Monday, February 28, 2011

Work worries

So, things are fine in case you've been wondering. At least, I think they're fine...but as we all know the wheels on the bus can fall off fast even when you think you're being careful...so I'll just say as far as I know, things are fine.

So we are at 13 weeks and 2 days (3 days in a couple of hours) and so far I've had nothing untoward happen after stopping the progesterone the weekend before last. I don't know the half life of progesterone, but I'm going to assume it is out of my system by now.

Now that the first trimester is over, the fear of early miscarriage is waning, but of course other fears crop up in its place. Like the fear of late miscarriage, genetic defects, pre-term birth, pre-eclampsia, stillbirth, and oh yes, my personal fear of my heart failing on me. And those are just all the disasters I can think of right now.

My 'heart fear' is beginning to increase. I noticed once I hit 12 weeks that I started feeling more 'heart tired'. Stairs are becoming *slightly* more difficult and my heart feels like it is working just a *wee* bit harder doing regular daily activities. I've gone to taking my pulse and blood pressure at work just to keep track and so far my heart rate is it's normal high 90s to low 100s. So the question becomes "Is this normal pregnancy changes? Do others feel this way?" or "Am I just stressing myself out and increasing my own heart rate by worrying about it?" (a distinct possibility when we are talking about me). It's hard to know because I've never been a person with a normal heart. And by this time in Aidan's pregnancy I was already on bed rest, so didn't have to contend with work and chores. My biggest tasks each day when I was pregnant with Aidan was getting myself lunch, changing the DVD in the Playstation, and the inevitable trips to the bathroom (oh and of course the daily mantra of hoping things would end well...that didn't pay off).

All of this current pregnancy stress is also getting mixed up with work stress. If you were following my posts last summer, the current job that I'm doing is a contract position. I couldn't bear the thought of returning to the NICU after Aidan died, so I was glad to get this much lower stress, much better hours position, even though the contract is up at the end of March 2011. At the time I didn't care that it was a contract, because I could only imagine life a few weeks into the future. After Aidan died, I couldn't concentrate 'on my career'. All I wanted was a job that got me out of where I was. But, now it's March 2011. We haven't heard yet, but there is a distinct possibility that this contract could be made permanent. Which would be awesome. However, I am holding off on telling my work colleagues and my manager that I'm pregnant until I know if I have a permanent position. I don't know if this is being sneaky or not, but hey, I figure I have to protect my own interests and I want to give them no reason to decide to get rid of me. But hello, I'm 13 weeks pregnant here. Give me a few more weeks and it's going to be pretty damn hard to hide that I'm pregnant. Baggy scrubs and zip up hoodies can only conceal a baby bump for so long.

My heart defect worries me regarding my job, because there is a distinct possibility that I'll be off work early on sick leave. I asked my OB a week and a half ago at our 12 week appointment when he thought I might be off and his response was "whenever you feel like it's too much, I'll take you off". I was hoping to make it to 28 weeks at least, but with already feeling tired, I don't know if that's feasible.

So if the job becomes permanent and I get to stay, great! But I feel bad that a few weeks after they make me a permanent staff member on this unit I might be telling my manager "Oh yeah, I'll be on sick leave until my baby's born and then I'll be off for my year's maternity leave...see you in late 2012!". It would be my right and entitlement...but still I feel bad about it. Not to mention what going off on leave with only half pay will do to our finances. I HATE being seen as shirking my responsibilities, but my biggest concern is to get this baby to term (or close enough) with my heart in good shape. Anything other than that must come second.

I just hope everyone at work sees it that way too.

Saturday, February 19, 2011

Progesterone...all alone

I'm exactly 12 weeks pregnant today.

Tonight will be my first night Prometrium (added Progesterone) free since I ovulated sometime back in December.

Okay Acorn...it's all up to you and your placenta now! Just like when you walk unassisted for the first time, or your first day of school or your first night sleeping away from home, I'm rooting for you, but I can only do so much to support you and then you've got to do it on your own.

Please please please be able to do this on your own. Please let this be the right time to let you try. Please don't let my body, or your placenta, fail you.

