Tuesday, November 17, 2009
On Having Preemies
I hope sotorrifictwins.blogspot.com doesn't mind that I'm stealing her idea for a blog post, but any support for preemies is good, right? I am also a mom to preemie twins born 4 weeks and 3 days early, according to a later ultrasound time line (according to usual calculating, and I guess later ultrasound timelines aren't as accurate, I was 5 weeks 3 days early). Does it matter? In the long run not really, but being at least 35 weeks allowed me to deliver at Mt Auburn like I wished. Unfortunately, I did not have the uncomplicated pregnancy like Sotorrific Twins. I had been on bed rest since week 23 and got steroid shots at 28 weeks for help with the babies lung development. Like Sotorrific Twins said, it is so important to have prenatal care. I was at a routine ultrasound when the ultrasound tech and MD noticed that I had a short cervix placing me at risk for pre-term labor. The MD immediately put me on bed rest after a trip to the hospital for initial monitoring. I was also put on progesterone suppositories. I was seen much more often for OB appointments and also for ultrasounds. The initial goal was for me to make it to at least 28 weeks. Those next 5 weeks were really scary, hoping and praying that my babies would be safe. Once I hit 34 weeks, the ultrasound MD told us just how worried he was.
At that point, I was taken off strict bed rest but still had increased monitoring. It was at a routine NST that I had found out I was having issues with pre-eclampsia again (I was on bed rest for 6 weeks with my 1st son). At my OB appointment that morning my blood pressure was totally normal, no issues. By 4 pm, my BP had spiked to 188/111 (I was also on BP meds) and blood work and urine showed that I was truly starting to have pre-eclampsia. I was going to try to do a VBAC, but baby B was breech (he had been head down 2 days earlier). I had already started to dilate and they were going to try to break my water, but no go since I had a breech baby.
The babies were born just before midnight via c-section and were amazingly healthy. They were both about 4 1/2 pounds and really only needed to be watched for their ability to suck, swallow and breathe. We were lucky enough to be able to have them come home with us after 5 days. Unfortunately, their low birth weight, small size and premature status placed them at risk for RSV. Really unfortunately, they came down with RSV when they were 2 and 3 weeks old.
Like Sotorrific Twins, I also worry about meeting milestones at the right mark, but so far there have not been any issues. Because of their RSV, I tend to be a little more worried regarding respiratory issues, they are more at risk for issues due to RSV. H1N1 as well as the regular flu, is also a worry because of their preemie status and RSV history.
Thankfully, RSV is the only issue that we have had related to their preemie status and even then once they were stablized, they just grew and grew and reached milestone after milestone. Luckily my BP is now normal and I am no longer on BP meds.
Prenatal monitoring is so important to your baby's health and well being as well as your own. Make sure that you take care of yourself and get monitored when you are pregnant. As you can see even with close monitoring, there can be major issues, but they can be addressed quickly.