My Mom reminded me of something I left out of the last post. When they took me into triage at first and hooked up the fetal heart rate monitor, Kaelyn’s heartbeat had a nice loud steady rhythm. Micah heard it, stopped playing, and began dancing to the beat of her heartbeat. He said, ‘Good song!’ and kept dancing for a long time! My sweet boy…
Ok back to the whirlwind. It took a couple more hours for them to get my room and intake forms ready, and finally around 2:30am they settled us into our room. Finally some sleep!! And some snacks. I can’t remember the last time I skipped dinner! A warning came from the nurse that they would need to take my blood pressure every 2 hours. What they didn’t warn me of was that they would also wake me up at 5:00, 5:30, 6:15, and 7:15am to draw blood, ask random admin questions, ultrasound my legs (they thought my feet swelling was due to a blood clot in my leg. Ugh. They should have seen my swelling with Micah’s pregnancy!), ultrasound the baby to check fluid, and to do a non-stress test too. Seriously, can’t hospitals talk to each other and decide to come in ALL at once, say after a good night’s sleep, and get it all over with at the same time??? It’s a teaching hospital too, so I had residents, students, techs, nurses, nursing students, and the whole lot coming in for different reasons. That was a rough night.
My BP stayed low overnight. Blood tests came back normal, and they continued to test my urine protein for 24 hours. Thankfully after the first night, it actually started feeling more like a hotel stay. I slept in, had food delivered, watched some TV, caught up on emails, stayed in bed all day… all without chasing a toddler. Blood pressure remained within the normal range, most likely due to the fact that I stayed in bed all day! The OB on call visited and informed me that they would keep me another night to finish out the urine analysis and continue to monitor blood pressure. Fine by me! I was starting to see the silver lining in this whole hospital stay (mind you, a very expensive way to relax!). As long as I didn’t have to be awakened every 1.5 hours, I could enjoy this time. During the afternoon/evening I felt more freedom to walk around, take a shower, get my own snacks & beverages, and generally move around at my own pace. Unfortunately this minimal activity alone raised my blood pressure enough to be just under the cutoff range that would raise concerns.
Around 7:15pm, exhaustion took over and I decided to lie down for a late nap. As I lie there, it all started falling into place… some random symptoms that I’ve had over the last couple weeks could actually be early signs of mild preeclampsia. Increased swelling, increased heart rate, a couple high blood pressure readings, a slow building headache, some blurred vision and bouts of feeling lightheaded. I had been taking care of myself, eating well (LOTS of protein and water), resting as much as I could, and so on. However, I wasn’t sleeping well at night. I chalked it up to exhaustion. But with these high blood pressure readings and a new light being shed on preeclampsia, it hit me that the doctors may just be right! I was in denial the night before when they kept throwing around the term that I never even considered it a possibility for this pregnancy. They don’t know exactly what causes preeclampsia, although some have tried speculating different reasons. The problem, besides the obvious risks, was that this disease leads inevitably to induction… not something we wanted to consider at all. Especially because there can be some complications associated with the drugs they use to induce and a patient who attempts a VBAC (vaginal birth after cesarean). The low risks aren’t scary enough for us to decide on a c-section however. Our desire remains to have a vaginal birth, and I will do everything I can for that to happen safely. That being said, induction complicates the matter of a natural childbirth. I had to be ok with compromising this part of my expectation of labor and delivery for the safety of Kaelyn and myself. Another thing to consider… the worse preeclampsia gets, the more medical intervention necessary. With mid to severe preeclampsia, they administer magnesium sulfate – it drops your blood pressure, but has horrible side effects like intense nausea, a dizzy and lightheaded feeling, among others – that would require me to be chained to the bed, with an IV, catheter, and a general drugged and ‘out of it’ feeling. Mild preeclampsia doesn’t necessitate this drug, but it’s a fine line before mild turns severe. So my dilemma is… do I hold off on induction and risk my symptoms getting worse and going into the mid to severe range? Well honestly we decided, yes. We will monitor my blood pressure (Dad brought his cuff from home) and keep an eye on my symptoms. If things get worse, we’ll decide when to go in. If my pressure stays ok, we’re going to hold off as long as possible before inducing. Thankfully the doctors were ok with waiting until about 5 days before my due date to begin induction next Monday night. This took a lot of discussion with Tony, prayer, and a general letting go of my stubbornness and high expectations. I don’t feel rushed about the decision… and I also know I can change my mind depending on my blood pressure this week. If Monday comes and I feel just fine, I can always push the induction back and give her some more time to cook. Anyway, just a couple interruptions came the second night, and the next morning I slept HARD until almost 9am!
They discharged me late the next morning with two appointments set up. Non-stress test for Kaelyn on Friday morning, and the induction scheduled for Monday night. I have a feeling she’ll decide to show up before then… but if she doesn’t, I know I always have the option of delaying it depending on my health. We are settled in at Michele’s house in Castle Rock. My parents both graciously offered to stay up here too, to help care for Micah and to also keep an eye on me. Tony’s night job scheduled him every night this week, so unfortunately he won’t be able to join us at all. At least until b-day comes. So please pray for loooooow blood pressure, no headaches, no blurry vision, no preeclampsia!… and a little girl determined to come out soon!