Much of the time I hate that quote, because there are soooo many bad things happening all the time that just can't be reasoned with, but lately I've found myself thinking that it actually applies to me/us right now.
Two days after our FET was canceled, C had his 15 month appt. It went fine, but the pedi noticed that one leg had an extra crease/fat roll, and that combined with my history of hip dysplasia, meant we were headed off for x-rays. Though I'm a long time veteran to the good old x-ray machine myself, I had no idea how they'd do with a toddler. So when it came down to it, I have to say that luckily I was not pregnant so I was able to stay right with C the whole time and not leave him in a cold room with a stranger (BTW...x-rays were normal!)
Fast forward to yesterday. C wakes with a fever of 102. I gave him some advil, it came down and I chalked it up to teething. Well, last night it went up to 104.9 and by morning we noticed a slight rash, though at least we managed to keep the fever between 101-103 since that spike. By the time we got him in to the pedi's office, the rash was on his neck and face....Roseola. The poor kid is miserable, but apparently this is something that almost every child gets somehow, usually before age 2. Once you have it, it stays with you like chicken pox and you won't get it again. I've already had it so I *should* be immune, but once again, it looks like it was/is actually a good thing I'm not currently pregnant, because even if this turns out to be something I can catch on top of Roseola, I only have to worry about me and not a baby. Hoping my little guy feels better soon.
Monday, September 24, 2012
Wednesday, September 19, 2012
BCPs again
I hate BCPs. When the one nurse mentioned a mini-stim cycle, I was thinking something along the lines of an IUI cycle. Instead, we'll be replicating my fresh IVF cycle on a smaller scale...so all the drugs, all the appointments, bloodwork and pain, with hopefully half the follicles. I start BCPs tonight and continue them for a little over 3 weeks. Not that bad in the grand scheme of things, but I'm pissed that they waited until the last fucking minute to tell me this. I asked if it was possible to just start now since I've been suppressed for essentially 3 months, but no, something about the potential for estrogen producing cysts since I just had a period. How a provera induced period is any different from the induced period I'll have when I stop BCPs I don't know, but it is protocol for everyone cycling for IVF/FET.
So nothing to do now until my baseline on Oct. 16th. I'm guessing I'll start Follistim (or Gonal-F) that night, as well as low dose HCG. They aren't sure if I'll need Ganirelix yet, which raises a lot of questions in my mind for how this works, but I guess I don't need to know it all right now. They've got me penciled in for monitoring from Oct. 22-Nov.2, but hopefully I won't need that many and I already expressed concerns about the difficulty the lab techs have. I cannot have multiple consecutive days of bloodwork if they are going to botch it up and hit both arms every day. Looking at my fresh cycle, I stimmed for 11 days, so going off of that I'm guessing my "retrieval" day would be the 29th. Don't know if I will actually take a trigger to ovulate, or if I'll just start prepping for transfer and the follicles die off when I start PIO. Putting the cart way before the horse, my due date would be somewhere in late July. Amazing how fast you can go from swearing you could never be really pregnant in summer to possibly being just that because its better than nothing.
So nothing to do now until my baseline on Oct. 16th. I'm guessing I'll start Follistim (or Gonal-F) that night, as well as low dose HCG. They aren't sure if I'll need Ganirelix yet, which raises a lot of questions in my mind for how this works, but I guess I don't need to know it all right now. They've got me penciled in for monitoring from Oct. 22-Nov.2, but hopefully I won't need that many and I already expressed concerns about the difficulty the lab techs have. I cannot have multiple consecutive days of bloodwork if they are going to botch it up and hit both arms every day. Looking at my fresh cycle, I stimmed for 11 days, so going off of that I'm guessing my "retrieval" day would be the 29th. Don't know if I will actually take a trigger to ovulate, or if I'll just start prepping for transfer and the follicles die off when I start PIO. Putting the cart way before the horse, my due date would be somewhere in late July. Amazing how fast you can go from swearing you could never be really pregnant in summer to possibly being just that because its better than nothing.
Sunday, September 9, 2012
mmm...coffee
Officially canceled now and I started Provera last night. The realist in me had the foresight to buy my Bailey's coffee creamer on Thursday, so I am happily enjoying coffee for the first time in over a month. The lining check showed no improvement at all, if anything the measurements seemed worse, with the ideal placement spot for an embryo only measuring at a 5. At least I don't have to wait for my body to do its own thing. The other good thing about provera is that I don't have to worry about AF ruining my trip to Chicago. So cd1 should be sometime around Sept. 20th and I'll call to set up cd3 labs. I'll probably give them a call sometime next week to find out what they are thinking and timelines for possible protocols. R is now seriously considering a new job in 2013, so we'll likely be losing our IF coverage (but potentially gaining the difference in salary) so taking a break cycle as a mock natural FET may not happen after all.