*Fingers crossed*

Thursday, February 17, 2011

Off to see the wizard...

"We're off to see the Wizard, The Wonderful Wizard of Oz.
You'll find he is a whiz of a Wiz! If ever a Wiz! there was.
If ever oh ever a Wiz! there was The Wizard of Oz is one because,
Because, because, because, because, because.
Because of the wonderful things he does.
We're off to see the Wizard. The Wonderful Wizard of Oz"
-(Obviously) song is from "The Wizard of Oz"


Today I went for my IPS screening (blood work + ultrasound) and threw in a visit to my OB. This OB is the same one I had for Aidan's pregnancy. Being a 'high risk' cardiac patient I have no choice in who I go to see for pregnancy care. He is "THE" OB who takes on complex cardiac defect patients. He works out of the 'Special Pregnancy Program' which is a combined office of Fetal and Maternal medicine specialists. They are the province-wide specialists in "investigation and management of the full range of maternal, fetal and placental difficulties that may occur during pregnancy." Underline and bold the word 'investigation' and put the word 'management' in smaller, finer type.

Probably because it sucks to think of myself as 'high risk', I wasn't thrilled with my OB, even before my last pregnancy. It wasn't anything specific to do with him. I'm sure he's a perfectly adequate OB (even a great OB)...but it sucked not to have a choice of care provider. If I'd had a choice, I would have chosen a female OB. Plus I probably would have chosen one that was closer to home, rather than all the way downtown (almost an hour drive in traffic). I would have liked to chose a less busy practice, one that could see me other days of the week rather than JUST Thursdays. Hell, if I'd had my druthers I'd have gone to a midwife (but stuck with the hospital birth). No such luck however, for Emily and her half a heart.

So, now after having a very bad experience during my last pregnancy, I wasn't looking forward to going back there. I felt a little like I was going to see 'the Wizard' like Dorothy and crew from The Wizard of Oz.


Let me explain: You know how Dorothy arrives in Oz and hears that the Emerald city has an all powerful wizard who will help her return back home to Kansas. So she makes the trek to see him...only to find out he's an ordinary little man, hiding behind a big machine and a microphone, who really has no power at all. Eventually Dorothy and co. realize the powers they were searching for was in them all along etc. Cue crying, hugging and general merriment.

That's kind of how I feel about going back to this "Special Pregnancy Program" and my OB. I feel like Aidan's pregnancy was me going to the Emerald city with promises of finding 'specialists' and 'experts' to help me and my body make a healthy baby. Instead I found an ordinary bunch of men and women, including the 'best' OBs in the city...who couldn't do anything to help when my pregnancy was failing and my son was dying. No magical shoes at the end of that pregnancy.

However, griping aside, my appointment today went quite well (despite lasting 4 hours, most of which was waiting). Ultrasound showed nothing out the ordinary (as far as the tech could see). NT measurement was 1.2 mm. Met with the (regular ole', non-magical) OB who actually flat out admitted that if anything went wrong with the placenta this pregnancy, there was nothing they could do about it. I appreciated his honesty. But he said that he felt 'cautiously optimistic' because so far, I've had none of the problems I had early on in Aidan's pregnancy. We will, once again, be monitoring my heart closely, and I already have FOUR ultrasounds to look forward to in the next couple of months including a 16 week placenta ultrasound, a 18-20 week anatomy scan, a 20-ish week fetal cardiac ECHO to check out the baby's heart, and another 22 week placenta ultrasound to get a better read on how my placenta's functioning. I'm sure they'll also throw in a cardiac ECHO for me sometime in there too. None of which will prevent or help any sort of problem that may develop, but hey it's always nice to know if the scans are reassuring.

These are all assuming we make it to those future far off dates, of course.

So that's where we are at. We've told my parents and Brian's parents about the pregnancy and they were (thankfully) low key about it all. I was dreading comments like "I just know this time things will be fine!!!" and "Oh I can't wait, I'm SOOO excited!!!" and other such inane and completely ignorant of our history comments. Also, I've since learned that my brother and sister in law check in here every once in awhile. I'd given them the website address way back in November and then promptly forgot...so apparently they have known about the pregnancy for awhile and didn't say anything. Props to them.

