I've been itching to post for the past couple of days, but with only
internet access on my phone and no desire to try to type out what was
going on on my iphone.
Wednesday morning I went to my
doctor's appt as normal. My BP had been high throughout the week at
home (quite consistently) and the morning before the appointment I got
the only nosebleed I can remember having, which is another sign of high
blood pressure.
The doctor I saw on Wednesday I've come
to really like and respect. She said it was time to come up with a
plan since I had high BP for so long. She consulted with the on-call ob
and came back to spoke with me. I was over the moon giddy to finally
have a plan. at that point I didn't really care WHAT the plan was, I
just wanted a plan. I was supposed to go into the hospital for two
NST's a week, have an ultrasound every week, and then was likely going
to be induced on May 5th, which was my 38 week point. There was an end
in sight. I had started to feel like my body was falling apart on me,
so it was really nice to know that there was an end in sight.
The doctor told me I could head over to the hospital anytime that
day for my NST, and I decided to get it overwith and go to the hospital
right after my dr appointment. During the test I contacted Dan, my
parents, sister and some friends to let them know how relieved I was to
have a plan and be under constant observation to make sure that
everything was great with Peanut. At the end of the NST they called the
dr on call as is customary, and I was expecting to be sent home at that
point because I was there for a standard test. I was quite surprised
when the nurse told me that the doctor was on his way in and he was
going to decide about inducing me. However, I then heard another nurse
saying that the on-call dr likely didn't realize that an ob had already
been consulted that day and they would tell him when he got in.
The doctor came in to see me and told me that the doctor I saw a
couple hours prior had called him and told him about the appointment.
Apparently, after I left, she consulted the specialist I saw a couple
weeks ago (see other post) because she wasn't happy with the plan. The
specialist said that since I'd had high BP for so long that the best
plan of attack was just to induce me, so the doctor was there to do
that.
I wish they had checked my blood pressure at that very moment.
I started to panic a bit, though excited, and re-called Dan to
let him know the new plan. Someone maybe should have checked his blood
pressure too. Since my cervix was still 3cms long and closed they
couldn't start me on pitocin, so they inserted a drug called cervadil
that needed to be kept in for 12 hours and would either kickstart labor
or start to get my body ready so that pitocin could be started. I had
to lay on my back for two hours after receiving the drug and after that
was allowed to get up and walk around. They moved me into a semi
private room with a window, and a couple hours after that contractions
started. I walked the halls with my mom for a bit until I got so
uncomfortable with contractions happening every minute and being quite
strong so I felt like I couldn't walk. They decided to come in and make
sure Peanut was doing well and weren't super happy with the results.
Because the contractions were coming so close together and with no
break, his heartrate was racing and they were a bit worried. It was
also discovered at this time that since they were short staffed, they
wouldn't have a nurse for me if I did go into more active labor, so the
doctor decided to take the cervadil out after 6 hours and would try
again in the morning.
I continued to have strong contractions and back labor, so was
given a shot of morphine, had a hot bath, and then was told I could go
home for the night and come back in the morning on a pass if I wanted. I
figured that Dan would get more sleep at home, and I was unlikely to
sleep well anywhere, so we might as well go home.
I definitely didn't sleep well or much, and was ready to go to
the hospital bright and early. I woke up with a lot of optimism,
knowing more of what I was in for and realizing that the next time I
came home it would be with my little Peanut guy.
when I got to the hospital they hooked me up to the fetal
monitors and were again worried because Peanut's heart wasn't having an
accelerations, which they need to pass the test. because I was having
contractions on my own still, they also debated waiting out the morning
to see if my body picked up labor on it's own before they inserted
another cervadil, as at this point I was mildly dialated but my cervix
was still high and long. this doctor on call decided to consult with
the OB that was on call because of Peanut's hr. I heard the word
c-section and knew that if it was necessary it was, but was still hoping
to avoid one.
the OB on call came in to speak with me.
Apparently the specialist I had seen (and the one who had decided to
induce me) had said he couldn't come in for a consult, which is why a
THIRD ob was consulted on my case in two days. He didn't understand why
they were inducing me without repeating lab work and didn't really see
the need. He said he wouldn't make a decision until he did more tests
but at this point he didn't think that I should be induced or helped
along with labor. if it started on its own it did, but that wasn't
something he was willing to push.
Needless to say, I was
distraught and heartbroken. I had been prepared to come in for a second
day of induction, but was instead told that the plan was being changed
YET AGAIN and they weren't going ahead with that. I cried pretty much
all day off and on yesterday, while still having some good contractions
and hoped that labor would start on its own.
One of the
new issues is that when I'm in the hospital my blood pressure
stabilizes, and the on call ob went by the due date that the specialist
decided on when I saw him, which is May 24, which only puts me at 36
weeks, and this ob feels it is more important that Peanut make it to 37
weeks than the risk of my BP rising again.
as of right now
I'm still not sure of the plan. It sounds like I will be a patient in
the hospital for the next week, and (hopefully) induced again on
thursday. Right now I'm home on a pass, and I have to be back in the
morning for repeat tests and to find out the results of my last test,
the 24 hour protein. a fourth OB has taken over my case completely and
will now be the one calling all the shots, which at least means I will
have consistency and won't have to wonder each day if the plan will be
changed once again.
Needless to say, it's been a very
difficult, very discouraging couple of days. I had to come home without
my Peanut. Willow is a bit distraught about everything and Dan doesn't
know what to do about work, as he thought he was leaving for a week or
two to be with Peanut and I.