Friday, September 7, 2012
Done all we can do.
Ok...this time it really is the final call. They can't push anything any farther without changing my transfer date. I'd like to say I'm not letting myself get too hopeful that maybe this will work, but I'd be lying....there is always that little voice rattling off the "what ifs" of a successful cycle. I'm a little ashamed to admit I've let myself go off the deep end a bit these past two days. As soon as that call came in from the RE, I started chugging water like it was my job, picked up POM juice at the grocery store, and pulled out some old FertileCM supplements from past natural cycles. I even googled fertility yoga (I know, I can't believe it either). It wasn't all in that OMG this has to work desperation mode, but more like, well shit, I can't hurt anything at this point, so why not throw everything I've got at it? And it not like its been time consuming, I've been going about my day with C as normal, which really helps keep the regular crazy at bay. If nothing else, I've done a good job of getting more water into my diet.
Thursday, September 6, 2012
Canceled (or not...maybe)
I left the house this morning with hope, but honestly I spent most of the drive to the office thinking about other protocols and when to cycle next. So I wasn't the least be shocked to find my lining hasn't improved. At all. The extra estrace did nothing. The nurse said she'll talk to the IVF coordinators and they will call me back today about stopping meds. I said I'd rather not be on Lupron again and I thought taking a break for a natural cycle might be a good idea. I ran into one of my favorite nurses on the way out and she said we could try either natural FET or a mini-stim cycle next. I am disappointed and frustrated that I've wasted a month of my life sticking myself with a needle daily for nothing, but at least we didn't lose anything beyond that.
*****
Well, my RE reviewed things from this morning and thinks we still have a shot at this cycle. I am switching from 6mg orally and 2mg vaginally of estrace a day to 4mg each a day and I'll go back in Saturday for one more check. It make things pretty tight med-wise for a Wednesday transfer and I'm rather doubtful about this, but what are a few more days going hurt?
*****
Well, my RE reviewed things from this morning and thinks we still have a shot at this cycle. I am switching from 6mg orally and 2mg vaginally of estrace a day to 4mg each a day and I'll go back in Saturday for one more check. It make things pretty tight med-wise for a Wednesday transfer and I'm rather doubtful about this, but what are a few more days going hurt?
Sunday, September 2, 2012
Wed. Sept 12th
Is our new tentative transfer date. Thankfully, they were able to find an ultrasonographer to come in on Wednesday. So that is a huge relief because as long as everything looks good this week, nothing will be done differently on the transfer end. Even cutting bedrest short by a few hours would make me hesitate because this is our best embryo and we get one shot. I'd rather wait and do it right, than feel at fault if it fails. So everything rests with my lining issues now. I've got the signs that my E2 levels are soaring, but I have no idea if the necessarily means my lining is growing. Particularly since I'm still on Lupron, which I know is what is fucking things up. Even if they put me on stims, its not like I'd up and ovulate with 14 days, but I guess having even a medium follicle because of lowering the Lupron dose could mess up things. I still feel like staying on 10ml a day is going to screw me over.
Thursday, August 30, 2012
Not the appt I hoped for
My lining isn't good. It is somewhere between 6 and 6.5 and they want to at least 7. It doesn't sound like a big difference, but only cycle where my lining has ever been more than a 7 was my fresh IVF. If I can't get a decent lining to grow on stimulant hormones, I really doubt a week with a few extra estrogen pills is going to help. I don't know why I didn't brace myself for this scenario. So of course I come home in tears and R is supportive, but immediately goes to the old...me being negative. He said this is just the beginning and he doesn't want to go through all this again with me getting so worked up over a bump in the road. Awesome...guess I need to work on internalizing emotion again. To add to all this, C and I fly to Chicago for a wedding on the 14th. My flight is 11ish and several family members will be on the same plane (none of who know we are cycling of course). I am waiting for someone to get back to me about making a special exception and do a transfer on Wednesday the 12th, because right now the only transfers blocks in the schedule are Thursday afternoon, which won't give me 24hrs bedrest before getting on the plane.
So as of right now, I continue on the 10ml of Lupron a night and the 6mg of Estrace orally. I am adding in 1mg of Estrace vaginally 2x a day and I have to schedule an appt. next week for another lining check.
So as of right now, I continue on the 10ml of Lupron a night and the 6mg of Estrace orally. I am adding in 1mg of Estrace vaginally 2x a day and I have to schedule an appt. next week for another lining check.
