Monday, June 28, 2010

Friday, June 18, 2010

4-29wks - what I did (with a toddler)

This is what I did. You really have to figure out what is best for you. Bedrest/no bedrest, stairs/no stairs whatever...Listen to your body and factor in what your drs say with a grain of salt. If you haven't read other parts of my blog and you land here...I really believe in the power of bedrest. It works.

4-12wks, I was more conservative than last pregnancy. Why? Well, I wanted to work all the way until cerclage but I had a lot of bleeding due to a hematoma (SCH). I had to stay home at least two days because of bleeding. On those days I had red/pink/brown spotting and jsut stayed home and didn't even work from home on those days. I was supposed to travel with work at 8wks or so and I told my boss that I couldn't.
I had discharge sooooo much until I had my cerclage. My drs said it wasn't because of shortening but it was because of the hematoma (cervical irritation). Well, then I still had it for a week or two after the hematoma.
When the hematoma came out, it was like a blog with some tiny pink spotting.

Then I had my cerclage and decided to take 2weeks of my vacation for after the surgery so work couldn't tell me anything and I didn't even need to work from home.

During the time I had my hematoma, I was told not to carry my son of my drs told me I could take care of my son (not my peri surprisingly). I did take care of him but minimized lifting him.

The following really applies to 4wks to 29wks (and beyond):

Showers: Every 2 days until I had shortening at 27w4d. Now, I shower every 3rd day.

Stairs: during the week, once a day. on the weekend I did about 2-3 times a day...asked my friends for help after the cerclage...on those days, I didn't have to go up more than 2 times. I really tried to go up two times a day.
Stairs after shortening: 1 a day even on weekends...means my husband has to feed DS and bring me lunch.

Diaper changes: If i really had to and my husband wasn't here to help me, I would change his diaper on the floor (so I didn't have to lift him). I am 29wks and still do this. It is better than me carrying him to the changing table.

: I play with my LO on the floor. I lie down or I'm on the couch and tell him to get me a toy or get me a ball for me to throw him. He sometimes climbs on the couch with me and tries to jump on my stomach but I cover it with a pillow. It is sometimes hard to play with him but if he is good, he knows to play a little independently while mom is lying down. When he throws a tantrum it is really hard...sometimes I get down on the floor with him and lie down with him, etc.

DS's naps: i had to rock him for naps on the weekends which was hard for me. Now, I don't have to do this, but I still sleep with him at night and I have to pat him down for his nap or DH has to drive him around.

Eating out: This time I ate out more even during the scary period for me 16-20wks. We went out to eat once a day on the weekends. I never had discharge, which I did last time. Eating out sometimes saved me one trip up the stairs to play with DS. Also, after eating lunch, DS would nap in the car and then DH would bring him in and put him to nap with me.

Discharge: Had some after BM like last time, but not when out and doing stuff. Last time I would get yellow stringy discharge (not a lot)...this time not a drop. Well I would have the tiniest spot of peach discharge (twice). I think it was irritation from the cerclage and so tiny that I never called me drs about it. Some discharge is normal during pregnancy...Also I had no bleeding/spotting when my cervix shortened...weird I thought I would have that. I have no idea if it has shortened more because of that.

DS' care during the day: DS goes to daycare. My DH and I got into a routine where I would take him in and he would pick DS up. We did this until I was on bedrest (last 1.5wks)...when DH took him and picked him up. Daycare was closed a few days and I had to take care of him. Oh, DS had his ear tubes placed when I was 17wks pg or so and that was hard...I couldn't hold him and after his surgery he was going crazy (legs and body kicking and going everywhere).

Working: worked from home from 14wks to 23wks and then went back to work before my 23w5d appt to see how things were holding up. Worked at the office from 23-27wks until I had shortening. Oh, I had a handciap permit, so going into work was easy and I didn't have to walk far. I would go out to eat daily with my coworkers. They would pick me up at the door since they knew I couldn't walk to anyone's car.

DS is dear son, by the way. It is the lingo for the Sorry if that isn't clear..DH is dear husband...:)

Modified bedrest from 27w4d until at least 29w4d (maybe longer depending on my next appt). I did take my son into daycare today because my husband was having to work. I had to go get some blood work anyway, so had to leave the house.

I am sure I am forgetting something...if so I'll update this after this line.

Friday, June 11, 2010

28weeks! (and obgyn appt)

I am so excited to be 28 weeks!!!

I have a rough week, but I hope to hang in there for several more weeks. I put myself on modified bedrest on Tuesday - 3 days ago. See my last post to know why...

I had an obgyn appt today with the fun glucose test. I was planning to talk to my dr about what he thought about my peri appt from Tuesday. I instead was seeing the nurse practioner...I told her what happened as she didn't seem to get the update from my peri. She looked very concerned and said 'I hope you aren't going to work'. I told her that I was working from home. She told me to take it easy and not to do any chores or leave my house.

