Showing posts with label Pregnancy. Show all posts
Showing posts with label Pregnancy. Show all posts

Thursday, November 24, 2011

Pregnancy Overview

While pregnant with Porter:
  • worked full time at Sprint
  • tubing on the lake
  • camping/4-wheeling @ Duck Creek (6 months)
  • rappelling
  • served as secretary in RS Presidency at church
  • Blood work revealed antibodies thus sensitization diagnosis--began seeing perinatalogist
  • Non-stress tests twice a week during last few weeks
  • preterm labor...restricted activity...baby born next day @ 35 weeks
(Picture pregnant with Porter-August 21, 2008 at 34+ weeks)

While pregnant with Caleb:
  • ice skating (one month along)
  • snowboarding (1m)
  • motorcycle ride
  • 4 wheeling
  • camping--cabin & trailer
  • rappelling (4m)
  • horseback riding (6m)
  • served as 2nd counselor in Primary Presidency
  • Seeing perinatalogist starting at 16 weeks due to sensitization & baby at risk for anemia
  • Labor & Delivery visit @ hospital for pressure/discomfort/pain--27+ weeks
  • positive fFN swab test...restricted activity @ 27+ weeks
  • Betamethasone steroid shot to develop baby lungs @ 27+ weeks
  • Me a little anemic--have to take iron pills accompanied by a stool softener (just in case)
  • Begin weekly Progesterone injections to reduce risk of preterm labor--28 weeks & weekly OB visits
  • Start weekly non-stress tests at Maternal Fetal Medicine @ 34 weeks
  • Start doing non-stress tests twice a week & perinatalogist once a week @35 weeks
  • Scheduled induction @ 37 weeks for August 18
  • Contraction all day August 11
  • Delivered vaginally w/ epidural August 12 @ 2:56am...Caleb! 5lb 1oz & 18.5 inches
(Picture pregnant with Caleb-June 10, 2011 at 27 weeks)
(~35 weeks Pregnant with Caleb-August 3, 2011)

In terms of pregnancy I have been very lucky with few of the "typical" symptoms. With both pregnancies I have only thrown up a hand full of times, so not bad at all. With Porter I remember waking up several times with a charlie horse (leg cramp in the calf muscle) and with Caleb I think I had a couple days of heartburn (assuming that's what the discomfort was). Both times my skin was happier for the most part and of course I didn't have fists full of hair after every shower or in the hair brush. My babies have not been heaters for me (something I wanted in the colder months since I'm always so cold), haven't had nausea past the first trimester, no heightened sense of smell, swollen ankles/feet, and no sore parts. I don't remember ever really experiencing fatigue with Porter but that may have been because I was working so no time to be tired. With Caleb I had some days of pure exhaustion and having to take naps even though I'd rather not. Something I started to really notice around 20+ weeks was a shorter fuse. I could tell I had less patience and several times I know I got more upset with Porter than I should have. Now I have guilt! I had a few things to overcome with antibiotics with this second pregnancy: yeast and bacteria, and a UTI. Then there's the preterm labor thing. And of course the sensitization.

Total weight gain in pregnancy #2: 26 lbs

According to the American College of Obstetricians and Gynecologists, here are the averages of the weight gain: Baby 7.5 lbs, amniotic fluid 2 lbs, placenta 1.5 lbs, increased blood volume 4 lbs, body fluids 4 lbs, increased weight of uterus 2 lbs, body changes for breastfeeding 2 lbs, maternal storage (reserves of extra fat & protein for energy & milk production) 7 lbs. That's an average of a 30 lb weight gain during pregnancy. All that to sustain the life of one tiny little human being. It's amazing.

Tuesday, August 16, 2011

Porter/Mommy Matching

While Aaron was gone in California Porter and I spent our Monday night out. We went to Tuacahn to see Aunt Becky (Aaron's youngest sister) perform for a free pre-show with her hip-hop dance group Kalamity. They are amazing dancers! Afterward we went to Del Taco for dinner. We used his free meal coupon from the library over summer reading and I had a BOGO free taco coupon, so I paid $1 for $7 worth of food. (His chicken finger meal was $5!) Porter loves to ask for french fries and dip-dip but doesn't eat much of them. He ended up having so much fun playing with other kids in the play area. (8/1)
One Saturday there were 3 baptisms I wanted to attend for primary kids in our ward or previously in our ward (all at different times that day). Aaron was gone doing a canyon with friends from church, but I got Porter and I ready and went out to get in the car...only to discover Aaron had taken the car! I had no idea. After that it was pretty much a stay-at-home-pregnancy-day. (8/6)

