Pre-eclampsia

May is Preeclampsia Month

I was one of the lucky ones and was able to get pregnant as soon as we started trying.  My pregnancy was going along perfect.  I had the normal morning sickness during the first trimester and pretty much at the start of the second trimester it was over.  Things went along great.  I was gaining weight just like I was supposed to.  All of a sudden, just before 32 weeks, I was at a routine OB appointment and I was put on bed rest because of high blood pressure.  I had no symptoms, but my blood pressure was high and I had gained a little extra weight.  I had to go back to the OB after the weekend and was immediately sent to the hospital for a week and then sent home on bed rest for the remainder of my pregnancy.  I was to lie on my left side and only get up to go to the bathroom.  I was able to hold on until week 38 when I was induced and after laboring and then pushing for 3 hours with little to no results, even though the nurse said I was pushing perfectly.  My blood pressure continued to be a problem and then my son's heart rate started dropping.  My OB decided that I needed a c-section and my son was born almost 11 hours after my water broke.  I continued to have high blood pressure and increased swelling so I was lucky enough to get magnesium sulfate to help with the extra fluid and my blood pressure.  I was supposed to be on it for 24 hours, but I had to be taken off early because I was having too many side effects and wasn't able to get enough oxygen in my system.  The day of my discharge, the covering OB wasn't sure that she wanted to discharge me due to my continuing high blood pressure.  After coming into my room and seeing me sobbing, she decided that I would be better off at home and made me promise to call if I had any symptoms of preeclampsia or if my blood pressure continued to be high even with out any symptoms and I needed to see my OB in the morning.  All went well and I continued on my blood pressure medication with no issues.

3 months after giving birth, I found out I was pregnant again.  We were ecstatic.  We started trying right away,never thinking we would have a baby that quick.  11 weeks into the pregnancy, we found out we were having twins.  OMG, I had a 5 month old and I found out I was going to have twins with my due date being 1 week before my older son turned 1.  I continued on my blood pressure medication and my pregnancy went along great until week 23, when at a routine ultrasound appointment, I found out my cervix was too short.  I was placed on bed rest again and had to figure out how to take care of myself while having a baby who was only 7 1/2 months when I went on bed rest.  I had a couple of scares, but I think most of that was due to me being nervous.  I made it to week 35 when at a routine OB visit, I was told that I was 3cm dilated and 80% effaced.  My OB told me that she wouldn't be surprised if I went into labor over the weekend.  I was a little nervous that I wouldn't know what it was like to go into labor on my own, but I figured, my body would tell me what to do.  Unfortunately, while at a routine non-stress test that afternoon, my blood pressure was 188/111 even though I was on blood pressure medication.  Along with that, I had protein in my  urine and my labs were off.  They decided it would be best for me to deliver the babies that night.  I was hoping for a VBAC if Baby B (Thomas) was vertex.  On Wednesday he was vertex, but just to make sure they did an ultrasound.  Only 2 days later, my Thomas, how was always moving had turned breech again and I was off for another c-section.  Thankfully, this time I did not need the magnesium sulfate.  I had 2 little babies who were born 5 weeks early and an older son who was 10 1/2 months.  My twins did great.  They were able to suck, swallow, and breathe, their heart rate stayed stable, and they were able to maintain their body temperature.  Thankfully they were able to come home with me when I was discharged 5 days after giving birth.

I received my preeclampsia foundation news letter today and found out, or should I say confirmed that women who had preeclampsia were more at risk for heart disease up to 15 year after giving birth.  I have always been concerned with my risk for heart disease since my only uncle died or heart disease when he was only 42, just 4 years older than I am now.  I really need to get my act together and start getting in shape.  Not only do I have a family history of heart disease, but now I have the added risk of 2 pregnancies with preeclampsia.

Amy

Get Over It!

This is something I say to myself every time I hear someone talk about their pregnancies, deliveries, and nursing.  It seems like forever that I knew that I wanted a non-invasive, healthy pregnancy, a natural birth and to nurse my babies for at least a year.  Well, none of that happened with either pregnancy.  With my first son, things were great.  I was taking a hypnobirthing class and planned to meditate during labor and while giving birth and wanted a totally medication free birth.  Things were great until about week 32 (if I remember right).  I went for a regular appt and ended up on bed rest and in the hospital for a week then total bed rest for the next 5 weeks due to pre-eclampsia.  I was induced and things went well til my son decided he didn't want to come out.  I got medication and pitocin and then ended up with a c-section.  I attempted to nurse, but it just didn't some naturally for me (even though I spouted off how natural all of this was supposed to be).  He wasn't gaining weight and I needed to supplement as well as pump to try to maintain my supply.  Then I became pregnant again at 3 months after his birth and totally stopped nursing.  Things were great this time til week 23 when I was put on bed rest for risk of pre-term labor.  I was going to attempt a VBAC, but both babies needed to be head down.  When I needed to give birth at week 35, I ended up having another c-section, because one of the babies was not head down.  Another c-section and again I had trouble nursing.  Then the twins got sick and ended up back in the hospital, this time the NICU at Children's Boston.  Again more issues for nursing.  I ended up giving up.  Thinking back, I am sorry I just gave in to the 2nd c-section.  I wish I had talked to the doctor more.  Even if I still needed the c-section at least I could look back and say that I tried.  As for nursing, I just wasn't relaxed enough.  I let my issues with being perfect get in the way.  If I were to do it over again, I would definitely try to relax more, go to a LLL meeting, and just keep trying even if I needed to use formula.  As childish and immature as it is, I get envious of people who get to have the birth plan that they wanted and those that have the after birth plan happen the way they want to as well.

All that being said, I love my 3 children more than I could ever imagine.  Even though things didn't work out the way I wanted them to, my children are beautiful and healthy and that is what I need to remember.  My twins who were so sick in the beginning are healthy and growing strong.  My older son is amazing.  It blows my mind how much he has grown.  Actually it blows my mind how much they have all grown.  So as my title says "Get over it"  I have 3 perfect children who love me, and, I also have a husband who is very supportive and is the best partner.  I couldn't imagine riding this crazy roller coaster with anyone else.  I have a great family!

Amy