35 weeks

It's still so hard to believe that we only have at most three weeks to go until we meet our little girl. I can so clearly remember a time when I didn't even think we would make it to 8 weeks let alone 38.

I had a vivid reminder of that sheer panic earlier in the week. I wrote previously about how my cousin's announcement that she was expecting her first had sent me into a spiral and that I was sure this meant she would get to keep her baby and we would not. Finding out that her little one arrived this past week brought all those feelings back. I just couldn't shake the feeling that this was it, her baby was here and those wiggles and pokes I was feeling as I read the news would be the last. Hubby said all the right things (he's getting very good at this!) but I still didn't manage to shake the feeling for a couple of days. It still pops up every now and then, but it's not even been a week since I found out, so I guess that's to be expected. We had actually talked about asking not to be notified, but I just never got around to mentioning it to anyone.

Things are going well for us. I stopped progesterone completely last week and I stop aspirin this week. GD seems well under control, I've only had one high in the last week when I had lunch out and even the wholegrain bread was obviously enough to send me over. Our 36 week growth scan was good and I'll take the report to the hospital tomorrow for my group of appointments. I see the psychologist, the midwife, the OB and have CTG for baby. Last time I was there for almost 6 hours.  Hopefully tomorrow will be a little smoother as I have to go back the next day for an endocrinologist appointment.

Bags are packed, car seat is installed, nursery is complete... now we just need our baby to come home with us.

21 and 22 weeks

Things seem to be speeding up around here! I feel like I am back to appointments almost every other day and while it is so very good to know that everything is progressing well, it is so exhausting.

After my scan last week I had a bit of a break, although also had to go in to school to finalize things. I know there are a few people wondering why I am off so early, but the face that I feel so much more relaxed now is just amazing. And it has made SUCH an improvement to the pain in my leg! 

This week I saw the endochrinologist for a follow up on my GD and they have stopped my metformin. It was a bit of a struggle the first morning, wondering if it was going to hurt baby but she gave me a little kick which I took as a sign of reassurance. They said they needed to do this now as there is some evidence that it can cross the placenta and after 28 weeks this could cause problems for baby. I just have to keep a close eye on my blood glucose as the metformin was also acting to reduce this.

Everything else there is going ok. I am getting better at judging what and when to eat, although I have had a few nights where I just HAD to eat something late, especially when we stay up late to watch the football - it's hard to make it to 2am without something to sustain me!! It does make my morning numbers a bit higher, but still within range so I am not too worried yet.

I then had my hospital appointment which, all things considered, was the best one yet. I still had to wait for ages, but once I was in the doctor was lovely. She had a student who struggled with everything, couldn't take my blood pressure, couldn't measure baby, poked me WAY to hard when feeling for baby and then couldn't find baby's heartbeat with the doppler. I could feel her wiggling, so I knew she was ok, and I even told the student where I usually found the heartbeat at home. No luck!

The doctor found an ancient ultrasound machine, just to locate baby's heart (and bonus I got to see her wiggle again although the image was terrible!) as the machine was too old to even have sound. They still couldn't get the heartbeat, so I just asked if I could have a try - got it immediately and a nice little 152 popped up on the monitor. That's my girl :)

I was given pathology slips for rhesus anitbodies (I'll have an anti-D at 28 weeks all being well) and iron levels. I asked about Vitamin D and was told that they are no longer allowed to request this unless there is proven low Vitamin D (I wonder how they would know this without testing?). I showed her my previous result and she added it to the request right away! 

I also have slips for ultrasounds every 2 weeks, 26, 28 and 30 weeks for now. They said they'll keep on eye on baby and take things week by week. I then asked about delivery and this doctor was sure that my back would be no hurdle to 'natural' birth, even when I told her that when it goes off I can be bedridden for weeks, not ideal with new baby. So she's asked me to bring my xray and scans next time for review.

In the meantime, I have also found out that, given the overall picture, they feel it's best for me to stay at this hospital and not transfer. I guess I understand, I certainly wasn't as upset about it as I thought I might be. Talking about my experiences there the last pregnancy she felt I was showing signs of PTSD which I had thought about but not really acted on. She's referred me to a psych service within the maternity ward. 

Next week is already filling up with physio and follow up scan for baby to hopefully measure those tricky bits of her heart she wouldn't let us see last time. As well as my usual weekly progesterone level blood test. 

Now to tackle the house...

20 weeks!

We were so excited to finally get to see our baby girl again on Monday at 20w5d. Four weeks has been the longest time between scans but thankfully our doppler and her tiny kicks have been enough to assure us that she is doing ok.

I was doing really well with anxiety until we actually got in the car to drive to the scan. After all, I told hubby, this is often when couples find out that there is something developmentally wrong with their baby. Her heart and her brain were my two biggest worries, we already knew she had the right number of arms and legs!