Saturday, August 25, 2012
T minus 2 weeks
Tentantive transfer date is two weeks from yesterday, so I'm now within the timeframe of my fresh IVF cycle. So far I've done a pretty good job of not really thinking past the current stage of meds/cycling, but the nervousness is definitely creeping in. The embryo we are hoping to transfer is already hatching, just like C was. If this cycle fails, it seems like only downhill from here. Right now I'm trying to just continue on with daily life as though nothing is going to be any different. I been focusing on working out and trying to lose weight and that has been a good distraction. I don't want to end up in a downward cycle like I did the first time through, gaining too much weight because I was forever telling myself that I could be pregnant soon so it wouldn't matter. I'm feeling pretty good right now physically, about 12lbs under BFP weight (23lbs under weight on BCPs for IVF #1) and a lot more of that is muscle this time through. I will cut back closer to transfer and I won't be doing tons of burpees or anything after the transfer, but I'd like to stay somewhat active in the 2ww. So ready to be done with this Lupron though....fatigue and headaches all the time. I'm also convinced that it is making me bloat, because no matter what I do, I haven't been able to drop and keep off a single pound.
Thursday, August 16, 2012
the gangs all here
Including AF, that nasty bitch. I swear the cramps have been so bad that it feels like someone is trying to pull my legs out of the hip sockets.
Anyway,the rest of my meds arrived on Tuesday. Mentally it feels like FET is a lot less medication, but really, it is only 2 less shots.
Anyway,the rest of my meds arrived on Tuesday. Mentally it feels like FET is a lot less medication, but really, it is only 2 less shots.
Clockwise from left: alchol swabs, Lupron and needles, 3 boxes of Progesterone in Oil,
Sharps container, Estrace, Doxycycline, Medrol, Needles for PIO, and BCPs (done now).
This morning I had my first lining check and everything looked good. Of course the lab tech couldn't find a damn vein so I got stuck in both arms. So, so thankful I don't have more monitoring for 2 weeks. Tomorrow I start Estrace....half a pill twice daily, and I drop my Lupron to 10ml a day. After about 5 days I bump up the estrace to 2 pills a day, and 10 days from now I take 3 pills a day.
Sunday, August 5, 2012
We meet again, old friend.
Ah....injections. Once again I've come to that point in my life where I never thought I'd be saying, if we are lucky I'll be doing some type of shot for the next 3-4 months! Yeah....
So I did my first Lupron shot tonight and the shot part was easy. Shortly after it kind of felt like that ab muscle had been kicked, and by the time I'd gotten halfway through bedtime with C, it was burning and itching like a bee sting. Awesome. A half hour later it was no better, and even now (an hour later) the injection site is much warmer than the other side of my stomach. Dr. google says it is normal and will go away after a few days....I'm a little leery because last week a damn deer fly bit me and the localized reaction on my hand was so bad I had to take off my wedding rings and my knuckles disappeared for 3 days. At least the itching seems to be gone. Now to await the other side effects.
So I did my first Lupron shot tonight and the shot part was easy. Shortly after it kind of felt like that ab muscle had been kicked, and by the time I'd gotten halfway through bedtime with C, it was burning and itching like a bee sting. Awesome. A half hour later it was no better, and even now (an hour later) the injection site is much warmer than the other side of my stomach. Dr. google says it is normal and will go away after a few days....I'm a little leery because last week a damn deer fly bit me and the localized reaction on my hand was so bad I had to take off my wedding rings and my knuckles disappeared for 3 days. At least the itching seems to be gone. Now to await the other side effects.
Wednesday, June 27, 2012
No polyps!
So that is good news because that is something that grows back. What they did remove was most likely STILL retained placenta. WTF right? No wonder I had continued trouble with breastfeeding.
Anyway, surgery wasn't bad...I read over my last surgery post before I went in so everything was fresh in my mind. They were running behind, so I made sure to keep an eye on my IV bag this time and was able to flag down the nurse before it ran out, when the drip was too fast...stopped entirely, etc. It was a bit of PIA but at least I knew what to do. I did mention to the anesthesiologist about how much the anesthesia hurt the last time and she said there was much they could do, but I know she gave me some type of "happy drug" as she put it first, so I barely noticed any pain. Waking up was a little different. I remember a bunch of people telling me to wake up and not wanting to. I also still have my tube in my throat and have a vague recollection of trying to chew on it before they pulled it out. I don't remember that part from prior surgeries. Then I zonked back out until I was in recovery, where I discovered I was in so much pain that I started feeling around for Lap incisions just in case. I guess retained placenta, even little old pieces, can recreate that fun post-delivery manual extraction feeling. The nurse anesthetist had already told me she'd put toradol in my IV prior to unsedating me, but it wasn't helping. The shot of phentanyl they put in my IV didn't do jack shit either, so finally they gave a new saline bag and dilaudid, and that did the trick. I really haven't had much pain since, just feeling a little groggy and tired.
