Tuesday, September 30, 2008

Mag is weaning, Ultrasound BPP results

Yesterday has been both a really good day, and also one that has a bit of the scariest for me so far. Right now, I feel like I live between extremes of feeling extremely happy and optimistic - and at other times I feel like I go through things I find I have a very difficult time handling.

Positive things first: My magnesium is being weaned off! Then they will restart my procardia an hour later and watch my contractions. If things are stable, I'll be allowed to eat some real food and get up to go to the bathroom - very good things indeed! Pudding and graham crackers here I come :-) Also, once the Mag is off my nausea and vomiting usually greatly improve and I won't have the blurred vision. My husband will also be a much happier camper with the Mag off as well because I'll actually allow him to turn the temperature in the room up a degree or two since I won't feel so hot from the inside out. Triple treat- truly a good thing!

Things that have hit me like a brick wall: I was catching a moment of actually resting comfortably when I heard the fetal heartbeat rhythm slow down a bit. After awhile it returned to it's previous rate. My husband didn't even notice. The volume was turned way down on the monitor just for this very reason - so that we don't cringe over every blip or time that the baby moves and goes off the monitor for a moment or two as all babies being monitored around the clock do. But my ears are so tuned in to noticing little changes even at low volumes after all of the hours of working up in labor and delivery, or in the operating room with the anesthesia machine that it sounded like a freakin fog horn was blaring a warning signal. Someone just have well screamed in my ear that Brynn was having a decel.

Decels are drops in the baby's heart rate, and an important thing to look at when they occur is whether the monitor was accidentally picking up the mother's heart rate instead of baby's (which is naturally much lower). Also, when the decel occurs is important, how low the heartrate drops (whether it drops from 140 beats down to 90 or 140 beats down to 60) and how long the heartrate stays low before returning to the normal higher rate (indicating the recovery). For instance does the heartrate stay low for a second or two, or does it stay low for much longer can indicate the baby's response to stressful situations. I knew that within a moment or two there would be a couple of nurses in my room to respond to this decel that I heard. Sure enough the door opened, lights got flipped on, and they began looking at the monitor strip and other things. Brynn then decided to do this twice more in the moments that followed. I now felt sick to my stomach, and was trying to explain what was happening to my husband without sending him into a worry frenzy. Often these decels can mean nothing serious so I was struggling to believe that this was the case for us. I actually had heard her do this the day prior once or twice - but they had been for very short periods and I didn't even mention these times because I was trying to believe that they didn't really exist.

Regardless, the OB resident that works with my doctor was paged. He soon came in and assessed the strip himself and reassured me that he was going to continue keeping a close eye on things and notify my OB also. Also, the day before on ultrasound it had looked like Brynn had the umbilical cord close to her hand which would explain the occasional short decels. But these decels were occurring very frequently now they wanted to do another ultrasound and a biophysical profile to see again if anything showed up. My dreams of a shower were beginning to look farther away!

Despite all of the drama, I am feeling a little better about things. Brynn seems to be having less of these decels, and the BPP turned out great. Our little girl scored a 8 out of 8 - a perfect score. Way to go girl! Surely enough, not only is her umbilical cord near her hand - Brynn seems to have the cord wrapped under her arm and she is nestling it like a security blanket. Just like a toddler sleeps with their favorite blanket - Brynn is has her cord under her arm and nestled up against her cheek - silly girl. Plus once again - icky uterus of mine has everything more cramped with less room for everything and Brynn has much easier access to her cord than most other babies. This was not something I had even thought of before.

Basically - this just means continued close monitoring. But as much as I'm trying to stay really light hearted and positive if I am truly honest I have to admit that my worrying consumes me at moments. I know that our girl is fine right now, things are moving forward in a positive way - and I am so grateful. But as Meredith said - the worrying that involves matters like the baby's safety can't even be compared to the worry I've felt about problems with my uterus or premature birth or things I've dealt with before.

Just wanted to say thank you again for all of your kindness and checking in to see how things are going. I truly am overwhelmed that so many people have been kind enough to leave a nice comment or words of encouragement. Just wish I could return the favor because it has made all of this so much easier. The moments I spend reading a nice comment are the moments when I have a smile on my face these days - so thank you.

40 comments:

Meghan said...

How scary! I'm glad little Brynn is fine. And I just love the image of her snuggling her cord! What a little cuddlebug

Debz said...

I am so glad things are quieting down - again. I will be thinking about you and brynn.

Heather Moore said...