Then I ran into my obgyn on the way out and he asked me how I was doing. I just gave him a quick update and he was concerned too...he told me to take it easy. The NP was there behind me and said 'she knows her stuff' and my obgyn said 'yes, she does'. They were confirming that I am a crazy patient. hahaha. Well, really, they were confirming that I will push my peri and really question him. It is frustrating when my drs disagree, but I told them I was already on modified bed rest. I will do stairs, but it is hard not to with having a little one. I am going to take it very easy though.

I am happy to be at 28wks, but want this baby baking for at least 8 more weeks.

Tuesday, June 8, 2010

27w4d peri appt - mixed news

Baby is doing well. Measuring at 28wks at 2lbs 9oz. Fluid looks great.

H/B is 158bpm.

Now, for the not so great news...

CL was measured at 1.3cm or so via abdominal -my peri's office only does these unless they can't get a good look. The u/s tech didn't say much, but just said 'well that is why you have the cerclage'.

This pregnancy: I have a toddler, but did do bedrest for 2wks after placement. CL was 3.8 less than 4wks ago. I worked from home from 14wks to 23wks and I've been doing a lot more the past 4 weeks including walking around at big box stores (Kohls, target, etc). Before 23 wks, I was down most of the time - self imposed modified bedrest.

Last pregnancy: I put myself on bedrest the entire pregnancy. I was able to work from home, but was inclined most of the time. It is hard to do now, with a little one, but last time I did this and look at the difference. CL held at 2.8 - 3.2cm the entire time.

My conversation with the peri...

DR: All looks well with baby!
ME: I'm concerned about my length.
DR: It is low, but you are fine.
ME: I think I saw minor funneling at the top on the u/s. (My peri on my last pregnancy told me that he never sees funneling...GRRRRR....the last time I had funneling was with my loss - delivered 2wks later when we saw funneling but I was 13wks when I had funneling ). It was minor and not below the stitch but it was there.
ME: Can you guarantee that I won't deliver in the next 2wks? jokingly said...
DR: You won't. I guarantee but we can take another look.
(Who knew just saying that would put the dr. on the spot.)
DR: Remember you have a weird, tilted cervix, but I'lll still take a look. He never does my u/s. He does u/s -abdominally and can't get a good view. He then says he will do the fFN test. I've never had this done. He said he will do that to ensure I won't deliver in the next 2wks and also he will do the transvag cam because he can't see what is going on, but did confirm my suspicions on the minor funneling. It is like a small dip at the top of the cervix. The CL measures 1.8-1.9cm.

ME: Waiting, waiting, waiting for him to come back. He comes back with the stuff to do the ffN test. I'll get the results later today. He does a manual exam and says that my cervix is closed, etc.

DR: 'I'll be surprised if the test comes back positive'. As he was leaving...'at least the ffN test should give you assurance about the next 2 wks, but if it comes back positive, we will talk steroids and bedrest'. That is the first time I've ever heard him say that - the word 'bedrest'. He also wants to see me in 2wks instead of 4wks which was my next appt. Then he says this 'you are good for 2wks and I would probably even say the next 7wks.'

Blog readers, you know how I b.itch about my dr....he is so relaxed on everything. He constantly tells me about other patients...
Like today he told me that two of his patients have no cervix left but are 35wks and 31wks. Last time, I was 35wks and pretty much didn't have any cervix left. He said one of his patients - her obgyn put her on bedrest for 3months which he was upset with. Ugh, I am firmly believing that bedrest WORKS WONDERS. Part of me has thought that maybe I didn't need it last time, but with the lowest CL that I have ever received, I am thinking it was smart to do it last time. I will try to do less now. Work wanted me to travel next week and I said 'no way'. I was considering it, until I heard this news. I will work from home the rest of this week and then see how I feel.

My thoughts: Bedrest works...drs don't know everything...and I was finally diagnosed at 35wks last time...this time, there is no doubt that I have an incompetent cervix. Always question your drs...He would not have done the u/s to verify the minor funneling had I not told him that I saw what I thought was funneling. At 28wks last time, I think they still measured my CL, but after that they didn't. I've heard that with IC, you should expect the length to drop at around 28wks, if you truly have IC.

In 4wks, my length went down from 3.8cm to 1.8cm.

Please keep us in your prayers/thoughts!

I am 28wks on Friday, but I want her to keep cooking a lot longer...I was so nervous that I forgot to ask for another gender guess as 4 wks ago, they couldn't see and confirm (although I have been told twice).

She is measuring right on target. She is head down. Last time she was breach and I asked if that made my CL so long and was told 'no'. Other news: I have my 1hr glucose test on Friday. I really think that I have it again. On big meals, I have gone slightly over, but I didn't one day when I had a lot of carbs (pasta and bread). I told them to test my urine today and there is no sugars in my urine, but we will find out on Friday if I need the 3hr test. I am preparing myself for the worst on the GD front.

I just started walking as of yesterday - walked about 10minutes around the block. I went to Target for the first time this pregnancy on Sunday. I went to Kohls about two times so far. No more shopping for me in big box stores...

I will take it easy for the next 2wks.