Induction Scheduled

Well, had my appointment today.  James was awesome on the NST and the ultrasound.  He is doing beautifully! I got diagnosed with polyhydramnios by the actual doc today.  My levels have gone up to 24 cm instead of going down.  They are now concerned about my water breaking before his head is engaged, which could result in the cord slipping through the cervix.  One more thing to be concerned about.  Good news, though - he's head down!  Let's hope he stays that way.

I am set for induction on December 2!  I have an appointment at 7:30 am on Thursday to check my cervix again.  Right now, I'm 1 full cm dilated, and my cervix is soft.  So, maybe with some walking and such, my cervix should dilate some more.  If not, they are going to admit me to L&D on Thursday for Cervadil to dilate me some more, and then give me Pitocin on Friday to bring on contractions.  Our little boy should be here this weekend!  Praying for everything to go smoothly, and for him to be healthy and breathing on his own.

Mom's coming on Wednesday to watch Ella for us.  I'm certainly thankful to have her.  :)

I'll Take the Pregnancy With a Side of Stress, Please

Had my ultrasound, NST and group B strep test this morning.  James is now transverse...hopefully that means he's turning.  He also is measuring about 6 lbs, 15 oz.  He didn't want to wake up for the NST, so the OB referred me to L&D for a repeat NST after lunch.  Apparently, they also do GBS tests differently at this office.  Instead of swiping the swab up and down the nether parts, she stuck them in places they weren't meant to go.  Joy.  It was not a pleasant experience....along with that, she decided to pick at my brain through my cervix again.  1 cm and very thick, by the way.

Jay, doc and I had an honest discussion about cholestasis and early induction.  She's all for inducing on December 2.  I'll be 37 weeks, 2 days.  On top of that, I have to leave from Mom's earlier than planned this weekend just so I can go back to L&D for a repeat NST.  I now have to have them twice a week until I'm induced.  Also, I get another ultrasound on Monday...along with yet another NST.  If he is still sideways or breech, they will be scheduling a version and an induction for Friday, December 2...or so that was the game plan when I left the office.

After eating lunch and going to L&D, spoke with another OB in the practice.  He agreed with the whole game plan but wanted to speak with a doctor at ECU (East Carolina University) for more information regarding bile salt levels and early induction.  The doc at ECU said he doesn't go by the bile salt levels because they aren't really indicative of anything.  He performs an amniocentesis at 37 weeks, and if the lungs are mature, then he induces.  Oh, and Urso is crap...apparently, it doesn't lower the bile salt levels, but it's supposed to reduce the itch.  Great.  So, now, I have to discuss the amniocentesis with the doc on Monday when I go in for my appointment.

I haven't been home since about 9 this morning.  Jay took Ella with him to work after my appointment because they don't allow children under 12 in L&D.  She barely got a nap today.  He told me she fell asleep in the car on the way to his work, and he even got her into the stroller asleep....but, OF COURSE, a Howitzer went off, and the loud blast woke her up...about 30-45 minutes into her nap.  Hoping she hasn't been a complete butthead.

As if all of that wasn't bad enough, I got pulled over on the way home...for expired registration...on Jay's vehicle.  Thankfully, the police officer was really nice.  He cited me and let me go.  Told me to get Jay to get the registration taken care of, and if I go to court on January 13, the ticket would be dismissed.  Yay.

If I wasn't pregnant, I think I would deserve an adult beverage right about now.

Starting to Feel Better

So after being on Ursodiol since Wednesday night, I'm finally starting to feel a bit of a difference with my itching.  It's still pretty intense in the morning and at night...and when I get stressed out...but at least I'm getting some relief during the day.  Baby steps, right?

