Thursday, June 18, 2020

That Bed (un)Rest Life

 We survived our hospital stay and made it to week 29! And we are exhausted.

To be honest, I was feeling okay about the whole hospital visit. It really hadn’t been as bad and traumatizing as some of our other hospital experiences, just longer (72+ hours). It was easy to be thankful, though, that our stay was so boring and uneventful. I would much prefer being bored to being stressed/anxious/traumatized!

They told us before we were discharged that they aren’t going to let me go past 37 weeks, which pushed up our due date to August 11 (eek!). We will continue to have weekly ultrasounds and bi-weekly appointments until 32 weeks and then probably have more frequent check-ins after that point. The reason is so that if something seems iffy or dangerous, they can determine if a c-section before 37 weeks might be in our best interest.

In the meantime, to be on the safe side, I have been put on modified bed rest. I am not confined to bed completely, but my activities are seriously restricted—no more working, limited climbing of stairs, only 5-10 minute walks, not too much bending, no lifting more than 10 pounds (which I’ve been restricted to almost the entire pregnancy anyway so that one’s not new), and obviously, continued pelvic rest.

The funny thing about it all is that not moving regularly can worsen varicose veins and cause blood clots and hemorrhoids. So I have been diligently wearing my compression stockings (it helps that I’m not really leaving the house except to go to the doctor so trying to look fashionable is pointless anyway), drinking about a gallon of water a day (not an exaggeration, which is funny because up until a couple weeks ago, drinking enough water was a bit of a struggle, causing me to feel nauseated. But recently, I can drink a gallon of water in a day, no problem!), trying to get up and move around the house every so often (my bladder helps remind me to do this!) and to alternate between sitting and lying on my side. 

I was adjusting to this fairly well the first couple days, then I received a message from the doctor saying that they had found a type of strep in my urine sample and I needed to take antibiotics for a week. That put me over the edge a little bit. It just seemed that no matter what I did, something was always going to be wrong.

Then at our most recent ultrasound yesterday, I was really set over the edge. This time, they could see the bleeding from the placental abruption. It’s still not huge and not causing me any active outward bleeding, but it’s there. I can no longer convince myself that the bleeding I experienced early last week was just a fluke or nothing to worry about it. 

In addition to the bleed, the baby seemed to be measuring small compared to what he measured the last time. He was still in the normal range, but not where my husband and I hoped/expected him to be. This was a red flag to us, having been told it was possible that with my abnormal uterus, the baby could eventually run out of room to grow.

We didn’t have an appointment with the doctor (we were at the specialists’ office), but the tech told us she was going to talk to the doctor before letting us go, just in case. For 25 long long minutes we were left alone to wonder all of our worst thoughts, the most prominent being, “Are we going to have this baby today?”

It was a terrible feeling, but the tech eventually came back and assured us that the doctor was not urgently concerned as long as I was still not having active bleeding. If I did start to have active bleeding, I was told to go to the hospital for admission and monitoring.

We left unsatisfied with our answers, and sent a message to my primary OB asking for clarification. She assured us she would call as soon as she received the report. We waited all day with no word, and after I cried many tears, we talked ourselves into believing that it was likely there was some level of error in the measurements, and that if the bleeding was an immediate danger, they would have sent us to the hospital right away.

Today we heard from the doctor and she told us pretty much that. She explained a little bit more about what measurements were considered normal that the really important ones measured consistently, and that we were not in what would be considered a danger zone. The placenta, though a slight abruption has been detected, still appears to be functioning normally, and our son is still receiving the nutrients he needs. And the bleed is small enough for now that as long as I do not see any outward bleeding, we should still be okay.

It was a slight relief to hear that, but it also forced us to let reality start to sink in. The reality is that there are no clear answers with this pregnancy. Only time will tell us anything. The knowledge that I could begin bleeding again at any minute brings back bad first trimester memories and fears. (Remember those 7 whole glorious weeks where I didn’t have any bleeding?! Those were the days...) The knowledge that at any time we could be faced with an emergency where our baby needs to be born immediately makes me feel horribly unprepared—mentally and otherwise.

The reality is that our baby could be born at any time now, and we are helpless while we wait. I can eat, hydrate, rest, and pray that no matter how it all goes down, my baby and I are healthy and safe in the end. All signs point to him being a fighter who will ultimately be fine if it is deemed necessary that he come early, though some time in the NICU would be probable. But there are no guarantees.

That’s life, though, isn’t it? There are never any guarantees. We are thankful we have so many doctors looking out for us and our baby boy, and we just pray that they have the wisdom to make the right decisions for us and our ever-evolving situation.

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