Friday, November 25, 2011

So Frozen Eggs or Do I Try on My Own?



It might be premature for me to be thinking about this - but you can never be too prepared. I am trying to figure out if I should do another frozen cycle to try and have another baby or if I should try on my own. I'm in that wonderful window right after a pregnancy where my fertility seems to have come back on its own. When I tell people that I'm contemplating whether I should use my frozen eggs or try on my own - they tell me it's a no brainer - just try on your own and save some cash. If only it were that simple!

Now I don't have any research to back this up - so please don't judge me for this next piece. I know a lot of cysters. I also know that with PCOS, egg quality is always in question because we have hormonal issues. It's difficult for us to ovulate and even when we do ovulate, there's some question about the quality of eggs that we put out. I see a lot of women doing all sorts of natural remedies , soy, phytoestrogens, progesterone creams, wild yams, etc to try and induce ovulation. I've also been following cysters trying to have kids for several years. And to be honest, it's a little unnerving to see the high number of cysters who are mothers to children with illnesses. The issues range from blindness, cataracts, malformed veins, gastrointestinal issues etc. I know these things happen on both sides but it makes me wonder if our PCOS isn't at play here.

I'm eager to try and have a kid "on my own" but at the same time I'm terrified that doing it on my own doesn't give me a monitored cycle. What if I ovulate but it's a low quality egg that makes it ? What if I had the opportunity to spend a  little cash and get a high quality egg that came off of a monitored cycle? Am I wrong for wanting a manufactured baby? Somehow, having gone the IVF route has desensitized me from that longing to really go all natural. After all - I have a beautiful test tube baby. So I'm sitting here totally confused, unsure of which way we should go. All I know is that I want to have 3 kids and try to do them all back to back so I can get back to my career. I know..... lofty goals for a woman with defective ovaries and an incompetent cervix.

Monday, November 21, 2011

Wordless Middle Finger to Infertility #2


TTC Success - Now What? Oh yeah and the mini-pill made my hair fall out!

First let me apologize - I took a serious hiatus! After battling infertility for as long as I had... I simply wanted to revel in motherhood for a while. Now I'm comfortably 4 months into motherhood and I'm ready to start embracing my fertility battle again.

So I guess it's time for some updates. For starters, my little one is just awesome! She's a feisty little thing, who hates to sleep in the day but sleeps through the entire night!  She's healthy, vibrant and a pleasure to be around.

As for me - well the OB put me on the minipill for contraception. It was fine until I looked in the mirror one day and realized that my hair was falling out from my hairline! It was friggin bald in the front just like the picture to the left!!! I couldn't believe it. I instantly decided to come off the mini pill. DH and I will just take our chances with condoms for contraception.

So while I was lamenting the loss of my hairline - which has started to grow back - something awesome happened. A few weeks after my withdrawal bleed from stopping the mini-pill, I had a period. It was a regular 4 day period!!!!! I'm eagerly waiting to see if I get another period in a month but this is a friggin good sign. I haven't decided if I"ll try to conceive on my own or if I should use my frozen eggs. I hear so much about PCOS women with kids with defects, I can't help but think it's partly due to the out of whack hormones we have. Even though we can drop eggs, I have to question the quality of the eggs that we drop. That being said, I have perfectly good grade A inspected eggs in the bank..... I'm almost leaning towards thinking that it's irresponsible for me not to go with the more monitored approach....

Anyway this is just my post to step back into my blogging!

Thursday, September 29, 2011

Medela - I am on to you!

I rented a hospital grade pump today. I had one in the beginning but then decided to switch and get my own pump. So I shelled out close to 300 bucks for the Medela In-Style. I noticed the first time that I used it I got slightly less than when I was using the hospital one - but I expected that. I also noticed that it took a bit longer to pump - but I expected that as well. After all  the hospital pump costs $1200+ .

Well if you've been following my blog you'll note that my pumping had become a bit of a nightmare. It was taking longer and longer to get a letdown and then it started taking 45 minutes to get a letdown. And then there's the pain and discomfort that comes with having to pump for that long. I also noticed that the way my nipples moved in the phalanges was different between the two pumps.

Out of desperation getting this pump again was one of several things I've been doing to get my pumping in order. What's amazing is that I got the pump today and decided to pump when I got home. My breasts were not especially full but I got 5 ounces in 20 minutes! It was like watching little waterfalls pouring out of my nips! What the hell? Just yesterday I was suffering as my personal pump was taking forever. I would pump for an hour ( in the morning) and get 2 ounces if I'm lucky and only 1  letdown. I was sitting in the dark, envisioning my baby, sniffing her dirty laundry, envisioning her, and every other half assed suggestion about how to "will a letdown". So you know what I think?

