Placenta Increta: 26 weeks

Monday, September 30, 2013

Im a little bit in awe of the fact that I am 26 weeks. Once I enter my third trimester (next week) everything kind of clicks for me. I feel very pregnant, I feel the baby much stronger and more persistent, I look pregnant, the baby is viable and everything kind of settles in to reality.

Life is BUSY. I am pretty much not involved in anything other than AWANA with the kids and yet somehow I barely seem to hold everything together. This week every day has a plan. I don't mind having one or two things in the week to look forward to, but every day is daunting and downright overwhelming. I need a pajama day!

There's nothing much to report on the pregnancy. Everything is going well. Pre-eclampsia wouldn't show up for another three weeks or so, last check baby was in the 50th percentile so is growing well. We are busy canning and drying and preserving fruit to get us through the dreary months of winter, keeping up with school, and fitting in doctor's appointments/activities. I am looking forward to this all being over. To being home, recovering in my little room with my new baby. Having Christmas together as a family. Right now the next few months fill me with dread and trepidation. It is easier to just take each day as it comes and try not to think about D-Day (take that how you will.... Due Day, Doomsday, pretty much the same thing over here ;) on Dec. 2nd. I keep reminding myself that I don't have the strength for the surgeries and procedures now because I don't need them. God is faithful to get me through my various hellish ordeals in life, and He will get me through this one too. And so I am focused instead on my kids, school, and getting as organized as I can.

My next appointment is in a few days so I will update everyone next week if there is anything new to report.

25 weeks Increta

Sunday, September 22, 2013

So as most of you are aware, I had an appointment down in Vancouver last week. The news was not really news. They were checking to see if the notching had disappeared, which it has not. This means that I am at a high risk of pre-ecmlampsia and IUGR (intrauterine Growth Restriction) and baby will need an U/S every 3-4 weeks to check growth as well as regular BP checks for myself. Nothing really new there. The increta is definitely still there and I don't know if it has gotten worse or not, but this time the tech was a lot more forthcoming with us about the situation. My placenta has grown into my uterine wall so far that only 3 mm remains. I am not sure if they are comparing these measurements each time, but I will be keeping track myself and asking how much remains so that I can gauge how quickly it is growing through. The doctor is not overly concerned about it attaching to my bowels even if it does grow through because your bowels are always moving and it is harder for the placenta to attach to them. This doesn't give me the greatest confidence, simply because what "shouldn't" go wrong, with me means "will" go wrong. But I am praying and hoping for the best. My BP has been higher, they are not concerned, again nothing new. However my lower (diastolic) is usually around 50 and is consistently up at 70 so I am starting to get suspicious that we might get pre-eclampsia as well.

So, where we are at is: C-section has been booked for December 2nd along with a scheduled hysterectomy. They will evaluate if there is any chance of saving my uterus during the surgery based on how much blood I am losing and if the placenta will detach, but she said it is a 95% chance based on what they are seeing that this will not happen. I signed the consent forms already at my appointment (AHHHH!). If there are any other complications (IUGR, pre-eclampsia, placenta growing through, etc) we will bump up the surgery by a few weeks, putting me in the middle of November. I am mentally preparing for this eventuality, which gives me just under 2 months until we meet this little girl. I will be admitted a few days before the surgery for steroid shots for the little one, to have surgery where they insert balloons into my uterine arteries and insert an arterial line to monitor my BP and take blood. If I have preeclampsia my admission date will be bumped up as well for observation.

Where we are at with all of this:

The night before we were supposed to leave, we were spending the night at Matthew and Sonia's so that they could watch our kids first thing in the morning. The kids got sick. The flu. It was so bad. We took Selah and Aliyah with us trying to alleviate the sick ones but both the boys got it as well. We felt so bad. I got it on the way, it was horrible. I felt so sick the whole way, was exhausted and nauseous and achy and weak and trying to just make it through the stupid appointments. We came back to the van after our appointment downtown to see the van being towed away! Jonathan stopped him just as he was pulling away and $90 later we were able to leave. So much for saving money on a hotel, we just paid them all in parking fees instead! It was a disappointing, overwhelming, frustrating day. We felt so bad for exposing Matthew and Sonia to the stomach flu of all things, and it is a long-drawn out sickness to boot. We are still recovering, and Aliyah just got it yesterday.

It seems to be the same as last time with my emotional capacity to deal with this. I come home in a funk. Last time I was able to get myself out of it and was starting to think that maybe I could save my uterus and now that all hope is coming crashing down... the funk remains. I don't want to talk on the phone, I really really don't want to see anyone, I have no motivation to do school, and feel like if it weren't for the kids needing me, I'd be locking myself in my room all day long. We have bloodwork and a follow up in Kamloops next week and then in a few weeks after that, we're back in Vancouver. The road has been set, now we just see how bad it gets along the way. Your prayers are much appreciated, but your phone calls may be declined for the next little while as I adjust to our new reality and settle in. Thanks everyone!

Life at 23 weeks

Wednesday, September 18, 2013

I wasn't going to post until after my appointments this week, but with coffee in hand, kids playing quietly downstairs, and a freshly immunized girl of misery sleeping off her fever in her crib... I felt compelled to write this morning.

