) as the doctor on call enters the stress test area.

This baby is not ready yet, I was hoping for at least 38 weeks (and I so wish I was 38 weeks pregnant right now), even though I know babies aren’t really ready until 39 weeks (and not fully cooked until 40 weeks).

I find myself yet again with the big orange envelope, back at the admittance desk at the main hospital. They fear preterm labor once again and have no other choice but sending me back to the hospital.

Things go much quicker this time (probably due to my recent visit-and updated information). It’s not like I like spending all my time in this place but I keep finding myself back here…

As I’m waddling towards the familiar elevator I try to breathe “IN; last pregnancy, OUT; last baby” and as not to seem ungrateful I pray that the baby IS and WILL be okay! I love this little one and can’t wait for this last pregnancy to be over and to be able to hold and cuddle our baby boy!

Buut not until it’s safe obviously!

Stay in there a little longer I tell him as I hold my ginormous tummy, waiting for the nurse to put me in a wheelchair and wheel me over to yet another hospital room (at least they are all private). If I can hold on for at least another month or so, so can he…?

And so the process start yet again as they prep the IV, draw the blood, give me the steroid shots for baby’s lungs (ouch!) and give me (with huge difficulty because of my “impossible veins”) the anti-contractions medicine (brown and burning and slow moving) more known under the name “puke” .

Trapped in the big bed in the regular (very sexy-not) green hospital gown under straps leading to monitors I feel like I spend waaay too much time like this!

They want to monitor me and baby for preterm labor for at least 24 hours.

My contractions subside, baby is looking great on the monitors, steady heartbeat, great movement. No leaking, blood or pain!

As I’m about to get released the contractions pick up again, earning me another 24 hours away from my kids, my family, my dog, my house, and my life.

Luckily the contractions subside yet again and I’m finally being released under stern promises that I will come back the very next day to see my doctor and EVERY day until I give birth, which (hopefully) could (should) be several weeks. I promise to come back if I show ANY signs of preterm labor (including leaking, bleeding, strong contractions and/or lack of fetal movement).

It has been such a tough pregnancy so far and I’m so ready to be over and done with this but I know I need to hang in there. I know this baby depends on me, I know he is not ready and if I (we) have made it this far…

It has been tough at home as well with two kids transitioning into a brand new School and with one kid approaching the age of two.

Back home it’s hard not to stress. The kids are feeling my stress as well as their own with all the changes happening around (and to) us and I’m fearful the baby in my tummy will be affected as well.

After a tear-filled School drop off and a mid morning tantrum, I decide to call my mom to vent. In the midst of all the chaos I complain to my mom through the computer; “I’m sooo huge”, “I have soo many aches and pains”, “I’m terrified my cyst might burst”, “I’m scared I will have to have a c-section”, “All I want is to know for SURE baby is okay and healthy”,  “I’m worried my kids won’t settle in to their new school”, “I’m anxious my third child will regress even more when the baby comes”…

My mom is calm, realistic and reasonable as always (with just the right amount of “mom”, “support”, “strength” and “push”).

Most of all I’m telling her that I am just so ready to get this baby out of me like RIGHT now…

But I know I have to hang in there for at least a few more weeks…or will I??

Be careful what you wish for…

Blue Christmas: Part 2 “The point of no return”


As I check in at the hospital’s main admittance desk, my tears well up. I know it’s so stupid but I can’t help it. I call my beyond shocked husband telling him that I’m being admitted (feels like I’ve “been here, done that” a “few” times before). I text my mother in law, who has been such a great help through out this pregnancy, as well.

With only a few weeks before Christmas, who knows what will happen…

As I sit and wait for my hospital room to get ready, I know logically that I have to stay put, for a healthy pregnancy, a healthy me and a healthy baby! I’m still starting to entertain the thought that maybe I’ll be released in a day or two (since I’m pretty sure by now my symptoms are NOT pregnancy related) and we can STILL fly “home” to Sweden. But I heard what the PA said, I really did, and I try to turn my thoughts around (being a slight control freak and maniac planer makes that extra hard).

It wouldn’t be the worst to stay home and take it easy over Christmas. I wish I could just snap my fingers and be transferred right to my parents house though, so I can relax there, (wouldn’t that be awesome!) but unfortunately it doesn’t work like that. I know the long flight would take a toll on me and my now enormous body and obviously I don’t want to jeopardize anything. The PA is right what IF something goes wrong during the flight! What IF my cyst burst with not only extreme pain following but bleeding- I would think something is wrong with the baby-and so would everyone else. And what IF it wasn’t the cyst at all and something WAS wrong with the baby…

No, definitely better not to take any chances, better safe than sorry and all that…

Not what I was hoping and planned for but…

I have been known to dislike change buuut after a shift in thought process and a clear headed analysis of the situation I have also been know to change my mind, my plans and eventually able to “roll with the punches”.