Friday, August 12, 2011

Pregnany Positives

August 4th--35 weeks! This is exactly how far along I was when I delivered Porter. Baby is approximated to be over 18 inches and 5.25 lbs (like picking up a honeydew melon). OB appointment on the 3rd went good. Good news to hear I tested negative for group B strep which they swabbed me for the precious week. I measured 35 (right on) and baby heartbeat was good and strong! He checked me vaginally and I was still dilated to a 1 & 50% effaced (thinned). I saw the perinatalogist the same day (Dr. Esplin) and we were shocked that Caleb's MCA was almost the same as the previous week. The trend had been going up so we thought he would be worse but he was great! It was about 58. Amazing! Since the number had not gone up he felt confidant that there was no need to check it again, so no need to see him the last two times but just continue with the NST's twice a week to check on baby. Awesome! So went from 4 appointments a week to only 3. (Picture in black shirt 8/2)
I ended up taking pictures on 3 different days during the 35th week, just in case. I never got a "day of" picture when I had Porter and I don't want to miss out on that again. I want to have a picture of baby belly just before he's born! (Picture in white top with flower design 8/3)


(Picture in blue shirt 8/5)
Porter helped me with pictures one day and he was so cute! So glad I got a picture of him giving Caleb a kiss. Wish it was a better quality picture and better lighting and background, but I'll take it!August 11th is our official 36 week mark. (Picture 8/8...same day I got my hair done by my friend; full head of blonde highlights and a badly needed trim which was taking off an inch; can't believe how much hair I still have) At this point a baby is packing on the pounds gaining about an ounce a day. A baby of this gestational age is about 6 lbs and 18.5 inches long. In a week baby is considered full-term or term. Before 37 weeks it's preterm and after 42 weeks is post-term.That week I had NST's on Monday the 8th and Thursday the 11th. Everything went great! On Monday the monitor showed two fairly big, long contractions, but I didn't feel them. Why can't I be hooked up when I feel something at home? I would like to see what those look like on screen. On Wednesday the 10th I saw my OB, Dr. Lunt, and all was well! He checked me and still dilated 1+ and thinned out. I brought my medicine for another progesterone injection but he said there was no need. Apparently they typically stop those at 36 weeks, and if baby were to try to come now it would be fine. Dr. Lunt did tell me not to go into labor that night, however, because he was taking his family to see "The Little Mermaid" at Tuacahn. I gave him rave reviews and told him they would enjoy it. Baby heartbeat was great, I measured 35, and I will need to be seen again next week. Even though that appointment will only be the day before delivery, he said we'll want to check how the cervix is, which will make a difference for the induction the following day. Thursday the 11th I started feeling the pressure and having "real" contractions all day. The NST did show contractions but the nurse said they weren't regular or close enough to do anything about it. Wonder if it will be a week of this... So down to only two appointments left! One NST and one more OB visit, then it's hospital time to get our baby out! We are having a labor induction (having labor started/induced medically before going into natural labor) for the safety of baby Caleb. If it's done for a non-medical reason (i.e. convenience or preference), it's called an 'elective labor induction'. If it's for a medical reason then it is called an 'indicated labor induction'. That's what our situation is (the latter); both my OB and the perinatalogist have said there is no reason to keep baby in longer than term (37 weeks) to put him at risk for severe anemia. They said it's better to deliver him as soon as possible, but not too early of course. Dr. Lunt scheduled the induction for August 18th and these are the 'instructions' they gave me from the hospital about that day:
"Medical Induction. We look forward to caring for you and your new baby as your doctor has scheduled you for an elective induction on 8/18. We will make every effort to call you in the morning hours of the day you are scheduled. Occasionally, however, depending on the number of patients needing care that day, you may be called at any time on the day you are scheduled--from midnight to midnight. Please plan to leave your home within 30 minutes of this phone call, and have advance arrangements in place for transportation and childcare. You may continue to eat lightly until we call. If you have any further questions, please call us at 688-4430. We wish you the best as you welcome your newest family member.
The Staff of Labor and Delivery"