I turned on the heat this morning. *GASP! My husband would be mortified, but it was so chilly in here, my feet were cold, a sweater wasn't cutting it, and so our little furnace got a rude awakening after so long in disuse. Aliyah had her shots yesterday, they were definitely the worst ones yet, 3. I couldn't bear to give her chicken pox. Four is just too many. Then I came home and started researching immunizations and started panicking that my daughter was going to get autism or febrile seizures or encephalitis. At first, with family who have had adverse reactions to immunizations, I was completely against them. But Jonathan was on the other end of the spectrum and so we decided to give our kids most of their shots. His reasoning is that he is in contact with so many people, bodily fluids, etc. Our kids are naturally going to be more exposed. I saw the wisdom in that. Over time I have given them more and more and now the only one they haven't had is their varicella (chicken pox). Yesterday I felt like God just asked me to trust him with this.



There are two camps, the immunization camp who feels VERY strongly and judges anyone who does not. And the Anti-immunization who is on the other end of the planet on this matter it seems. I now stand in the middle. I think there is truth to the research linking autism to immunizations. I have been reading these studies and they are legitimate. I also know that some of these diseases kill and it would be devastating to have your child contract one and die and blame yourself the rest of your life. If I had to do it all over again, I honestly might have not immunized. But now that we have walked this path I do feel a peace that if God can protect my children from disease, he can protect them from their immunizations and adverse reactions. He has a plan not only for me, but for my children, and I have to trust him to complete that plan. Needless to say, I have some research and praying to do before number five comes along and I am getting calls from the health clinic again.

Today we pack up for Vancouver. We have been so blessed to have Matthew and Sonia offer to take our kids for the day. We are going to sleep over at their house, leave really early in the morning for our appointments and drive back as soon as they are done. It is going to be a long day, but it will save us money on a hotel and food, and at least the kids won't have to go through all that sitting. I have a TON to do. I still wanted to do a bit of school this morning, my house is somehow yet again destroyed. I have kind of taken a break from routine and schedule this week to get caught up on some sewing projects. And as always when I am not on top of this house like a drill sergeant... it falls to pieces. So really what this post is doing, is allowing me to procrastinate my to-do list for five more minutes ;)

It has been a good week, we have been getting some stuff done that has been looming over my head for a while. Baby is active, although as dainty as can be. I don't remember the other kids being so dainty. She is like a little doll, blooping around inside of me. I know she can kick hard, from the few ceremonial sucker punches I receive, but they are so rare I can count them on one hand. She mostly just moves, maybe we have a little ballerina in there. Graceful, calm, and smooth. I could handle that. We could use a little grace and calm around this house ;)

I am REALLY looking forward to appointment day tomorrow. I have so many questions from last time, I am going to be asking for a referral on as well as to bump up the date of the MRI. I am not looking forward to pushing this wonderfully nice doctor, but I am determined I have to do what is best for not only me, but the baby as well. I am hoping we get some more answers, that the ultrasound gives us a better indication of what is going on. All the uncertainty and reading all the horror stories has my back up against a wall and I feel like I am ready to know where I stand on the "scale of doom". I am also thrilled Jonathan will get to be in these appointments with me. I hate telling him second hand. He can ask questions, hear details I might miss, and just be there to hold my hand.

I will update you all as soon as we know more information, or as soon as we are recovered from our busy week ;) Hope you enjoy your fall day wherever you are. Light a candle, have a coffee, read a book. I am on to my daunting to do list.



Diagnosed with Increta: 22 weeks

Monday, September 2, 2013

Well this week was full of the remainder of our vacation, getting home and settling back in, getting ready for school, etc. We have done a LOT of talking, a lot of praying, a lot of research, and getting familiar with what we will be doing the most of.... waiting. We will hopefully be getting referred to an OB here in Kamloops to monitor our care in between by appointments in Vancouver. We are starting to make our lists of questions for next time and considering asking for a referral up despite how much I liked our OB in Vancouver. At this point its just a lot of questions and not much we can do about it. We got a call with our appointment times on September 19th which we will be looking forward to if for no other reason than to start working through the whirlwhind of questions in our minds. I am sincerely hoping Jonathan can either be in that appointment or else at the very least drop me off and be on speakerphone back in the hotel with the kids. Not sure what we'll do or how we'll arrange it but at this point it is just infomation overload and I can't even think what to say or ask or how to respond when I'm in the hot seat.

I am tired. Bone weary. Probably a combination of this being my fifth baby and the emotional upheaval of it all. I can't seem to sleep enough. My blood pressure is EVERYWHERE. I feel nauseous, I'm blacking out and dizzy every couple of steps, out of breath. As soon as I am up my BP is 130/80 and then when I am resting it is crashing to 80/40. It makes me feel like crap. In my first trimester I found out I am quite low on iron so it is yet another thing I will have to bring up at my next appointment. In the meantime I am beefing up my iron supplements and just trying to move slowly so I don't fall over. I am supposed to start school this week with the kids, I have a few other things planned in as well as their booster shots, and some sewing projects to complete. It makes me want to cry. I don't want to go anywhere or do anything. Other than school that is. I might be able to manage that, but anything over and above is just simply too much. My home is my sanctuary. My kids are my distraction. I have everything I need here and I just don't want to leave. Growing up with me you would have never guessed I would be such an introvert and homebody, but alas my love and need for people just disappeared somewhere along the way. My life takes up all of my emotional and physical energy, it isn't that I don't miss those "girls nights out" its more that I just don't have the time or energy for them anymore. I would rather spend my few spare moments reading a book, or taking a bath, or heck... GOING TO BED EARLY! ;) One day.

Anyways, baby is healthy for another week. Another week closer to being viable out in this harsh world. In the meantime, I have a house that needs to be cleaned, but I might just call it and go to bed instead ;) Happy first week of school everyone!