And I’m also known popularly to make the best of any given situation. This is safe and good and we will just spend a wonderful Christmas here (hopefully not in this hospital) and spend NEXT Christmas in Sweden!!

My room seems oddly familiar, it’s private and behind the nurses station, around the corner from a fridge (which I know hosts yoghurts, cranberry juice, jello and stale peanut butter crackers), a large scale and a storage room for wheelchairs. The room is rather large but the window faces a brick wall and a little bit of black roof…
Even though I’m sure (in fact I know…for a fact) that these rooms pretty much all look the same-I feel like I’ve been here before…
I feel like I “lived” here before- as in the 36 days of hospital bedrest before my daughter was born…

When the nurse comes in I immediately recognize her as well. She doesn’t seem to recognize me but as I glance at her “staff” card hanging around her neck stating her name and her credentials I greet her with a “nice to see you again Eva” in Swedish…

It’s the swedish nurse who took care of me on and off after my water broke only 29 weeks pregnant with my daughter!

I completely bombard her with questions in Swedish and by the time her shift is over we both agree that I have a nasty stomach bug (as evident by the hours of nonstop vomiting and my kid Ss beng just as sick at home) but that it’s NOT pregnancy related, (but since my condition affects the pregnancy and the baby’s condition), I should stay 24 hours for observation, (but be released to be able to re-plan the holidays with my family).

As she checks my temperature and my vitals we chat about everything from family to pregnancy to travel, to various illnesses (she is a nurse and we are in a hospital after all). Of course I see the opportunity to pick apart every part of my four pregnancies (as well as miscarriages) and my different complications (poor woman), seeking out honest, down to earth responses in my first language!
We are really bonding and she is quite interesting. She makes me “promise” not to come back before I’m at least 39 weeks, saying babies actually NEED to stay in that long to be “fully cooked”.

The night nurse seems to resent our closeness and as she is taking over AND is about to set an IV I try to connect with her as well (but no such luck).

It takes five nurses to try to set the IV (my poor arms and hands are bleeding and black and blue by the time they are done-and they still don’t succeed). They fear I’m dehydrated but as they can’t give me fluids and I’m not allowed to eat yet (unable to keep even small sips of water down) they call for the expert!

For him, I have to wait, it’s after midnight when he comes in my room. “Him” being the anesthesiologist, sets the IV like it’s nothing and tells me to call him “Doctor Hurt Less”
“Be sure to ask for ME when this baby is ready to come out, around 39 weeks” (why does everyone keep saying that!?)

I have to spend an agonizing 3 days in the hospital without my family, until my fever is down, I’m no longer dehydrated and until the baby “behaves” on the monitor (being hooked up to the machines yet again checking the baby’s heart rate, fetal kicks and movement and mama’s contractions). After 24 hours I have contractions big enough to suggest preterm labor (probably caused by dehydration) which earns me another 24 hours.

After 48 hours my blood test results come back suggesting “a severe” iron deficiency.

When I finally get release it is with stern orders not to travel, ESPECIALLY out of the country…
They set me up with iron infusions straight through an IV at the “hospital main” twice a week until my iron levels stabilize. With those appointments plus my stress tests at the doctor’s office three times a week – I’m going to need a lot of help watching my other little ones at home!

When I get back to my family and all the packed suitcases, I get sad (and spend a weepy hour Skyping my mom, even entertaining the thought that the family could go to Sweden without me) but we all regroup, talking about the summer and next Christmas.

My family and I take a short vacation to “Knott’s Berry Farm” and spend an amazing Christmas with the family we have here. Not according to plan but definitely cozy, fun, warm and memorable!

It might not be white but it still is wonderful!!

Blue Christmas (part 1)

I know I shouldn’t be upset. This is in MY best interest after all and more importantly the baby’s, but when the PA says I have to be admitted to the HOSPITAL all I feel is dread…

 