Anyway, surgery wasn't bad...I read over my last surgery post before I went in so everything was fresh in my mind. They were running behind, so I made sure to keep an eye on my IV bag this time and was able to flag down the nurse before it ran out, when the drip was too fast...stopped entirely, etc. It was a bit of PIA but at least I knew what to do. I did mention to the anesthesiologist about how much the anesthesia hurt the last time and she said there was much they could do, but I know she gave me some type of "happy drug" as she put it first, so I barely noticed any pain. Waking up was a little different. I remember a bunch of people telling me to wake up and not wanting to. I also still have my tube in my throat and have a vague recollection of trying to chew on it before they pulled it out. I don't remember that part from prior surgeries. Then I zonked back out until I was in recovery, where I discovered I was in so much pain that I started feeling around for Lap incisions just in case. I guess retained placenta, even little old pieces, can recreate that fun post-delivery manual extraction feeling. The nurse anesthetist had already told me she'd put toradol in my IV prior to unsedating me, but it wasn't helping. The shot of phentanyl they put in my IV didn't do jack shit either, so finally they gave a new saline bag and dilaudid, and that did the trick. I really haven't had much pain since, just feeling a little groggy and tired.
Wednesday, June 13, 2012
surgery scheduled
As expected, cd1 was Sunday. Still a very odd feeling to be this laid back about the whole thing since there is no "trying" right now. As far as I know, my cd 3 labs were normal. I have BCPs that I probably should have started today, but I'm not starting them until Friday because I know I won't start gearing up to O yet and I want these last few days to nurse C. Next week I have my pre-op appt on the 20th, along with my meds training since we'll be gone all of July and I start Lupron before we are back from Michigan. The hysteroscopy is on the 27th. I'm really hoping whatever they remove doesn't hurt any more than my last one (with the RE, not the emergency one post delivery) so I can be close to normal the next day. I haven't quite figured out how surgery day is going to work out. Unluckily C is in that phase where if he knows I'm in the house, he won't stop screaming unless he is with me (or R, Dad is always the cooler option).
Saturday, May 26, 2012
Physical and u/s
Meh. It could have been worse, but I had hoped everything would look fine. As soon as the image appeared on the monitor I knew someone wasn't quite right. My lining looked fine, but there was something else in there, showing up white on the screen. So most likely either more polyps or possibly still retained tissue from delivery. Either way, surgery is probable. It did show that I have a 15mm follie on my right, so despite numerous positive OPKs last week, it looks like I'll be Oing late this cycle. Hey, at least I won't need provera.
Oh, and a random fun fact....the nurse measured my whole uterus and in its non-pregnant state it is the same size as my SCH was around 13 weeks.
Oh, and a random fun fact....the nurse measured my whole uterus and in its non-pregnant state it is the same size as my SCH was around 13 weeks.
Friday, May 11, 2012
RE consult
Everything went well today, aside from the wait of course. Definitely a different feeling being in the office for child #2. Maybe it is because we are a few months out from cycling, but the fear isn't there this time. I realized that when I sat down and glanced at this poor girl already sitting there. The look of worry and flat out fear on her face was unmistakable. I am glad she was gone before the pregnant chick showed up, because she likes to "visit" every time she has an MFM appt. next door. Um, yeah...awesome for you, not so much for those still waiting. I would have loved to have brought C, but I haven't forgotten how much it can hurt to be there.
Anyway, I was very pleased that no one even batted an eye at the fact I was still breastfeeding. The only issue that might come up is if I need provera to end this cycle in time to get cd3 bw and my sono done before July (we'll be in Michigan for a month). They didn't say it, but I don't think they'll put me on provera while BFing. Hopefully it won't matter, and I'll probably be close to weaned by then anyway. So I call on cd1 (or cd35 if there is no sign of ovulation) and they'll do my bw and get my sono scheduled. I have a routine physical on the 25th and some generic IF b/w too. Assuming my sono is clear, I will wait for my next cycle to start BCPs, then start Lupron for about 3 weeks in August, and cycle to transfer in early Sept. And I was super thrilled to hear that at most I'll only need 2 lining checks, so no endless monitoring and bloodwork!!