We were lucky enough to go right in and I knew it would be a long scan right away as our little miss was wriggling like a mad thing. While this was a thrill for us to see, it made it super hard to get any measurements of the important parts. Between prodding with the ultrasound and having me change positions, then going out for a walk and 90 minutes later we had confirmation of everything except one measurement for her heart. The good news is, that means another scan in two weeks.

The only down side is this will be the first scan I have had this pregnancy that I have to go on my own. I know it's not logical, but I am terrified that this will mean something is wrong and I'll be on my own to try and cope with it. Trying not to think about it too much at this point, still two weeks away!

Hubby is still frustrated that he can't feel her moving yet, my placenta is making sure of that. There is such a narrow area of  'opportunity' but I have felt her much more strongly over the last couple of days, so I am hoping it isn't too much longer.

He's also started talking about preparing for her arrival. He told me that once we make it to 28 weeks he wants to start work on the nursery. A little scary for me, but he acknowledged that too. He's also decided that he doesn't want to decide her name until much closer. I'm definitely not sure about that! I said that I would prefer as soon as possible so I can start calling her by name. We then got distracted by thinking of names and didn't really come to a conclusion on that one!

I also, bravely, bought a little body suit. I managed it by telling myself that it wasn't for baby but for hubby, I wanted him to see how tiny she would be when she arrives. It worked a treat and he was amazed, holding it up over my bump.

I honestly have to say that since I have been able to feel her move more often, a lot of my anxiety has lessened. I am sure it will never go completely, but I am able to focus much more on the fact that she is here now, making her presence felt, than worrying about what might happen next.

Expectant miscarriage

Maybe I am just weak. I feel completely drained and exhausted and today is the first day in a week that I haven't taken any painkillers (yet).

After my scan last Wednesday hubby came home and we had a long talk about what do do next, waiting, medication or d&c. He was very reluctant to have any input, as he said I was the one who would ultimately have to go through it, but I felt that even if I was to make the final decision it was important that I knew his feelings about it.

We decided that I would ring the clinic the following day to schedule a d&c and ask about testing for our baby. Somehow we got on to the point of whether or not they would be able to tell us the sex of the baby, and if they could did we want to know.  I was really torn, but hubby said that as we didn't know for any of the others, it didn't feel right to make this baby any different. I understand that, and then he said that it would be too much for him to know and make it too hard to cope with, making it more real.

A little less than an hour after this highly emotional conversation I started bleeding. The decision was out of our hands. I had a little pain but not much more bleeding and slept with some kind of peace knowing that things were happening. 

The following morning there wasn't much bleeding and the day passed ok. That night the pain started building to the point where I was shaking and vomiting and hubby called the nurse on call. She told us to head to Emergency and so we did.

I didn't have to wait long, I must have looked a right mess, and they started with all their tests and so on. Soon after I arrived I passed 4 or 5 really large clots and I just couldn't look, even though they kept asking me how much I had passed. I know baby was only 1.5cm but I just couldn't take the chance of seeing something. Almost as heartbreaking as the thought of flushing our baby down the toilet and the thought of it all, and the previous four times, makes me feel sick still.

 They asked what pain relief I had been prescribed when I chose to wait and were shocked to hear that I had been told to expect a 'heavy period' and that panadol and a hot water bottle should do the trick. I already knew from past experience that it would be painful, but what I was experiencing then was almost unimaginable. All the monitoring they were doing showed that far from normal period cramps, I was experiencing contractions as my body tried to birth my baby. 

They were also concerned about my blood pressure which was crazy (most likely from the pain they said) and my white cell count which was above the normal range indicating that my body was fighting some kind of infection. Eventually, an internal examination (super painful) showed that my cervix was still open and nothing was blocking it, the pain was managed, my blood pressure came down and I was given my antiD and sent on my way.

That night and the next day are a bit of a haze of pain and painkillers and it slowly got more manageable. The last few days were nothing more than one or two episodes of cramps and heavy bleeding a day. By the following Tuesday a scan showed that everything has passed and my WCC had dropped right down to 6.

Physically, it was over in 6 days after we found out. Emotionally, only time will tell.


 

Scans, heartbeats and bed rest

After our weekly scan on Tuesday, I am officially on bed rest. I've been told not to go to work and to spend at least 1.5 hours, 4 times a day in complete rest.

Our appointment this week was booked in correctly, for the first time, and we only waited about 10 minutes for the specialist. He still walked in and asked, 'Where are we up to?' I suppose this is normal, but how hard can it be to check your notes before you see a patient?