A flood of memories wash over me, are they really saying my huge bump and I could be spending the Christmas holidays in a hospital?? and what’s even worse, do they really think the baby could be at risk???
I can’t believe it, as I try to laugh it off when asking if I can still go to Sweden (I can right? Maybe they just want to keep us for a 24 hour observation) the PA (my “friend” Eva, remember her!?) gives me a stern look telling me that this isn’t funny at all but quite serious…
I’m at a loss for words, what is wrong then? I exclaim!
Baby looked great on the ultrasound. The huge doses of pregnancy hormones have wired me shut down there (with no exit in sight for our little guy) and there are no abnormal doses of protein in my urine.
This is the answer I’m given…
“You have a fever, you show signs of pre-e, you are 30 weeks pregnant with a high risk pregnancy…”
Eva hands me the thick orange envelope, sending me on my way to the hospital entrance and admittance window…
I cannot believe it as I stare at the paperwork the words “acute febrile illness”, “cyst on left ovary”, “history of pre-eclampsia”, “history of preterm labor” and “geriatric pregnancy” become blurry.
I know I’m acting like a child, I need to suck it up and take care of myself and ultimately this little innocent life inside of me but…
This pregnancy has been so bad, straight from our miscarriage, I have been feeling so ill from the very first moment, I’m so huge and so hormonal and so alone and right now so sick…
I can’t help it, even if I’m totally “geriatric” (being in my late 30s and all) and already a mother of 3, my tears spill over as I’m asking (more like pleading and begging) the PA Eva one last time…
“If this turns out to be something I ate or a stomach bug instead of pre-e and the baby and I both look good in a few days do I get to go with my family to Sweden?”.
“Honestly, NO”
what??
“You have a blood filled cyst that can rupture any moment and even if it’s unlikely you don’t want that to be on a plane”.
“You could develop pre-eclampsia especially since you had it before or your water can break despite the barrier due to your big baby and this being your fourth- you don’t want any of those or other seriously life threatening scenarios to happen thousands of miles from your doctors or thousands of miles up in the air-trust me!”
“You know, you are not flying to LA BUT Europe, being from Germany, I know just how far and what that trip entails”
Wow, how come nobody had explained it to me like that before?
I was here today under the assumption that I was “allowed” to travel to Sweden, just needing the letter to give to the airline (and my meds, syringes and letter for those).
It feels like me getting sick blew every change of me (and us) going away…
The pouty child in me gets mad at her but after my tearful FaceTime call to my mom as I walk over to the big hospital around the corner I realize that I’m under excellent care, that I should listen to the professionals and that my plans (and dreams for the holidays) and my will means nothing when all that matters is this baby’s health! (And my own since I’m the one cooking him until he is completely [hopefully] done).
Before I even reach the hospital doors, I get the text that the kids at home are throwing up…

Perfect (NOT) timing…

The Friday before we were going home to Sweden for the holidays I have my last doctor’s appointment. This appointment is very important since everything needs to look great (baby and I) for them to let me go on this long trip (and back).
I need a letter from my specialists explaining the syringes and meds I need to bring and another letter explaining that I AM allowed to travel pregnant (being high risk and all…but probably more me being 30-31 weeks but looking like at least 36!). There is rules about traveling internationally after 36 weeks after all…
Of course (and cruelly so) I wake up that Friday feeling more nauseous than ever (and here I thought I was past the worst nausea).
An hour before I have to leave for my appointment I empty out the entire content of my stomach violently, including what I just “tried” to eat, (my mandatory a.m. “grande, decaf java chip frappe” make a come back -yuck!) in the guest bathroom by the kitchen (I didn’t get any further).
My mom and I debate the reason for my sudden “sickness” in a panicky FaceTime call wondering if it could be “baby related” or not…?
As a “curtesy” (more out of fear to be honest because as we know…you never know…), I call my doctor’s office letting them know how I feel, explaining that I must have ate something or it might be a stomach bug (great timing huh!?), could they (pretty please) see me on Monday (the day before we are supposed to leave?) but all they hear is the possibility of pre-eclampsia…
Of course they tell me to “come in right away” …
I dread my appointment while I wait in the waiting room (had to call my husband to come home sooner and cancel his last appointment to rush home to stay with the kids). I really really want to go home for Christmas! It’s all I have been looking forward to for months!! All that kept me going at my sickest most uncomfortable moments (not really bad moments more like weeks-months)…
I feel extremely nauseous but trusting that my stomach is good and empty already (but locating the nearest bathroom OUTSIDE of the office just in case).
I really want to get the “go ahead” (and the letters to show at the airport/s) to go home to Sweden on Tuesday morning, that is after all why I’m here today (I was here just days ago after all).
The nurse takes one look at me before taking a giant step back (do I really look that bad?) asking “How are we feeling today”
I hesitate, do I tell her the truth? That I’m miserable….Could this be something other than “something I ate” or a stomach bug?
Could this somehow affect the baby or have anything to do with my pregnancy? (How are WE feeling might actually refer to me AND baby boy).
Obviously I can’t risk anything.
Here goes nothing… “I AM miserable (disgusting details) but I’m suuure it’s a bug”
The nurse leaves to tell the PA (Our stern German  friend Eva) what is going on …
Eva checks me and my baby- ultrasound, “in and out” she even checks my cervix for dilation (which is NOT recommended so close to a long far away trip…)…
All good, baby nice and cozy in there, exit route rock solid. I keep my fingers crossed and say a little prayer..
And then she checks my urine for protein via the nurse, I get my progesterone shot and then she checks my temperature….

