woohoo Kasey!!! Can't wait to hear it all!!!
Welcome to your lodge, Kasey!
WOoohoo! A lodge, a lodge! Thanks Lisa and Lara for the welcome!!!
Well- not sure if anyone really knows what they are getting into when asking for an intro- I can be incredibly long winded, and this pregnancy is a VERY long story!
Well, the basics on me: I am Kasey, 25, soon to be mother of four. I met dh when I was 16, and two weeks after we met, we joked around that we should just get married. We dated for awhile, then I broke up with him, and he went into the Army. We started dating again about 11 mos later when he came home on leave. 7 mos after that he propsed (a few day after I turned 18!) and 7 mos after that we were married!
17 mos later our first lo, Allison arrived (7/02) I had wanted a drug free delivery, and I thought I Was prepared. Umm, no. WTEWYE (and others along the same lines) is not preparation, and neither is the hospital birthing class! That labor was long and hard. My water broke at 40-4 after four days of prodromal labor- immediate hard back labor. I had ctx every 3 min from 1 am to 9 am and only moved 3.5 cm (to about 5.5 cm). I had two shots of stadol, (one after 7 hrs, and another at 8 hrs) then I got the epi at 10a at 6 cm, and as soon as they were done (15 min later) they checked me again and I was at 10! I labored down for an hour, and rested after being awake for 29 hrs (water broke when I was going to bed.) The epi made me about 90% numb, I had no numbing for about a two inch strip all the way down my right side/hip- so I could still feel ctx, so that was good. I pushed for 45 min, and my beautiful girl was born, looking like a China doll, or everyone said! 7 lbs, 12 oz, 21 inches. no tearing.
4.5 mos later I was pg again! The whole time I was pg, I said I would do without an epi- but when I went into the hsopital in labor after self inducing with castor oil at 40-3 I was exhausted form the diarrhea- and completely scared stiff that it would go as it had with baby #1, as far as back labor that took forever. I got the epi at 6 cm- not even in pain yet. The anesthesiologist said I was the nicest women she had ever given an epi to. This time it made me totally numb. Then about 10 min later, I started to feel ctx. Around the third one, I pushed the call button and told the nurse to get down there, because I thought the baby was coming out! She came to check me and paged the dr to my room "Stat!" My dr came jsut in time, as I was FREAKING out- I went from completely numb- to feeling everything- except the skin on the top of my thighs, about four inches below my hoo-ha. I told them it HURT- and my dr told me it was suppsoed to- and then everything was okay- dh put his arms around me, and I got control of myself, and pushed Nicolas out in three pushes. 8 lbs, 14 oz, 22 inches. 8 stitches. He was not as pretty as Allison, lol! HE had been engaged and coming out "anytime now" for 5.5 wks, and I could barely walk by the time he was born.
My second son, Noah was born in May 06. My first ncb I had 8 days of prodromal labor, every other day, strangely enough. I woke up to a ctx on a Saturday at 7 am. By 10:30 ish I told dh to call his mom so she could come up. We got to the hospital around noon, I rode backwards draped over the seat the whole way there- back labor again! I chanted through my ctx, had an awesome nurse, and a good second nurse who came into help- mostly they just left us alone, and I was in my own head for almost my entire time there. The whole labor was calm, until we were ready to deliver, and fetal heart tones were decelerating, and I was at 10cm without warnign, and my dr wasn't there (I had been at 5 cm an hour or so before) So when five differnt people were called into my room "stat" and they all stood around talking about me like I wasn't there I almost lost my cool. Then my awesome dr walked in and pointed out that my water hadn't broken, and asked if it was okay to break it, so that hopefuly fht would stop decel-ing. It ended up breaking spontaneously on the next ctx, but there was meconium in the waters, and I had to roll over to my back so they could suction him right away if he came out sunny side up. My dr and I had a completely calm conversation about which position I would deliver in between two ctx. (I didn't want lithotomy, she didn't think sidelying would be great due to increased risk of tearing- we both agreed on squatting which was "perfect" in her words!) While the other health professionals and dh looked on incredulously that we were having this conversation right now at this time! lol! I ended up not making up into full squat- I had a ctx and said I *had* to push *now* I was on my left hip, but sitting up sideways, with my right foot on my drs neck, and my other foot up by my butt- and I pushed his head out. He was born completely on the next push. 8 lbs even, 20 inches. no tearing- just "skidmarks."