Friday, July 29, 2011

Pregnancy...Appointments Galore

July 14th we hit the 32 week mark! (picture 7/13) Baby is estimated to be about 3.75 lbs and 16.7 inches long. I should be gaining about a pound a week and half of that goes to baby. In the month of July I've started to feel like I waddle when I walk at times. I've also had back pain some days (no lower back so that's good 'cause that's a sign of contractions). I had my 5th perinatalogist appointment of this pregnancy July 12th and miracle, 4th visit with same doctor! Dr. Marc Jackson; guess out of the 4 perinatalogists who rotate and come down to St. G, he comes the most often. So nice to feel like a have a doctor--one--in that department verses several. I was put in a room I've never been in before that felt like an over-sized closet. I'm usually in the huge room that seems like it could be a small house. I felt downgraded and demoted. Then I normally only wait 5-10 minutes in between the ultrasound and seeing the doctor, but this day I waited 30 minutes! Not comfortable lying down with a belly full of jelly (the doctor always does more with the ultrasound after the technician) wondering why the wait. Made my mind go wild and start to make up things like something was wrong and they were going to come in the room to tell me it was time to deliver the baby, and maybe they were seeing if there was enough room for me in the hospital. Don't leave a pregnant lady to wait and wonder! He came in and told me it was a waste of time to do the blood work that was done last week and there was no need. I didn't see why; I was only being seen by them every 4 weeks so why not have a little more info in between? He said the antibodies are there so didn't matter how many or how much; we could see what we needed to see with the ultrasound. They did the Doppler blood flow measurement and it averaged out to be 46; we put that on the chart which bumped Caleb up from zone D to zone C. Doc said zone D is absence of anemic or low anemia. Thus zone C means more anemic but not bad. For the reason of having gone up I will now be seen every 2 weeks by the perinatalogist. He also said at 34 weeks we would start weekly non-stress tests to monitor and check on baby. With Porter I was doing them twice a week. So right now I'm seeing my OB weekly, will now see the perinatalogist every two weeks, and have weekly non-stress tests. Every other week I'll have three appointments. Whew! All and anything for my baby Caleb! One good thing is we are pretty much out of the zone or possibility of needing or doing a blood transfusion in utero. That would be needed if baby was severely anemic but too young gestationally) to be born. Dr. J said they would do that up to 34 weeks, but after that they'd rather do a newborn transfusion (meaning deliver the baby then do blood transfusion) rather than risk doing it. I'm so grateful we won't have to do that! First of all if it was needed it would mean baby Caleb was very sick and in danger, it would be risky, it's expensive, it's painful, and we'd have to travel to SLC to do it. The following day on the 13th had my appointment at the OB. Dr. Lunt had talked to Dr. Jackson and said something to the effect of "Did Dr. Jackson say I was stupid?" We talked a minute then I did the urine sample, was seen by someone new--Kellie who was something something nurse midwife--for the exam (baby heartbeat 120 and I measured 31 so right on), got my progesterone shot, and as I was leaving Dr. Lunt said, "Don't let me do anymore blood work." =P The one negative to that appointment was waiting for an hour to be seen! No more late appointments (it was at 11am but not by my choice--it was all they had when we scheduled which is why we went ahead and scheduled all of my remaining appointments so I could get mornings).
July 21st was 33 weeks! Baby should be over 4 lbs (the heft of a pineapple) and just over 17 inches. (picture 7/20) On Wednesday the 20th I had my weekly OB appointment with Dr. Lunt and all was well! We talked about the delivery date and still planning on 37 weeks (won't go longer than that) assuming Caleb is fine in terms of anemia. That puts us at the 3rd week of August. My boys will have birthdays so close together! Caleb had a good strong, herd-of-horses-sounding heartbeat at 140 and I measured 33 which is normal and great.July 28th we hit 34 weeks where baby is approximated to be 4 3/4 lbs (an average cantaloupe) and almost 18 inches long. The day before--the 27th--was a busy day. Had three appointments in a row: Perinatalogist, OB, and back to Maternal Fetal Medicine for first non-stress test of this pregnancy. It was a long morning. I saw Dr. Esplin who I have not seen since my first perinatalogist appointment this pregnancy at 16 weeks. Ultrasound was good, Caleb measured right on. I was going to be seeing them every other week but the MCA measurement that we chart went up to 57 (meaning Caleb more anemic) into the next zone (from zone C to zone B), so we're bumping up the visits to be weekly. Dr. E also said we would increase the non-stress tests from once a week to twice a week. Gotta keep an eye on the little guy. That appointment ended just in time for me to make it to the OB. Dr. Lunt checked me and I'm dilated 1 cm. They also swabbed me for a culture to test for a bacteria--believe it's called Group B Strep. Talk about being violated; I won't get specific but let's just say they swab in two bodily orifices. Not comfortable. Caleb's heartbeat was good and strong in both the ultrasound and at the OB office. I asked about some hives I have on my rear (TMI?...TB) which have been irritating and horribly itchy. I was afraid it meant I was allergic to the progesterone injection (maybe the oil they mix it with), but he said it didn't look like an allergic reaction just a skin irritation. He said he wanted to continue the injections and I said of course. I can live with a little irritation if it results in keeping my baby inside longer. Dr. L said he was going to "ruffle some feathers" by scheduling the induction at 37 weeks. Apparently the hospital has a fit for any birth planned before 39 weeks, but he made sure to add "MFM recommended," which it sounded like they can't or don't argue with as much. As Dr. L left the room he mentioned how amazed he was with this pregnancy saying it's gone a lot better than he ever anticipated. I told him it gives me hope for the future (meaning future pregnancies). I got my injection and then headed back to MFM (Maternal Fetal Medicine) at the hospital next door for the first non-stress test of the pregnancy. Sat in a chair for 45 minutes as baby was monitored and all was well. Now starting next week (at 35 weeks) I get to look forward to 4 appointments a week: OB, specialist, and 2 in MFM for the NST's (non-stress tests). Anything for my baby Caleb I say!