We go in the morning for our ultrasound, NST, Group B Strep test, and our consultation with the OB.  Thankfully, Jay is going with me, and the OB who originally told me that they would induce before 39 weeks is one of the 2 available tomorrow.  The other is a gentleman whom I have never met.  I'm hoping the OB will override the decision to induce at 39 weeks.  I think I'm almost supposed to have bloodwork done tomorrow to see if my bile salt and LFT levels are coming down.  We shall see.  I'm sure they are.  They have to be.

Had a rude awakening this morning.  After Ella came to sleep with us at 2 this morning, she woke up dry heaving and crying at 6 this morning.  Got her to our bathroom, but she just dry heaved a couple more times and then calmed down.  Not sure what happened.  Guess she got my tendency to get really sick when she gets hot.  Once she calmed down and cooled off, she slept just as calmly as can be until about 7 this morning. She seems to be doing well today and has been in a really great mood all day.  So, hopefully, whatever it was, is over.  I felt so bad for her.  :(

Anyway.  Looking forward to our little man getting here.  Hoping they will still allow us to have a December date for our induction.  Mainly because I don't want to be induced this coming week.  I want to enjoy my Thanksgiving with Mom, Doug and the rest of the family.  Plus, I don't want James's birthday to be anywhere near Thanksgiving.  December 1 would even work.  lol

It Finally Happened...

I had a major meltdown in the tub last night as I was having a heart to heart with James.  All this itching, the lack of sleep, and the possibility of losing my son due to this cholestasis has gotten to me.  I broke down and just sobbed last night.  I don't want to admit it, but I am scared.  I'm trying to be strong and hold it all together, but it's not working.

I have people making me feel like a horrible Christian because I'm not trusting in God to cure me or to take care of things, which isn't entirely true.  I do trust God, but I also believe He gave us doctors to help us.  So, I'm also trusting my doctors to take care of my son and me...though I don't completely agree with them about the course of action to induce at 39 weeks.  I printed out a lot of medical journals yesterday, which all say how critical it is to induce by 38 weeks to reduce the risk of complications associated with this condition.

I just need to get through the weekend and talk to another OB in the practice on Monday.  Thankfully, Jay will be with me, and he agrees with me that the risks of delivering early do not outweigh the risks of waiting until 39 weeks to deliver with this condition.

Sorry for the vent.  I just don't understand how a perfectly normal pregnancy could become high-risk just like that.  Oh, well.  Just have to take it one day at a time.

I am the 1%...

...of pregnant women who develop Intrahepatic Cholestasis of Pregnancy.

It's a mouthful.  Basically, my body isn't clearing out the bile my liver is producing, which means it's being stored under my skin...causing intense and severe itching.

Got a call from my OB office today and was asked to come in because my lab results from Monday were "concerning."  So, I went in and was told my LFT's (liver function tests) were normal, but my bile salts were elevated.  On November 4, my bile salt levels were about 9.  On Monday, they were 34.  They have almost quadrupled in 2 weeks.  So, my body is storing bile instead of processing and flushing it.  The normal range is like 4-26.  So, it's up.  They prescribed me Urso-something or other, which will help flush the bile from my body...and hopefully turn me from a human scratching post back into a normal pregnant lady.  Also, they will be inducing me at 39 weeks, which concerns me.

On November 4, one of the other OB's told me that if I do have cholestasis, they will be inducing me at 37-38 weeks, which is the recommended time frame for delivery when cholestasis is involved.  Delivery after this time increases the risk of the baby passing meconium in utero, fetal stress, meconium inhalation and stillbirth.  Now, this doctor is telling me 39 weeks because anything before that increases the risk of jaundice and poor latch.  Somehow, that doesn't seem nearly as severe, in my opinion, as say...fetal death.

I'm scared and nervous.  Oh, on top of that, I get to have weekly NST's to make sure James is doing well.  So, this coming Monday, I have an ultrasound, NST and a group B strep test.  Just a fun filled morning for sure.