I forgot to add that I hemorrhaged after both boys. First time I got pit, second one we did extensive uterine massage, and that finally did the trick.
Whew! What a lot to write! What a lot to read, and you have no idea what you are in store for next- I wonder if there is a limit as to how long a post can be, lol!
Welcome to your lodge Kasey! I hope you get another ncb (without hemoraging.)
lol, I am going to copy and paste this from a document I have on my computer, labelled, "pregnancy saga." Just to warn the faint hearted, this is VERY long- I think three pages in MS Word. This has been a very interesting pgcy to say the least...
I discovered I was pregnant on the first Friday in October. It was a complete (total, utter) shock. I should have known, though, since my husband had called it and said he had a dream I was pregnant two weeks before that. As in one day post conception. In the five days leading up to my bfp, I often had an upset stomach, but I attributed it to nerves, since my mom had a surgery coming up that we were all anxious to see done and over with. She had surgery on a Thursday, and Friday I still felt a little funky, but was in denial. ;o) I picked up Luke at work, and we went out to eat, then we stopped at the store for a pg test. Yup! Positive!!! )
In the following week, I still felt nauseated, but I wasn’t too worried. I was sick for 24 wks my first pgcy (5/6 times a day for 15 wks, then 1-3 for then next 7, then only once), 19 my second (twice a day, without fail, every day), and 17 my third (sporadic, not even every day.) The nausea had gotten less in each pregnancy, so it couldn’t be any different this time, right? I was expecting a pregnancy like my last, which was so pleasant and wonderful (comparably.) I started getting sick the same week, but wasn’t too worried. Skip forward two weeks (Saturday Oct 20), and at this point I was SO sick I was miserable. After two and a half days of keeping almost zero food in me, I went into the after hours clinic, and was diagnosed with hyperemesis gravidarum. I received a prescription for zofran, and went home. What a miracle! For the first time in almost three days, that evening, I kept food down- and it was SO delicious!
The zofran worked great for a few days, then the vomiting started again, but it was reduced somewhat than when I was without the zofran. On Oct 30, I woke up and had intense lower back and abdominal pain. I was sure I must be having a miscarriage, I called my husband crying to tell him what was going on. I decided to wait to go into the doctors office, since I knew from experience there is nothing they can do if you are miscarrying. (I had a m/c between my two sons.) Later that day I fairly rejoiced when I discovered blood in my urine, and I thought it must just be a severe UTI or something. Anything that meant the baby was okay was good news to me! I went into the doctor office, and they prescribed me an antibiotic, though they found no bacteria in my urine sample- they sent out a culture to the lab. The next day, I didn’t keep a single antibiotic down. I was sent to the ER. There they checked me out, and started IV saline to keep me hydrated, took another urine sample, then did ultrasounds to check out my kidneys and bladder, and make sure baby was in the right spot (as in not an ectopic pgcy.) After several hours of hydration, they sent me home with pain meds- and told me to keep taking the antibiotics as they did not have the results of the culture back yet.
The next afternoon, I still hadn’t kept any of the antibiotics down, and I was no longer keeping the zofran down. I was sent back to the ER, where they started IV fluids immediately, and IV zofran and phenegran to stop the dry heaving. They checked my blood sugar and started a glucose drip when the results came back at 57 (should be between 70-120.) I was admitted and kept overnight. The next morning a dietician came to see me, and told me that I had the labs of a starving person. She told me all the things that I could do for nausea (all of which I was doing, and I told her a few she didn’t know of!) I was diagnosed with hyperemesis gravidarum (duh), possibly a severe kidney infection, severe dehydration, malnutrition, hypoglycemia, and hyperthyroidism. Everything was secondary to the hyperemesis. That afternoon I got to go home, with a doubled prescription for zofran, and one for phenegran, B6, Pepcid, and Claritin- all in an effort to control the nausea and vomiting.
