Wednesday, February 24, 2010

Baby on Lockdown -Cerclage #2 placed

I'm attaching the link to my first cerclage placement in July 2008 mainly for background info.

I have to start out by thanking everyone for your support and your thoughts/prayers. Thanks y'all!

I had my surgery scheduled for 12w4d on a Tuesday-exact gestation and day of the week as last time. Well Saturday I started feeling really sick with a scratchy throat and a low grade fever. My little one is sick, has been for awhile, but I rarely, rarely get sick. My husband says I have the best immune system. So Saturday I started thinking maybe I already had an infection...because I don't usually just get a common cold. The fever continued all day Sunday. I decided to get my husband to take me to get some Pho, vietnamese soup (chicken variety helps me when I'm sick). I make it spicy with the red sauce and some fresh jalapenos. (it comes w/those) I started feeling better but my fever was still hanging around. Sunday night I broke down and took some tylenol...I hate taking stuff when pregnant. Heck, I hate taking stuff when not pregnant. I know they do bloodwork about 48 hrs before my surgery and it came back normal, but I have no idea what they test. I'm sure they can't tell if I had/have an infection.

Well, Sunday night I had cramping too due to an irritable uterus as my little one wouldn't sleep and was screaming. My husband tried to help, but he sucks at putting little one to sleep. So, when I finally took him back...he fell asleep in 1 minute. He just likes sleeping with mama, but my husband was pissed it was so easy for me to get him to sleep as he had been trying for hours. I have a very irritable uterus and little things set it off -my dogs barking, my little one crying (I hate that it does), other loud noises.

Monday, I took it easy and took the day off from work. Over the weekend, I only left the house to go get some soup. Monday the nurse calls to tell me the directions (don't eat after 3am, etc). She asks me if I have a cough or a fever. Monday my fever was gone, so I said no. I've been having a cough in the morning...well I cough one time and I think it is allergies. I was probably more worried about having a fever and they wouldn't do the surgery.

On Tuesday, the day of surgery, I had the worst luck ever. Snow was falling on the way over to surgery and on the way back...we never get much snow. We got the most snow since 1985. Not only that, a rock hit my car and now I have a huge chip in my windshield. We get to the surgery center and I'm not nervous about the procedure, but I'm more nervous that they will detect a fever or my dr won't show up due to the bad snow. Mind you, we are not prepared for snow where I live. It is also bad luck because all the nurses are kinda distracted because of the snow falling. I think they are short stacked and they are worried that they will have to pick up their kids. I think the nurse was so distracted that she never took my temperature before the surgery. All my worry for nothing...

The anesthesiologist comes to talk to me. I see what they are giving me...never noticed last time. It is propofol (sp?). I think that is the stuff that Michael Jackson used to go to sleep. Then another anesthesiologist comes and she was the lady that I had last time. She says she will give me the exact amount that they gave me last time. When I was 12, I woke up in surgery due to not enough anesthesia. Well, yesterday apparently I started waking up, so they gave me more. ugh! I need more details. After the surgery, my dr came to update my husband but he didn't write anything down. I was still out because of the 2nd dose of stuff they gave me. I didn't have nausea this time though! Yea! I always get that.

Oh, I forgot to mention that if you read what happened last time, my husband told me I was only back there for 5 minutes in surgery. Yesterday, I reminded him of this and he says 'oh no you were back for 20-30 minutes'. Ugh, that makes more sense now. I ask the dr and he says 30 minutes and I was in surgery for 30-35 minutes. I noted the time this time.

The dr told my husband that the baby's heartrate dropped from 150 something to 140 something, but it was normal. Last time, the baby's h/r didn't drop, so of course that makes me worry. He says he could see where they placed the cerclage last time. I think there are 4 points of insertion. The dr says he put the cerclage in a different location this time. Avoided those puncture wounds from last time and did it on clean spots...Oh, the nurse did take my temperature after the surgery and it was normal. Oh, before the surgery, I asked my dr about stairs and he said I could within the next 10-14 days, but to only do it once or twice a day. He says 'well you can run a marathon now, but it will cause bleeding, but it doesn't mean you are losing the baby. But you will bleed if you do too much' He is talking about the next 10-14 days on bedrest while the cervix heals. Don't you love the comment about doing a marathon. My dr is not conservative at all. Of course, when I tell him 'I'm going home to play in the snow.' He says 'you want to take it easy today'. I told him that I was joking. :)

I hope infection stays away and that the cerclage holds until full term. Even though it worked before, I still get scared that it won't work.

If you don't want the TMI details, stop reading now. I'm writing the following info because I know people who go through cerclages want to be prepared on what to expect.
Last time, I had red spotting immediately and then pink on the day of and the next day. I had peachy spotting for one week or more. I had bad cramping the entire first day or surgery but really bad at night.