Oh, and so I don't forget, for our 7 frozen embryos, we have:
2 - 5 day embryos of great quality, one hatching
2 - 6 day embryos of fair quality
3 - 7 day embryos, 2 good quality and 1 fair quality
Anyway, I was very pleased that no one even batted an eye at the fact I was still breastfeeding. The only issue that might come up is if I need provera to end this cycle in time to get cd3 bw and my sono done before July (we'll be in Michigan for a month). They didn't say it, but I don't think they'll put me on provera while BFing. Hopefully it won't matter, and I'll probably be close to weaned by then anyway. So I call on cd1 (or cd35 if there is no sign of ovulation) and they'll do my bw and get my sono scheduled. I have a routine physical on the 25th and some generic IF b/w too. Assuming my sono is clear, I will wait for my next cycle to start BCPs, then start Lupron for about 3 weeks in August, and cycle to transfer in early Sept. And I was super thrilled to hear that at most I'll only need 2 lining checks, so no endless monitoring and bloodwork!!
Oh, and so I don't forget, for our 7 frozen embryos, we have:
2 - 5 day embryos of great quality, one hatching
2 - 6 day embryos of fair quality
3 - 7 day embryos, 2 good quality and 1 fair quality
Saturday, April 28, 2012
cd 1!!
I bet you never thought you'd see me thrilled to be posting about that huh? I dropped down to nursing/pumping 3 times a day about a week and a half ago, and saw potential signs of AF a few days later. As happy as I am that my cycles might be returning to normal, holy hell did I forget how much this sucks. You would think that labor, delivery and months of various pregnancy pains would make this seem like a cakewalk, but I'm pretty damn miserable. I hope this isn't a sign that my endo is back, because my post Lap AFs didn't hurt like this.
We have a consult with the RE on May 11th, so we'll find out what our next steps are then.
We have a consult with the RE on May 11th, so we'll find out what our next steps are then.
Wednesday, April 18, 2012
Awesome news and decision time
I finally made that call to the RE to find out what the next steps would be if we were to pursue FET and find out the cost as well as how my embryos were frozen (individually or in groups). The awesome news is that R's insurance has changed and we now have unlimited IF coverage! The catch is that we have a yearly deductable that has to be met or we'll practically be OOP anyway. Sooooo, the smart thing to do is move to FET in the fall, when that deductable will be almost met or past that anyway. This is all well and good until you sit down and realize we'd need to get started in about 2 months for a Sept. transfer. Ahhhh! I still have no post partum AF, and they can't do anything while I'm still BFing (except our consult). My cd3 b/w needs to be done after my 2nd PP AF, which will probably put me sometime in July, except we planned to be in Michigan for 6 weeks this summer. Time for some choices I guess. The practical side says we just have to make things work for Sept, because if it is a BFN we can cycle again in Dec and be completely covered. I think I'll set up our consult in the next few weeks and find out if they have specific cycling dates for FET scheduled yet.
Friday, January 13, 2012
back in the saddle?
Or maybe just observing said saddle from a good 10-20 feet away. Christmas day SIL announced her 2nd pregnancy (and made it clear it was accidental, kind of odd but not something I care about much now) and I think that, paired with his best friend trying for his 2nd child, must have knocked something loose in R's keep-sanity-intact department. He has made multiple comments over the past few weeks that he would be cool with us being pregnant again right now. Meaning, of course, pregnant from normal old sex, not FET of any of our remaining embryos. I am completely torn on this, for soooo many reasons. In one pile of reasons, you've got the normal stuff....like, we'd need to buy new furniture for C before he is really ready for a big boy bed (hell, we'd have to organize/unpack the junk in the spare bedroom that has been there since we moved), I'd need a new car because the Britax convertible we just purchased probably won't even allow for any passengers in the back seat of my jetta, let alone a car seat....and it goes on. It the other, unfamiliar to many, pile....we've got the IF issues. Am I still infertile? Do I want to even find out? Why would I want to try naturally if we've got 7 possible babies that are potentially as amazing as C is waiting for us? Oh, and then there is that underlying fear of another difficult pregnancy and another, quite possibly earlier, preemie.
If it comes down to it, I don't think I am on board for "trying" again unless it is really important to R (in which case, I think we'll compromise with a time limit...like 6 months). We haven't been preventing, and of course I know breastfeeding is not a reliable birth control method, but lets face it, unless I was suddenly a supa fertile ho, it probably isn't happening with our sporadic sex life. And I am really ok with that. I did buy a box of condoms, and when I do wean off breastfeeding we will need to do the more in depth talk about it. Either way, I know we aren't bothering with any hormonal birth control....so I might be dusting off my old friend the BBT within the next few months.
If it comes down to it, I don't think I am on board for "trying" again unless it is really important to R (in which case, I think we'll compromise with a time limit...like 6 months). We haven't been preventing, and of course I know breastfeeding is not a reliable birth control method, but lets face it, unless I was suddenly a supa fertile ho, it probably isn't happening with our sporadic sex life. And I am really ok with that. I did buy a box of condoms, and when I do wean off breastfeeding we will need to do the more in depth talk about it. Either way, I know we aren't bothering with any hormonal birth control....so I might be dusting off my old friend the BBT within the next few months.
