I'll copy and paste my birth story for DD from my old lodge.
Here's the short version:
Born on August 14th, 2010 (36 weeks 4 days)
5 lbs 5 oz, 19? long
born at 10:03 am
Went to bed feeling a little off but nothing worse then I'd been dealing with all week. Woke up at 3:45 am to broken water, was fully dilated at 9:00 am and pushed for just over an hour. Hemorrhaged after but thankfully I didn't need a d&c. I was so happy to have the NCB I wanted after such a trying pregnancy.
We knew we wanted kids around 2 years apart. We bought our house in December. We would have started to TTC then but I needed some eye "surgery" (laser stuff for a premature birth complication I have) so we had to put it off. I BFd until DD was 18 months (Feb '12) so my cycles weren't amazing. I didn't expect to get pregnant right away but we conceived in early April on our first cycle trying! EDD is 1/3/13, only 3 days before DH's thirtieth birthday.
We went into the pregnancy knowing we'd do H17 progesterone shots to help me get to full term. Between my premature birth, preterm delivery with DD and ICP history, I was at pretty high risk for PTL to begin with. The shots would start at 16 weeks and go to 36. As for ICP we'd wait and see if I got symptoms and go from there (the reoccurrence rate can be pretty high). I tried eating as low fat as I could as I know that has helped many women avoid ICP in subsequent pregnancies. Unfortunately I started getting itchy again around 11 weeks and was tested at almost 14. The same OB who managed me before put me on Urso (a medication used to help manage bile salt levels and has protective qualities for baby) and said we'd go with the same game plan as DD: NST's 2x a week (though starting at 32 weeks not 2, BBPs and delivery at 37 weeks after a good amnio (if the amnio didn't put me into labor).
Here's the running list of "fun" stuff that's happened:
14 weeks - initial testing for icp, levels at the high end of normal
20 weeks - more blood work and dosage upped on meds, now in the offical icp range for levels though still lowish
22 weeks - was sent to l&d for observation because I took DD to a bouncy house and the on call OB didn't like that I had BH contractions even though I explained it wasn't patterned or anything. Ffn came back negative, about 50% effaced but not dilated.
24 weeks - levels up a couple points but all was okay.
28 weeks - kept overnight as I had awful cramps accompanied by contractions every 5-10 minutes. Same effacement no dilation. Nifedapine didn't stop the contractions so I was kept overnight and given morphine.
32 weeks - started NSTs. Had Ffn done on 11/15 due to my contractions while having NST. BBP and NST/Prenatal visit Monday with my favorite MW. Going to talk about stopping H17s as I have pretty bad reactions to them that aren't improving. Can take daily progesterone (vaginally fun!) instead.
Like most at this point, I get BH every day. Lately they've been more crampy then anything and the whole pregnancy I haven't been able to get Dec 1st out of my head. That makes a little nervous as it's just over 35 weeks and I want him to be as close to 37 as possible. If I hadn't had ICP again, I would have anticipated going over my EDD just to let him decide when to come.
I feel funny blowing up this thread, but I figured this was an appropriate place to update on things.
Yesterday I narrowly avoided going to l&d for monitoring. I almost thought my water broke because I kept having little "gushes" that were clear. Baby's still head down (yay!) and it's not like I was having an excessive amount of pressure, but I just didn't know what to think. I wouldn't have called except I was also having a TON of BH contractions that were pretty crampy and I'd have some pressure with them. I know it's sort of stupid, but I lied about how many I was having (I said I was having them every 5-10 minutes but it was more like 3.5 for the last hour because I couldn't really lay down). The OB told me to put my feet up, drink more water (I'd gone through at least a gallon by that point) and go in if things didn't improve. DD got up at 5 am that day and refused to take a nap. DH also worked a full day. I did as she said once he got home and thankfully the BH did slow after about 45 minutes. I took about an hour nap. We had dinner and DH put DD to bed. I started getting more contractions again but they spaced out if I laid down. I'm just hoping they won't need me to go on bed rest because of it.
