Peanut at 11 weeks old
We've been calling the baby "Peanut" since we first saw it during an 8 week ultrasound back in August 2010. It looked like a little peanut. Just three short weeks later, you can see that Peanut looks like a little person-- little nose, fingers and toes! Amazing. At 34 weeks, last week of Feb 2011, we re-named Peanut something more fitting,"Wriggley", because it is such an active baby! I have been trying to capture on video the moments when it makes visible waves across my stomach as it rolls around or stretches its legs and arms. Wild!
Back in the "Peanut" days, I wondered why pregnant woman and doctors talked about babies in terms of "weeks rather than simple months. Now I understand, and for those of you who may still be perplexed: each week, no matter who you are or where you are in the world, there are set stages of fetal growth and development that occur each week. There are even websites where you can see what a baby looks like in each week of development and read specifics about what changes are occurring-- for both Mum and Bub. Docs check the baby's growth and development against these bench marks.
In Australia (Oz-tray-ya) they say "Mums" and "Bubs" NOT Mom's and babies (well, sometimes babies, but never mOms). On Mother's Day the cards all say "Mum". A popular baby website is called "BubHub". When Mum's go out for a coffee (*big* coffee culture here in Melbourne), the cafes all have "Bubbacinos" on the menu for the little kids who accompany their Mums. A Bubbachino is a cup full of the foamed milk from a latte, sprinkled with chocolate and sugar. If you Google it you'll find all kinds of videos people have posted of their kids devouring Bubbacinos. Some are pretty funny.
OK, back to the Peanut days... In addition to my puzzlement over the weeks vs. months terminology, I didn't quite understand the need for doctor involvement during pregnancy-- it is a natural thing and your body is going to do what it is going to do, right? Well, yes, but as it turns out, there may be some important warning signals that a Doc can recognize and, armed with that info, prevent some not-so-desirable outcomes. In my case, it was WAY more complicated than I ever would have imagined...
Because I was 45 years old at the time of my first appt with my high-risk OB/GYN, he advised me to have a CVS test to check for Down's Syndrome and he scheduled an appointment for me with a DES specialist. Woah! Glad I did the research to scope out the top high-risk OB/GYN and hospital in Melbourne.
According to the Doc, due to my age there was a "very high probability of Down's--10%". Admittedly, 10% didn't seem very high; I was focused on the 90% chance of everything being just fine. But in the world of medicine 10% is substantial. What is a CVS test? Nope, not related at all to CVS pharmacy; no such place here in Oz. CVS is an abbreviation for Chronic Villus Sampling, a test that determines chromosomal or genetic disorders in the fetus. Similar to amniocentesis but able to be done much earlier in a pregnancy. The test involves a giant needle going in to your stomach (after they've done an ultrasound to see exactly where/how the baby is positioned). They actually stab right in to the area where the baby is growing to get a sample of the tissue from the placenta. Freaky!! A friend told me that her baby grabbed the needle during the test. Waaayy too much information for. OMG! Did not want to know that.
The Doc who did the procedure on me is world famous for doing it, so I let go of horrific "what if" scenarios that were making me head explode and decided to simply trust him. Brendan went with me for the procedure and held my hand the whole time. It is amazing how much more laid back things are here in Oz than in the US. They called me in to the room whilst I was fully clothed. They asked me to get on the table. I did, with all of my clothes on, including my shoes, wondering what they were doing. I asked what they were doing. They said "the CVS test". No request for ID, no matching neon nurses uniforms, nada. Just "lift up your shirt" so they could get to my stomach. And then they moved the waistband of my pants down a bit. The cold jelly on the belly for the ultrasound (see Peanut Pic at top of this blog post) and then... the rubbing alcohol and giant needle. I turned my head and looked only at Brendan's face the whole time. The experienced Doc asked me heaps of distracting questions to keep me calm. It hurt no more than a blood test, in fact less. But man, do NOT let your mind think about what is actually going down in those few seconds. All done. Reassuring words from the Doc that the procedure had gone well. He handed me the Peanut pic and explained that I could receive expedited test results in 24 hours for a fee--rather than wait two weeks to find out if the baby was ok. Uhh, no-brainer there! I called in for the results 24 hours later and when they told me everything was okay, I burst in to tears with relief!!! The alternative was sooo overwhelming and I was sooo grateful not having to face that. The test also definitively told the sex of the baby and they asked me if we wanted to know. No thank you. That is one surprise we welcome.
The next complication involved DES. In the 1950's and 60's doctors advised pregnant women to take a drug called DES (Diethylstilbestrol) to keep them from miscarrying . My mom took it. This fact makes me a "DES Daughter" and also makes me a likely candidate for all types of reproductive issues. I'm sure at the time the Docs thought the drug was perfectly safe ( Argghh!). Anyway, it wasn't. The doctors I've seen here all tell me that the fact that I got pregnant so easily and naturally is quite the miracle. However, I did not escape unscathed from the DES...
Apparently what I ended up with is "an incompetent cervix". Rude name, I know (maybe "special-needs cervix" would be better?) but that is what they call it. Truthfully, I didn't even know exactly what a cervix was--other than some reproductive part (shame on me). It is the very bottom of the uterus. So what? Well, if that part ain't "competent", the door is basically open for the baby to come out whenever it wants. So, not a good thing.
Because I am a DES daughter, my Doc advised bi-weekly (fortnightly as they say here) ultrasound scans to check my cervix up until week 28. Around week 18, the week we were scheduled to move in to our new apartment, the scan showed a giant black space--open door cervix. The scan doctor immediately got on the phone with my OB/GYN and it was decided that surgery would take place first thing the next morning, Friday. I was scared; I don't "do" doctors and hospitals. Oh my. I called my friend Jen and she reminded me of the purpose of the procedure--to keep the baby inside, and how good it was that they detected the issue early and could actually do something about it. That helped me keep my perspective a bit. Then there was the practical matter of the move we were scheduled to make that weekend to our new apartment, truck rental, etc. Brendan would have to pack up and move everything on his own. Thank goodness we have amazing friends here. Deb, Gus, Brett, Dave, Andrew and Kai all made themselves available to Brendan for the weekend. So, I just had to focus on getting through the medical procedure.
What they did is called "cervical cerclage" (French make everything sound so beautiful!) Basically, they knocked me out, went inside and wrapped a shoelace-like cord around my cervix. Then they sewed it in place with dissolving stitches. So fun! Actually, it wasn't too bad. I woke up in the recovery room, they wheeled me back to my room, I slept and woke up feeling mostly fine. The worst part was that I still had an IV in my hand and needed to go to the bathroom. The nurse went with me and thank goodness warned me about what I would see. Let's just say that I left behind a GIANT amount of the colors of the American flag less the blue and white. That sight made me a bit nauseous. But everything calmed down and got back to normal slowly but surely.
I was sitting up in the hospital bed the next morning, Saturday,when a really hot guy in jeans, a t-shirt and boots came in to the room. I smiled and said hello and waited for him to explain his presence. He introduced himself as my Doctor's colleague (they share rotations). I had read about him online and he is also a famous high-risk OB/GYN here. Anyway, he asked me sternly "what are you doing?" And before I could say anything, he said "you should not be sitting up. That puts a lot of stress on your cervix. Do you want to be in the hospital over the holidays-- for weeks?". Woah. OK. As he spoke I slowly slid down in the bed until my torso was flat. He asked me how I was feeling, bleeding stats etc. and then ultimately approved my release to go home. He made it clear that I needed to lie flat as much as possible, no exercise and no sex or I could end up in the hospital for the remainder of the pregnancy on bedrest. That was November 6th, so would have meant 5 months in hospital. Enough incentive to motivate me to lie flat. But he also advised "don't stop your life". A bit confusing... how does one lie flat all day and continue a normal life?
Our friend Balu picked me up at the hospital (had the passenger seat completely reclined for me) and took me over to his and Shannon's house to lie on their couch and rest/recover while Brendan and friends moved an initial chunk of our belongings to the new house. Balu and Shannon fed me and then, at the end of the day, took me home to my half empty old apartment.
I slept hard that night and early the next morning a second shift of friends packed an moved the rest of our things to the new house, all while I laid still on a futon mattress watching. It was really important to keep the stitch in place.
The Doctors are thrilled that I've made it to 35 weeks with the stitch in place. In my next post I'll talk about how I did it.
1 comment:
What an adventure you're on!!
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