Wednesday, August 12, 2009

Deliverance Not Delivery

A quick update at the 30 week mark:

This pregnancy has continued to be highly stressful. At 27 weeks, I was told that my cervix was 80-90% effaced. My OBs debated an immediate steroid shot, then decided to await the results of a fetal fibronectin test. Oddly, when they reexamined me 24 hours later, my cervix was back to only 50% effaced. Thankfully, the FFn test came back negative, which gave me a nice two-week interval of confidence that I wouldn't go into labor.

Low and behold, at my check up this past week, I once again had a cervix that was 80-90% effaced and the baby was in pelvic station -1, quite a bit lower than you'd expect at only 29+ weeks. Lather, rinse, repeat: negative FFn test and mysterious return to 50% effacement one day later, baby's head up around rib cage again. The conclusion? I have an irritable uterus. Frankly, the old ute is not the only thing that's irritable at this point, but I shall strive to contain myself!

The real good news is that I am all but guaranteed to make it at least as far as 32 weeks, a key milestone and an exceptional degree of reassurance for this anxious recurrent miscarrier.

Meanwhile, the running hypothesis is that the uterine irritability was caused by dehydration secondary to fasting for glucose tolerance tests. Tests plural, because I failed the first one. But, this afternoon, the result came back negative for gestational diabetes. Icing on the cake I will now be allowed to eat! And, for the final frosted flower, my test for Group-B Strep (which was positive in my pregnancy with Turtle) also came back negative. So, it would seem that I am in the clear all round.

Deliverance...

Insomnia still going strong. Tonight the babe keeps kicking my bladder with the result that I have to pee every 1/2 hour or so. I don't want the baby out any time soon, I just want the time until 40 weeks to pass fast!

And on the topic of the little one on the outside: at just over three, Turtle is so adorable I want to swoon. Tonight he asked me, "why are teeth white?" We have been talking a lot about how the good things in food leave our bellies and go into our blood to bring our bodies what they need to grow and be strong. (The corollary, of course, is that the unusable parts of food turn into poo--an endlessly fascinating subject as we are deep into potty training.) I asked him if he could think of a drink that's white, and he came up with "milk!" So then we talked about how milk has calcium that goes into our teeth and makes them strong and white. This led to a discussion of bones and skeletons. I showed him my Webster's dictionary diagram of a skeleton and asked him what it looked like. I thought he might say "a person." But he said, "bones!" It really seemed like he got it. Then we took a break from heavy discussion because he wanted to sing, "if you're happy and you know it clap your hands." He is just such good company. I loved his babyhood--all the delicious, soft, warm, chubbinesss of it--but he is turning into such a fascinating little person. It's great fun to watch. And I may turn into a mommy blogger yet, just to capture these memories.

2 comments:

Kirsten said...

Hi Anne,

Congrats on your negative result!! My name is Kirsten, and I'm a member of the public relations team that raises awareness for the fetal fibronectin test. I read your blog and thought you might like to become a fan of the fetal fibronectin test on Facebook (http://www.facebook.com/fFNTest ). On our fan page we share the latest on the fetal fibronectin test, prematurity and all things pregnancy.

Additionally, if you're interested in helping spread awareness about the benefits of the Fetal Fibronectin Test or receiving our quarterly newsletter, please contact me by emailing fFN@schwartz-pr.com. My team generates stories about the benefits of the test among women at high risk for delivering early in national, local and online outlets.

We're always interested in speaking with women who had the test and are willing to share their experience to make sure other, at-risk pregnant women know there is a test available to help predict premature birth.

I hope to hear from you.

Regards,
Kirsten

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