Tuesday, October 11, 2011
A different kind of trip to the RE
I stopped in the office today to pay our annual embryo storage fee and I brought C with me. I'd had some reservations about bringing him in, because I know it can be hard to sit in that office and see kids/babies come in, but I'm really glad I did. Everyone was so excited to see him. We ran into one of my favorite nurses in the parking lot as she was leaving for the day (how's that for luck?) and our other favorite nurse happened to be working too. We got a ton of compliments and my face hurt from smiling so much. I am so proud of my little guy. 4 months already!
Thursday, September 15, 2011
time to do this - birth story
For a multitude of reasons, I never sat down and wrote this out, but my friend had her little boy today and looking at pictures brought it all back so its fresh in my mind again. Just a warning though, if you are currently only trying to surround yourself with easy birth stories, stop reading after the actual birth part.
I woke up Memorial Day feeling a bit off. I thought I was having Braxton Hicks again so I ate breakfast and they seemed to go away so I went on with our day as normal. By dinner time I was having to breath through some of the pains but they were still irregular and went away when I changed activities. 9pm at night I told R that the pains were bad enough that I wouldn't be able to sleep, so no matter what they were (I really thought it was intestinal pain) I needed to call the doctor. As expected, we were sent to L&D to rule out pre-term labor. I think we checked in to triage somewhere around 11pm. The doctor that came in was actually the same doctor that saw us when we thought we were losing C at 10weeks because of the SCH. I doubt he remembered us, but it made it a little surreal for me.
As soon as they hooked up the monitors, the contraction monitor spiked to an 11....on a 1 to 12 scale. So I knew I wasn't over-reacting about gas pain at that point. The Dr. came in to do an internal, and I really expected to be told I was a 1-2 and would be on bedrest from here on out. Well, the bedrest part was correct, only it was a L&D bed because I was 3-4cm and he could feel the head so I was 80% effaced. We were told that we'd be admitted, but this far along they wouldn't do anything to stop the contractions. I asked about steroid shots, and was told that they couldn't give me the shots because there was currently not enough medical data to support administering steroids between 34 and 36 weeks, but that there was a study currently being done at the hospital to examine possible benefits to late pre-term babies. Since participation gave us a chance at getting the steroids, we opted in. He did a quick u/s to confirm the baby was head down, I got an IV (twice, she blew the first vein..that was a lovely bruise later) and I was sent upstairs.
We got settled in to our L&D room around 2am and by this point, the back labor was pretty bad. I knew that if things progressed quickly I would need whatever sleep I could get so opted for the epidural. It was in place by 3am and I was numbed up by the time the medical study person made her rounds to give the first steroid (or maybe placebo) shot. I managed to sleep for a few hours after that.
Tuesday morning I was still around a 4, so the new game plan was to turn off the epidural around noon and hope that things stayed calm and I could be moved to observation until at least 35 weeks. So off it went at 12 and I was able to get up and use the bathroom a few times, the second time I got up I lost my mucus plug. By 3pm, the contractions and back labor were bad enough that I asked to turn the epidural back on. Once it was back on, everything slowed down again and I more or less hung steady until later that night. At 10:30pm I was around 5cm and 100% effaced. Over the course of the night my epidural wore off several times...each time the pain had shifted lower...first mid lower back, then my right hip, and finally low and in the front. The 3rd time it wore off I asked to be checked again. I was told they wanted to wait until my water broke but the pain was so bad I demanded that they check me then. The Dr. came in shortly after 3am and I was at an 8. As she asked for the hook to break my water, it broke on its own and gave me momentary relief of the pain, but a few minutes after the doctor left the pain became so bad I started vomiting (not a whole lot, because I'd been on a liquid diet for more than 24hrs at that point, but it still sucked) and R paged the nurses. Because my left leg was now entirely numb from the epidural, while my right side could still feel the pain, I opted to have the epidural redone. R held me steady with a bed pan as a barf bucket while they redid it. Thankfully the relief came soon after and I slept until 7am.
Right before morning shift change, my admitting doctor checked me and I was at a 10. She decided I still needed to labor down a bit so she wished me luck and headed out. I napped for another hour and then the next shift made their rounds. The primary OB on the floor at that time was not from my practice, and snapped something about the head molding and that I shouldn't have been sitting like that for so long. WTF? Luckily there was also a doctor from my practice on-call with her so she actually performed the delivery and was awesome. When it came time to push, it was R on one leg, a nurse on the other and her. Not the chaotic scene I'd always imagined. They did need to give me pitocin because my contractions still weren't consistent, but I pushed through 3 contractions (12 pushes) and he was out at 8:43am. He cried right away and the pediatric team took him off to the side to be examined. Everything looked great initially and I was able to hold him and put him to my breast for a minute or two. Shortly after that it was determined that his glucose level was too low and he would need to go to the NICU. I would not see him again until 8pm that night.
