Wednesday, August 13, 2014

Shirodkar cerclage removal success - surgery story

So it seems for now my cerclage debacle may be over. I went in for surgery this morning to get my cerclage removed. When I got in and prepped for surgery - the anesthesiologist asked me if I wanted to do an epidural or general anesthesia. I know my surgeon wanted me to do an epidural so that he could talk me through the surgery - but the anesthesiologist felt my risks were the same. I also hoped to do an epidural for my delivery ( within 2 weeks) so I opted for general.

My surgeon came in and explained the risks of the surgery and honestly he scared me shitless. He wasn't feeling very confident that he would be able to remove it. He discussed the blood flow rates in my veins in the uterus vs how much blood I have in my body and the dangers of nicking a vein. He also explained that if it went sour, I'd be looking at a c section+hysterectomy. Wait whuuuuuut? He kept saying - he was going to go in and look - and if anything looked unfavorable - he would simply abandon the surgery. He also talked to me about choosing which OB would do my c-section if he wasn't successful. We also talked through getting an IUD with the stitch in if it couldn't come out, how it affects fertility and what pregnancy risks it comes with.

After that pep talk (sarcasm), we went into the OR. I dozed off pretty quick once they gave me meds. I'm actually used to falling asleep instantly - this time I drifted off. It was actually kind of weird. When I came to, my surgeon was still around and the first thing I asked was - did you get it out?? And he happily said he was able to! He said I can go ahead and attempt my vaginal delivery. He said the stitch was buried but he was able to find enough of it to remove the entire thing. I'm sure I was loopy because I asked him 3-4 times to be sure I wasn't dreaming. I also noticed that my throat hurt and I had a productive cough. It turns out I was intubated and even aspirated on the table. It's 3 am now and I'm nursing a sore throat from that and painfully coughing up phlegm....

Recovery was pretty straight forward. The general rule applies - if you can piss you can go home. I'm on bed rest for a day, pelvic rest for a week , and now on labor watch!!! I'm so grateful that he was able to undo what that shady OB in South Africa did. I was so scared that the cerclage he put in was something I'd never be able to get out. I haven't had a chance to ask what this means for future pregnancies ( although I never want to be pregnant again LOL). I just don't want anyone making those decisions for me.

On one side I'm very happy that it seems the crisis has been averted. On the other hand I'm feeling very violated. I trusted the OB in South Africa to give me a cerclage that would 1 - save my pregnancy and 2 - not increase my chances of a csection - and 3 be temporary. What I got was 1 but not 2 or 3 and he falsified my medical records too. I just keep thinking - what would have happened if my cervix funneled and opened even with the stitch? What if my waters had broken? What if we were forced to have an emergency cerclage removal if I went into labor? This surgery required 2 surgeons because they realized what they were dealing with - what if in an emergency situation I ended up with a regular OB instead of a pair of specialists? What gave him the right to make those decisions for me and to not even inform me? I still don't want to have more kids but now I fear how this may affect that. I'm just so angry on so many fronts .

Finally - I'm just laying here with a sore throat because of the intubation / aspiration issue. My baby is still kicking so I know the general anesthesia didn't make him too sluggish. I'm on labor watch which is awesome. My son should be here within the next 2 weeks .....

Saturday, August 9, 2014

Cerclage removal failure

So I was all excited for my cerclage to come out .... Except it didn't come out! After 3 attempts my doctor was unable to remove it. I'm fact he couldn't even find the stitch. We knew for a fact that it was there because we saw it on the ultrasound. Also I was awake for the procedure to put it in!

So now I have to have a surgery scheduled to remove it. The removal could be risky because there's a chance of me bleeding out. My perinatologist is willing to try and remove it - but he said only if conditions are completely favorable. If he felt there was the slightest risk of me bleeding out - he'd abort the surgery. So now it is a wait and see thing for next week. 

I'm very angry because it appears that the surgeon in South Africa put I'm a shirodkar suture even though on my medical records he said he put in a macdonald stitch. The shirodkar is considerably more difficult to take out and often requires a surgery to do so. I remember taking explicit time to discuss the two stitches, my goals for a vaginal delivery and our expectation that this stitch could be taken out in a doctor's office. Yet here I am with a shirodkar and facing a surgery where this stitch might be permanent ! I won't go into a rant on health care in SA - but I'm over this on so many levels.