Saturday, July 9, 2011

Pregnancy...Rolls Forward

June 16 marks 28 weeks and the third trimester! Baby is about 2 1/4 lbs (like a Chinese cabbage) and is roughly 14.8 inches. The pictures were taken a little early--the 14th--because I knew since I was on restricted activity I wouldn't be going anywhere all week and not be dressed. Spent the week in my pajamas, except for Monday and Tuesday when I had doctor appointments.
Always wonder what I look like from behind--if someone coming up from behind me can tell I'm a pregnant lady. That's why I took a random back shot.
June 14th I had my 4th appointment in Maternal Fetal Medicine with the perinataologist. It was the third time in a row I met with Dr. Jackson, which was a pleasant surprise since there are four doctors that rotate coming down to St. George. They started something new where they record the ultrasound and give you a DVD...I love that! Wish I had a recording of Porter's. When I asked they said they didn't have the equipment or capability to record them. So this was a pleasant surprise. I usually get 4-5 printed pictures from every ultrasound but this time I only got one. The technician thought she'd printed more but apparently didn't. She also tried to get a 3D picture of Caleb for us, but little guy wouldn't cooperate. He would face the wrong way or have something in front of his face. We even tried moving him by having me move this way and that, but to no avail. That technician was so fast--especially compared to the last one--which I found disappointing for the DVD. Anyway, Dr. Jackson had a note from Dr. Lunt to make sure we checked the cervix. Something was in the way (I'm guessing Caleb?) of getting a good picture of it in the ultrasound, so they said we needed to do a vaginal ultrasound. Oh joy. Just when I think I'll be able to leave an appointment without being violated. =P The great news is my cervix was perfect! Closed, long, and I think it was 4.5cm and they said a normal length is 2-3 cm, so they were pleased to see that. It meant there was no indication of labor and that's what we want to see. Dr. Jackson's opinion was that we could discount the results of the fFN test, but Dr. Lunt feels otherwise. When I asked again about an estimated delivery date Dr. J said at the latest we would go to 37 weeks and induce if he had not come by then. He said with the sensitization there is no reason to keep him in past 37 weeks to risk severe anemia. The velocity of the blood flow in Caleb's brain was 34 which is good. It's still low. According to measurements from the ultrasound Caleb was about 2 lbs 7 oz and right on target. When I asked Dr. J's opinion about being on restricted activity he felt there was no need. He said, "I think you can get up and walk around; if Dr. Lunt yells at you tell him I said so." I have decided to follow Dr. Lunt's advice and opinion however, since he is the one who knows me, knows my history, and sees me on a regular basis.
The chart is what we go by to see how severe the anemia is for the baby. They look at the velocity of the blood flow in the brain by Doppler ultrasound and the faster the flow the more anemic baby is. So far Caleb has been in zone D which is where we want him to be. Getting into a higher zone means being watch more closely and less time in between visits. If he were to plot in zone A that's intervention time meaning a blood transfusion or possibly early delivery. All depends on how severe it is, how far along we are, and how baby is doing. I almost forgot at one OB appointment Dr. Lunt told me I was a little anemic and needed to start taking iron pills with a stool softener. Wednesday June 22nd I had my OB prenatal appointment with Dr. Lunt which was a check up from the hospital stay as well as the routine visit. I told him Dr. J's reaction to the fFN test results and about not being worried; his response was he didn't have luxury of not worrying. True 'dat. He also said we would start weekly appointments/visits due to being high-risk, in addition to weekly progesterone injections. He said you usually start those earlier ( I think he said around 16-18 weeks?), but they would still be effective. One thing he talked about was how others (those in Maternal Fetal Medicine) were concentrating on the sensitization and forgetting preterm risk. I'm glad he's on top of something that was primarily overlooked. It was mentioned that we may start weekly cervix checks depending on what was going on with my body. I asked about being on restricted activity and he said at least another week and to "spend the majority of day sitting down off feet".