Freakishly Fertile…?

We don’t “try” again as much as we decide “to see what happens”. There are no ovulation calendars or planned intimacy sessions. There are no counting days or keeping track of cycles. There is no rush to run out and get pregnancy tests or religiously check my “body temperature”. We also don’t “get it on” more often…

BUT we don’t use protection and I’m trying not to feel terrified…

We don’t expect it and we certainly don’t count on it. I’ve heard the stories how you are most fertile after a loss, but that means right after, right? Not after a couple of months?

“What is meant to be will be…”

Do I believe that?

Me-the planner and organizer, thinker and over-analyzer!?

I thought we had more time…

Did we really, REALLY decide, DECIDE to try again or did we leave it up to chance and was that a “smart”‘decision (if it really wasn’t a decision at all…)

Are we just freakishly fertile? I mean since we just stumbled upon getting pregnant without even trying at all last time (quite the opposite actually) when some people try unsuccessfully for years…
Are we just “lucky” or could you even call it that knowing the end result…?

But what about this time? Was it Luck? A blessing? A choice, a chance, a decision, random happening, fate…
What?

I tell myself to not even check until my period is more than a week late and not even stress about my third cycle after our loss…

Because it IS coming, right?

Except it is NOT…

It is the end of June and I have to face that I’m already six weeks along-fear and excitement and all…

When I try to get an appointment to confirm, they can’t fit me in for another three weeks.

There is no way, I’m a nervous wreck, fragile, vulnerable and obsessed with the fear of blood and yet another loss. I can NOT wait this long.

I don’t want to go through this again..
I’m just not ready!
Why didn’t we wait longer, plan more, DECIDE?

I debate disturbing my very busy doctor (I’m sure) just to tell her the “news” and see if she can squeeze me in sooner.

I have to (I just HAVE to) do it for my own sanity (those around me agree).
My husband tells me that my doctor is human and why don’t I just try to reach out so that I will stop obsessing and feel better.

Except my fear is that she won’t answer…

I don’t want to tell anybody until I’m at least 12 weeks along…and then until my genetic tests come back…

I wish I didn’t have to tell myself, I wish I didn’t have to know.

I text my doctor’s private cell phone (hoping she won’t be upset) and pray for an answer…

My doctor DOES answer and she is completely awesome and can fit me in in a few days. These are the best news in like forever.

I can’t wait…

At the same time I’m dreading the appointment- even entertaining the idea of skipping it all together…

Something I would of course never do…

I’m crossing off days on our fridge calendar.

The hardest part is not telling my mom. She already knows something is up (of course she does).

Even before my appointment I start feeling sick. There is no denying this crippling nausea-something is definitely going on…

But will it continue “to go on this time”??

 

 

The pleasure and the PAIN…

I haven’t talked or singed to you yet, I haven’t felt you kick or gotten huge (but I did pick out a name-of course I did-that is like one of my favorite parts, and I did picture you and planned for you…and I longed for you – we all did).

Again my heart breaks for women who are further along, who might have experienced all of these things. A miscarriage happens if the loss happens before 20 weeks of pregnancy but a loss after 12 weeks is very rare…

I research (mostly by fanatically googling) miscarriage at week ten, eleven…and twelve. Surprisingly and I would say shockingly there is not much information. Especially not from healthcare providers and medical professionals. There are a mostly anecdotal stories from some brave women (that frankly scare the s*it out of me). Had I not talked to my very candid doctor I would not have known what to expect at all…

I have had losses before, very early losses that were more like super heavy periods-somehow I thought this would be the same (especially since I already experienced my heavy bleed because of the internal hemorrhage-preventing us from taking that much needed family vacation…). Women usually experiences the loss early one, right after the positive pregnancy test or even before-not even knowing about the pregnancy OR the loss. In these cases it IS usually like a very heavy period and even if that is also incredibly sad-especially of course if they knew about the pregnancy-these cases are the most common of the “1 in 4” . I still feel at a loss for the lack of documentation of miscarriages in the later weeks of the first trimester.

The personal stories are sometimes horrific and they are all so so sad.

