Friday, December 11, 2009

In the Hospital

On Wednesday I went in for my OB appt. They took some more labs and everything looked good. My OB thought that I do indeed have cholestasis, but it is at a manageable level with weekly monitoring. I asked if it was necessary to get the steroid shots for the babies lungs and at that point she was not concerned as she felt I would not have to deliver until early January.

I had a regularly scheduled biophysical u/s, NST and OB appt on Thursday. The u/s went really well and both babies were given 8/8. The NST was good too. There were two decelerations in their heartbeats, but both of them were moving around like crazy and showing off:) When we met with my OB she was concerned about the decelerations, which they don't like to see. Since the cholestasis can cause fetal distress and the decelerations could be an indication of distress. She also mentioned that the amniotic fluid for Baby A was a little low, but still within normal range. Between the decelerations, decrease in amniotic fluid and cholestasis she found reason to admit me to the hospital to be monitored and to receive the betamethasone steroid shots for the babies lung maturity.

We were given permission to go home, pack and get back to the hospital. Thankfully Logan was with my dad for our appts so he was already in good hands.

When we got to the hospital they hooked me up to the monitor and both babies are doing wonderfully! We haven't seen any decelerations and both of them have been really active.

I, on the other hand, have started spilling proteins into my urine. I don't have pre-E, but they are watching me closely since my liver enzymes are also high and the bile fluids which typically go along with cholestasis. They are collecting my urine for 24 hours and then will retest it for protein output later today. I will also receive the second betamethasone shot today.

I also have a growth and biophysical u/s this morning along with more lab draws. I am feeling great other than being sleepy from sleepy on this hospital bed that feels like plywood:) I'll update more when I can.

Wednesday, December 9, 2009

Half Ass Results

I received a phone call from my OB today asking me to come into the clinic this afternoon. She received some of the results of my testing and wants to re-test me to get a clearer picture of what is happening.

She will not receive the bile acid results from Mayo Clinic until Friday or so, but she did receive my liver enzymes (from the HELLP panel) back and they are high. She also said my "alt" is high, but I have no clue what that is. She does not think I have HELLP, but wants me to have my blood pressure done today to make sure it is not elevating. She is also going to check my urine to make sure that protein is not spilling into it, which is a symptom of pre-E and HELLP. And she is going to re-test my liver enzymes to make sure they are not increasing too quickly.

She thinks that I may have a condition called cholestasis, but won't know for sure until she gets the bile acids results back from Mayo and views the information from my appt today. I have a Labor and Delivery nurse friend, who is also an IF'er, who explained that this condition can increase the chances of fetal distress, preterm labor, and worse case scenario, stillbirth. My OB told me today that if I do have this condition, and depending on the severity, that they may look at delivering the babies at 36-37 weeks.

Obviously this is not ideal. As much as I want to be done with this pregnancy, this is not at all what I was hoping would happen. I wanted a nice, clean way to evict them from my uterus, not a medical condition/scare that will leave me worrying about their health and survival.

Monday, December 7, 2009

Driving the Bitter Bus

[Disclaimer: this post is not blown with baby dust or sunshine. Although I am loving every minute of being pregnant, as I sit here today, I am done....I just want my babies in my arms. And please know and respect that this is my blog and my place to vent. My hormones are starting to get the best of me, so please don't take this personally.]

On Friday I went in for my weekly biophysical u/s and NST. They were both active, practice breathing, and the amniotic fluid was great. They scored 8/8 and passed with flying colors.

After my u/s I had my NST. Both boys were very active and passed within the allotted 20-30 minutes....until the very end. The nurse came to get the sheet to bring to the OB before she unhooked me from all of the monitors. When she came back she noticed that one of the babies heart rates did not "recover" as quickly as they like. She tore off the sheet from the machine again to have the OB look at it. The OB ordered me to stay on the monitors for another 20-30 minutes. When my time was up the nurse came in and said that everything looked good except that I had a contraction this time. I told her that I didn't feel a thing. She explained that it happened during a period of time that both babies were very active so she thought it was just my uterus contracting from all of the movement. She tore off the sheet to bring it to the OB and the OB was not concerned, whew! I was beginning to panic.