I think Medela makes a good pump - the $1200 symphony hospital grade pump. Oh and by the way - when you rent one - even though it's through a vendor - you're renting from Medela! I think they make the other personal use pumps cheaper and less effective. I think that unless you're a person who responds well to the cheaper pump, you'll eventually need the hospital grade one - or perhaps lose your supply. So Medela makes money on both sides: first by getting you to rent the hospital one to get your supply up, then by getting you to buy a personal pump that may or may not work, and then thirdly back to rentals when you have to go and get another hospital grade pump.

So maybe it's just a conspiracy theory on my side but I think Medela is screwing with us!

Wednesday, September 28, 2011

The battle to save my milk supply begins today!

Well I saw my lactation consultant. We went through the whole routine... checked the pump, checked my breasts, had my baby nurse, had me pump one side while nursing. The reality is that my left breast simply isn't playing nice and my body doesn't care too much for the pump. Her advice... it's a mental block. It's funny that she mentioned that because I was able to "Will" a let-down by envisioning waterfalls once. She believes ( and I agree) that it's totally stress related. Combine spending 3 weeks with your mother in law, while your husband was gone for 2 of those weeks. I was having anxiety about returning to work because things haven't been good with my team since I left and I'm the one in charge :( Thirdly I've been having anxiety about not responding to the pump. Triple UGH!

Anyway - so I'm in a quandary. I can nurse my baby just fine - and will continue to do so. I have a friend taking care of my daughter during the day when I go to work - but I'm having trouble making a stash in the freezer. It takes an hour to pump and I get 2 - 3 ounces if I'm lucky ugh! So the first thing I'm doing is reducing my hours at work - in fact I plan on leaving my job - but that's another post for another day.  Secondly - I'm going to call my acupuncturist. I honestly believe this is stress related. Maybe going back to my "happy place" will help things go better. And yes - I'm going to buy Mother's milk tea and fenugreek. I never thought I'd be going down this road! Well - the battle continues!

Monday, September 26, 2011

Yep - It finally happened - I had to milk myself like a cow

So I've had to suffer another indignity. I had to milk myself like a cow - literally into a bowl. Before I can really elaborate on exactly what that means - I guess I should explain what led me up to this point.

If you've read my blog you'll have noticed that I'm not the biggest fan of breastfeeding. That being said - I've committed to breastfeeding my baby. It's not that I don't agree with all of the wonderful benefits of doing it ( healthy baby, lower risk of girly part cancers, and did I mention the awesome weight control???). It's just that it really does suck. It's a time sink, it's inconvenient, oh yeah and it hurt like hell.  And for any person that claims it's a painless process  - I'll be more than happy to post pictures of the flesh covered teeth that my baby is sporting as gums!

Anyway - 5 weeks into my baby chomping on my nipples to her heart's content - she finally latched in a civilized manner. All of a sudden, by 6 weeks of age, my baby was being nursed at 95% breastmilk. Sorry - I give her formula at night so she doesn't wake up every 3 hours. I digress! So before the breastfeeding went well - I was pumping. I was actually getting good at it. I could get up to 7 ounces in a session. Seeing that my baby eats 2 - 3 ounces in a feeding - that's perfect. Then something strange started happening in week 10 - 11.

For starters - I have a dominant breast. My right breast produces about 3 times what my left one does. Lately when I start nursing my baby on my left - she throws a tantrum. It's almost as if she is telling me, "Woman - how DARE you give me this dry breast! You know there ain't much going on here!" The first time she did it - I chalked it up to moodiness. The second time in a row I started to wonder and by the third time - I realized she didn't like my left breast anymore - UGH!

Now stepping back - around week 10 - I noticed that I was beginning to have trouble getting a decent amount of milk out of the pump. I could pump for 30 minutes before I got a letdown and if I did get a letdown - it was just an ounce or so. This was incredibly frustrating seeing as I knew I was able to nurse my baby exclusively on my breast. That basically means - the milk is in there  - it just won't go out.

So fas forward to week 12. Here I am, suffering on the pump for over an hour just to get 3 ounces of milk. Of course if I pump that long, my nipples are sore and then I can't nurse. If I pump for just 20 minutes - I'm lucky to get 1/4 ounce. So I'm stuck in this quandary. I got desperate so I started trying a few things :

  1. snorting my baby's hair before pumping to trick my body into thinking she's near 
  2. taking deep whiffs of my baby's clothing while pumping
  3. Getting a bigger cup size for the pump
  4. Increasing the intensity of the pump ( OUCH ) 
  5. Visualizing waterfalls when pumping  (this worked only once)
  6. Manually expressing my milk ( the motivation for today's post)
  7. Calling my lactation consultant and asking for help ( that's where I am right now )
So item #6 - manually expressing. Yes you can milk yourself. It's not pretty. It's not dignified. In fact it looks damn ridiculous. In case you're wondering how it works - I was using the marmet technique: click here for a video of how it works. I found myself sitting topless, breast in hand, massaging my breast and pushing down to my nipples only to see a small stream of milk spraying into a bowl. Yes this is what I have been reduced to. Just like with a cow's udders, I'm doing a yanking motion to get some milk out. If only my 20-year-old self could see me now!! So I milked and I milked and I realized very quickly - that the comment on the video of the technique ( it's a fabulous alternative to an electric pump) was very deceptive. Yes I got milk but my hands got tired very quickly. I can literally fall asleep on a breast pump but with this technique - if the hands stop - so does the milk....