June 23rd we hit the 29 week mark. Baby is thought to be about 2.5 lbs--like a butternut squash--and is a tad over 15 inches. (picture 6/25)That evening a nurse from Dr. Lunt's office called and asked if I could come in the next day for the first progesterone injection. I was given the option to bring someone in with me who could be taught how to give me the injection or have it given to me in the office. I opted for them to do it in the office since I'd be in there every week anyway to be seen and checked. Besides, the only person I think I would want or trust to give me injections like that would be my sister Michelle, but for some reason she won't come out from Ohio to do it every week. =P That first injection didn't hurt was it was done until Monday...4 days later! Then it was sore ALL day and I could see a little bruise. Ouchie. Wednesday June 29th was the next OB appointment. I think it was the quickest appointment I've ever had there: I was in and out of there in 35 minutes. I usually don't even see the doctor by then. It was great! Either they were really on top of things or it was early enough in the morning to not be behind at all. He asked how I was, when the next perinatologist appointment was, listened to Caleb's heartbeat (128), and said he'd see me in a week. I asked about being on restricted activity and he said yes to continue that to be safe. So I can probably count on that until baby is born, meaning take it easy as possible and do as little as possible. I was given another progesterone injection which hardly hurt when done, but that evening I started to feel it, and the last one still hurt. Two sore cheeks/hips at once! Hopefully they will always feel better before the next one. Since I know I'll be in there weekly we went ahead and made my appointments for the next six weeks. One thing I learned that I had misunderstood thus far was the anemia chart and where Caleb was. I thought because there was anything to plot on the chart that it meant he was anemic, just very little. Apparently he's not anemic at all! The specialist report that Dr. Lunt read recorded an "absence" of anemia. That's way better than what I thought! Dr. Lunt said the Doppler readings of Caleb's brain's blood flow are where a normal baby would be. Yippee! Now if only it could just stay that way...June 30th we officially made it to 30 weeks! Baby should be about 3 lb--the head of a cabbage--and is about 15.7 inches long. (picture 7/1)July 7th was the 31 week point. (About 3.3 lbs--like 4 navel oranges--and over 16 inches long.) The day before (7/6) I had my weekly OB appointment. All went well--minus having to pee in a cup when I can no longer see over baby belly. I told doc I had had some days recently where I have been sooo tired and if it was possibly a side affect from the injections or my anemia. He gave me a blanket "yes" and said it's "the progesterone, anemia, and pregnancy." Three whammy's. Lucky me. Caleb's heartbeat was great at 130 and Dr. Lunt ordered blood work to be done to check the titer. Here's an explanation on that:

"Antibody titer is a laboratory test that measures the presence and amount of antibodies in blood. The antibody level in the blood is a reflection of past exposure to an antigen or to something that the body does not recognize as belonging to itself. The body uses antibodies to attack and remove foreign substances." http://www.healthcentral.com/ency/408/003333.html