He had a little trouble finding baby and I was getting anxious, but then we saw that beautiful little flicker on the screen and I breathed a sigh of relief. He was able to measure the heart rate right away (166bpm) but found it difficult to get a good clear view of baby. Even still, he did a rough measurement (still not convinced of his accuracy) and said baby was measuring well. He didn't give us a number.

I mentioned that I was still spotting every day and he noted that there was a blood clot just below baby. He said this would either reabsorb or continue to bleed out and either was fine. That didn't worry him. What was worrying him was that my amniotic sac seemed to be all baby and all heart and very little fluid. This, he said, was not a good sign and although nothing can really be done at this early stage he ordered bed rest and increased fluid intake. Of course we checked Dr Google when we got home and this seems to be the only treatment for low amniotic fluid this early in pregnancy.

We actually had an ok week last week, but this has thrown everything into chaos again. I am now consumed with what the next scan will show and the helplessness of knowing that there is really very little we can do. The only glimmer of hope I am hanging on to is that his scanning technique is rubbish (as evidenced by our first horror scan), that he just couldn't get a good view of baby and that next week everything will be fine.

Once again, we wait.

We've got ourselves a fighter!

To get the best and most wonderful news out of the way first, our little baby is growing perfectly and we saw its tiny heartbeat for the first time. So amazing. Such a miracle.

Now to how we got there...

For the third week in a row the clinic messed up our appointment. This time they actually had us booked in (makes a change) but had us booked for the normal antenatal clinic, not the specialist early pregnancy clinic.

This meant not only sitting in a room full of hugely pregnant bellies not even knowing if our babe was still there (and lots of tears on my part due to the extreme anxiety of it all) but it also meant waiting three HOURS for an appointment that we should have waited no more than 30 minutes for.

When we were finally called in, the specialist asked what I was there for. I know they have so many patients to see, but considering that our last appointment with him lead to the week from hell it was a little hard to hear. I explained. He asked me how the week had been and I told him I'd had a little spotting on a couple of days and he just nodded his head as if confirming his diagnosis. I was shaking like a leaf by this stage. He then suggested we head over for the scan to 'confirm things' and go from there.

In the end we had to wait another 30 minutes or so and then the lovely midwife who we had seen two weeks ago came to see how we were doing. She asked us to fill her in on all that had happened and was very understanding. Then the specialist flew in, poked around with the probe causing quite a lot of pain, looked at the monitor and said 'fetal heart.' He turned the screen around and there for the first time we saw our little baby and the oh so tiny flicker of it's rapidly beating heart. I must have let out a terrible sound, I know I was sobbing like mad, because the midwife came running back in, then looked at the screen and grabbed my knee and said something encouraging. I have no idea, all I remember was squeezing hubby's hand so tight, and seeing the enormous grin on his face, before turning back to the screen. I didn't take my eyes off it again until the scan was done.

Baby was measuring 6 weeks 3 days (according to the single measurement he did, still not convinced it was 100% accurate) which is about 2 or 3 days behind where I thought we were, SO much better than the two WEEKS behind we were told last week. The tiny little heart registered 123bmp.

Now we wait for next week. In the meantime, I have baby's first photo to stare at in amazement.

Another day on the rollercoaster

Today we had our first scan.

After confirming an intrauterine pregnancy (yay!) and a gestational sac, we were then told that the sac was only measuring 4w3d and that based on my dates (which were never discussed) was probably a missed miscarriage.

Devastated doesn't even begin to cover it. I was told to come back in a week if there had been no bleeding for another scan and to discuss 'options.' I had to practically beg the midwife for an hcg test. At least if the numbers were going down I would know what was coming. She agreed, and we left the hospital fearing that our little one was gone.

In the next few hours, waiting for her to call with the results, I learned some interesting things.

Firstly, the size of the gestational sac is supposed to be based on an average of three measurements from different angles. He only took one. It can also be affected by positioning of the uterus, etc. I know from previous scans that my uterus is tipped backwards. To get correct measurements with a tipped uterus can take some doing. My scan lasted only a matter of one or two minutes, so I can't say how thorough it was.

Secondly, 6.3mm is in the range for 5 weeks, not 4, which is still a little behind where I thought I was but could be attributed to late ovulation and implantation.

I was starting to have a little hope, but knew that it would rest on the hcg levels. My result came back at 3700 and the midwife was really happy. I can't tell you the relief, but also the anger that I felt for putting us through that this morning.

I know we are not out of the woods. My levels are doubling just less than the recommended time (but still going up!) and baby is measuring small... but still there! She has recommended me not to take another hcg test in the meantime as different labs can give different results and she doesn't want me worried for nothing.

So we wait another week on the rollercoaster and maybe next week will bring us more good news. We know that a blighted ovum is still a possibility, but we're choosing to hope that the next scan will show us our growing baby.