This time, I didn't go to the bathroom immediately after surgery. The nurses as I mentioned before were in a hurry to get me out. I think they should have kept me for 45 minutes after surgery,but honestly I think I was out in 20 minutes or so. They wanted to get home to their families. I had moderate cramping immediately after surgery once I woke up. All the way home, I had it...When I got home, I was able to eat lying down,but I had a good appetite. My cramping was still moderate most of the day, but I didn't take my pain meds (dr prescribed hydrocodone, but I never take this crap and didn't take it last time. I have the prescription filled just in case though.) I told my dr that I would take tylenol if hte pain was bad, but so far I haven't had to take it. My cramping stopped in the late afternoon. I still have some minor cramping when I go to the bathroom (which is less than normal right now). I'm surprised I didn't have cramping last night or through the night. Last time, it was really bad. Overall, my recovery has been better than last time. Maybe my cervix is used to the trauma. I went to sleep twice for some naps.

That is all I have, although I'm sure I will remember more later.

Thursday, February 18, 2010

NT Scan results

I got to my appointment an hour early due to dropping off my son and not wanting to go to work.
Of course, my peri was running late and I think I saw him driving near the office.
I already had genetic counseling two weeks ago, so today was just the u/s and cervical check.

So yesterday I went out to lunch with some people who were supposed to pick me up and made me wait standing for 20min. I was pissed, but tried to blow it off.
Later I had a clear big glob and last night I had a small, tiny pink dot on my TP. It was hard to go back to sleep after that. I told my husband this morning. I also had a little bit of cramping last night. I told him maybe it was because I did too much.

I had my u/s and the baby's neck measured well. The baby didn't move much at all. It kinda concerns me because he/she hasn't moved much during appts. Last u/s, he/she was measuring 3 or 4 days behind. Today I am supposed to be 11w6d and the baby was measuring 11w5d as an average. The tech was someone I hadn't had before and she was OK. She told me the baby and the neck looked fine. I'm glad she was forthcoming with results as sometimes they say that you have to wait for the dr.

Oh, last time they didn't tell me when they would schedule the surgery. I had to call on a Friday to find out it was on the following Tuesday. This time, one of the girls that I LOVE, asked me 'when is a good day for you'. I said 'Monday'. She came back later and told me that they didn't have openings on Monday, but it would be Tuesday. I am sooooo glad. I just hope to make it until then. Weekends are hard with my toddler. He needs me to play with him a lot. My husband is great, but can't do it all.

The dr came in and gave me my results...

My results were better than last time and I'm 2 years older. Down syndrome -equivalent to a 28 year. Chromosome 13/18 - equivalent to a 20 year old. I'm just glad that I don't have to do the CVS/Amnio. I could still have a baby with issues, but for now, I can get the cerclage. Thank God!

After that, he wrote down a lot of info for the surgery and I told him about my spotting/discharge mentioned above plus all the rest of the brown/tan stretchy discharge I was getting. He said the hematoma is gone and most likely that was it coming out. He said 'sometimes it comes out like a glob and then a tiny bit of pink'. Ha! He described exactly what I told him. I like him, but he always says the right thing. geez! :)

Then he looks at my cervix and does an internal. I hate those. I just had one last week with my obgyn. I bet he thinks I am crazy or the most high maintenance patient he has. Because when I told him about my discharge/pink spotting, I told him 'I bet either my cervix is open or it has shortened. I can feel it.'. Why am I crazy? I'm not a dr. I DO TRUST my drs and it is pretty much out of my hands. Anyway, I'm rambling...He said my cervix is CLOSED and long. I asked him prior to that about looking on the u/s and he said cervical checks before 16wks via u/s are not accurate. So I asked him 'is it 2cm?'. He said 'well I can't get an exact measurement via the internal, but it is LOOONG maybe 4cm'. Whatever. I don't think I'm ever 4cm. I'm happy that he thinks it is long and closed though.

Sorry this is long and I quote my drs so much, but I do it partially for me to remember how our conversation went.

Baby's h/b was 173bpm.

My next post is about trying to conceive and acupuncture.

Thanks for reading!

Tuesday, February 16, 2010

Thanks for the support! (and a few additional details)

Thanks for the support! I appreciate it.

I have my NT scan on Thursday. I hope all is well. I swear that today and yesterday I feel like my cervix is dilating. My drs say I can't feel that, but I just feel something. We will see on Thursday, I guess...I'm not a dr, so I'm not sure why I overanalyze things...

When I went to my first peri appt, they told me that the nurse that I didn't like was no longer working there. Usually I am nosey, but this time I just stayed quiet. The medical assistant gal said 'oh yeah that's when they got rid of her'. So I'm assuming she was fired... The nurse was there for my last pregnancy, but not very often. Thank goodness. She was there a few times during my first pregnancy and somehow I resent her for my loss. It wasn't her fault, but I just got a bad vibe from her. It's not that I blame her, I just feel that if I saw her I wasn't going to have a good outcome or something. She was quick to poo poo my spotting and issues and my funneling. Do you ever meet someone and you just don't like them? This was the feeling I got when I had to deal with her. I like everyone else there, but she just didn't rub me the right way, so I'm glad they finally saw that and she's gone from the practice. Wow, I sound mean...