Glad Ms. Brynn scored an 8! Way to go little lady! And M is right - the worrying is hard when it is about the baby's safety. Unfortunately, it doesn't get easier after the baby is born. Every cough, fever, fall, choke...all the joys of being a parent! I think bedrest has made me calmer and has made it easier to accept that God is in control - I just need to believe that all will be well! Hang in there Sara! You're doing awesome! Hope you get that shower and food! I wish I could send you a care package of junk food! :)

I Believe in Miracles said...

That sounds super scary. Praying for little Miss Brynn to stop using the cord as a snuggle blanket. Glad to hear your getting off the mag.
**BIG HUGS**

Mazzy said...

WOW. Things I never would have even thought to think about before. You are the medical case of legends. I am so glad things are going better and you are hopefully coming off the mag for good! 30 weeks! You are getting so close to making it to a really safe place. My best friend had her son at 32 weeks and he is a very healthy, gigantic 2 year old right now!
*hugs*

Candi said...

Your daughter is a little warrior, just like her momma. You guys are gonna be so close through her whole life!

Tracy said...

Very scary, but if it's going to happen anywhere, you're in the best possible place. Brynn couldn't just go easy on you, could she?

Hang in there...thinking of you often.

Morrisa said...

Yikes! That does sound scary! I'm glad everything seems to be okay. I am so sorry you have to go through all of this. It seems like after all we go through to get here we should have it easy right? Hang in there, you're an amazing woman and will be an amazing mother. Look at all you have done for your little girl already!

Jen said...

I hope little Brynn calms down and that they're still able to wean you off the Mag. Glad you are in such capable hands!

Anonymous said...

holy crap woman!!

here's a distracting amusing scenario to make you smile:
I'm at work typing away. I get up to go pee (he must have stepped on my bladder cause it was an urge out of nowhere). I walk into the bathroom and notice that through my shirt, which is NOT thin and my bra, which is seriously not thin, I look like I was sitting in Antartica. both the people I work with are men and a male client had recently come in. Hey how you like my giant erect nipples today fellas??
huh huh? did I get a smile? true story by the way.

hang in there Brynn, and Mom, worry esp. about your child is the worst kind of hell ever even if all odds are with you, I'm sending hugs and stay put to you guys!!!

Jill said...

Okay, I didn't like the direction this post was taking until the end where you said she scored an 8 out of 8. So relieved she is okay!

Happy to hear they are taking you off the mag...that stuff sounds brutal.

You have so many people praying for you and Brynn. I know it has to be scary, worrying about her health & safety. I put some short verses below that I hope will help when you feel that fear rising up in you. Have no doubt...God is holding you and Brynn tightly in His hands.

Cast all your anxiety on him because he cares for you.
1 Peter 5:7

When I'm afraid, I will trust in you. Psalm 56:3

((HUGS))

Jill

Jill said...
This comment has been removed by the author.
Anonymous said...

Wow. I went thru a scary pregnacy also (which took me 6 years to achieve). I really feel what you are going thru.

Anonymous said...

I just wanted to send best wishes to you and Brynn. What a wonderful team you both make. I know it's been a tough road, but you two have handled it with such amazing grace and aplomb.
You've been so fiercely protective of your little one, and she in turn has been such a brave little warrior, cooperating with mommy all the way.
Your last few posts have been a bit of a nail-biter to read. I wanted to skip to the bottom of this one, so nervous, just had to see the end, but couldn't because I didn't want to miss anything.
I'm so very proud and extremely happy (& relieved) of Brynn's test score. But I know you've known all along she's an A student-umm baby.
Praying for you both.
Best wishes and God Bless
*HUGS*
Anna

Miss said...

Oh wow, that does sound scary. It sounds like Brynn is keeping you on your toes :) I know that I've told you before how inspiring you are but it's the truth! You're doing such an amazing job, hang in there. I keep thinking about all of you!

Mainly a midwife said...

Just found your blog. Wishing you the best. I'm a CNM (used to be a labor and delivery nurse). 6 yrs infertility then a successful IVF and a 33 week delivery. But he never needed intubation..so it went ok. Everyday that passes is a GOOD day.. 32 weeks was my (mental) goal. Hang in there.
Sending prayers,liz

Martha@A Sense of Humor is Essential said...

I hope Brynn finds another security blanket instead of her cord. I'm glad you are being monitored closely.((Hugs)) and Good thoughts being sent 24/7/365.

Carrie27 said...

You have been through so much, so don't feel bad for admitting your fears and worry.

It's great to hear that the docs are going to take you off the meds and you can finally eat something of substance, you poor thing.

admin said...

Bugger. The roomies decel was nearly 4 minutes. The scariest of my life. They also think he go ahold of his cord. One of those things where the fetal heart monitor, which necessary, can produce some very stressful situations that otherwise we would never known about. I fear that machine more than any other.

Yeah for pudding and crackers! I am s oglad they are finall bringing ou down and hope the procardia does its job.

