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Friday, October 10, 2008

Finally . . . . an answer!

It has been a rough couple of days for me. I returned from the hospital yesterday and took a nap. At 3:00 pm, I awoke with contractions and excruciating pain in my lower right abdomen. I went ahead and took another dose of the medicine (1/2 the dose they gave me in the hospital), and the contractions improved but didn't stop. I took the 2nd dose 1/2 hr later, and still the contractions did not disappear. The pain in my lower abdomen gradually worsened. I called the midwives, and they told me to drink more water, wait for my next dose at 7:00 pm, and call back at 8 if the contractions did not improve. At 8:00 pm, I was in pain, but the contractions were feeling better. I ended up calling the midwives again, and was told to get in the bath for 1/2 hr, keep drinking water, and take my next double dose at 11 pm. Elliot had gone to Kol Nidre services, and I called in and listened on the phone.

By 10:30, I was in excruciating pain, and the contractions suddenly started to be 3-4 minutes apart again by 11. We called the midwife, and she said I would probably need to go back to the hospital. She suggested taking 2 tylenol (thinking it would help the pain of the abdominal strain) and take another double dose of medicine at 11, and give it no more than 1 hour. I sent Elliot to walk the dog and we started getting ready to leave for the hospital. While Elliot was walking the dog, I lay down and relaxed . . . and for the first time since we got back from the hospital, I started feeling better! The contractions slowed, lessened in intensity, and were fairly spaced out. The midwife suggested I try going to sleep, I take my next dosage at 3:00 am, but that if the contractions woke me up to head to the hospital. She said if I made it through the night, I needed to go into the office in the morning to be checked. I slept until 3:00, took my next dosage, and then slept until 6:00 am . . . when a contraction woke me up. I had contractions over the next hour, took my next dose at 7:00 am, and then started feeling better at 7:30 am.

We went to the office at 9:00 to be checked. My contractions seemed to be controlled, and I was relatively pain-free at that time. I kept feeling these "mini" contractions and some pain radiating out from one spot on my uterus, and I just felt like something else was happening. After talking about our options, the midwives decided to send me for an ultrasound at the Maternal Fetal Medicine office to check my cervix and see if there was a problem with my placenta. That left Elliot enough time to get to services for Yom Kippur for several hours. I missed services since I was directed to bedrest.

At 1:45, I picked Elliot up from synagogue and we went in for the ultrasound. The good news is, they identified the problem! Apparently, since my 20 week ultrasound, a big giant fibroid grew on the outside of my uterus. I did know that I had a small fibroid on the outside that was about .5 cm before I got pregnant, and I was told it was nothing to worry about. Well, it decided to grow . . . huge. It is almost as big as my fist now, and apparently, it is angry and pissed off and causing all the problems/pain/contractions. The good news is that I do not have an abdominal strain. The bad news is, it will be difficult to treat this fibroid and it puts me at greater risk for pre-term labor. I will probably have contractions on and off throughout the rest of this pregnancy, and the fibroid will likely cause me pain. They added another medication which I can only take for 48 hrs at a time until I'm 32 weeks along. It will help the pain and help control the contractions. I started it tonight, and it does seem to be helping some - I hope the next 48 hrs really puts me in a better place and that the pain holds off. I can live with staying on the anti-contraction medicine, but I really don't want to spend the rest of this pregnancy in pain from the fibroid. Oh . . . and I'll probably have to have surgery after I have this baby to get rid of the fibroid, since it will probably cause issues with future pregnancies too (not that I can think about that now). So . . . odds are good this baby will make an earlier appearance rather than a later appearance. I really hope the contractors finish the house and we can move before this baby comes.

Anyway, we did get some good news . . . the fetal fibronectin test (the vaginal swab they did to check for pre-term labor) came back negative, so I should be safe for at least a few weeks! Also, I passed my gestational diabetes test . . . barely, but I still passed. Let's hope the meds work and I can keep this baby in at least 8 more weeks . . . and that they are not 8 miserable weeks for me.

Wednesday, October 8, 2008

A Little Scare and a Trip to Labor & Delivery

Well, I just got back from the hospital - I spent the night in Labor & Delivery last night :(. After my appointment yesterday, I ran to 2 stores trying to locate the support brace for my abdominal pull before I started my mild bedrest orders, and by the time I got home, I was in EXCRUCIATING pain. Even with the support on, it kept getting worse. By 4:00, I could barely move, and I was so miserable. I started to wonder if I was also having contractions (my belly kept feeling tight) but then I thought it was just the support belt I was wearing. I remained pretty uncomfortable no matter where I was sitting.