I just got a call from the OB I saw for my NST Thursday (who delivered DD). He said my Ffn was negative which was good, but my bile salt levels are definatly in the "true" cholestasis range. The lab test they do has a range where anything above 24 is definite ICP. My levels had been 16-18 for a while so on paper that was good but it wouldn't change treatment because of how serious ICP can be. In the support groups I'm in, most women's OBs use a test that is more sensitive and considers anything above 10 to be elevated. The thing that makes me nervous is a lot of literature I've read says 40 is when you start getting into a dangerous situation for baby any my levels from Thursday were 34.3 . It's comforting knowing we're doing all we can to monitor him at this point but it just makes me nervous as we got really lucky with DD. She was small but didn't have respiratory issues and despite latching issues from being early and jaundice she was perfect. Here's to hoping my BPP goes well tomorrow.
On a good note, my inlaws are watching DD for a while this afternoon so DH and I can check out the new Buffalo Wild Wings and do a little shopping for the kids.
I hope things settle down for these last few weeks of wanted pregnancy. Try to take it easy!
And you're not blowing up your own thread. Have you not noticed how much I chat?!
Sorry this has been a bumpy road for you. Like Jackie said, try to take it easy. You are getting so close to the end now! And updating your Lodge is what you are supposed to do!
I hope you and DH have a nice afternoon together. Tell us what you think of Buffalo Wild Wing. We had one open up here that I have not had a chance to eat at yet, but I'm curious. My MIL took DS and his friend to the movies this PM so I'm getting a little break too. I told myself I would clean our master bathroom, but instead I am on PO.
Thanks ladies. Claire, I'm glad you are taking a true break! Buffalo Wild Wings was way more sports bar then I realized. Yes we went pre game but we did not expect the crappy parking and 30 minute wait so we just said forget it and went to Longhorn as DH had never been. For two steak dinners and two beers (for DH of course) we did pretty good at being under $50 with tip. We did our grocery shopping and got a couple things for the kids before picking up DD at the in-laws.
I'd totally forgotten that Emma was a surprise and that you'd had your wedding while pregnant! That seems like forever ago.
Your support crew seems like they're really on top of things and very supportive of your wishes. Just a couple more weeks, little guy. We'd rather not meet you yet!
Is PTL a side effect of the ICP or is that a separate issue?
I'm glad to hear it wasn't amniotic fluid but sorry to hear that you are in the "true" cholestasis range.
And don't feel bad blowing up this thread, it's your lodge!
Mama to Kostas with the Mostest, born 07/10/07
and Marek "Cricket" Joshua, born 12/07/12
The PTL is both a side effect of ICP and a separate issue. I was born at 28 weeks (26 gestation) so that is an automatic risk for PTL. Emma's preterm birth also warrants the risk so it's three fold. I just keep telling myself it was always my body acting up with Emma, not her so hopefully it will be the same with this LO.
On a fun note, DH and I were talking about whether or not we'd have more kids after this. At this point, I can't imagine another pregnancy but I don't want to make any decisions about closing that door and I've always liked the idea of 3 kids (4 if we never had to work away from home hah). I thought for sure DH was going to be "done" because we will have one of each but at dinner he was saying he will be happy either way. Maybe part of that's because he's the third child ? Another LO wouldn't be at least until this one is a year or two old but it's still nice to know that DH and I are on the same page about the possibility.
Emma turned out just perfectly perfect so its got to be something about your body chemistry/physiology rather than an issue with the baby.
You're one amazing mama already thinking about #3! I suspect it will happen one day if you're both already thinking about it.
KUP on your BPP today!
I love that you guys are discussing #3 in the midst of this pregnancy. It really doesn't matter so much after the fact, but I know this part is hard on you. Keep it up, he'll be here so soon and those worries can fade. I think in a perfect world I would have 4 too, but I doubt that will be the case without a major oopsie.
I hope all looks fantastic today and baby boy isn't too sleepy.
DS - Kaelan April 2009
DD - Hailey September 2010 (my VBAC baby)
Expecting #3 forChristmas!!!