So now I'm going to try to rest and relax and send positive vibes to Acorn to just keep doing what's he (or she, although I think it's a he), is doing.

GOOOOOOOOOOOOOOOOOO ACORN!!!!!!!

If you've had a pregnancy after loss did you return to the same OB/midwife? Why or why not? If you haven't, do you think you will? How do you feel about returning to 'that office'?

Monday, February 14, 2011

February 14th: I heart you

It's February 14th so you know what that means.....



Happy Congenital Heart Defect Awareness Day!

oh yeah and...

Happy Valentine's Day.

The heart symbolism is just so cute! (gag me).

Friday, February 4, 2011

Doppler

I'm 9 weeks and 5 days. With Aidan I had my first 'big' bleed at 9 weeks and 4 days (as opposed to the 'minor' bleeding I'd been having since week 3). Both Brian and I huff a *teeny weeny* sigh of relief when yesterday passed without rushing to Emerg.

During Aidan's pregnancy Brian rented a doppler, which I used every couple of days as the pregnancy progressed just to make sure Aidan was still alive. After the bad news, I was sure one day I'd put that wand on my belly and hear...silence. It never happened (which I'm SO grateful for), but because he didn't move much (because he had no fluid...so so so sorry Aidan), being able to use that doppler to hear his heartbeat every time I passed more blood or fluid...well, it kept me sane. If he had died inside me I wanted to know it. And if he was alive, I wanted to know that too. It was the not knowing that would have done me in.

So, this time, Brian planned ahead and bought a doppler. He got it in the mail a few weeks ago and hid it from me so I wouldn't be tempted to try it out. Initially he said "let's wait until at least 11 or so weeks to try it". We heard Aidan's heartbeat at 9 weeks 4 days. Honestly, I think he had to hide it from himself more than me, because I knew he wouldn't be able to wait that long. So I wasn't surprised when I got home from work tonight and Brian almost immediately says "Do you want to try the doppler tonight!!"

Of course I want to...but I'm a little afraid that we won't hear anything. Will that make the anxiety worse? I mean, I know it's early...but still...what if we don't hear anything?

So of course, we try it anyway.


Pull it out.

Squirt the goo on and

....silence....silence....silence....

Then I say "try a little higher...I think my bladder's full"


and....sure enough...

Swish/swish/swish/swish/swish...


YEAH!!!!!

So I'm feeling happy tonight. I can confidently say as of 8:30pm on Thursday Acorn was alive with a heart rate somewhere in the 170s range.


*Whew*

Sunday, January 30, 2011

Telling Someone

I hate to admit it, but I'm not excited about telling our families or friends about Acorn..at all. This has nothing to do (of course) with being sad about being pregnant. I am grateful, happy and not taking it for granted. (Very very happy. Very very grateful. Keep growing Acorn!!)

So why wouldn't I want to share that?

Why wouldn't I want to relish in the joy of others?

I remember promising myself way back when, that I would try to celebrate the next baby more. I was sad I didn't do more celebrating with Aidan, and maybe if I had, people would have been sadder too when he died. Not just for us, but for themselves. That they missed out on meeting Aidan and watching him grow up. It is never a bad thing when many many people love your child. Love makes children's lives richer, fuller, better....

So why am I so reluctant to even squeek out the words "I'm pregnant?" (I can barely even talk about it with medical professionals without feeling uncomfortable...)

To psyche myself up for eventually telling my family, I decided to tell a woman at work after our ultrasound last week. This is the woman that I work every shift with and she drives me home after work. I spend quite a bit of time with her from Monday to Thursday every week. We've spent a lot of time talking about our families, work, our hobbies, her living children and my dead one, etc. So I figured she would be the perfect person to try 'coming out' to.

She squeeled and almost started to cry (perhaps telling her while driving home wasn't the best plan?), and immediately started to say things like "I knew it!" and "Oh, I can't wait to see you with a baby bump, you'll be so cute..." and so on and so forth.

Inside I was squirming. Of course what starts running through my head is "Oh God, what if something happens...I'd have to un-tell her and that would suck so much...now she's all excited and saying things like she'll be a the baby's 'work auntie'...oh no, please please please don't let this baby die. Please let her get to continue being happy for me. Acorn, mommy really needs you to be okay!"