Elliot and I went up to bed around 1:30, and when I got into bed, I couldn't get comfortable. I started to realize that I was having contractions . . . about every 2-3 minutes. We started to time them to be sure, and I tried drinking water to see if that would chase them away. At 2:00, I decided it was time to call the midwife. I was told I could try drinking more fluids for 1/2 hr, but then to go to labor and delivery if they didn't stop. Part of me couldn't decide if I was being crazy but we decided to go on in and get checked. I was a little concerned they were going to hook me up, laugh at me and tell me I was having gas pains or something ridiculous like that.

Good thing, we went in . . I was having pretty intense contractions every 2-4 minutes. They had me on the monitor (and my midwife was so nice and considerate of my needle phobia - she agreed not to immediately put me on an IV if I would drink 40 ozs of water, and she gave me the anti-contraction medicine orally). Luckily, the meds worked, and about 1/2 hr later, everything receded. They kept me there for observation the rest of the night. I was released about 1 hr ago to a day of bedrest and I have more anti-contraction medication I'm supposed to take. The good news is there were no significant cervical changes, and the baby is fine, but I'm just exhausted!

I was getting worried about having this baby at 28 weeks. They did a vaginal swab test to assess my risk of preterm labor (apparently they can detect a protein that is 90% accurate in predicting labor in the following 2 weeks). Those results won't be back until today or tomorrow. I have to take the meds as long as I have contractions, and if the meds don't control the contractions, I'll have to go back to the hospital. I have to go back for another checkup next week. If they start to see any cervical changes, I'll be put on bedrest, and if the swab test comes back positive, they may admit me to try and keep me from going in to labor.

So . . . that is my update. I'm going to nap now. Let's hope this is just one of those things, aggravated by the UTI and the abdominal pull! I'm NOT ready to have this baby yet. The good news is we are now pre-registered for when I really do go into labor.

Tuesday, October 7, 2008

28 week appt

I'm trying to stay positive, but today was a slightly rough day for me. It was my 28 week appointment - fairly routine, gestational diabetes test scheduled, and not much else to worry about. HOWEVER, last night, I began to realize that the dull ache on the side of my abdomen that had been bothering me since Sunday had escalated to the point of excruciating. After much debate, DH & I decided I should tough it out until our appointment this morning.

I arrive for my appointment, and quickly discover that the nurse forgot to give me the glucola to drink at home BEFORE my appointment. So, at the appointment I have to quickly inhale the horrific orange goop without vomiting (quite a task), and then sit and wait an hour so they can draw my blood. We went into the room for my appointment, and then things went downhill. The good news is, the baby's heartbeat was great, and I'm measuring right on target. I did not gain any weight again, but this midwife seemed totally unconcerned by my lack of weight gain, so I did escape the yelling/lecture. We quickly moved on to more "fun" subjects . . . including the return of my UTI. Yup, it is back. Or perhaps it never left this last time. And my numbers were through the roof - the infection just keeps getting worse. So, I'm being placed back on antibiotics . . . for the rest of this pregnancy. Fun, huh?

So, after discussing my lovely UTI, I brought up the pain in my abdomen. After some discussion and a quick check, I was informed that I have pulled a muscle in my abdomen. I have to go out and buy an abdominal support brace, which she thinks I'll have to wear for the remainder of the pregnancy :(. I'm definitely not pleased about that either. And it looks like I have to drop out of yoga class now, too :(.

Next bit of fun? We talked about my morning sickness and other tummy issues I've been having . . . and I was basically told there isn't much more we can do. I'm supposed to stay away from fiber/veggies (haven't heard that one too often, right?) and understand that the antibiotics will probably just make it worse.

So then it was off to visit with the nurse to have my blood drawn. Let's just say she was not quite adept at drawing blood. Four (yes, I said 4) stabs later, and lots of moving the needle around, she finally got the blood, but it involved tears and hysteria from me. I have good veins . . . any competent phlebotomist should be able to draw blood from me without incident. I was really unhappy today, pretty worked up, and now I look like a junkie with track marks. It is days like this that it is difficult to keep the thrill of being pregnant and not get caught up in the bad stuff. Let's just hope the test comes back negative and I can at least avoid having to do the 3 hour test!

Monday, October 6, 2008

A registry!

We did it . . . we finally started a registry yesterday at Buy, Buy, Baby! Yes, we have been putting it off, and no it isn't anywhere close to complete, but we started it! Elliot was a bit of a maniac with the gun . . . if he could shoot it, I think he put it on the registry. Of course, he has no idea that I have the power of edit on the web site, so many of the items he placed on there may have "magically" disappeared. He initially registered me for 4 different breast pumps! I think Elliot can't wait to go back so he can have the gun again for more play time. He is also currently obsessed with strollers - I'm not exactly sure what the fascination is about, but he can't stop investigating strollers, and was quite upset that I wouldn't go inspect and select the strollers yesterday.