Over the weekend I started experiencing some very odd symptoms. On Friday and Saturday night I woke up in the middle of the night, out of a sound sleep. I was throwing up as I woke up. In real life, not in my dream. NOT pleasant. I also woke up both nights to ITCH. I am so stinkin' itchy. It's like I can't put on enough lotion and I can't scratch enough. NOT pleasant. My bowel movements also increased over the weekend too. It seems that every time I eat, I then need to head to the bathroom. NOT pleasant.

I called the on-call OB yesterday to explain my symptoms. The one that was the most worrisome to me was the itching. I have heard of this happening to pregnant women before and it can be serious. The on-call OB told me that she wanted me to be seen today because the cause could be my gall bladder or my liver.

When I went in today to see my OB, she ordered a few labs. One of them is to check to see if I have bile fluids (or something like that). She explained something about my gall bladder and I understood at the time what she was telling me, but I am too tired to remember right now. She also ordered a HELLP panel to be done to check my liver enzymes. She is also testing me for two other things. Again, can't remember enough to explain right now. Once I get the labs back I will have more information that I will hopefully remember. The only thing I clearly remember is that she told me she wants me to take Ben.a.dryl to help relieve the itching while I wait for the tests to come back (which have to go to the Mayo Clinic and they only run the labs on two days of each week).

And, here is my rant.

As much as I love being pregnant and having these babies in my belly, I want to be DONE. I am tired. No matter how much sleep I get. I am swollen. My toes look like sausages and my legs look like tree stumps. I am itchy. All.Over.My.Body. I am huge. Yes, I am ALL baby in my belly, but this also means that I am in a lot of pain in my belly and back. I have gained just over 40lbs, most of it being in my belly. And I am irritated over holiday functions that are yet to come. I want to go and have fun and enjoy my family and see the joy on Logan's face, but somehow I am just to frickin' tired to even want to go. I am pregnant with TWINS. When you look at me, you should see the THREE lives I am trying to maintain and grow. It is hard work, and although I love it, I also need you to understand that certain things are not convenient for me and thus, my family....because, you know, more than half of my family is IN MY BODY.

I am lucky, though. Lucky that I have not been placed on too many restrictions or bed rest. Lucky that things are going so well during this pregnancy so far. Lucky that if these boys were born today that they have a good chance of survival. Because even though my due date is not until January 12, I may not make it to that date. Lucky that my husband understands that things are difficult for me, even though everyone else expects me to continue on as if nothing else is going on. Lucky that I can put a happy face on and pretend that I am not completely miserable. Lucky that I can smile because my boys are still growing in my belly and not in an isolette in the NICU. Lucky that my son loves these babies as if they are already here.

As much as I want to be done with this pregnancy, in no way shape or form do I want these babies to be born any time soon. They need to stay in my belly for as long as possible. After all, this isn't about me or anyone else. This is about my two sons and their health and well-being. And, quite honestly, everything else is a far behind, not even close secondary.

Tuesday, December 1, 2009

Thanksgiving Post- A Little Late

A couple of weeks ago I put the tape of DH and my wedding into the tape player to view. I was cleaning out a drawer, came across it and after being crabby with DH earlier that morning, thought it would be fitting to put it in and be reminded of the love I have for him. As DH, Logan and I were watching I remembered that day and the joy and gratefulness I felt on that day. Not only for finding my DH and marrying him, but for those that surrounded us in love and joy that day.

That day was so special and so full of promise for us. I felt that the world was ours to take by the tail and do great things and have a wonderful life. As we were standing up on the altar we said our vows (which we still say to each other every once in a while on a whim). The priest asked us a few questions to which our response was supposed to be: "we will". As we were watching the edited version of our wedding it cut to this string of questions that the priest asked us. One of the questions being, "Will you lovingly accept all children given to you by God?" Over six years after our wedding day, just watching this simple question and moment on our wedding day took my breath away.

I immediately looked at DH and said, "Wow. If we would have only known at that time how important that question would play out in our life." Never in a million years on my wedding day did it even cross my mind that we would have problems conceiving a child and lovingly accept them into our home, our life and our hearts.

And, because I am a thinker, I thought of all of the others who have said the same or similar vows over the years who are still waiting to accept their children into their lives. The infertility sisters whom I have met online or have met face-to-face in real life. The ones still battling through the trenches to to expand and create their families. Why are some peoples wishes granted and not others? I'm serious....WHY? I sure wish that we had the answer to this question since I have been pondering it for so many years.