Friday, August 8, 2014

Cerclage comes out today!

Im almost 37 weeks and it's time for my stitches to come out!! Will update when it's out this afternoon.

Can't believe I made it this far with no bedrest !

Wednesday, June 25, 2014

Gestational Diabetes Battles!

Well it's official - I have GD. In fact when I took my 3 hour test - I didn't just fail it - I flunked the damn thing.  I failed all 4 numbers - but I wasn't surprised. I had GD last time and I'm about 10 lb and a few years older this time. We tried to go diet controlled but after a week it was very clear to me that it wasn't going to work. I was able to control my 2 hour scores but my fasting scores were constantly 20 points higher. And bless the heart of my GD counselor but when I explained that none of the tips they gave me were helping my fasting - she just kept repeating the same thing. Instead of wasting another week - I just spoke to my doc.

She put me on glyburide. Initially I was nervous but honestly - my sugars have all come down since taking it at night and there are NO SIDE EFFECTS!

It's nothing like the metformin runny tummy woes I was dealing with earlier.

Oh and here's a quick update :
1 - I'm 30.5 weeks now
2 - I have gained only 13 lb since pre-pregnancy weight
3 - I didn't gain anything in the last 4 weeks
4 - baby is measuring close to 4 lb
5 - He's also measuring a week ahead
6 - Oh and I'm roughly 5 weeks away from having my cerclage removed and graduating from my perinatologist!!

Time permitting I'll do a post about my SPD - because this has been the most debilitating thing I have ever experienced. It's worse than bed rest!!

Friday, June 6, 2014

It's so weird having no problems to report

So I'm not complaining at all but - everything is actually going well with this pregnancy. That's our baby boy up there looking very creepy! Besides my SPD which I've grown tired of complaining about , this pregnancy is absolutely uneventful. I am going for my glucose 3 hour in a week and fully expecting to fail it LOL. But maybe I'm just being pessimistic. Anyway this infertility warrior is feeling very undeserving of the title right now!

Thursday, May 29, 2014

26 weeks pregnant - goodbye second trimester

So this is me bowing my head in shame. I haven't updated this in entirely too long. It's really not for lack of desire - it's more so lack of energy. I hate to say it but I feel like such an old woman. I simply don't have the energy ( both physical and mental ) for most things. I was far more productive on bedrest than I've been now. Oh I didn't mention - I'm not on bedrest! I'm so excited ! I'm 26 weeks and still walking around with a 4 cm cervix! What are the odds! OK - let me focus :

Anatomy Scan 
My anatomy scan went great. He's measuring right on target. We were able to see his fingers, legs, face and all. Everything was exactly where it was supposed to be.

My Strange Cervix (No Complaints ) 
I call it strange because it's 4 cm. It never even hit 4 cm in my last pregnancy. It's so crazy. However it seems my cerclage is doing what it is supposed to and my cervix is great. There's been no signs of funneling or anything.

Ugh - I didn't realize SPD could be so debilitating. I mean I can walk but it does hurt to move my legs. I try not to complain about it because who wants a whining woman in your home! Either way - it has be walking like I'm 9 months pregnant - ugh.

Gestational Diabetes
So I passed my 1 hour test. I'll be doing the 3 hour when I hit 28 weeks. I should add - I barely passed the 1 hour - hehhee. I feel really guilty because I've struggled to maintain a GD friendly diet. I don't know what's wrong with me this time. I'm also heavier than I was last time. Sigh.... otherwise I'm doing alright I guess.

Saturday, May 3, 2014

Lots to post but tiny update today

Lets see how I can sum this up 

1 - this baby is kicking up a storm !
2 - I barely passed my 1 hour glucose test - but I expected that- it was the same as last time
3 - my cervix was great at my last appt. My peri said I could go 3 weeks before next appt
4 - my OB advised I don't have more kids after this if I don't have to - I've been running hard with these fertility missions these past 6 years

More to come but all is well.