I was okay for a few days, and then I woke up one night with severe back pain, to the point where I laid on the couch and cried with a hot pack on my back, it went away and the next day it came back in the afternoon, so I stood in a hot shower and cried, just hoping it would go away. Both times it went away within an hour- I thought it was just leftover from the “kidney infection.” By Wednesday morning, the fifth day after I left the hospital, I was doubled over in pain. I called my doctor and she told me she thought it was kidney stones, and to come into the ER. I called my sister-in-law balling and asked her to pick up my two older children to come play at her house. My youngest was napping. I called my husband at work and told him he needed to come home NOW, because I thought this pain was going to kill me. Several times while waiting for him to get home, I literally screamed and fell on the floor when the pain would hit. It hurt so bad that it would make me heave, which made it hurt more- I thought I was going to explode my kidneys every time I would heave. I laid there and cried out to God to give me relief. I had a respite from the pain for a short time. During this time, my husband got home and loaded Noah and myself into the van to go to the ER. I couldn’t even stand up straight. We went straight to the hospital, and Luke brought me in, by this time the pain was back and I was moaning and heaving they put me in a wheelchair and brought me straight back. I told Luke to go drop Noah off at his parents 10 min away because it would scare him too much to be there with me.
It took over 20 minutes for someone to bring me pain medication. By this time I was praying my face off, then thrashing and hollering and completely out of my mind with pain. I was given stadol, which sucks. Luke came in right after that, and I was taken for an ultrasound of the baby and my kidneys and bladder. The stadol worked well enough that I would only cry and moan in pain occasionally, when the pain was at it worst, but at the end of the ultrasound it wore off and it started all over again. By the time we got back to my ER cubicle, I was out of my mind. The resident on-call was trying to talk to me, and pissing Luke off, because I obviously couldn’t follow what was going on. I was given morphine after my own doctor intervened. (She told me later that the on-call doctor wanted to give me a half a dose, they thought I just had a low pain tolerance. My doctor told her to listen up, this lady gives birth without pain medication, it is not a low pain tolerance issue- give her a full dose!) Finally some relief. Not total relief, but I didn’t think I was going to die anymore. My doctor came to see me when I got up to my room, and said that the ultrasound showed I had a complete blockage of my left kidney, there was zero output into my left ureter, so my kidney was just getting more and more swollen. I was weighed, and they found that after at least 5.5 liters of fluid (11 lbs of saline) I was still down 11 lbs from my starting weight- so a total loss of 22 lbs, or 16% of my body weight in about three and a half weeks.
The next day, I had a PICC line inserted into my left arm. It is a “peripherally inserted central catheter” a line that started in my arm, went into a vein, and ended just above my heart. I was started on TPN- “total parenteral nutrition” which was to provide me with almost everything I needed to live, 1800 calories, fat, protein, carbs, with a multivitamin that I injected into my tpn bag before I hooked it up to my picc line.
The next day I got to go home.
For the next six weeks, my backpack felt like my near constant companion. I had some time each day where I wasn’t hooked up to it, and those felt like the ultimate freedom. I even slept with it, since I had to have my tpn running all night long, to keep my blood sugar stable. I was responsible for eating about 400 calories a day, if I could. After the first six weeks, I requested that my TPN be lowered, so I could try to eat more. I had absolutely no appetite, and my home care nurse thought that it could be because my body was supplied with everything it needed, so I had no reason to hunger. It was reduced to 900 calories. But then I had to be hooked up 24 hours a day, because my fluids came separately from my TPN.