While they were checking him out, the OB and nurses were also checking me out. As soon as I saw him, I completely forgot about that pesky placenta that I'd need to deliver as well. Let me just tell you, the abdominal/uterine massage they do to get it out and make sure your uterus is shrinking properly is almost as painful as the contractions. What came after that was 10x worse. After they took C, the massage produced a huge gush...from the look on R's face I knew I hadn't just peed myself even though I asked hopefully if that was all it was. The nurse gathered up the blankets and pads and they waited a few more minutes in hopes that things would straighten themselves out. The second massage produced an even bigger gush and the top of my uterus was nowhere near where it should have been. At this point the OB said I could either go into surgery or she could try manual extraction. She made it sound like the manual extraction would be easier so we agreed to that. Now at some point which I can't remember, my epidural had been removed. Still not fully grasping what was about to happen, I asked for Stadol...since my IV was still in. The Dr. said it wouldn't help with the pain, but I didn't care...at least it would help me forget it. Unluckily, that was not the case, and I can say with certainty that it was the worst pain I've ever felt in my life. Manual extraction meant she reached all the way up inside me and felt around for the remaining placenta. 3 times. I screamed through all of it and on the 3rd attempt I remember screaming "please stop" and it was then, being one gush away from needing a blood transfusion, that it was decided I would need surgery after all.
Everything from then on is pretty much a blur...they doped me up on several different drugs and multiple doctors came in to talk to me. I remember checking with R when one pair left my bedside because I wasn't sure if they had really been there or if I'd just imagined them. Once on the operating table, they placed the epidural for the 3rd time and I lay in my drugged up haze while they did the D&E. Looking back, the surgery would have been a much, much simpler option. I suppose the only benefit would have been that, if the extraction had worked, I wouldn't have needed to be in post-op recovery.
Somewhere around 2pm I was on the high risk floor in recovery, and then moved to regular post partum in the late afternoon. I had to wait until I got walk on my own before they removed my catheter and cleared me to go down to the NICU.
So there it is. I still have a difficult time with how things played out after his birth. There is no blame to place anywhere, my doctors were amazing and we have no answers as to why he came early. Unluckily, chances are I could be looking at repeat of these issues with the next one. At least next time I will be a little better prepared....I hope.
I woke up Memorial Day feeling a bit off. I thought I was having Braxton Hicks again so I ate breakfast and they seemed to go away so I went on with our day as normal. By dinner time I was having to breath through some of the pains but they were still irregular and went away when I changed activities. 9pm at night I told R that the pains were bad enough that I wouldn't be able to sleep, so no matter what they were (I really thought it was intestinal pain) I needed to call the doctor. As expected, we were sent to L&D to rule out pre-term labor. I think we checked in to triage somewhere around 11pm. The doctor that came in was actually the same doctor that saw us when we thought we were losing C at 10weeks because of the SCH. I doubt he remembered us, but it made it a little surreal for me.
As soon as they hooked up the monitors, the contraction monitor spiked to an 11....on a 1 to 12 scale. So I knew I wasn't over-reacting about gas pain at that point. The Dr. came in to do an internal, and I really expected to be told I was a 1-2 and would be on bedrest from here on out. Well, the bedrest part was correct, only it was a L&D bed because I was 3-4cm and he could feel the head so I was 80% effaced. We were told that we'd be admitted, but this far along they wouldn't do anything to stop the contractions. I asked about steroid shots, and was told that they couldn't give me the shots because there was currently not enough medical data to support administering steroids between 34 and 36 weeks, but that there was a study currently being done at the hospital to examine possible benefits to late pre-term babies. Since participation gave us a chance at getting the steroids, we opted in. He did a quick u/s to confirm the baby was head down, I got an IV (twice, she blew the first vein..that was a lovely bruise later) and I was sent upstairs.
We got settled in to our L&D room around 2am and by this point, the back labor was pretty bad. I knew that if things progressed quickly I would need whatever sleep I could get so opted for the epidural. It was in place by 3am and I was numbed up by the time the medical study person made her rounds to give the first steroid (or maybe placebo) shot. I managed to sleep for a few hours after that.
