Friday, June 8, 2012

Too Soon


I’m terribly glad to be well-informed about my complete placenta previa.  Had I not been aware, I would have thought the bleeding I had in the shower yesterday was a miscarriage.  Don’t get me wrong, it was still shocking and scary as hell, but it was also expected. 

It was 7:15 and Daughter needed to be dropped off at school.  Chris and I had a few moments of panic.  Do we take her to school and then go to the hospital?  Do we just take her with us to the hospital?  Does Chris drop me at the hospital and then take her to school?  Should we call 911?  We were confused and unable to think clearly.  All we knew was that we needed to get to the emergency room as quickly as possible.  Eventually, we found our reasonable thinking skills and dropped Daughter at Chris’ sister a few blocks away.  They were able to take her to school, no problem.  Huge Relief! 

Off we went to the ER.  My darling husband may have (safely) ran a few red lights on the way, making sure there was no opposing traffic before scooting across the intersections.  I did a great job of keeping cool on the way to the hospital, even when I could feel the gushes of blood, but when we walked through the hospital doors, I couldn’t keep it together anymore.  I lost my ability to speak and the tears started flowing.  We got into ER and here’s what not to do:  Go into Admitting when you’re pregnant and terrified-looking.  They wondered what the hell we were doing there and immediately sent me up to maternity.  Chris plopped me into a wheelchair and steered me upstairs.  Triage took me in and turned me into a patient within minutes.  The nurse told me to lie down flat.  Gravity was the enemy at that point.  She hooked me up to the standard 2 monitors:  one for baby and one for my uterus.  She also started a rapid fire IV to hydrate me.  Baby was hard to keep track of because he’s only 29 weeks and still has quite a bit of space to move around.  He also doesn’t like to sit still, so the nurse had to keep adjusting the monitor and eventually gave up with the logic that if he’s moving this much, he’s okay. 

 A lot of things happened very quickly.  Turns out if you’re bleeding and have complete placenta previa, you are deemed a priority.  They took 4 or 5 vials of blood to determine if my placenta was still attached to the uterine wall.  I don’t quite understand the science behind this, but I took their word for it.  Because of the previa, I couldn’t be examined normally, so I got examined via a speculum.  Oh.  My.  God!  Was that uncomfortable.  I get queasy just thinking about it.  The cervix was still closed, meaning no dilation, meaning I wasn’t in labor.  That’s the best news we could have gotten. 

They wanted two sets of eyes examining me to be sure I wasn’t in labor.  The first doctor talked to me while we waited for the second.  When the second doctor walked in, she was someone that I knew! Unbelievable!  She is a woman who used to run with my running club and she also has kids that go to the same classes as my daughter.  What a huge relief to actually know the doctor on staff that day.  She’s going to be my doctor from here on out, too, since I can no longer be a midwife patient.  I am absolutely thrilled about that.  An OB doctor that’s a marathon runner who I know is about as good as I could have hoped for.  It’s fantastic!

The two doctors started preparing Chris and I for what may come.  They said that if it looked like I was in labor or if I was losing too much blood they would transfer me to a different hospital for delivery – one that is more specially equipped to deal with 29 week-old babies.  My hospital has the resources to treat babies that are 32 weeks or older.  They would take the baby if I lost too much blood because the blood is coming from the placenta.  Too much blood loss from that organ means Baby is not getting his share of oxygen and essential nutrients.  I couldn’t get my head around delivering a 29 week old baby.  I still can’t.  Regardless, they gave me a series of steroid shots to help develop Baby’s lungs, should he come early. 

Thankfully, everything resolved nicely.  The bleeding stopped and my uterus stopped showing signs of irritability after it was adequately hydrated.  My runner-doctor-friend decided to keep me for 24 hour observation, so I spent the night in the hospital.  

Since nothing was really happening, Chris left to pick Daughter up from school.  They came to visit for a while.  She was scared of me when she first walked in with her dad, clinging closely to him and hiding her eyes from me.  She came around pretty quickly, though.  I offered her ice cream and that was the magic formula.  We sat together on my hospital bed and ate ice cream and watched Bolt.  I think it was a good first experience for her to see me laid up like that, since she’s destined to see it again in the near future.  She also thought my “dress” was beautiful.  It warmed my heart that she found good in the situation. 

Me & Daughter in the hospital last night, eating ice cream and watching cartoons


They released me at noon today.  I am now on modified bedrest and I’m still trying to figure out what that means.  I’m reluctant to do much of anything besides sitting or laying down.  There’s a pile of dishes that I’m staring at in the sink, but I’m not ready to cave.  I’m too scared of having another episode.  I’m only allowed to do desk work at work, which as a naturalist, is a very small percentage of my day.  That will take some getting used to.  No more hiking.  No more hauling.  No more raptor care.  I’ll have to be creative in finding ways to be useful to my work team.  I’ll miss my walks around Lake Harriet and Lake of the Isles, but I can still go and sit by the bandshell and soak in the summer.  I might even be able to talk Chris into pushing me around the lake in a wheelchair. 

We called our moms to come for back up and they will make their way north tomorrow.  I'm concerned about Chris getting enough time to study for the Bar Exam and I hope that he actually gets to take it.  I’m not sure how much I’ll be able to care for Daughter with my restrictions.  I can’t pick her up until after Baby comes.  That's why having grandmas around will be extremely helpful.  

I have an inkling that I’ll be back in the hospital sooner rather than later.  I’m no longer annoyed with the prospect of bedrest because I’m much more fearful of delivering a baby 11 weeks premature.  He’d miss out on a quarter of his development in my womb.  I’m trying to prepare myself for that and in the meantime, I’m willing him to grow fast and stay put.  Right now, if things remain stable, we’re looking at C section delivery at 36-37 weeks, somewhere between July 26-31.  I will be immensely grateful for every week that goes by with him still on the inside. 

I got another strong dose of fear as I was being discharged.  The nurse told me to call 911 immediately if I have any more significant bleeding.  Because of that, I don’t want to leave the couch.  Here’s hoping the next several weeks are uneventful and extremely boring.  

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