I went to the lab for the blood work right after my super early appointment (7:45am) and by 2pm in the afternoon I received a call from my OB's office. It's NEVER a good thing when THEY call ME. It was one of the nurses calling by instruction from Dr. Lunt to let me know the lab results. The titer went up. June 10th it was 1:32 and here a month later it was 1:128. They wanted me to know just FYI and to make sure maternal fetal medicine knew that during my appointment the following week. So what that translates to is my body is producing more antibodies which attack my baby (who is a positive blood type). I will probably start seeing the perinatalogist more than once a month. They'll most likely have to follow Caleb a lot closer now that we're seeing what we anticipated seeing. My poor little baby. He's just a little guy. He never hurt nobody.

Tuesday, June 14, 2011

Pregnancy Update...Things change

May 26th was my 25 week mark (picture 5/29) and baby is approximately 13.5 inches long and 1.5 lbs which is about the same as a rutabaga.
My 26 week mark was June 2 (picture 6/6) and baby was about 14 inches long (an English hothouse cucumber) and 1 2/3 lbs. By that point I could no longer see under my belly and it got really uncomfortable to bend down at all. Wednesday June 8 I had my routine OB appointment and Tuesday the 14th another specialist visit. All was well at the OB: belly measured right on track at 26 cm and baby heartbeat was great. There was an interesting skipping rhythm to it and doc said that meant he had the hiccups. Made me laugh; it was cute. From here on out Dr. Lunt said he'll see me every two weeks (typical to be seen every other week starting at 28 weeks). He also ordered more blood work to be done and gave me the order to do the glucose test for gestational diabetes. Thankfully the test was negative (so no diabetes) and the blood work for my titer was high but not beyond what it has been so that's good. June 9 was 27 week mark and baby is almost 2 lbs (like a head of cauliflower) and 14.5 inches long. Had a very unpleasant day that very day. Was planning to go do the glucose test that morning but wasn't feeling up to it--my bowels felt strange. Ended up with a miserable discomfort in the lower regions, a sensation like I had to urinate really bad but there was no relief. That's exactly how it felt at the beginning of my kidney stone last fall so I worried. I didn't feel like doing anything so I never got dressed and couldn't do anything but feel miserable. Porter was a perfect angel and content to watch shows all day and went down for his nap just fine. I felt the discomfort (it thankfully never turned into the excruciating pain I experienced with the stone) from about 9am-5pm and then it kind of went away. I tried to get a hold of my doctor's office all day to see what I should do and if I should come in. All I got to do was leave a message and finally got a call back at 5:30pm. I was instructed to come in to the office first thing in the morning, unless I felt the pain/discomfort again then it was straight to labor and delivery. I was feeling so much better that evening so I made it to Roundtable for Scouts and ran a few errands while I was feeling okay. When I went to the doctor the next day (Friday the 10th) they took a urine sample and when I saw it was brown from having blood in it, I couldn't hold back tears and really started to freak myself out. I had thoughts of kidney stones, or failing kidneys, or something not good that would land me in the hospital and jeopardize my baby. Then they put me in the same exam room I was in when I went for my 35 week routine appointment with Porter and found I was dilated to a 7. That very minute I was sent to the hospital to have a baby. I'm never in that room so the deja vu and memory of that day freaked me out. I was also worried when the nurse came in the room in a hurry and said "We need you to undress waist down." She threw a paper drape on the table and rushed out. I thought "Uh-oh, this isn't good." The nurse practitioner (she is so nice) came in (again with the deja vu 'I've been here done this--last time you sent me to the hospital to have a baby') and checked