Tuesday morning I was still around a 4, so the new game plan was to turn off the epidural around noon and hope that things stayed calm and I could be moved to observation until at least 35 weeks. So off it went at 12 and I was able to get up and use the bathroom a few times, the second time I got up I lost my mucus plug. By 3pm, the contractions and back labor were bad enough that I asked to turn the epidural back on. Once it was back on, everything slowed down again and I more or less hung steady until later that night. At 10:30pm I was around 5cm and 100% effaced. Over the course of the night my epidural wore off several times...each time the pain had shifted lower...first mid lower back, then my right hip, and finally low and in the front. The 3rd time it wore off I asked to be checked again. I was told they wanted to wait until my water broke but the pain was so bad I demanded that they check me then. The Dr. came in shortly after 3am and I was at an 8. As she asked for the hook to break my water, it broke on its own and gave me momentary relief of the pain, but a few minutes after the doctor left the pain became so bad I started vomiting (not a whole lot, because I'd been on a liquid diet for more than 24hrs at that point, but it still sucked) and R paged the nurses. Because my left leg was now entirely numb from the epidural, while my right side could still feel the pain, I opted to have the epidural redone. R held me steady with a bed pan as a barf bucket while they redid it. Thankfully the relief came soon after and I slept until 7am.
Right before morning shift change, my admitting doctor checked me and I was at a 10. She decided I still needed to labor down a bit so she wished me luck and headed out. I napped for another hour and then the next shift made their rounds. The primary OB on the floor at that time was not from my practice, and snapped something about the head molding and that I shouldn't have been sitting like that for so long. WTF? Luckily there was also a doctor from my practice on-call with her so she actually performed the delivery and was awesome. When it came time to push, it was R on one leg, a nurse on the other and her. Not the chaotic scene I'd always imagined. They did need to give me pitocin because my contractions still weren't consistent, but I pushed through 3 contractions (12 pushes) and he was out at 8:43am. He cried right away and the pediatric team took him off to the side to be examined. Everything looked great initially and I was able to hold him and put him to my breast for a minute or two. Shortly after that it was determined that his glucose level was too low and he would need to go to the NICU. I would not see him again until 8pm that night.
While they were checking him out, the OB and nurses were also checking me out. As soon as I saw him, I completely forgot about that pesky placenta that I'd need to deliver as well. Let me just tell you, the abdominal/uterine massage they do to get it out and make sure your uterus is shrinking properly is almost as painful as the contractions. What came after that was 10x worse. After they took C, the massage produced a huge gush...from the look on R's face I knew I hadn't just peed myself even though I asked hopefully if that was all it was. The nurse gathered up the blankets and pads and they waited a few more minutes in hopes that things would straighten themselves out. The second massage produced an even bigger gush and the top of my uterus was nowhere near where it should have been. At this point the OB said I could either go into surgery or she could try manual extraction. She made it sound like the manual extraction would be easier so we agreed to that. Now at some point which I can't remember, my epidural had been removed. Still not fully grasping what was about to happen, I asked for Stadol...since my IV was still in. The Dr. said it wouldn't help with the pain, but I didn't care...at least it would help me forget it. Unluckily, that was not the case, and I can say with certainty that it was the worst pain I've ever felt in my life. Manual extraction meant she reached all the way up inside me and felt around for the remaining placenta. 3 times. I screamed through all of it and on the 3rd attempt I remember screaming "please stop" and it was then, being one gush away from needing a blood transfusion, that it was decided I would need surgery after all.
Everything from then on is pretty much a blur...they doped me up on several different drugs and multiple doctors came in to talk to me. I remember checking with R when one pair left my bedside because I wasn't sure if they had really been there or if I'd just imagined them. Once on the operating table, they placed the epidural for the 3rd time and I lay in my drugged up haze while they did the D&E. Looking back, the surgery would have been a much, much simpler option. I suppose the only benefit would have been that, if the extraction had worked, I wouldn't have needed to be in post-op recovery.
Somewhere around 2pm I was on the high risk floor in recovery, and then moved to regular post partum in the late afternoon. I had to wait until I got walk on my own before they removed my catheter and cleared me to go down to the NICU.
So there it is. I still have a difficult time with how things played out after his birth. There is no blame to place anywhere, my doctors were amazing and we have no answers as to why he came early. Unluckily, chances are I could be looking at repeat of these issues with the next one. At least next time I will be a little better prepared....I hope.
Tuesday, September 6, 2011
starting a new blog
R and I decided a while back that we wanted to start a blog that we'd share with friends and family. As I explained there, it won't be as blunt as this one, because I can't very well bitch about things like my MIL's smoking habit and how exposing C to 3rd hand smoke still gives me anxiety if my sister-in-law's will be reading it. Well, I could, but I don't think that would help the situation. So it might be a little boring, but here it is. I will hopefully put updates here occasionally too...or at least find time to use this as outlet for venting frustrations, but this one will probably lie mostly dormant until next summer, when we will begin talking about FETs for child #2. Hard to believe that it is almost a year since I started the cycle that brought us our little boy!
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