We still want to start another registry at Great Beginnings, and we may put some things online at Target or Babies R Us, too, to make it easier for out-of-town friends and family, but we finally got the ball rolling. We also went ahead yesterday and bought a reclining chair for our living room - so that will complete our living room furniture. We still need to go back to Great Beginnings and pick out a glider, but we hope to do that this week.

As for me . . . . today I am 28 weeks pregnant! Overall, I'm feeling well. This little guy is kicking up a storm. For some reason, he seems to have a fascination with my cervix - he continually likes to poke it and make me uncomfortable. I'm sure when I tell him that during his teenage years, he'll turn bright red with humiliation and say "eww, mom, do you have to say things like that!" Is it wrong that I am looking forward to embarassing him like that one day? I also have a pain in the lower right side of my abdomen - I hope it is nothing, but it is extremely uncomfortable. I guess I probably pulled a muscle or something . . . I think it started yesterday - I'll have the midwife check it out at our appointment tomorrow! Here is my latest belly shot, taken today:


Tomorrow we go back to the midwife for my gestational diabetes test (wish me luck!) and a regular checkup. As of tomorrow, we will now be on a 2-week appointment schedule. I can't believe how the time is flying! Now . . . if only we could get those renovations on the house finished, we'd really be in business!

On another note, I'm obsessing about my dog, Nugget, again. She has skin and allergy issues, so back in July, I switched her to a high-quality grain-free diet. I'd tried all the other tricks, but read an article indicating that many dog skin allergies may be caused by the grains in commercial dog foods. I think her skin has been better, but she has also had a skin infection that won't quite go away, and has been on antibiotics, so it is hard to tell. My one worry with the new diet is that it is very high in fat, and I was afraid she would gain weight. Today I took her to the vet, and we have to go back on antibiotics for the skin infection. But, I learned that she did put on a bit of weight - maybe .4 lbs. So, of course, I'm wondering what to do next! I'm not ready to give up on this grain-free diet, but I don't want to make her fat, either. I think Elliot is ready to kill me for obsessing this much over dog food.

After our appointment, I went to the pet food store (since we are almost out of dog food anyway), and found a different grain-free brand that has a low-fat version, but of course, it is even lower in fat than the food she was on before switching to this diet (and if the fat content is too low, it can give dogs dry skin and make them itch!). So . . . I couldn't decide what to do! I know it isn't a good idea to change dog food too many times, but I also want to do what is best for Nugget! I can't believe how indecisive I'm being! So, I was an overwhelmed pregnant lady in the dog food store today. The saleswoman kept making suggestions, and all I wanted to do was strangle her. First, since the new dog food we've been on has double the calories of her previous food, she suggested cutting my dog's food intake in half. Great idea . . . when you are dealing with a big dog. My dog is tiny - and only gets 3/4 c. food per day. And she is already pissed about that, because back in her younger days, I used to give her more like 1 1/4 c. per day. She now KNOWS when I cheat her out of even just one piece of kibble, and is not afraid to cause a raucous if she doesn't get her share. She has made it quite clear she will not tolerate any more reductions in quantity, caloric count be damned! And my favorite comment from the saleswoman - why don't you let your dog taste the new brand and decide which she likes better? Um, yeah, my dog will eat rabbit poo, vomit, and dead frogs - exactly WHAT makes you think she has discriminating taste and will "prefer" one over the other - it is food, she'll eat it (or rather inhale it), probably within about 3 seconds after I place it in her bowl!

So, after coming home and doing some research, and discovering that this new low-fat dog food also was given 6 stars by a pet food analysis web site (that I've decided is reliable and have been consulting for the past few years), I decided that perhaps we will try switching to the new low-fat grain-free dog food. For some reason, I felt the need to share this piece of information with Elliot - whose response was the classic "okay." Men! He could have at least feigned interest in my momentous decision. I might even be able to give her closer to 1 full cup a day, so she will probably love that. Do you think Nugget realizes how much agony I go through for her? And to think she gets pissed at me when I put the food down 5 minutes late.

Oh . . . and here is a pic of my adorable spoiled princess:

Wednesday, October 1, 2008

The best phone call!

Tonight, my 2 year old niece, Paige, decided to give me a call, just to talk! Okay, she had help . . . apparently, she asked my brother all evening if she could call "Aunt Jess." I can't stop grinning - she said hi to me when I answered the phone, and we talked about how she went to school today, and that she was going to be taking a bath. It is so cool to be able to speak to her on the phone now! I can't believe what a big girl she is becoming!