me. She wanted to make sure my cervix was what it should be (closed and not dilated) and thankfully all was well! Then she told me it was a UTI (urinary track infection)/bladder infection and would clear up with 7 days of antibiotics. I wanted to celebrate. I was so happy that's all it was and not the alternative. We scheduled a follow up appointment for a week later but didn't need that after all. I was back into the doctor...again...within a few days. Here's where things changed. I felt good on Friday (the day I went to the doctor) and back to normal and as good as new Saturday (LOVED the adult session of Stake Conference). Sunday morning--June 12th--I woke up feeling pressure in the very low region and I thought "Weird", but attributed it to the UTI. Got dressed and ready for church and went to Stake Conference. I wanted to stay for the whole two hours so bad but after thirty minutes the pressure was so intense it was getting to be beyond uncomfortable and I couldn't listen or concentrate. I told Aaron it was time to go and I felt bad for leaving. Porter was so cute; as we walked out of the chapel into the hall we told him we were going home. His response, "No! Go class!" He wanted to go to his nursery class! So cute!!! At home I thought I would wait it out and hoped it would go away. It started to go from pressure to pain so I called my personal RN (my awesome, amazing sister Michelle) who I go to first for every medical concern/question/advice and I ended up getting a hold of her later. I called Labor and Delivery at the hospital to ask if I should come in. I was told yes if I needed to but maybe try calling Dr. Lunt's office first. His answering service paged him and he called me. I explained I felt pressure and asked if it was a normal UTI result (although I thought it was strange since I was going on 3 days of antibiotics and had been completely fine the previous 2 days). He said it was a common pregnancy complaint but if it worsened or if I felt I needed to go in to be seen at L& D or to the clinic (his office) the next day. Monday's are his surgery days but he said I could get in to be seen. So I decided I should wait and see how I felt. The pressure and pain persisted and when I started making a lot of grunts and sounds Aaron (who was trying to take a nap) asked if it was time to go in. I said yes. I really didn't think it was contractions (although I felt that pressure when I went into preterm labor with Porter) because it was a constant feeling but thought I'd better be safe than sorry and get checked. We dropped Porter off to play with his cousins (he was so excited) and on the way to the hospital I cried because it hurt and I was kind of scared. We got to the hospital about 1pm and ended up being there in triage for almost 3.5 hours. I went through the routine: got naked and slipped into a sexy hospital gown with all the openings (ha ha), urine sample, hooked up to monitors (one to monitor baby heartbeat and the other to monitor any contractions if there were any), asked a million questions, and waited. Brianna (?) was the nurse who checked me in and Melanie was my nurse from there on out. Aaron kept busy watching a movie on his iPad and holding my hand when I needed. I sent updates/text messages to friends and family and called my sisters. Michelle is always so helpful explaining medical things to me in layman's terms and telling me things to ask. Thankfully no contractions at all and Caleb looked perfect. His heartbeat was great and he was moving the entire time. He kept kicking the monitors like they were invading his space; made me laugh. Funny little fighter. The longer we were there the better I felt--physically and emotionally. The pain subsided and I wasn't so worried once I found out there was no indication of labor. I was told it was probably just experiencing the UTI and there was blood in my urine because of that. Due to my history of preterm labor the nurse said Dr. Lunt wanted to do one more thing just to check something out before I was sent home. She checked my cervix and thankfully it was good and closed, then she did a swab test called the Fetal Fibronectin Test (fFN). Here is an online explanation:

"Fetal fibronectin is a 'glue-like' protein that bonds your developing baby to your uterus. Fetal fibronectin is detectable in vaginal secretions in the very beginning of pregnancy, when this bond is first forming, and then again at the end of pregnancy, when your body is getting ready to deliver your baby. fFN is a special protein that literally holds your baby in place in the womb. After the 35th week of pregnancy, it begins to break down naturally, and is detectable. If your body is getting ready to give birth prematurely, fFN may be detected before week 35. A fFN test...can help your doctor tell if your body may be getting ready for delivery, even before you feel any of the symptoms."

[http://www.ffntest.com/info/fetal_test/what_fetal.html]

They did the test just as a precaution but didn't expect anything from it. We waited and waited and the nurse came back very surprised that it was a positive test result. She said it's a test that indicates early delivery. She told me it's not 100% accurate test but the next day Dr. Lunt told me pretty much that it was. I was given a Betamethasone (1M) steroid shot--as a precaution/"just in case"--for developing baby's lungs faster and told to return in exactly 24 hours for the second injection. It was given in my right hip (and it HURT) and would have to be in the other hip the next day. I was also instructed to be on restricted activity for the next 24 hours: she said go home, sit down, don't make dinner, don't do housework, and just don't do anything. We were discharged about 4:30pm and we got our little tired boy and went home. I sat on the couch and started drinking LOTS of water. My bestie Audrey sent over lasagna for dinner which was so kind, helpful, thoughtful, and delicious! Aaron took care of Porter (who first fell asleep in my arms on the couch; I gave him a million kisses) and we watched several episodes of "The Big Bang Theory" (hilarious show). I got up to pee a lot (very good; had to move along the healing process of the bladder infection). I was planning to be at the hospital the next day--Monday the 13th--at 4pm for my second shot, but Dr. Lunt's office called that morning and asked if I could come in to get the shot and talk to him. (So we of course canceled the appointment I had for Wednesday which was a follow up from last week's UTI diagnosis.) I went in at 1pm and was given the second injection in the left hip. The nurse had me stand for that, which made me nervous thinking I would buckle and fall to the floor, but it didn't hurt as bad going in as the first one. Once it was over I sure felt it's wrath and it was pretty painful. Dr. Lunt (he is such a great doctor) came in to talk to me about the fFN test result and about the results of the last blood work done. He checked my cervix--still closed. He said to stay on restricted activity for an undetermined amount of time: no housework, no shopping, no walking around. I asked what the difference was between that and bed rest. I was basically told on bed rest you can only get up to use that bathroom but that's it. Sounds about the same to me. I told him I had a lot of things planned and coming up (trips, Porter swim lessons, etc), and responsibilities (church calling, Scouts). I asked how long I needed to do this...until a certain time, until baby was born...but he said we'll see how it goes but be on restricted activity until we get further along. I asked if I could still go to our previously planned trip to Manti for the pageant next week. He was a tiny bit hesitate but basically said go, just get there and don't walk around; find seats at the pageant and sit. I said OK! Soooo, for now I have to lay low and not do much. Thankfully so many friends and neighbors have offered to help in any way they can and take Porter whenever needed. That's what I'm most concerned about so I will be calling and sending Porter to friends houses to play; don't want him to be cooped up and get cabin fever. Family is always there with unconditional love and help so we have a great support group around us. For that I am extremely grateful. It's hard to ask for help or even accept it, especially when I know there are so many people who need it more, but there are times when it just needs to be accepted. One thing is for sure now--I'm going to start taking sleeping pills! Past two night haven't had much sleep. Have been waking up several times a night or early early morning to pee or feeling the pressure which is uncomfortable, and then I'm wide awake. And forward we go.

Tuesday, May 24, 2011

Pregnancy Update-So far so good!

20 weeks--half way!!! The size comparisons start to change now to compare foods to the baby's length; not so much the size of the baby. At 20 weeks baby is the length of a banana--6.5 inches. Approximate weight is 10.5 ounces. At this stage the online info says I can expect to gain another pound or so each week from here on. I was 20 weeks on April 21st but picture taken the 23rd.

At 21 weeks the baby is the length of a 10.5 inch carrot (that's about 4 inch growth in a week). Baby is estimated to be 3/4 of a pound. I was 21 weeks April 28th but didn't take the picture until May 1st.
May 5th marked my 22 week mark but picture taken the next day. We were in Nashville that week and the following week as well. Baby said to be about length of a spaghetti squash--11 inches--and almost a pound.I was 23 weeks on May 12th but picture taken the 14th--the day we left Nashville. *sniff* Baby size comparison was about the size of a large mango--just over a pound and just over 11 inches long. I intended to go buy a mango for the picture but never did.May 16th--24 weeks along--I had my 3rd appointment with the perinatalogist and saw Dr. Jackson again. The actual 24 week mark was May 19th (my niece Eliza officially became a one month old!) and picture taken that day. Baby is about a foot long (length of an ear of corn) and over a pound. Caleb was such an active squirmy-worm during the ultrasound. Little dude does not hold still! The technician was a quirky, nice lady who called Caleb cookie, noodle, stinker, and honey. Most of the time his legs were crossed Indian style and he kept moving and hiding his face when he wanted a face picture. I feel move him A LOT. Mostly mornings and evenings; he must sleep in the afternoon. I never felt Porter this much. Porter was such a calm baby, but Caleb I feel all the time. Comforts me to know he is moving because that's a good sign of baby being okay! At 24 weeks they start charting the blood flow in the baby brain that tells them how anemic the baby is and how at risk they are. There are four linear curves and today Caleb was on the very bottom curve which is great because it means he is on the low end of being in danger/anemic/at risk/sick. Now let's just hope and pray he stays on that curve! Next regular OB appointment is in a couple weeks and I'll see the specialist the following week, so we keep truckin!