(36 weeks)
I about fell over when I weighed in for my weekly glucose log- I gained 6 more pounds this week! That’s about 15 pounds in 3 weeks- with my sugars well controlled. You can’t see it in my face or ankles or anything, so I knew it had to be amniotic fluid. The nurse told me the fluid weighs 8 pounds a gallon, so with the ever growing polyhydramnios it’s no wonder I’m miserable and struggling to move.
That night, I was getting ready for bed with the TV on, and suddenly I couldn’t see parts of the TV. I kept trying to rub my eyes and fix my vision, but looking around the room I just saw blurry “tv static” and flashing lights. I tried to look something up on my phone, but I couldn’t read my phone. That really scared me. My vision changes were bad enough that I wouldn’t have been able to drive. I have a history of migraines but I’ve never had an aura like that before. Also I didn’t have a headache. My blood pressure was fine, I took it a few times.
We were so tired and I really just wanted to go to bed (I had been up since 4am). The idea of going to the hospital at midnight just for them to tell me everything was fine sounded terrible. I couldn’t put my babe at risk though if something was going on- so I called the on call doctor to see if I could monitor the acute vision changes at home. He basically was like ‘sudden onset vision changes at 36 weeks, absolutely not.’ So, we headed to L&D for monitoring. Better safe than sorry; we hoped all that would come from it is a bill.
At the hospital, we did labs but the doctor didn’t send them for testing because my blood pressure was good and my vision changes didn’t match preeclampsia vision changes. She wasn’t worried about HELLP syndrome since my right rib pain has been going on for weeks.
Surprisingly, while we were there my contractions started picking up. They were happening every 1-3 minutes and getting stronger. I had only been dilated to a 1 at my OB apt earlier in the day, but I went to a 2 or 2.5cm and 70% effaced while we were there. They gave us the option to stay and keep monitoring, but I could tell contractions weren’t staying regular. Plus I had been up for 24 hours at that point. Kevin had to be up for work in a few hours- so we headed home.
We managed to get 2 or 3 hours of sleep before Aidia woke us up feeling sick for the third day in a row. I was thinking maybe it was more than a spring cold at this point. I took her temp and it was 103. I took her to the doctor that morning and she was positive for influenza B (?!) at the end of May.
By that night I was running on basically no sleep. The rib pain makes it impossible to lie down for long, no matter how desperate and tired I am. My ribs squeeze and pop in and out. Unfortunately it also hurts to sit or stand. The more miserable I felt, the more I worried I was also fighting off the flu. The body aches and general malaise were terrible. My OB was great and called in Tamiflu for me to try to kick this fast/ prevent it. Baby is coming so soon, I worry about protecting her the most.
9 months pregnant and influenza in the house was not on my May bingo card. I was having contractions on top of body aches (no ibuprofen allowed is a different kind of misery in this situation.)
Poor Aidia missed the entire last week of school! That’s such a bummer for a second grader since they do all the fun activities at the end.
I feel like I have to give up on my nesting list. I can’t even keep up with normal cleaning. I’m just going to have to clean the house after the baby. I can’t get things off the floor and can’t stand in place for more than a minute without totally running out of breath. Of course, Kevin is amazing and is helping me with it every minute he’s not working.
My nervous system loves to make me feel guilty if I’m not actively working on my to-do lists. Which is dumb- because I already know I physically can’t sort toys or clean shelves with this fluid increasing every day. I need to just try to breathe, and be an incubator, and figure out how to sleep.
I re-injured my bad knee trying to stand up. When I feel the pain shoot down my leg, I worry it's going to give out on me. I can't take anti-inflammatories, and last time it snapped like this they wouldn't do a steroid injection at the Instacare. Hopefully I can figure out something. I really can't put weight on it. (Kevin ended up installing a grab bar in the bathroom for me so I can get up and down from the toilet. It sounds like a joke but it has saved my life).
The next morning, I got up for my NST appointment and was constantly praying. I felt like- I literally can’t make it 20 more days to 39+1. I was begging God to help us figure out the best plan. If I just need to endure it, fine, but I felt like there was more going on.
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36 weeks + 2 |
Have you ever felt nervous/embarrassed to advocate for yourself? Even as a nurse, I get shy about speaking my mind. At the MFM, I gathered up all my courage and asked them if there was any way they could squeeze me in for the growth ultrasound a week early. Having a ton of fluid is one thing, but I also felt like this baby might be very big. My nurses (again, heroes) rushed around the office looking at schedules and talking to the doctor- and actually got me in. Amazingly there had been a cancellation. Answered prayer. And turns out, I think they may have given me my only shot at avoiding a c-section because they listened to me.
Growth ultrasound at 36+2 showed this baby girl at the 99th percentile. An estimated 8lbs 12oz already! That’s before the fluid so it’s no wonder I feel like my head might pop off from all the pressure.
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Sweet little fist she kept sucking on |
The doctor said based on those measurements, they would not feel comfortable attempting a vaginal delivery at 39 weeks because she would be so big (read: shoulder dystocia). Now I know people can deliver 10+ pound babies vaginally- please don’t come for me. I know it’s possible. I, however, have no interest in attempting that. I’ve seen the maneuvers and…no thanks. I also would like to avoid surgery- so I was really glad we saw these results when we did. I’m so glad I asked for an earlier scan.
We still don’t know why the polyhydramnios is so bad. They said it might be idiopathic since my sugars have been well controlled.
The doc said between her size and the severity of the polyhydramnios, he’s comfortable inducing between 37-38 weeks. I could have cried. That’s exactly the choice that feels right. Technically that’s still early, so we will need to make sure her lungs are doing well. Being a NICU nurse puts that in perspective. I would rather have her need a little respiratory support for a few days instead of emergently ending up with a broken collar bone or something. What if my water broke and we didn’t know how big she was when we started a vaginal delivery.
The chances of my water breaking spontaneously at 36 weeks is lower, and I feel much safer being in the hospital early enough that they can break my water. Any type of emergency related to the polyhydramnios, like a cord prolapse, could be addressed immediately that way.
The doctor also said it might take a lot for my uterus to clamp back down after birth to stop the bleeding, since it’s so stretched out. His note said to prep for possible postpartum hemorrhage. The nurses said to expect some intense after pains.
The induction is set for Thursday evening- so she would likely be born at 37 weeks plus 2 or 3 days. At this point, I’m more afraid of trying to go further than inducing a little early.
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Doesn’t feel real yet! |
Despite this baby being giant...I feel like it's the fluid that's killing me! Most nights I feel like my ribs are snapping (ribs are where my contractions are the most painful!) So weird. Some nights I'm sure I have broken a rib. I've been wondering if my tailbone is going to rebreak too. I hope not! I know this will all be worth it and forgotten soon!
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5 more days to endure before I meet my (undiagnosed triplets?!) |