Tuesday, October 11, 2016

Confessions of an Anxious Mama: Pregnancy After Loss Edition V - The Final Countdown



Today is Tuesday, October 11. As I lay in bed this morning, I realized at this time next week - if not before then - we will be at the hospital in labor. We've reached the one week countdown for our scheduled induction for Hadley's arrival. Immediately, Europe's Final Countdown started on loop in my head.

However, it's been an interesting few days. I can proudly say that I made it to 36w3d in this Pregnancy After Loss (PAL) until my paranoia got the best of me and I ran out the door, hopped in the car and drove like a bat out of hell to the hospital thinking something could be wrong.

It's no secret that PAL is scary stuff. People can tell you until they are blue in the face how everything will be fine, lightening won't strike twice, etc. However, they don't know that and for a Parent of Loss trying to do this again, every day can be a struggle to release those scary and anxious thoughts from your mind. Those going through this or have been through this, can I get an amen to that? I think almost every mama I've talked to who has gone on to deliver after a loss has their own version of this kind of story, so here's my account of the OMG, something is wrong! moment.

We had our 36 week appointment on Thursday of last week. My blood pressure was a little elevated and she had one spot in her cord out of the four checked that had umbilical cord blood pressure elevated in the 3's. All the other spots checked were still in the 2's, so my doctor was comfortable, but she just said I needed to rest. I was getting sick with my annual fall allergies, overdid myself a little bit at work the day before, sleep hadn't been great that week, so I welcomed the doctor's orders for rest.

Fast forward to Sunday morning. I had felt really crummy due to allergies since Wednesday, increasingly more by the day, and woke up feeling the worst on Sunday. My lower abdomen hurt but I thought it was just round ligament pain and overall discomfort. I posted this on instagram and decided to take a shower to get ready for the day. An hour later, I was rushing to the hospital.
Careful what you post, it could come true. 

Max had been invited to play golf with my dad and brothers. He said he didn't want to leave me but I told him to go and enjoy, it may be a while before he gets out on the course again. While the boys of the family played golf, my mom wanted to take me for my last mani/pedi before baby. After all, she had this dream on Friday night and has been saying for a few weeks now that she has this feeling Hadley will come earlier than our planned date, like I did (I came 5 weeks ahead of schedule). On his way out the door, Max joked - don't go into labor without me! I told him very funny. I took a shower and started to get ready. My lower back had been hurting so it felt really nice to just let the hot water run over it. Just before I started drying my hair, my eyes caught a glimpse of the home fetal heart monitor on my bedside table just sitting there and so I decided to take a listen, because why not? I hadn't listened from home in about a week, it gives me a little pep in my step to check in on her and hear those beautiful beats.

I found her heartbeat right away but it was fast. Really fast. Like, uncomfortably fast. Not just fast, it was rapid. During our appointment with the hospital's Fetal Care Center at 31 weeks for the umbilical cord scare, that specialist said if her heartbeat ever rose above 160, that could be cause for concern, it could mean she was in fetal distress. Now this is not in every circumstance but because we were experiencing an umbilical cord issue again, it was something we needed to take watch of and a sign for us not to ignore. I watched as the numbers kept rising and nearing 160, then over 160 and they went from green to red on the display screen. They got to 171, then kept climbing to 187. I held it there for a good three-ish minutes without them coming down at all. I took a break, trying to stay calm, and then did it again with the same result. I texted my nurse and then decided to check one more time. When they hit the 180's again I decided nope, not going to sit here and ponder this, I just need to head straight to the hospital. I was trying to talk myself off the anxiety platform I quickly scaled up in that last 10 minutes, that it could be my monitor that's messed up. The anxiety rebutted that it could also be correct because the readings have been pretty spot on this whole time. Either way, I wanted to make sure everything was okay and not take any chances. I didn't have signs that I picked up on with Hudson, I didn't have a chance to go to the hospital and make sure he was okay. If something was so much as slightly off with her, you bet I was going to take every precaution I could.

I called Max but I knew they were teeing off right around that time and his phone was probably in the cart and/or on silent. I left a message and then called my mom who was expecting me at her house by that point. I told her hey, so change of plans, don't be alarmed but meet me at Baylor. Max called back and I told him everything as of right now is okay, to stay put, mom was meeting me and I'd call if something isn't right. That I feel her, there is a heartbeat, I'm just going in for reassurance. I prayed the whole way to the hospital, even talking to Hadley telling her to calm her little self down in there, and to Hudson to keep watch over little sis and mama.

I waddled into Labor and Delivery and immediately the icy-hot feeling was trickling throughout my veins. You know that feeling? Like when you realize you messed up and did something wrong. Or when cop car lights are behind you and you think you are about to be pulled over. That's the feeling I get when I'm overcome with nerves and fear. Stepping in there again after the last time was something I was started to feel very emotional and anxious about. However, my adrenaline was pumping and I had one focus, making sure Hadley was okay, so I quickly dismissed what was conjuring inside and just concentrated on trying to find someone who could check her heartbeat as soon as possible. I ran into a nurse in the hallway and told her I was a high risk pregnancy, I'm 36 and a half weeks, my baby's heartbeat is very rapid and in the 180's, I want to make sure everything is okay. She told me to go to the ER and proceeded to give me directions.

I took off speed waddling down the hallway and then of course, in my typical fashion, I got lost. I couldn't remember what she said after the second left turn, wait was it a left or was it a right? Not the best time to have pregnancy brain. Luckily someone else turned the corner and breathless by this point, I simply looked at him and asked ER? He said down the elevator to the basement and follow the signs. Y'all, it seemed like a mile away and the never ending hallway of twists and turns that just kept going and going and going. It was pretty dingy, walls lined with trauma beds, I halfway expected to pass a door that read "morgue" and completely lose my sh*t.

