Today starts my third trimester! I almost missed it, but
over lunch I spent more time than usual reading about my current week – week 28!
And boy, am I already starting to feel it!
Last week my lower back started aching. The kind of ache I
associate with my herniated disc, and which usually requires heavy drugs before
getting better. Unfortunately I can’t take anything other than Tylenol now, which
does nothing for my back pain. The next best thing is to walk a lot. So my initial
plan for this past weekend was to find time to walk both days.
Other than my back, I actually had a good ending to last
week. I had another ultrasound on Thursday, and managed to get into the
breastfeeding class the same day. Although Samantha is still breech and not
showing her facial profile, the ultrasound tech asked the doctor to come into
the room this time. They discussed the issue, and the doctor decided that the
images showed enough of the nose bone. The doctor told me that sometimes there
is an issue if the nose bone isn’t visible. So yay, Samantha has a nose, and I
won’t have to have a 5th ultrasound follow-up. I was also told that
Samantha looks good and is the correct birth weight and such for my due date.
Saturday we cleaned the house a bit, and then I spent the
day going through beads and bead shopping with a friend. I didn’t get a chance
to walk, but my back was feeling better and I figured I’d walk extra on Sunday.
As my friend and I discussed a baby shower over dinner, I fell back on my usual
response that I may still have to go on bed rest soon. But feeling so good
after my glucose test and ultrasound, I also said that maybe I’ll go full term
and have to work until the very end. I should know better than to say things
like that.
At 3:00AM I woke up very sick. I didn’t have a fever, so it
wasn’t the flu. I suspected something like food poisoning or a stomach bug. I
called the advice nurse, and she told me that my symptoms could be early labor.
I would have to go to Labor & Delivery at the hospital if I puked any more.
I went back to bed and had a few sips of water every hour when I woke up to go
to the bathroom. By 7AM I was exhausted and
dehydrated. Samantha didn’t care. She knew it was breakfast time, and my
stomach was extra empty, so she started her morning kicks. Being pregnant means
I feel like puking if I get too hungry. So I had no idea whether I could eat
anything or not. I ate 3 Saltines and drank a few swallows of water. An hour
later it came back up. “Aaron, wake up,
we have to go to the hospital.” This is why I love my husband: he replies, “Well
it beats going at 3 o’clock in the morning.”
We got to the hospital and Aaron discovered a third symptom.
I had a rash all over my face. I still don’t know how that is connected to my
digestive issues, but it can’t be a coincidence.
I spent Sunday morning and afternoon in Labor &
Delivery. Just as I suspected, it wasn’t early labor. Samantha was fine, and it
was really neat to actually HEAR her kicks on the fetal monitor along with her
heartbeat. I wasn’t having any contractions. The doc came in around noon and
told me that my labs showed that I was dehydrated. I thought that part was
obvious. But I still didn’t feel like I could drink much. And I certainly didn’t
want to chance it while being hooked up to a bunch of monitors, stuck in an
uncomfortable bed with back pain, and told that if I had to puke, to do it into
a tiny kidney shaped bowl. I imagined that I’d fill 3 of kidney bowls in one
go, if I was lucky enough to have control and fast reflexes. The image of no
control and slow reflexes was even less appealing. Finally they decided to hook
me up to an IV for fluids. But they let the nurse who was new at it have a try
on me. I’ll spare you the details, but it wasn’t pleasant. Since my arms haven’t
even recovered from the glucose test the previous weekend, I am wearing long
sleeves today. I was also given some
anti-nausea drugs. Before my IV bag was even finished, the doc was working on
my release papers.
The rest of Sunday and Monday were pretty uneventful. Aaron
made a run to the grocery store for me to get soup, juice, and ginger ale. I
kept stuff down but still had to keep up with fluids to avoid dehydration from
the back end. I rested, beaded, and
wrote thank you cards. Normally this would sound like a good time. But
remember, what I really needed to be doing was walking! The more I sit or lay
down, the more my back tightens up.
That’s what I fear
the most about bed rest. Between beading, reading, and TV, I have plenty to
keep me occupied if I go on bed rest. But if I can’t take drugs, can’t lay flat
on my back, and can’t go walking, there is nothing to help me if my back starts
hurting. Before getting pregnant, my back problems were my main concern with
pregnancy, and I even cried about it a few times (mostly when I was swallowing Percocet
for the pain).
Today I am glad to be back at work. This morning was a bit
rough, shuffling through the house to get ready and having to sit down to brush
my teeth and wash my face. But just being able to walk through the halls at
work has eased my back tension from the past two days quite a bit. And the only
lingering signs from my illness are the bruises on my arms and the rash on my
face.
So that’s what has been going on with me physically. But mentally,
I’ve been keeping an eye my week number. In early November I was looking over
the March 2012 Birth Club forums at Baby Center. The featured post is the “Official
March 2012 Birth Announcement Thread.” Curious, I clicked it. At the time, there
were already 3 posts about babies supposed to be born in March 2012, but they had sad endings. The third post was from a mother who actually delivered at
20 weeks, but the doctors couldn’t do anything for the baby unless it was 25
weeks. Until I read that post, I hadn’t
considered what the cut-off was for how early a baby could be born with a
chance of success. At the time, I was somewhere between 21-23 weeks. I didn’t
celebrate when I made it to 25 weeks, but I’ve been keeping track of how many
weeks I’ve made it past. It would still be terrifying to deliver this early,
but at least there would be hope. And I
am happy to report that while the Birth Announcement Thread has grown longer
over the past month, there are several happy hopefuls, even a few prior to 25
weeks!
24 weeks is considered the age of viability (I have reasons for knowing this). However, there have been survivals as low as 22weeks (a mixed ancestry female). The details of the 22 weeks survival are important because boys do worse than girls and mixed ancestry or any ancestry other than European does better than "white." NICU parents are all aware of "wimpy white boy syndrome."
ReplyDeleteAt 28 weeks, the chances of your baby NOT surviving are quite low so long as they are born in a hospital. There is a chance for long term issues with vision or hearing, but that applies to any preemie. Depending on the NICU level, a 28weeker probably wouldn't even need transferred, but it would still be best to be transferred to a hospital that specializes in children since at that age they usually still need at least one dose of surfactant (a soap-like substance that allows the lungs to expand more easily).
Also, important to note, if a baby is born prematurely, they are almost always released from the NICU around their due date. This should tell you how *AWESOME* Adara did since she was born 7 weeks early and only spent 8 days in the NICU.
OH...and if, for any reason, the doctor says they might need to deliver you early - ASK IMMEDIATELY for steroids to help the baby's lungs to mature. They are given by injection to you, and can be done in one large dose or smaller doses over a day. Those steroid doses do wonders to help the baby's lungs work better at birth. Sometimes in the rush, doctors forget...don't YOU forget to ask.