However thankful I am to have Logan, DH and these babies in my belly, I don't think it is fair. It's not fair that we are close to achieving our dream of expanding our family, while others sit silently in pain and anguish for the loss of their family-to-be. The wee little ones who were supposed to be. The embryos who never quite made into little angel babies to be placed in their arms. The loss of the family that they so desperately want.

So, yes, I am completely thankful and joyful at what lies ahead for DH, Logan and I. The little bundles who are growing in my belly and who are forever in my heart. I smile when they kick me at all hours and know that they are growing and thriving in my belly. I can't wait for the day that they are placed in my arms to love and kiss and hold.

But, to my fellow infertile friends who are still fighting the IF fight, you are not alone. I have not forgotten you or the pain you are experiencing. I mean, how does one forget such a hard time in their life?

Thursday, November 26, 2009

31 Week OB Appt, U/S and NST

[side note: I have a Thanksgiving post that I have been thinking about, but need to sort out some thoughts before I write them in this blog. I will do that in the next couple of days.]

Yesterday I had my 31 week OB appt. Eveything is going so well with these babies that I just hope and pray that they continue to go well. I started with my u/s and both babies are looking great. Here are some stats:

Baby A heartbeat: 133
Baby B heartbeat: 155
Amniotic Fluid: very good
Baby A: head down
Baby B: breech and facing towards my back
Baby A: measuring 31w3d
Baby B: measuring 31w4d
Baby A: 3lb9oz
Baby B: 3lb13oz
Edema: 2++, she wrote me a prescription for stockings to make me more comfortable
Blood Pressure: 110/50
Fundal Height: 37cm
Weight Gain: 39lbs

After our u/s we had our NST. Both babies were showing off and kicking a ton so they both passed with flying colors:)

We were then put in a room to meet with our OB. She came in and was very pleased with how things are progressing so far. She told us that her goal for us was to make it to at least 30 weeks and that we should feel very good that we were almost 31 weeks with a smooth twin pregnancy and that we should celebrate this milestone. She then said that her next goal for us is to get into December. I laughed and said, "my goal is to get into January!". I want to have two babies that don't need to spend much, if any, time in the NICU.

I expressed my concern that Baby A has only gained 1lb since our last u/s four weeks ago. She was not concerned since both babies are measuring ahead still, but that she will keep an eye on it as we have more u/s. She explained that there is a variation in the measurements based on who is doing the u/s and how much experience they have. Plus, each u/s can be off by up to 1/2lb. When we had previously mentioned our concern about the weight of both babies at this u/s compared to the last u/s the u/s tech said, "well, we saw Baby As face and we know he is chubby so I am thinking that he is actually closer to 4lbs right now". We could not see much of Baby B since he is breech and facing towards my back. Either way, DH and I are pleased with how big our boys are so far! The u/s tech also told us that between the weight of both babies, two umbilical cords, two placentas and two amniotic sacs I am carrying the equivalent of a 10lb baby right now. Yikes!

We talked about my c-section which is scheduled for January 12, 2010 at 37w4d. She told us that we only have a 25% chance of actually making it to this date. Now we need to work out the details of wehre Logan will go while we are in the hospital and a back-up plan in case we go earlier.

DH requested a temporary Handicap Parking sticker for me too:) I told him that when I drop off and pick up Logan from preschool that I have been parking in the handicap spots. He is concerned that I will be ticketed and have to pay a $200 fine. Plus, he doesn't want me to walk more than I have to at this point since I get tired so easily, my feet hurt if I am up and about a lot during the day and the edema in my feet and legs get worse the more I am on my feet.

Have I mentioned recently how excited I am to meet these boys?:) I can't wait until January!

Saturday, November 21, 2009

The Perfect Nanny

Recently DH and I have interviewed a couple of nannies. We are only looking for someone 2-3 days/week in the summer and also on evenings and weekends during the school year. DH and I both work more in the summer months so we need to have someone when we are the most busy so that I can work from our home office and DH can work out in the field. Plus, we would love to have someone be available on evenings and weekends so that we can go out once in a while.

We have interviewed two nannies so far, and realized that we don't need to look any further! Both nannies we interviewed are school teachers so it works perfect for them to just work part-time in the summer months. They were both really good and we would trust both of them with our children. However, one definitely stood out.

One of Logan's teachers at school heard that we were looking for a part-time nanny and expressed interest in helping us out. Logan loves her and she is so good with the kids. She also watches some of Logan's classmates and their siblings during the evenings and weekends throughout the school year. She came over last week for an interview and we fell in love.