So, yeah...maybe not quite ready to out myself to anyone else yet.

Any tips? Would telling our families in an e-mail that we're pregnant again be weird? Of course then we'd have to not answer our phone for awhile too...

Friday, January 28, 2011

No (Wo)Man's Land

I haven't posted in awhile because I've been too tired. I've been suffering with on and off insomnia the past week or so. This happens to me when I'm worried about something. Other people find it insane, but I can sometimes (unwantingly) stop myself from sleeping all night. I might be tired as anything but I just cannot relax and go to sleep. It's one of the things I dislike most about myself (next to my half a heart and womb that killed Aidan). I think I've had about 8 hours of sleep in the last 48 hours so please excuse run on sentences and any other grammatical errors.

Good news is I'm still pregnant. We went for another ultrasound yesterday and we have a heart rate of 187. Acorn is measuring 8 weeks and 5 days based on his crown to rump length. Which is apparently accurate with my ovulation day based on the fertility clinic's calculations. The ultrasound technician was your typical no personality bitch who, even after I waited until the end of the ultrasound, like a good little patient to ask "So when does my husband get to see..." I was met with the response of "Oh, it's too small...he'll be able to see more next time" followed by a quick "you can get dressed now". This is even after they have a sign in the waiting room stating that during your ultrasound, your partner will be able to come in at the end. I think the technician was uncomfortable because she had to do a vaginal ultrasound (which I'm totally cool with by the way) and she didn't want to have to do it in front of my husband. I was too tired to argue (see above insomnia) so I just let it go. I wish now I'd pushed a little harder because Brian was really upset he didn't get to see. I thought of the awesome response to her "He'll be able to see next time" comment as I was leaving. Which was of course "Let's hope there is a next time...because last time there eventually wasn't".

However, I'm now convinced that ultrasounds, while providing immediate reassurance also screw with your head and make you crazy. This is because Acorn's MSD (mean sac diameter) only puts me at 7 weeks. When I took the radiology report back to the RE's office which they asked me to do, I asked about this and what it might mean. The nurse I was speaking to went to ask the doctor and came back and told me the doctor didn't really know that much about it and couldn't tell me one way or another what that meant. She then told me I should ask my OB about it. Great, thanks for nothing. If the RE doesn't know anything about it, what makes her think that my OB is going to? Isn't SHE technically an OB? Does she think he learned something in medical school she didn't? Dr. Google has, of course, scared the living daylights out of my husband and when I looked up small mean sac diameter this morning, all you can find is bad news. But then everything else you read states that finding a heart beat is good news. So if a disaster happens, we'll of course point to the small sac and say "see, things weren't right from the beginning", and if it doesn't we'll blow it off with "oh, see that didn't mean anything". 5-12 weeks of pregnancy seems to be a no-man's land when it comes to predicting. Unless you have something that is GLARING and OBVIOUSLY wrong, then nobody seems to fucking to know if it's going to turn out okay. You're safely correct if you state "it might work out and it might not". It's like relying on the weather man.

I also asked the nurse (who went to ask the doctor) if I could stay on my progesterone suppositories until at least 12 weeks. I am ABSOLFUCKINLUTELY convinced that Aidan's death is at least somewhat attributable to low progesterone levels in my first trimester. The doctor (through the nurse...the doctor never actually came to talk to me directly), said that "at this point, I can't recommend you continuing with progesterone as it's no longer necessary and we usually advise patients to stop taking it at this point". Um...thanks lady. But even if it's a freaking placebo I'll take it and I'll take it happily. She didn't renew my prescription...but what she doesn't know is that the other RE who I saw at 6 weeks for my first ultrasound renewed my progesterone *just enough* to get me to 12 weeks. So I'll keep taking it until then. How subversive of me.

I have other thoughts flying around in my head, but I'm too tired to go on with them right now. Hopefully I'll have more time and energy this weekend.

Is there something at an early ultrasound with your dead baby that caused you pause? Do you ever think back to it and wonder "if it meant something?"