I finally made it to the ER. I was passed to three different people behind the desk before a nurse came to the window. I was able to calmly say that I was worried about my baby's heart rate being too high and feared she was in distress, that I am high risk and lost my son to stillbirth 16 months ago due to an umbilical cord accident. I am pretty sure I had one of those tooth-grit-white-knuckle moments where I said between my teeth I just need to make sure she's okay. As if everyone who worked in the hospital just walked around with a fetal heart monitor in their pocket and could pull it out to take a listen right there. Rational. This angelic woman peacefully told me that since I am so far along, I needed to go straight to Labor and Delivery. To which at that point all the hormones and emotions flooded out and I lost my composure to choke out but they told me to come to you. Tears were falling, I just wanted to hear her heartbeat right then and there, thinking if this were a ticking time bomb we are really doing a crappy job of handling it.

She immediately hopped up, got a wheelchair and a male nurse with a clipboard. They sat me down, I filled out a form in my best hand-shaking, frantic chicken scratch, and he began to wheel me back through the basement maze hallways, up the elevator and back to Labor and Delivery. It was much quicker in a wheel chair. We approached the desk I couldn't find on my way in. That desk. The same desk I checked into last time. It had an uncomfortable "deja vu" feeling. The emotions were rising again but I pushed them back down. Composure was back and I was able to calmly share why I was there with the receptionist. We started paperwork and luckily I had already pre-registered so that process was short and sweet. My mom texted that she was parking. They took me back into a room and had me put on a hospital gown, then proceeded to hook me up to monitor Hadley. Last time I did this, I was in tears, clutching my belly, trying to get one last glimpse of myself pregnant with Hudson.

I sat there on the bed, legs crossed, back straight just looking around the room thinking here it is, I'm back here again. I could hear her heartbeat on the monitor and it was just as rapid as it was when I was at home, but it was still a heartbeat and I was at a hospital so if something needed to happen, it could happen. I had been anxious about being in a room like this again, but this room was different than last time. Still a delivery room, but it was much smaller and just different than before. I was calm. The nurse came back in and had me lay on my side. She explained that they were going to monitor for a bit and in that time, her heartbeat may fluctuate but what we want is it to establish a baseline in the 150s or lower. That if we did that, all was good.

She then asked me if I was feeling any cramping or in pain at all, I said my lower back has been in pain and I've had some low crampy aches in my abdomen. She asked if I was feeling it at that moment, and I told her yes. She smiled and said that I was actually having contractions. Oh. I didn't remember what those felt like really because I was in such a different state the first time and had the epidural pretty quickly. I realized I woke up feeling them but wrote it off as though it were normal growing belly pains.

My mom came into the room. We looked at each other and kind of laughed. She said I told you she could come early. A little bit later the nurse came in and was taking my entire medical history, which helped the time pass by. A doctor came in and she let me know that Hadley was looking just fine, heartbeat was lowering - though still jumping up a bit - it increased with my contractions and she was reacting to them. She did a sonogram to check Hadley's heart, to see her practice breathing and movement. I hadn't had lunch yet and that time of day was usually a calm time for H unless I've had a meal and then she reacts to food. Her heart looked great but she was napping and not cooperating with what they needed to see. They brought in some juice and mom had a chocolate square she gave me, so about 10 min later we were able to see some practice breathing and she started moving for us. Of course, as soon as I was getting in my car later, she was jumping those legs around but just wanted to be stubborn when put on the spot and it mattered for her to move.

The doctor told me that I was about 1.5 cm dilated and contractions were somewhat irregular and at a low strength. Therefore, I was not in active labor. About an hour of being hooked up they reported that Hadley was just fine and I could head home. I had an appointment scheduled for 11:00 am Monday so we all felt good that I'd be back to check in again within 24 hours. It was the right thing to go with my gut and not ignore it. Her heart rate was high, it was too elevated, but it lowered itself and it was in response to my body preparing for a pending delivery. She wasn't in fetal distress, thankfully.

Lately with delivery becoming closer and closer, I've thought a lot about being back in the same place that Hudson was delivered. The whole experience and being in that same environment again. It's made me really emotional the closer we get to that. This episode broke the ice on that. It was like the practice run for it. There were times it started to feel overwhelming, but then it went away as quickly as it came on. Just like I was having the anxiety about reaching the week of loss, we had the scare a week and half before that and implemented increased appointments and monitoring, bed rest then a modified bed rest and reduced activity schedule. I entered that week with peace and more calm than I would have otherwise. I believe that Sunday's experience is helping in the same way as we are counting down the single digit days.

Monday's appointment went well, she is measuring at 6 lb and 11 oz. Obviously labor did not begin and my mom's premonition of 10/10 didn't happen. We head back to the doctor on Thursday and will be 37 weeks. We are just taking it as easy as possible until then, hoping not to go into labor before Thursday. After Thursday, if it happens, my doctor is fine with it! We will most likely make it next Tuesday and be induced, but there's a chance she will come on her time. Either way, I'm glad my body is starting to do this on its own a bit and we will just see what happens. Most importantly I'm calm going into this. I feel at peace with it. I'm ready for it. I've let go of "the plan" we have in place and I'm ready for whatever comes between now and October 18. For the time being, I do not have any fears surrounding it. These are big personal milestones on this journey and I'm thankful.

2 comments:

  1. Whew...breathe....and now we will too! Praying often!

    ReplyDelete
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