Thursday, August 28, 2008

Turning 13 Weeks in the ER

The point of this blog is to share my high-risk pregnancy experience. And while what I'm about to write is quite embarrassing, it is my pregnancy experience and to ignore the events of the past 24 hours would prove dishonest to myself, my readers and ultimately to my baby who will learn about the months leading up to his/her birth through this documentation.

So here goes...

Last night I was watching TV in bed laying on my right side. At 10:50, I attempted to turn over and felt this sudden excruciating pain along my lower right side. It took my breath away and in spite of many position changes did not relent. Hubby and I went through all the potential things it could be: my appendix - wouldn't I be sick, throwing up?, constipation - no, constipation just doesn't cause extreme pain, does it?, my placenta tore/uterus ruptured/active labor - wouldn't I have bleeding? Everything we read online and in books said to call your practitioner. I just couldn't bring myself to do it at now well after midnight.

I held on a little longer and then decided it was best I go to the ER. The pain was a definite 10! I didn't want to wake my mom and felt funny calling a neighbor to sit with the Miss so I drove myself.

The drive wasn't so bad but my emotions got the best of me as I couldn't help crying as I explained I was just 13 weeks and had extreme sudden onset abdominal pain.

It turns out the ultrasound tech had to be called in from home. They ran labs both blood and urine in the meantime. I was offered IV narcotics many times but declined them as to not risk harming the baby. I did request some IV Zofran as I was on the verge of throwing up.

They ordered a complete abdominal ultrasound and the tech started with the study of my gallbladder and kidneys. All I wanted to see was the flicker of my baby's beating heart! It was the longest 15 minutes as I waited for the focus to turn to the baby.

I learned quite a few things. During my last ultrasound at 12 weeks exactly, the baby was measured by crown-rump length. At 13 weeks, the baby was too big for this measurement and so the head was measured along with the leg. The baby measured 13w 5d with a heart rate of 161. I was so excited to see that the baby was well! It was moving and bouncing all around. I was also saddened to know that Little Miss might not have been 24w 5d at birth because her measurements were always behind my LMP gestational age. Not to mention the whole HCG issue too. Hubby and I talked about it when I arrived home and are reminded just how blessed we are to have a thriving and healthy 2 year-old micropreemie.

My tech endeared herself to me as she felt it was bowel all the way. She had been diagnosed with Crohn's Disease during one of her pregnancies and was very sympathetic to my bowel struggles thus far. She was able to connect my extreme pain with the movement of the transducer over my large intestines. There was an amazing sense of relief to know that it wasn't anything with the baby, my uterus, placenta, etc. Basically the pregnancy was healthy! My digestive system, on the other hand, needed some major help!

Once this was determined, I just wanted to get home. It seemed like my discharge took longer than the workup. Why is that when I was one of two people in the place? Anyway, I convinced the doctor to order me a colonoscopy prep kit. I need a major dose of colon blow to get rid of the "back-up". I am well beyond Milk of Mag and Colace, thank you very much. Additionally, I got an order for Miralax too and left for home at 4:00 A.M.

Too exhausted to go out of my way to stop at the 24 hour pharmacy, I went home for a big gulp of MOM, hoping it would start to work before I got the big guns down. I attempted to get some sleep but the pain was just too intense. Between my husband and my mother, by 10:00 I got my hands on the stuff that is so far, cleaning me out. It was recommended by my peri's office. Yes, I broke down and called to let them know my situation. After I hung up with the nurse, she called me back to tell me to skip the prep kit and drink a half bottle of Mag Citrate. It's this lemon-flavored stuff that within 1/2 hour, started working. The cramps were unbearable and my poor husband stood while I sat (yes, there) so I could hold his hand.

So here I am, feeling better. Not 100% by any means, but better. My stomach is so sore. It still hurts to move and certain positions are still too painful. But I do feel an improvement. I slept from about 1:00 - 5:00 and basically took no solids by mouth for almost 24 hours. I just didn't feel up to eating.

I am clearly losing weight this pregnancy. Probably the nausea from my morning sickness (the vomiting for the most part has thankfully subsided), and my food aversions are causing this. I am curious as to what the doc has to say about it.

Here is this week's photo along with a photo of me at 13 weeks with the Missy. I clearly look different. We are preparing for a boy!


13 weeks preggo with Little Miss Girl

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