She has so much energy and loves kids so much. She told DH and I that she gets asked how she can be a preschool teacher and then go watch kids in the evenings without being sick of kids and her response is, "because I love kids and I don't get sick of it at all, just because". She is really friendly, out-going, enthusiastic and caring. We gave her a tour of our house and had a few questions for her and she had some questions for us. I loved that she sat down on our couch and curled her feet under her legs and appeared to be so comfortable in our house. She loves to be outside and wants to be outside with the kids a lot. She asked if our street was busy and if she could take Logan for bike rides (when I am working in my home office and the babies are napping). Plus, she has so many fun ideas and things for Logan to do since she works with his age group at school.

Oh, and did I mention, that Logan LOVES her? I can't even describe to you how excited he was when she came into our house. In fact, before she came over he asked me where DH and I were going when Miss M came over. I told him, "no where. We are going to stay here and talk with her for awhile". He looked at me with a hugely disappointed face and said, "Well, I want you to go somewhere because I want to play with her by myself". And when he went to preschool the next day he went running into her classroom to thank her for coming over.

To top it off....Yesterday Logan had grandparents day at school. Both my dad and my MIL went to school with him for the day. I saw my dad last night and he said that he met our nanny. She came up to them and started talking and explained that she is going to be our nanny. I love that she made herself known to my family. My dad said that he thought she will be a great fit for our family.

Now, if everything goes well next summer I will have to convince her to come every summer!

Monday, November 16, 2009

Her.oux Family Benefit

Last night I had the honor of attending the benefit for Andy (my ex-boyfriend) and his son. I went with my DH, mom, dad, sister, brother-in-law and cousin. The event was held at a St Paul bar/restaurant who is known to support law enforcement. When we were walking toward the event I was so thankful for such a rare nice day for November in Minn.esota. It was a crisp, sunny day and the temps were around 50 degrees. Perfect weather for an outside event.


I thought that I would have a hard time at the event and be a crying mess like I was at his wife, Bri's, wake, but there was such positive energy in the air for the family that it was so easy to feed off of that energy and know that we were all pulling together to help the family in the wake of their loss.


I saw and spoke with a lot of Andy's family members. A few of them came up to me and started talking or I just happened to run into them while I was walking around looking at silent auction items. I talked to his uncle and his aunt for quite some time and heard of another very sad and sorrowful story. Andy's cousin,whom he was the closest with growing up, was married a couple of years ago and had a baby one year ago. His wife found out at 33 years old that she has breast cancer. The family found out while Bri was fighting for her life after giving birth to Leland. Words can not describe the sadness I feel for their whole family during these tough times.


I had an opportunity to briefly talk with Andy's dad. He gave me a hug and asked how I was doing and told me to take care of myself. I reassured him that I am being closely monitored during my pregnancy. Then he told me something I will never forget. With tears in his eyes he said, "Kris, I was extremely impressed with you coming to the wake and sending that beautiful card to us. Thank you so much. It meant a lot to us." I told him that I was happy to and that Andy, Bri and Leland will always have a special place in my heart.

A little while later I saw Andy's mom and went up to her to say hi. She was laughing and smiling and then when she saw me she started crying and gave me a huge hug. After we were done hugging she asked me how I was doing and about my pregnancy and told me to take care of myself. She told me that she was so happy that I came and told me that Andy is a great dad and that he insists on doing every feeding, bath, temperature check (to check for infection since little Le.land was born with part of his liver outside of his body), etc. She was telling me that she is going to watch Le.land when Andy goes back to work as a St Paul Police Officer working 10p-8a. She told me to make sure that I say hi to Andy before I leave.

A little while later I saw Andy talking to the media. My mom, cousin and I were standing off to the side watching him holding his precious angel baby in his arms. When he was done being interviewed he turned and saw me standing there and came running up to me and gave me a huge hug. As we were hugging he said, "I hear you are having twins." He told me congrats and we had a chance to chat for a few minutes. I also had an opportunity to introduce him to my DH. We are planning on getting together sometime when things settle down.

DH told me as we were leaving, "Andy is a really nice guy." I looked at him and laughed and jokingly said, "Yes, dear. Did you expect me to ever be with someone who wasn't nice?" I was so glad that DH and Andy were able to meet and I thanked DH for coming. He was glad to come and, like me, felt good to be able to contribute to the benefit.

Below are some articles on the event: