Rest And Observation

I was supposed to go home Monday after a weekend of resting and being observed, however I ruined my chances of that when I had the chest pain again every early on Monday morning.  Having been told off for ignoring it, I was a good girl and reported it to the midwife on duty.  One ECG later a tired looking doctor came into my room and told me that it was, judging by the description skeletal-muscular in origin rather than a heart attack, palpitations or a pulmonary embolism.  However if I had any more I was to press the buzzer by my bed to report it (I walked down to the nurses’ station with the first one)  Monday morning while waiting to see when I was going to have an Ultrasound scan so that I could go home, I got the pains again.  Cue another ECG and tired looking doctor  in scrubs talking me through the results and the next steps, though as his speciality was gyne he would have to get one of his “medical” colleagues to confirm this with me.

The next steps were a chest x-ray and ultrasound of my legs to check for blood clots, if there were none there it was highly unlikely that I had a “PE” to rule out a heart attack they would have to wait about 12 hours to take a blood sample which would show if I had one.  That 12 hour wait put the kibosh on me going home on Monday.

Having one’s legs ultrasounded is icky, warm gel squirted over the length from ankle to groin, it felt spectacularly wrong and no doubt looked it.

The bloods were taken by an incredible efficient Russian doctor who had the needle in my left arm almost before I had the chance to point out I was left handed and could the blood be taken from the right arm please.

The results of the tests trickled back over the next few hours – no sign of clots so the risk of it being an embolish are very small and the blood test was negative.

This morning I was packed ready to go at 8:15, I didn’t get discharged until 18:45,  We complicated cases have our individual consultants who are the primary contacts for our care.  Our consultants are busy being on call/in theatre/clinics/consulting with colleagues/having cups of coffee and a bit of a breather before the next thing so despite chasing and nagging by the lead midwife on the ward, we poor inpatients are not necessarily the highest priority especially if its just a case of OKing our discharge.  It’s not an idea situation at all, but to put a spin on it, even though I was bored out of my tiny skull I did manage to get more rest.

But it’s so nice to be home, put Tom to bed, a happy smiley, tired and kissy Tom too.  And to be able to sit on the sofa and give my husband a proper cuddle.

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29 weeks, a slip and a slide

We’ve made it to 29 weeks which means if the baby was born today she’d have a 9x% chance with expert care. But we don’t have to worry about that, because at my weekly scan today things looked very good in womb-land. Baby had grown and has the head size of a 29 week plus a few days foetus, same for her abdominal circumference. The amount of amniotic fluid around her has increased as well so that’s no longer a worry and the dopplers were really good.

It’s me whose a bit of a mess. I confessed to having a bit of chest pain the other night which I ignored because my fingernails didn’t loose their healthy pink colour. And that The other night I felt really wrong in myself but nothing I could put a name to. That I’ve been in pain almost constantly for a while now, side pain, one or two really painfully braxton hicks contractions, sciatic and higher back pain come and go. pains at the top of the uterus.

And I had a bit of a “fall” this morning. I heard a crash in the house while I was hanging out the washing this morning. I strode purposely into the living to see what was wrong and I stood on one of Tom’s books, the sort of book that has a shiny cover. My left foot went sliding forward, my right one stayed where it was so I did the splits. Except I can’t do the splits, not even when I was young and lithe. At first I thought I had pulled a major leg muscle but fortunately not but my groin muscles are protesting mightily. When I told my consultant all this, after shuffling in like an old lady she told me off for ignoring the chest pain and decided to admit me over the weekend for monitoring and rest. So I’m in a side room on the gyne/new baby ward resting listening to the occasional cry of very new babies.

Holiday

We’ve just had a weeks holiday in Wales, near Tenby.  The weather was variable but we were not down hearted.  It was an excellent holiday possibly because it exceeded our expectations.  The holiday cottage was comfy, there was a free swimming pool in the holiday cottage “village” which was cleaner, nicer and bigger than we were expecting.  The views from the cottage, when it wasn’t raining, were great – we could see the sea, the local pub did really nice food, you get the picture.

We even had one really nice day which we spent on the beach.

We returned on Saturday, setting off early as we had to make an appointment at the hospital for my weekly scan.  My consultant very kindly offered to come in on her day off to scan me, rather than us come back a day early.  The holiday obviously did some good with the pregnancy as well.  The amount of amniotic fluid has increase and the dopplers (measuring how well blood is flowing in the baby’s brain and the umbilical cord) had improved too.  The consultant was very pleased she started to talk about being able to make it to 36 weeks which is a great improvement on what she feared only 2 weeks ago.

Of course we’ve got to remember that 36 weeks was her current best case senario, the next scan could be not so good, or I could go into spontaneous early labour, but right now it’s looking fairly good.  I’m 28 weeks pregnant now, staying pregnant for another 8 weeks is very doable if I get plenty of rest, and don’t take up mountain climbing, absailing or one woman yachting in the meantime.

26 weeks and counting

Yesterday I had a “routine” scan, the results were not fantastic, the baby was not very active & the amount of amniotic fluid had dropped since I was last scanned 10 days ago. This worried my consultant enough for her to send me back down to NNUH for a second opinion. She also said that she doubted we would get to term with this pregnancy and that we are at a high risk of a premature birth. Perhaps within the next 4 weeks.

I had the second opinion scan today. First the good news. Baby is still developing normally, her brain looks normal – inactivity is a possible sign of brain injury. The placenta is working, her heart is ok. There appears to be nothing wrong with her kidneys. She’s fine at the moment. She was also showing nice activity today.

I do not appear to be leaking amniotic fluid, so very unlikely to have ruptured membranes. Also good news

All in all there was no reason to consider delivering the baby now, or admitting me for monitoring.

The more unsettling news is that the levels of amniotic fluid have fallen and there is no obvious reason why. They are not so low that they are a threat to the baby’s well being but a definite cause for concern.
The consultant recommends that I am scanned once a week. I asked him about bed rest & upping my fluid intake to try to up the levels (both recommended by Dr Google) he said not to bother. Drinking more will only give a temporary boost and he had never heard of bed rest helping to increase the amount of amniotic fluid.

We are still at risk of premature birth but probably not this week. And hopefully not the next few weeks after either, but with this pregnancy we’re learning that it’s best not to forecast too far ahead. So I’m not going to say any more than that.

Two today

When he was born it was hard to imagine that this.

Tom - 5 hours oldLittle, squished faced person, who slept and cried and could barely keep his eyes open for more than 5 minutes at a stretch would be this person a year later.

First BirthdayA very little boy who took his first steps with a trolly on his birthday, couldn’t really speak except the occasional mama and dada.  Over the past year he has turned into this sturdy young lad.Tom at Two  He’s had his first haircut and a few others over the year, he’s walking and slowly learning to talk, just yesterday he started pointing at himself saying “me”.  He’s started to show his likes and dislikes.  Tantrums are an occasional feature in our lives.  He’s down to one nap a day though when I’m lucky it’s a long nap.  He’s still not shown a strong preference for either his left or right hand but today he’s been mostly left handed as you can see.  He’s an affectionate, sweet little boy who loves to run around being shouty or snuggle up quietly for either a cuddle or a marathon reading session.  He says “bye bye” to the airplanes that fly overhead, he still adores washing machines and gets upset if I don’t let him help me load or unload ours (oh I hope that trait lasts until he leaves home).  Bananas are the best thing ever and he loves having a bath.  The first time we took him to the beach he fell in love with the sea and cried when it was time to go home, I think if the Royal Navy were allowed to sign up the under twos he’d have joined for life.

He loves climbing up slides and trying to slide down steps, he’s not very interested in soft toys but loves his Happyland and Duplo plastic figures.  At playgroup, he plays with the dolls house (like so many of the little boys do – I think it’s to do with the doors and windows) and then with the toy cars and garages.  He’s getting interested in the other children but hasn’t worked out how to play with them yet.  He loves his grandparents, he loves his Nana’s cat.  But his favourite toy in the whole world at the moment is our iPad2!.  He’s a 21st century boy who gets frustrated because the telly isn’t touch sensitive.  He’s started to try to sound out words, letters and numbers – so far they are all “Eeeeee” but it’s a start!

He’s an amazing boy, and I’m so glad he’s in my life.