Cerclage Recovery and Bed Rest

Posted in Incompetent Cervix, Pregnant with tags , , , on September 13, 2012 by Me

Ok, so the last post brings us up to 23 weeks. The week went fairly well as I hung out in my recliner and attempted to get the prescribed 1-2 Gallons of water into me. I hit 24 weeks on that Saturday, and had a friend coming over to given Stan a massage (the man has been sooooo wonderful, taking care of work, me, and the house!). While I wasn’t up a great deal, it was definitely more than the 10-or-so minutes that I’m allowed per trip, and I ended up spotting a little bit, which freaked me right the hell out! I haven’t had a single incident of spotting this whole pregnancy, so this was really scary. I called the on-call doctor, and he assured me that everything was OK (not optimal, but not an emergency since I wasn’t contracting), and instructed me to stay off my feet until my next visit on the following Wed (Yesterday). I definitely complied, and there was no more spotting.

After a week on modified bed rest, I was rapidly learning just how much bed rest sucks. I haven’t had anything resembling an attention span this whole pregnancy (unmedicated ADHD FTW!), and as such, I haven’t been able to focus on reading, or writing, or really anything productive. I spend an inordinant amount of time on Facebook playing all manner of bubble games and I watch TV. And I twitch. A lot. I am, however, grateful that I’m not on Strict Bed Rest, and can at least get up for short periods of time to get food and go potty.

I also know that I’m doing what’s best for Seth, and doing whatever I can to keep him in until it’s A LOT safer for him to be out in the real world.

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24w 5d– Lots of catching up to do… Part the first

Posted in Incompetent Cervix, Pregnant, Pregnant Sex with tags , , , , , , , , , on September 13, 2012 by Me

A lot has been happening here, and I’ve been bad about keeping up this blog.

So, let’s back up to my routine visit with the perinatal doc on 8/29 (22w4d). This was an in-between visit to check my cervix, and make sure that it was holding up to the now 1lb+ baby. This was also the first visit I went to by myself, as the hubs is happily working at his new teaching job (7th grade history!). Oh, an my regular peri was having her baby on this day, so I was seeing an associate of hers for the first time. I should have known something would go wrong, lol! Well, the ultrasound showed that my cervix had shortened from 3.0+cm to 2.2 over the course of two weeks. This was NOT a Good Thing. The doctor explained Incompetent Cervix to me (is that one of the stupidest sounding diagnoses, or what!?), and then she listed out my options– 1. I could have a progesterone shot (17P) and then go home on Modified Bed Rest for the next week, and then recheck to see how it was doing, or 2. I could have the 17P shot and go to the hospital to have a Cervical Cerclage placed to hold the cervix shut, and then still do the bed rest until the next week. I felt that I needed to research and weigh what was happening, so I opted for option one. Stan (the hubby) picked me up from the appointment, and I went home to Google and cry.  Research showed me that the cerclage needed to be put in before the 24th week, and that it had a decent success rate, so the next day I called the office and the scheduled the surgery for the next day.

The surgery involved an epidural, so I could have nothing by mouth for 8 hours prior– this led to spectacularly low blood sugar (61), and an early admission for me, so that they could get an IV and some dextrose into me. The epidural sucked (I’ve had one before this, and it sucked too), but the anesthesiologist was amazing (Dr. Dempsey for those in the Vegas area). The surgery was… interesting. I was on the operating table, with my legs in the stirrups,  and the table tilted back to a 45 degree angle.

Like this, but without the supportive boot, and of course, I was naked from the waist down…

My peri did the surgery, and she informed me that I had a “difficult cervix”– I would expect nothing less from my cervix. She ended up putting in two very thick stitches. Surgery went well. I had no contractions, and my amniotic sac remained intact– yay! I was able to get a sandwich in recovery and lots of apple juice, and about 3 hours later I could feel all of my parts and use the potty, so they let me go home. I was kept on modified bed rest and pelvic rest (read: No sex, and no orgasms. Yep, you read that right– no orgasms until after The Spawn makes his appearance). The doctor also switched me from the 17P injections to a vaginal progesterone  suppository that has been shown to lower cervical elasticity and help prolong the pregnancy.

Recovery went well, with very little pain and only a small amount of discharge. I’ll continue this saga with my next post…

21w– Wow that was awkward! TMI Warning! :)

Posted in Pregnant, Pregnant Sex with tags , , , , on August 18, 2012 by Me

Doesn’t that warning just make you want to read it a little more? Well, if you do, you were warned, so don’t blame me! Heh.

This sentence is here to take up space in the Facebook preview screen. Aren’t I so creative??

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Ok, so here’s something that no one tells you before you get pregnant– sex can be REALLY awkward! Trying to find a position that works for both parties and doesn’t leave me hurting in one way or another is not the easiest thing in the world (nothing is as sexy as having your wife yell, “Ow! My hip!” when you’re trying to get it on. I swear, I felt like an 80-year-old woman! LOL!!). Add to it that we were feeling adventurous (read: “Lazy”) and decided to have sex on the living room floor, rather than going up to the bed (Roommate is out of town, woo hoo!), and hilarity will ensue. We were both laughing at several points because of the sheer awkwardness of the situation. Luckily, primal instinct won out, and we were able to find a way to sufficiently bolster me up and achieve our mutual goals. But damn, it was awkward :p

After it was all said and done, I decided to go hunting for positions for pregnant and/or overweight people– I’ll leave a few links here, so that I can perhaps save you from re-experiencing that moment of virgin awkwardness  from your youth 🙂

One caveat here– some of these positions could  really use illustrations. I’m still not entirely clear on the logistics of several of them. Maybe I need to sit down with a pencil and paper and try to sketch them out…

Oh! And don’t forget that the woman shouldn’t be flat on her back after the fourth month, as this can put weight on her abdominal arteries and cause her to pass out.

Now to the links:

Assume the Position (this one has some rather useless pictures, but good information)

Sexual Positions for the Obese/Pregnant Woman

Comfortable Sexual Positions for Pregnant Women

There are more, but mostly they just repeat the same information. Good luck to those of you who are pregnant and embarking on the journey of carnal pleasures! Remember that it’s healthy to laugh at yourself when it all becomes horribly awkward– sex can be even more fun when you both have a case of the giggles 😉

20w 3d– Half Way!!

Posted in Pregnancy Symptoms, Pregnant with tags , , , , , , , , , on August 14, 2012 by Me

Wow, I’ve really been neglecting this blog… I blame the baby. He’s been eating all of my creativity :p

First, we have decided on a name for the Spawn: Seth Alexander Leonidas.

Second– Holy Crap, I’m half way!!

I’m still having issues with low blood pressure/blood sugar, but I’m figuring out how to preemptively strike to avoid the spectacular crashes that I was having. Added to the mix is Pubic Symphysis Separation, also known as “broken crotch” on the December 2012 boards on babycenter.com (by the way Google Image “pubic symphysis separation” at your own risk– the pictures are pretty horrific!). Which means that, unless I’m sitting in what I now refer to as “an approved pelvic position”, my pubic bone feels like someone has been kicking it (which I guess someone has… lol). I’m talking to the OB next week about getting a prescription for a custom support belt, which will hopefully help. Sleeping with this issue has become a huge challenge, but thankfully, a fabulous friend is sending me her pregnancy pillow this week, so hopefully that will help! Otherwise, things are good. Given my age and my size there are TONS worse things that I could be dealing with, and I am incredibly grateful that things are progressing as nicely as they are.

Today’s ultrasound went well. Seth has everything in the right place and right proportions. He is still measuring almost two weeks ahead (1lb 1oz today!), so they are going to be watching that carefully so that he doesn’t get too big. We are still hoping for a 12/21/12 birth, because that would be cool. I’ve also hit the point in the pregnancy where I will be seeing the perinatal doc every two weeks. Well, not her for the next few appointments because she’s due next week–in the meantime, I’ll be seeing her associate who is also fabulous. In a month, we’ll be seeing the pediatric cardiologist to make sure that everything is ok, because of that worrisome Nucal Scan. Things looked perfect on the ultrasound, but she wants to be sure, and I’m ok with that 🙂

The baby registry is almost finished, so we’ll be sharing the link soooooon! I hate shopping, so I’ve had to do it in small steps, but we’re almost there. Yay!