Also, I'm really irritated because my dad threw his 2 cents in and basically called me a hypochondriac.  He said I shouldn't listen to the doctors because nothing is wrong with me...it's all in my head.  He's been saying that for years.  Yes, I am a hypochondriac.  I go to doctors and seek how medications that will make me crap myself silly for the next month because it's so much fun...not because this is extremely dangerous for the baby, and I'm trying to do what's best for my baby.  God may heal, but He also gave us intelligence to become doctors...so, I'm trusting the doctors.  Besides, test results don't lie.

I'm just so frustrated.  I cried on the way home because I've been so stressed today.  My BP was 140/86 today.  It was 120-something/70-something on Monday.  So, all this itching and lack of sleep has caused my BP to go up.  I really just need a vacation....and I need for this baby to hurry up and get here...before 39 weeks.

Measuring Big For Date

I was 34 weeks and 5 days along yesterday.  Went to my OB appointment for a routine check up.  After sitting half-naked under one of those paper "blankets," aka tablecloths, for what seemed like an hour, I finally saw the midwife.  After going over my birthplan and telling me to scrap it and leave it at home....to avoid ticking off the nurses at the hospital...she listened to James's heartbeat and measured my fundal height.  She looks at me and asks, "Have you been measuring big all along?"  She didn't have my history in front of her.  The office recently switched to an electronic system, and she forgot to bring in her laptop.  Since they haven't said anything about me measuring big and haven't told me my fundal height...I figured I wasn't having any problems.  So, she scheduled me for an ultrasound on Monday after telling me that I was measuring 38 weeks.  Only a smidge ahead......note the hint of sarcasm.  Also, I had a round of bloodwork....again...to determine what could be causing this intense itching I've been having for a week now.  Hoping we'll FINALLY get some sort of results back that can pinpoint the the cause, and we can deal with it from there.

Adding to that, I had a dental appointment yesterday morning and learned I would need my wisdom teeth removed after James is born due to cavities.  Yay.  They are sending me to an oral surgeon, and my insurance doesn't cover anesthesia when the wisdom teeth are above the gumline.  Joy of joy....not to mention they only cover 50% of the procedure, and they only cover $1200 in a fiscal year.  Hoping the fiscal year ends right after my wisdom teeth are removed so I can get these fillings done...and my 6-month cleaning done.  Tired of having dental setbacks.  I finally have time to get my teeth taken care of without fear of losing my job....and now insurance is a problem.  Go figure.

Oh, well.  Jay returned to work today, and the munchkin and I are headed to the commissary for grocery shopping. Hoping not to spend a fortune, but we always seem to.  I still have some stuff I have to get for myself before James comes, and we've been putting it off and putting it off.....and I'm getting really frustrated. So ready for this baby to get here so life can begin to normalize again.  :)

On a good note, I get to see Mom for Thanksgiving!!  :)  We're making the trip to the beach to spend Thanksgiving with her, my stepdad, some family and friends.  :)  Hoping James holds out another couple of weeks!

Oh Dear God! What Did I Do?

Last night...or early this morning...I heard Ella crying on the monitor. I knew she was 2 seconds away from getting up and coming into our room, so I listened for the patter patter patter of her trotting down the hall. What I heard instead was a loud THUD and her screaming. I quickly jumped out of bed and ran down the hallway, where I ran full on into Ella coming out of her bedroom. Since I couldn't stop on a dime, I had to contort myself to keep from toppling over on her while keeping her from toppling over and pulling me down.

I didn't really notice it at first, but within a few seconds, I noticed this searing, tearing pain right at my pubic bone. I had some soreness there a few weeks back, but it went away. So, I didn't get any sleep. I couldn't get comfortable because my crotch felt like it was being ripped in two every time I moved...then, I had to stumble/hobble to the bathroom 3 times to go pee. My poor pubic bone. It feels like someone is trying to tear it out of my body, now.

I have to somehow remember I'm pregnant. You'd think that after 34 and a half weeks, I'd be aware of this fact by now....but I forget sometimes. Is it December yet? I'm so ready to have my coordination back.