Weekends were awful- that is when I work, and I didn’t want to bring my stuff to work with me, (No-one except my supervisors and three closest friends at work knew what was going on) so I started my TPN very early on Fridays, so I could get the full dose before Saturday when I left for work. I would work all day (15 hrs) and come home, hook up again, and get about 60% of my usual dose of TPN, and left for another 15 hrs of work on Sunday. As soon as I got home, I would hook up again, and then be hooked up well into Monday, giving myself about 2 hrs of un-hooked time between when I stopped my pump, and had to start it again for the next dose. My doctor okayed this as long as I wasn’t becoming sick or losing more weight, and it was never more than one time per week that I didn’t get the full dose. So I just stayed doped to the gills on meds over the weekends. (In case anyone wonders, it wasn't just because of privacy that I didn't run my pump while I worked, but I work with people with brain injuries in a residential care facility, and have consumers with very unpredicatble behavior- not a safe place to go around with my line hanging out of my arm, or my back-pack grabbable.)
Reducing my TPN did not help to bring my appetite back. After the first two weeks of having my picc line, I had gained 10 lbs of almost all fat. I was told it would happen- but still surprised when it happened so quickly. The starving body’s response to nutrition is to hold on to everything it gets, and turn it into fat. I went up two pants sizes in two weeks. But, then I didn’t gain any more weight for the next 8 wks. I had to force feed myself everything that I ate, and I hated to eat. It took forever, because despite all of the meds I was on, I was still nauseated most of the time, and I felt “full” always, so eating felt like I was stuffing myself, and I almost wanted to throw-up. But while I had my picc line, I almost never vomited, I had the heaves a few time, with no results, but almost never vomited. I was lucky- some women continue to be sick all of the time, even with a picc line, and IV medications.
I had lost a substantial amount of muscle mass before I got my picc line in, and it didn’t improve any while it was in- I couldn’t use my left arm for hardly anything, it became sore very easily. I couldn’t even push a grocery cart with a few items in it because my arm would become so sore.
At 20 wks pregnant, I had my picc line removed, 10.5 wks after it was inserted. This was mostly by my choice, I was SO done with it, and I was sure that I could eat and drink. The last 5 wks of having my line in were awful- I developed an allergic reaction to the adhesive or cleaner or something used at my picc site, so my arm hurt and itched like crazy. I would wake up in the middle of the night itching it. My skin was red, swollen, raw, and weeping constantly. In the last two weeks of having my line in, I had to have dressing changes every other day, because the skin was weeping so badly that the stat-lock (what they use to hold the line in place so it doesn’t get pulled out) would not stick to my skin anymore, so they had to tape it, and use a gauze dressing so the skin could breathe a little bit.
Th first day of no TPN, I thought I was doing great on eating. I wrote down everything I ate, and when I added it up at the end of the day, was crushed to realize that I had eaten just over 1100 calories. That started my on-going war between food and fluids. If I get enough of one, I don’t get enough of the other... At this point, food is easier for me most of the time. It doesn’t reflux up as much as the fluids do.
Six weeks after my picc line was removed I was able to stop taking my zofran regularly. I had slowly weaned off all the meds except that one. Since having it removed, the only real issues I have had are hypoglycemia and some kidney issues. Thank God that they are both easily remedied. Assuming that I drink my water!
I have had 10 beautiful weeks of pregnancy where I rarely needed meds, and I was okay for the most part as long as I drank all of my water and ate something every three hours. This past week has been rough, as the nausea has started again. I went in and got my zofran refilled today so that I don't run out this weekend. So far I am not vomiting (thank GOD!) I am really hoping that if I stay on top of my meds that it won't get to that point. I am so scared of a relapse, after what I already went through.
For some reason though, the amount of water and the amount of fodd that had worked so well for the past 2.5 months isn't enough anymore- so I am just trying to adjust and find the right amount.
I coudn't refill my antacid today b/c my insurance no longer covers it GRRRR. So I am waiting on my doc to see if there is something else she can prescribe. I have no pain at all with the reflux- I don't even know it is happening until I feel it in the back of my throat and then taste it then gag Gagging is NOT a good thing when you are trying to avoid vomiting, lol!
Soooo, that is my story of this pregnancy so far... If you made it this far, God bless you! It is LONG! If not, no hard feelings
What an incredible story about your deliveries! TFS!
Congratulations on your lodge Kaseye! I'm sorry this pregnancy has been so rough, I hope the remainder is smooth ~~hugest hugs~~