I hate hearing my obgyn say 'well that's why they do the cerclage early because they do it before changes happen'. I am hoping to have my cerclage placed in one week's time, but it won't be scheduled until 2 days or so prior. ugh! I'm hoping I'll be 12w4d, but my peri might want to push it out. I am going to try to convince him on Thursday that I need it early next week. I'm very different than other girls with IC because my cervix starts misbehaving a lot earlier than 16/18wks. I just have to keep reminding my drs who have a hard head.

Oh, my mom is going to come help me when I recover from the cerclage - approx 10-14 days. I know her, she won't stay for the full time because she is just 'so busy'. She is retired and honestly I'm not sure how much help she can provide while she is here. Usually DH has some issues with her being here and he complains to me and I really don't want to deal with that... I love my mom, but she is not compassionate a lot of times. If I lose this baby, I know what she will say 'sorry', but in a tone that sounds like you would say to someone if they lost a board game. She just doesn't get IF, she doesn't get issues. So, my mom is going out of town this weekend and she says 'can you push out the cerclage to Wednesday or Thursday, so I can be here on the first day'. My response 'no I can't just push it out because the dr knows when I need to have this surgery and based on what is going on down there.' I wish my cerclage could fit into her perfect schedule. She annoys me when she is like that. When she came after my son was born, she said 'well can't you ahve the baby earlier because I don't want to miss going to my trip'. Like I have any control...Thanks for letting me vent.

I say my mom doesn't know what it is like to have issues or be high risk, but her first child was born around 28wks (i'm not sure the exact gestation as she won't talk about it). My sister became mental retarded because of fluid in her brain for being born so early. So, my mom has had preterm labor issues, but she doesn't seem to remember. I guess her labor happened so fast, she didn't have time to worry.

Oh, I get asked a lot if I have to have the cerclage again. One of my friends asked me who has a transabdominal cerclage (TAC) would think she would get it. My sister said 'well maybe your body learned how to stay pregnant this time'. I haven't told a lot of my friends yet. We are going to wait to tell the extended friends until 24wks or so.

Friday, February 12, 2010

Update on me...

I am pregnant again. I'm 11 weeks pregnant today.

I'm so scared. Having success one time doesn't help me much.

I'm finally posting this on my blog. I'm not sure why.

This last 7 weeks has been extremely hard. I found out I was pregnant when I was still breastfeeding. My son was 11.5 months. I went in for some betas with my RE - even though I didn't get pregnant via IVF. We were not trying to get pregnant, but not avoiding. My RE told me via my nurse 'tell her to stop breastfeeding unless she wants to lose that baby'. Gotta love my blunt T.exan doctor. (I have a few of those).

Shortly after my betas, I had two bleeding episodes. It was more than spotting. It was not brown. The first time - around 6.5 weeks (after I saw the baby with a h/b a few days before)...I could have gone to work and just assumed a miscarriage. I had started thinking m/c and grabbed a bunch of pads. I called my RE's office. They told me to come in for an u/s. I decided to just stay home and drink a ton of water and lie down. I thought I wouldn't want an u/s because it would just make my cervix more irritated (due to the vag cam u/s). My drs office called and I told them the spotting had subsided. I was having another u/s in half a week anyway. My next u/s around 7wks showed a hematoma (SCH) as the cause of my bleeding. I was scared but thinking at least there was a reason. On my last pregnancy, they couldn't identify why I had bleeding at 11w3d last time. My RE told me to take it easy and to not lift more than 10lbs. Oh, at the beginning they told me not to lift more than 20lbs (think they tell all pg women this). My son weighs more than that...I still lift him, but I do try to minimize lifting him. I just can't NOT lift him.

The 2nd bleeding episode happened at around 8 weeks or so. I was supposed to meet my cousin for lunch and we had to leave. I'm sure she thought I was crazy and I haven't told her why I flaked. I came home and had some cramping and just drank water and lied down. I had an u/s the next day that showed my hematoma had grown. Great...I guess going to the grocery store was maybe too much. Ugh!

My first appt with my obgyn had them giving me an unexpected gestational aldiabetes test. I passed! They didn't do a pap smear, but just did the normal blood work (a ton of vials, etc).

The week after that, I had an appt with my peri. The u/s tech just rushed through things. At 9w4d last time they did a cervical check - this time - not so much. I had to ask her what about my hematoma (mind you this is my first visit with the peri). She says 'oh i didn't see one'. Then she said she saw something very small...When my peri came in he said it was very small, but still there.

I've had brown spotting almost the entire first trimester. Now my spotting is gone, but I have stretchy tan/dark discharge.

Today I had an appt with my obgyn. I will only let him do a pap smear on me. Well I had all these items written down for him...he knows I'm a crazy/high maintenance patient. I tell him I have discharge, back pain, an infection down below (that I got before I was pregnant). I asked him that my brown spotting had stopped, but I still have that stretchy brown/tan discharge. I keep thinking it means cervical shortening. My obgyn says it is still related to my hematoma (even though it is small, it still irritates the environment down below). He said that that kind of discharge is cervical shortening related =but is later on that I shouldn't have it this early. When he did the pap smear, he looked at my cervix. He said it was closed and 'good enough for a cerclage'.

Thanks for your support - if you read. I'll be posting my progress. I'm sorry if my news is hurtful especially for those readers who are having trouble getting pregnant.