Hopefully I’ll be better about keeping you all updated! Thanks for your good thoughts, support and interest 🙂

16w 3d– Amnio

Posted in Emotions, Genetic Screening, Pregnant with tags , , , , , on July 17, 2012 by Me

Amnio is tomorrow… or I guess later today. I’m starting to get really nervous about it, and worried that something bad is going to happen to the Spawn. I mean, I know that logically the strongest odds are that everything will be ok, but I can’t help the pregnant paranoia, ya know?

Ugh. I’m hoping that I can sleep tonight. And I’m hoping that I don’t have horrific dreams about terrible things happening to the Spawn…

I’ll post more in the next couple of days, I’m sure. For now, I just wanted to get this off my chest.

So dizzy!

Posted in Pregnancy Symptoms, Pregnant with tags , , , on July 5, 2012 by Me

Can someone please tell me how I’m suppose to get anything done when my head is spinning like I’m drunk all the time? For the last two days, the only time my head stops spinning is when I’m laying down. I’m getting at least my 3 liters of fluid in, so I don’t know what’s up. I really wish I had a home blood-pressure monitor, so I could see if that’s what this is (although I suspect that it is, since I’ve been running so low). This seriously feels like I’ve been drinking *almost* too much.

I don’t know if it’s because I’m a wimp, or because this is a first pregnancy and I just don’t have any perspective, but I’m so tired of feeling melodramatic and non-functional!! I feel like I should just be able to push through these symptoms, but it just doesn’t work. I’m really scared that I’m going to pass out in the middle of giving a massage, which would be so NOT professional, or that it will happen somewhere in public, raising alarms and 911 calls… *sigh* The good news is that I haven’t fainted yet, but I’ve come very close to it once, and not quite as close a couple of times. Even as I’m sitting here typing this after dinner, I’m spin spin spinning. I swear my body only wants to be horizontal. It’s dumb and frustrating. (and it’s my blog so I’ll pout if I want to, lol)

Someone please stop the spinning, because I need to get off :p

14w2d– New Doctor!

Posted in Uncategorized on July 2, 2012 by Me

Today I got to meet my new OB, Dr. Michaels… and she was WONDERFUL! She took her time with me, explained what to expect with the pregnancy, what the timeline looks like between now and delivery, and was just a generally compassionate, fabulous human being. The only downside was the 1-hour wait time, but given the quality of customer service in the office, and the care that I received, it’s totally worth it to me. I’ll just bring a book 🙂

She was not surprised that Dr. Wrightson told me that I needed to lose weight, but she also certainly didn’t agree with him. She actually gave me the range of 25-35lbs as acceptable weight gain (the specialist would like it to be closer to 15-20lbs). I had so much anxiety going into this appointment, that I was completely beside myself because I had gained another 2 pounds (bringing my total weight gain to 4 pounds). I’m hoping I can stop obsessing about every pound now and just focus on the bigger picture and eating healthy.

Blood pressure was back where it should be, if a little low– 91/62, which explains why I’ve been so dizzy lately. Basically I need to make sure that I’m drinking 3 liters a day of water to help keep the second number above 60. I also need to always keep in mind to move slowly when getting up, so that I don’t pass out.

The Spawn was ALL over the place today during the ultrasound, so once again, no great pictures, lol! I can’t wait until I can get a 3-D scan done. The heart rate was strong and right on target. Dr. Michaels didn’t necessarily think that we needed to do the amnio, but she also didn’t try to talk us out of it, which was comforting. Dr. Vo (the specialist) has a miscarriage rate of less than 1/1000, which also helped my confidence levels.

Next appointment is with the specialist on the 17th for the amnio (and then we’ll know the sex too!), and then back with Dr. Michaels on the 25th to go over all of the blood work from the first doctor and do the next check up.