Again, I know I’m lucky in so many ways. Number one of course being having three incredible, amazing, wonderful and healthy children already. My mind goes to women who are trying for their first child, and women who are experiencing this over and over again…
How absolutely devastating…

This is not my first baby (or my second…) I am not further along…
I have amazing doctors and amazing support. I have knowledge and help and healthcare and resources.
I know in my gut that this is absolutely for the best, that something is wrong with the baby and that she wouldn’t have survived anyways (but my heart…)

When the bleeding starts up again, I do exactly as my doctor advices me to. I dump the kids on my husband and lock myself in our bedroom.

I read stories online and cry (okay maybe not the best plan but I tell myself it is “for information only”). I read these terrible stories, especially remembering one about a woman who miscarriages in the shower at 11 weeks describing the pain as unbearable and delivering what actually looked exactly like a tiny baby.

Here is the thing, I did not know miscarriage would look or feel anything like this…

My doctor explains that it feels just like the beginning stages of giving birth. To miscarry at this week in “the game” means contraction-like beginning to mid-stage contractions-and they will hurt. You just have to “power through”. She suggests curling up in bed, trying to get as “comfortable” as possible, riding through and breathing through the pain.

The other thing I was clueless about was what actually comes out of you. It is seriously awful and there is no way to prepare…

The blood I could deal with and even explain away. I mean as women, we bleed every month, and then when we give birth, and don’t get me started about afterwards…

Talking about afterwards (disgusting TMI- do not say I didn’t warn you..) you know the chunks that come out of you…yes, this happens during this stage of miscarriage as well…only this time it will be bigger chunks and clots and eventually the fetus and all that comes with it.

Best idea is not to focus on that and take a “nature gets rid of what is not meant to be” approach. There is not much that you can do other than hoping that God has a better plan in store (or whatever you believe).

I start bleeding heavily in bed, curled up with one of my favorite movies on TV. When I stand up the blood is trickling down my legs.
I cramp exactly like a contraction and limp crunched over to the bathroom. What comes out of me is truly crazy and huge compared to the clots. And then something smaller but very different. I really think that is the worst part and that it is the fetus and that I’m pretty much done.
Please stop reading now if you had enough!!!

I was asked to take pictures by the doctor (please don’t throw up…or think less of me), so I now know that was the placenta…and the sac…

The “fetus”, still tiny of course a not yet a “baby” of course (nature, nature, nature), looks completely different-feels different, is of different consistency and color (think grey…). It has the shape…you can totally see it-it is beyond heartbreaking…
I know I shouldn’t have looked…but it’s pretty much unavoidable…besides I was asked too…

The after clots and chunks keep coming for the next hours, then getting smaller and smaller over the last three days but the bleeding lasts for another two weeks…
There; TMI finished!

I make it back to bed with one of those giant diapers for old people inserted in my mesh underwear (I knew I would somehow need them again…) and catch the end part of the movie…

“My best friend’s wedding” will never be the same…
There, I ruined one of my favorite movies…
Julia Roberts is so beautiful in this one too and Cameron Diaz so young a fresh faced…
And who doesn’t love the music…

My husband texts me for updates…and I send him the pics (come on doesn’t he deserve to be part of this experience…he is saying he can never unsee that and is actually extremely emotional…in a way that I have never seen him before).

The next day he takes off of work as well and drives me to the hospital where they confirm for the first time that the fetus is gone, I am no longer pregnant and everything including the placenta has passed. This is apparently great news…and I did it all on my own and should be very “grateful”…

Now; see it’s like I was never pregnant in the first place…

A follow up with the option of couple’s counseling is scheduled in two weeks…

 

No more perfect destination…

 

Only a couple of days before the safety of the second trimester I’m rushed to the hospital, it’s also the day that we are supposed to go on our vacation (bags packed, dog at grandma and grandpa’s).

At my last ultrasound they discovered-not only the lack of a heartbeat but-several centimeters of blood in my uterus. It’s an internal hemorrhage.

This could have been a disaster if I had gone on the trip apparently…
Think bleeding out on a plane unable to land, or anything happening on a location where the healthcare wouldn’t have been like it is here..

I spent the night in the ER. The nurses and doctor are extremely nice. The eerie thing is that the fetus is still there (whole and there…) but with this much bleeding they can’t send me home until morning. They take every precaution necessary and I’m very thankful.

My discharge papers still don’t say that I miscarried. I stare at the “pregnancy weeks” on the release notes. The diagnosis is internal bleeding/uterus hemorrhage.

I talk to my Obgyn specialty doctor, who is amazing, from my ER bed. She shares that she herself suffered a miscarriage at 12 weeks that shook her so much she won’t consider going through pregnancy again (she has a healthy daughter). She describes her experience in detail and tells me what I can expect (even if every case and woman are different). I’m beyond grateful that she is so open and honest (brutally so…this WILL suck!).