Always thinking about you!

KH99 said...

So glad things are quieting down, Sara. Hugs to all of you.

Aunt Becky said...

You poor thing. You're on such a trip every single day, and yet you're more positive and happy than anyone else I know. We should all take a lesson from you. Seriously, we should.

MrsSpock said...

Hooray for the mag being done!

However, boo to the scary decels! I remember how worried I was when my son had a BPP of 4/10, and how I watched his monitoring strip like a hawk during our induction attempt. He had late decels at one point and I had myself on my left side and the O2 on my face before the nurses even ran into my room. Sometimes being in the know makes you worry even more. Let's hope Brynn is a good girl and is gentle with her lifeline from here on out. No more scaring Mommy!

Two Shorten the Road said...

God, that must be so scary to hear when Brynn's heartrate slows. I've often thought you were lucky to be so well-educated on medical issues, but in this case I bet you'd rather not understand so much about what was going on! I'm happy that she turned out to be ok. Enjoy that shower. :)

May said...

It really sounds like you and Brynn are getting great care. And you're so far along now- everyone will likely be perfectly healthy in the end. Keep it up, and as always, good luck!

(why won't they let you up on the mag? My hospital let people up and shower on the stuff... Odd...)

Anonymous said...

Welcome to parenthood. Let me tell you this is just the beginning of the worry. Once she is born you will worry if she gets the sniffles, if she is breathing while she sleeps, if she is eating enough, does she feel too warm, too cold..etc..you get my point..You will never stop worrying because you love her..
But..the joy you feel when you look at her on the U/S will only grow also..It is hard to explain the joy and love you will have for her..believe me it is amazing..and FAR out weighs the worry..Try not to worry..you are in good hands.

Mandy said...

How scary! You need to say positive and continue to have good thoughts-it has worked so far. I am praying for you everyday!! I am hoping for pudding and crackers in your near future!!

Anonymous said...

I must admit, I'm so glad you are in the hospital. I know it is no protection against danger, but I so badly want for your little Brynn to have every chance that I get a little weepy over it. Thanks so much for the update. Keeping you tucked firmly in my thoughts.

Becca Daws said...

Oh Sara, I know that was so scary. Hang in there, friend. I am so glad you are being monitored around the clock. Brynn and you are strong girls and you WILL make it through this! You have come so, so far. I am proud of you!

It was interesting that you posted about the decels. I am now having non-stress tests twice a week due to low fluid and Grant's heart rate went low from where it had been a couple of times and I about freaked. I just kept looking at the monitor thinking, "come back up, come back up -- no lower!" Ahhh!

I am thinking of you always. Hang in there sweet friend!

Heather said...

Thank you for the update! You will continue to be in my prayers! Keep smiling!

battynurse said...

Glad they're weaning the mag and your feeling better. Also glad that the BPP was good and that Brynn is doing good even if she is hugging her umbilical cord. Hang in there and hugs to you.

Kristi said...

Yay for the 8/8 BPP score. That's awesome news, and I'm so glad the decel issue isn't anything to worry about at this point. Keep hanging in there. You're doing great.

JW Moxie said...

Brynn is a strong girl just like her mama. I've been so worried about the two of you, but I'm overjoyed to hear that once again, you've been able to avoid an early delivery. I pray there won't be too many more frightful scares and she stays put for a while longer yet!

Evil Stepmonster said...

Hang in there Sara. You've made it to 30 weeks which must be a huge relief. Every day now is a bonus! Brynn seems like a very tough little cookie, I'm sure she has no idea of all the drama going on around her. Your uterus may be angry and somewhat inhospitable but Brynn doesn't seem ready to leave yet.

Anonymous said...

I'm sorry it's been a while since I've posted! Glad to see you're doing well AND little Brynn is a fighter!

HereWeGoAJen said...

I am glad to get the update! I hope things keep going well and Brynn stops scaring you.

Did I ever tell you that Brynn was my grandmother's name? Well, it was what she was called. Her given name was Brunhilde. But no one knew that. :)

Anonymous said...

Lots of hugs and prayers coming your way!!!! Good thoughts being sent to you!

Annalien said...

Hang in there girl! Hey, you made it to 30 weeks already - what a milestone! I am praying for you and your little one. God bless!

Not in the Water said...

I am glad things are going better! Stay strong!!

Chastity said...

I know this is all very scary for you; I'd be beside myself as well in your shoes. They're monitoring you so closely though. I just know everything is going to be great in the end. Keep up the good work!

Anonymous said...

Every day you get is a good day! So keep them coming! You are doing soooo well. Hope you are celebrating the weekly milestones... you deserve lots of ice-cream now that you are off the mag.