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Archive for February, 2010

Pregnancy is Fun

I was admitted to the hospital yesterday with preterm contractions that failed to respond to PO or injectable tocolytics. There was some debate among the doctors regarding how to care for me since I had a negative fFN on Mnoday and wasn’t displaying cervical changes.

Still, no one wants this baby to be born 12-15 weeks early and my contractions were 3-4 minutes apart and pretty painful. SubQ Terbutaline didn’t help; Procardia didn’t help; more SubQ Terb didn’t help, so I got admitted. They kept trying the Procardia, which I miraculously kept down, but to no avail. Finally a third round of terbutaline was tried around 12:30am (1 injection every 20-30 minutes or so). The first two didn’t help, but the third injection worked like a charm.

I didn’t have any contractions from about 2:30a to 4:15am and actually managed to grab about an hour snooze – and then I woke up in agony – horrific contractions 1-2 minutes apart. Not fun. My nurse did a cervical check and noted that I had dilated a little bit and called the doctor. Which meant there was no escaping Magnesium Sulfate. I’ve had the mag running since about 5:30 and my blood pressure has gone down from a respectable 110/70 to 85/42. The rest of the side effects aren’t as much fun as that one.

Mag sucks, pure and simple, but if it keeps my little tenant from breaking its lease early, then I’ll take it.

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So my OB’s office called today.  My iron is low and they want me to take iron sulfate every day.

Of course they do.  But, um, hi?  I’m not tolerating anything PO right now – HOW exactly am I supposed to accomplish this?  Oh, they said.  Um, we’ll check with the doctor.

Well, I checked with the doctor (the PharmD that I’m married to) and he said ferrous sulfate is the hardest of all to tolerate, even without hyperemesis.   He recommended trying ferrous gluconate first and seeing if I can manage that, since I can often tolerate a single pill right after getting IV Phenergan.  We’ll just have to see how it goes, I guess.

Or, you know, just continue to be tired and stuff.  Which I would expect would be a given at this point.

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Bored Now

Dear Self:
While you might enjoy the quiet irony of how well the irritable uterus combines with my sunny disposition, I do not share in your enjoyment.  Please cut it the heck out.
No love,
Me

So another visit to L&D today, but today I got to meet the day shift, which is oh so much more exciting!  Here’s the thing – when I left Sunday night/Monday morning last week, the discharge instructions said to call my doctor if I have more than 4-5 contractions per hour.  Um, except they discharged me with contractions coming 2-3 minutes apart.  Go ahead, do the math.  I’ll wait.

And so it’s quite difficult to imagine what my threshhold really ought to be under the circumstances, capisce?  Needless to say, I pretty much ignore contractions until they really start to get so painful it’s hard to concentrate.  I get my 17P injections Monday evenings and contractions aren’t terrible from then until … oh, Thursday or so.  By Friday, they aren’t any fun at all.  So I spent the weekend thinking, “well, I’ll call if it gets too much worse” but never really figuring there was any point in calling… since contracting is what I *do*.

So this morning I called the doctor’s office  – I just can’t see the point of waking up a doctor on the weekend for something that’s totally normal for me – and got an early appointment with a doctor I’d never met before.  He was very nice, and extremely ticked off that I hadn’t called sooner.  I told him I don’t like to be the girl who cries wolf when, hello?  This is NORMAL for me.  “No, this is not normal,” he said.  “You’re not far enough along to have the luxury of calling this normal.  We’d rather you call and wake us up than wait until 7 or 8 in the morning and tell us it’s been going on all night.”  He found the heartbeat, pronounced it okay, and sent me to L&D.

Hooked up to monitors and… hello there contractions, my old friends… how have you been?  Contractions every 2-3 minutes.  Negative fFN again (good news).  Three shots of terbutaline and my contractions became less severe and slowed down… to about every 3-4 minutes.  The doctor wasn’t a big fan of sending me home with that many contractions, but she let me on account of the negative fFN.  With a reminder that I should *call* when I’m having contractions.  I told the L&D nurse that we’d be well acquainted by the time this baby enters the world.

And when is that?  Not soon enough.  I’m due in May, but don’t ask me when in May and don’t ask me how far along I am.  I’m not going to tell you.  It’s my own neurosis about it – when I start thinking too hard about the numbers, I get severely stressed out, something I can definitely do without right now.

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