I will loose this baby-because that is the “BEST” case scenario…

Since there is no longer a heartbeat, she most have stopped growing along the way (even if this started as a normal pregnancy…as the others…with no signs…no bleeding…nothing “abnormal” at all).
She says to come in on Monday and if nothing happened before then to schedule the surgery…to remove the fetus (my baby who I now have to think about as just one of nature’s mistakes and hope that my body will take care if it naturally…).

I’m a very level headed, logical and grounded person and I must admit I can understand the whole “logical reasoning” that “it’s not a baby yet”, “it’s for the best”, “it’s natural for nature to get rid of the unhealthy” but somehow it’s extremely difficult to wrap your head around all of that so far along when you were so excited about the actual real live baby ahead…

My insides are playing Darwinism at its finest…this one is damaged and won’t survive…

It seems cruel…

So the waiting game begins..

Might I point out that I could have been at a white sandy beach right now…sipping a pina colada (fine; virgin colada…wrestling three kids in the white sand…)

I know I’m lucky though, even if I planned and hoped and dreamed and thought I reached the safety zone-I’m not THAT far along…

I’m so much luckier than many others, I’ve yet to have a noticeable baby bump (even though the bump IS already there and WE can totally already tell…) or felt our baby girl kick yet…

The day before my appointment to schedule my surgery it happens and after googling AND talking in depth with my doctor, I’m prepared!

Or sort of…can you ever be prepared for something like this?

 

Close your eyes or you’ll see it…

We make it to the hospital (even if hubby has to parallel park, leaving the passenger side car door wide open). When security asks where we are headed we both yell “triage” and when he asks if it’s an emergency we answer “YES” at the exact same time.
I can barely walk, between the contractions coming every few minutes and the constant excessive leaking it’s fair to say that I’m a complete mess. I laugh one minute (slightly hysterical) and cry the next (more of a moan really). The elevator floor gets wet and I leave a trail behind me as we first enter the wrong floor. Despite of all of this, I’m only four centimeters dilated when they check. There is no questioning whether what I’m leaking is amniotic fluid however (the whole thing has now definitely ruptured) and since the contraction are so strong and close apart I get bumped up on the list to get a room. I tell my husband to hurry back to the house to get my mom as I wait on the narrow bed alone with my frequent contractions.

They hurt and I do have to stop what I’m doing and concentrate on breathing but it isn’t worse than me managing to text friends and check e-mails and social media in between them.

I answer all the nurse’s routine medical questions, briefly re-living my two previous births and deliveries, sending a wish above that this one will be easier!
The nurses get a laugh from my “pink or blue, either will do” dress.
My blood pressure is just slightly elevated and all my vitals seem fine, so far so good!

The nurses let me know that since my contractions are picking up we don’t have time to wait for my husband to come back with my mom before we head to the delivery room. They actually run me there in a wheel chair, I am six centimeters and things seem to move fast, I’m actually in quite a lot of pain by now.

I get a Russian nurse who is so stern and matter of fact, it’s quite stereotypical and actually exactly what I need right now. She orders me around-go to the bathroom, undress, put on gown, catheter is next-and I just follow her barking orders in a blank pain induced haze trying not to think about how it will get worse before it gets better…

The Russian nurse smacks her lips shaking her head as she reads my pregnancy and birth history. She tells me if anyone deserves a good delivery it’s me (I couldn’t agree more)! My doctor made good on her promise to have an OR prepped even though the nurses checking me in actually tells me that the scheduled Caesarian hasn’t been changed in their computer system (I’m glad I’m able to tell them that the plans have changed and my doctor is able to back me up, I actually feel really good about getting to try another vaginal delivery), she also has a team ready should anything go wrong with my delivery (baby or myself).

I feel so much better when mom finally shows up! I can still talk in between contractions but am not able to once they hit. How come you never remember how bad they really are?
The answer must really be the cliche that then you would never have another baby…ever!

Mom, husband and I share some laughs and talk about boy names before it gets really bad and I return into my fog of pain and there is really nothing else I can focus on, gripping the side rails of the bed tightly as one contraction replaces another.
All I want is my friggin epidural- this time I am all in and I will NOT be denied one that’s for sure!!
The Russian promises that I am next on the list and that anesthesiologist is finishing up with a patient as we speak. Before there is a nurse shift change (I’m sincerely sad she is leaving) she exclaims loudly; “girl; you are BOOMING those contractions”.

Not sure what the word means but 100% agreeing with her I wait while she gets the new nurse (a pretty, petite, brunette American) up to speed, covering my previous pre-eclampsia, baby’s broken clavicle, premature rupture of membranes, premature delivery, baby’s Brady’s, premature lungs and kidneys, the recent hospital stays, leaking, heart palpitations, preventative shots…everything…

The nurse agrees that mom and hubby should eat now while we wait for the epidural and hurry back because the pressure is intensifying and she is guessing that this baby will probably show up before midnight (thinking we have a couple of hours only). She is betting the baby is a boy while my mom bets a girl. As my family leaves my new nurse heads out to check on the anesthesiologist- seriously what is taking him so long??

Turns out, he was waiting for my nurse to call him and he had been done a while ago, now he threatens that it might be too late for the pain meds I so desperately need. While my husband and mother are getting a quick bite my pain level has sky rocketed but luckily this nurse is in my side, apologizing profusely for not calling the epidural guy sooner and rooting for me to get the shot right away.

He mercifully agrees and as the medicine takes affect things calm down and I feel some bliss and a much needed break only now realizing how exhausted I really am.
I haven’t been checked in a while but it is the nurse’s opinion that the epidural slowed things down enough for me to rest some and for husband to go home and put the kids to bed.

Okay, so yes, she is wrong! I can tell that she is wrong (oh I can tell alright), the pressure even WITH the epidural is out of this world. I realize of course that I can’t remember my other two deliveries completely and that you forget, ignore and deny the pain but this is crazy, freaking insane pain. It has to be-must be the worst pressure I have ever felt, it feels like I’m being ripped apart. I can’t communicate, it feels like I’m going to throw up (or you know die..) shatter and break. I’m so pale shifting in green my mom actually gets worried, they give me oxygen and keep checking my pulse and pressure, I’m shaking like a leaf (on a particularly windy day; read hurricane warning).

So no, we don’t have a few hours, no hubby does not have time to go home (forget about saying good night to kids and then come back) we barely have a few minutes. I am ten freaking centimeters! The nurse rushes around prepping the room (my mom later tells me the far end of the room fills with “emergency people” should anything go wrong), the OR is called just in case and the doctor on call is paged.

The doctor barely makes it in time to “catch”, I’m talking three to four pushes here! Fastest delivery ever! I WAS due for one of those!

The baby is out, she expertly turns the shoulder so it won’t get stuck. My mom experiences it all-telling me later that it was quite extraordinary and completely amazing! The dad of this baby hasn’t even made it home as I text “the baby is coming” so naturally he misses it all.

I yell for my mom to see if there is anything wrong with the baby but all we both see at first is “IT”, oh yes there is no denying this…

I have just delivered a screaming, red and shivering baby BOY!!!

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Close calls and crying wolf…

So I’m at the ultrasound, by now more worried about any abnormalities than the sinking water, since by now I’m already over 35 weeks and at every check the fluid is low but always seems to be enough!
I go through the routine of telling the ultrasound tec that “no, thanks, we are not finding out the gender” even though I have seen her before (I know she sees so many patients and she might have forgotten however) because to find out so close to meeting our little one would of course be disappointing.
She doesn’t say anything about the amniotic fluid being TOO low but does ask if I have experience increased leakage lately?
I’m not going to answer that, I know I get to see a doctor later and if she questions the fluid, I will have to go from there!

At the non stress test my baby is sleepy, they give me cold water and then juice to try to wake it up but to no avail. Nobody seems too concerned but I do keep an eye on my clock as my mom has already texted that she boarded the plane in LA and I know I need to be out of here pretty soon…

They try to stir the baby with a buzzer which does worry me a bit- not that it will hurt baby but that it’s seems so unresponsive. After an hour, I’m released and thankfully baby has started kicking! I still need to see the doctor and I officially realize that I will be late to pick my mom up. How ironic since I promised her that I had plenty of time and would be there for sure. I’m thinking about the added time of her getting out of the plane and getting luggage, keeping my fingers crossed, I will get out of here very soon!

Nop….

So, the doctor explains that she is very sorry but she feels that she has to send me on another trip to triage because my fluid IS on the border of dangerously low and of course thinking about the added infection risk and risk to baby (still not ideal delivering the little one at only 35 weeks) I have to admit to the random leaking. She thinks I will be fine if the amniotic sac is still there and full enough but she isn’t willing to take any chances, especially given my history.

I make my way over to triage again feeling somewhat defeated, I made it this far. I text my mom what’s going on, hoping she won’t worry and knowing she will understand. Then I call hubby, explaining that, sorry he has to cancel his last appointments to go pick up his mother in law!

At triage they are busy and I keep feeling bad that there are women in there with way bigger problems (and frighteningly smaller tummies) than I, some in immediate danger of delivering unimaginably early. Of course me and my huge frame, feeling fine, are not prioritized, which prolongs things.

I hope my mom turns on her phone as soon as she lands and that my darling husband will be able to locate her and help her with her bags and to the car, not that she needs any help- a seasonal traveling pro by now!
She might get slightly disappointed I’m not picking her up, thinking about the Starbucks and some mother daughter conversation I promised her but I know she will be more worried about the fact that I was sent to triage, probably or at least hopefully for no reason…

Except, there is (almost) always a reason of course, but I keep feeling that this long emotional pregnancy has been full of close calls but miraculously baby and I have made it this far. Since I still have almost 2 weeks to the safe 37 week zone (and three to the ultimate goal of full-term surviving even that week) I do worry however that if they think I’m leaking to much, thinking about the baby not having enough and the infection risk that they will put me on bed rest for the rest of my pregnancy or even (gasp!) decide to take baby out!

Not getting ahead of myself I try to calm down saving my phone battery to hear from mom and husband that she was picked up okay, hoping to be released in time to meet them both at home. I try to focus on how excited I am to be able to show mom our new house and to hopefully get a few stress free weeks of hanging out, a lot more help, yummy home cooked meals and a few outings before this baby comes!

After I have been seen by a register nurse, they monitor my contractions and baby’s heart beat while they wait on the fluid results . She checks me and tells me that, yes! My bag of water is definitely there and from what she can tell intact!
Only there is a slight problem with that…it would all be great, except I’m not like other pregnant women (what else is new…!?).
My water bag was completely intact as my water ruptured with BOTH my other pregnancies as well…

Let me explain! (If I can because it is kinda confusing). My bag was there and seemed intact both times, except it had a small (tiny) tear in the upper quadrant with sweet daughter. It also tore with a little trickle (no gush mind you OR the telltale sign of continuous leaking with darling son) but with me being 37 weeks then and things progressing naturally after a few hours, nobody worried about that. BOTH times I was certain my fluid was NOT broken. BOTH times I thought it was a case of some embarrassing urine leak (or gross; discharge). BOTH times, I didn’t want to be a bother or even mention my wet underwear, because it didn’t follow ANY rules of ruptured membranes found online (don’t even want to admit how many times I have googled this during THIS pregnancy!…talk about embarrassing!)
But I’m glad that my husband and mom urged me to mention the leaking in my previous pregnancies, especially with my daughter!

At 29 weeks, the positive results for amniotic fluid was a big deal and the seriousness of the situation of labor looming beyond real. She was and is truly a miracle, since most (over 80% go into spontaneous labor within 24-48 hours and something like 90 within three days, we were incredibly lucky). They were able to stop my labor back then with drugs (that horrid magnesium) and constant monitoring and every intervention imaginable and it DID work. She was so tiny and underdeveloped when my water broke (read; slowly, randomly trickled) I don’t even want to think about the alternatives to the amazing little girl we are so blessed with!

So as this (know-it-all…sorry I’m sure she deals with neurotic mamas all the time and is in fact very knowledgable) nurse tells me, I most likely came here for no reason, I try to tell her about the quadrants and the small tears and the trickles as well as my previous experience…

Well, that backfires and she snaps “are you trying to tell me how to do my job?”…

Okaaay….

It’s not like I WANT to be right, (actually quite the opposite) but I have so much experience with premature ruptures of membranes at this point, I could probably write a whole new dissertation on this very topic!
I know she doesn’t know this…or me…and feels offended as I ask to talk to the physician on call.
This guy is nice and at least knows what I’m talking about as I red-faced tell him about my soaked underwear and low fluid levels. He agrees about the probability of a tiny tear. I means doctor DID send me here, I’m NOT paranoid NOR crazy!
He turns serious then, since my baby is still considered a preemie he offers to do a more comprehensive test and even suggest the dreaded bed rest at the hospital if the test comes out positive. I try to deliberate with myself, knowing that I know every danger and will know if my water completely breaks, if I start developing an infection and obviously if I go into labor. I also know my mom is probably already at my house and I will be able to, with her help, relax and take it easy following all the doctor’s orders from now on and we are so so close to being okay and out of “preemie-hood”. So I deny further testing and am forced to signs consent form releasing myself from the hospital (against the doc’s recommendation of further testing) but I do (of course) agree to see my doctor the very next day- as well as every day this week to closely monitor baby and the fluid!

I can’t wait to see my mom and my family as I drive home in the darkness and we get a whole week of good days and the fluid levels as well as baby are cooperating before the next close call…

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