So I did it - and no I didn't feel good about it. In fact - I did it out of desperation because my nipples were too sore to nurse or pump  but I need to drain my breasts. Every time I've done what I thought was the most awkward thing I've ever done.... new motherhood offers me a new low!

Sunday, September 18, 2011

The dark side of new motherhood

Becoming a mother is the best and worst thing you'll ever do. Make no mistake about it - it will completely rock your world. We're made to feel guilty if we admit anything negative about child rearing. We're trained to believe that the moment that baby comes out of you - every bad feeling about child rearing should just go away. Well it just isn't true. If you're looking for the full list of things they should tell you before you try to conceive - click here.

Trying to Conceive is only fun if you aren't trying to conceive! Pregnancy sucks. It does a number on your body. Labor is the craziest most unnatural thing you will ever endure. Holding your baby for the first time is one of the best feelings you will ever have. Nothing comes close to seeing a new life be created. Then comes the reality of being a new mother!

First - the sleep deprivation is just horrible. It's completely mind numbing. Couple that with a screaming baby and it's no wonder evil people use sleep deprivation and the sounds of babies screaming as torture methods. Also - consider the reality that it is very possible that you may go for 6 months without a decent night's sleep. Lucky parents are able to get their babies to sleep through the night within 3 - 4 months. I was blessed with a baby that started sleeping 6 straight hours at 5 weeks and 8 hours straight at 9 weeks. You will also get a sort of spider sense. If your baby's breathing patterns shift - you wake up. If they cry - you wake up. If they cough - you wake up. If they sneeze you wake up. If they move - you wake up. If they stop breathing - you wake up. You're going to become hyper vigilant over night.

Secondly - it's normal to feel some level of resentment towards your baby, your pregnancy, your significant other and your new situation. You'll realize very quickly that you've given up your freedom. Your baby will come before everything - showers, using the bathroom, eating, sleeping, etc. I've had that emotional breakdown which was perfectly summed up in a pathetic wail by me " My life is over !!!"

Third - Breastfeeding sucks. There's nothing natural about it - don't listen to all of the BS about how it's the most natural thing on earth. Babies have to learn how to breastfeed and they do it while chewing on your nipples. You will learn to bear through the pain or start spending a fortune on formula.

Fourth - Loss of your identity. Yes - no one really cares about you once that baby is out. You'll even notice that your parents will call you just to find out how the baby is doing. You have just been redefined as the mother to the person that matters.

Fifth - You are going to have to make special effort to tend to your relationship. It's hard to feel sexy when a baby has been chomping on your nipples. You'll find that child rearing may rearrange your nether regions a bit too. Not everything will be exactly where you left it.

We're made to feel bad because we have negative feelings about motherhood - but they are perfectly normal. Every time I look into my baby's smiling face I remember why I do this - but there are plenty of times when I'm sleepy, I'm holding her to my chest and she's a blur of kicking, drooling, yelling, and crying all at once. In those moments - all I am doing is wishing she will run out of energy. To be a mother is to make an incredible sacrifice. You will give up your body, your sense of identity, your sleep, and your way of life for someone who will be absolutely dependent on you. Your baby won't love you. They will not say thank you and will have ZERO appreciation for what you are doing until perhaps they hit their 20's and 30's. It is thankless work that is absolutely rewarding if you stick it out until the end. This is the reality you must come to terms with before you have a child. I'm loving the fact that I've done this. And I love my daughter in ways I didn't know were possible - but I also know how much I'm giving up to make this work.

Saturday, September 17, 2011

To the bitter infertile - stop hating pregnant women

I need to preface this post with the fact that I believe I've earned the right to get on this soap box. After 5 years of negative pregnancy tests, PCOS, non-existent cycles,  a miscarriage, a failed IVF cycle, a high risk pregnancy, gestational diabetes, a cerclage, pre-term labor, and an induction from hell - I think I can say a thing or two about dealing with infertility. I've managed to overcome infertility once and have a baby but I'm gearing up to battle with it again as I go for baby #2.

That being said - here's my two cents. I sit on forums for women who are TTC with infertility and you see those women - the ones who are bitter. They have been TTC and have a very nasty attitude towards women who have already been pregnant. It always starts with some rant about hating to go to baby showers. Perhaps they reference a friend who has been trying with them and got pregnant before they do. They escalate to resenting pregnant women. That resentment escalates to include women who have had their children.

But why should an infertile woman hate women who have overcome their fertility, become pregnant, and/or had kids? What exactly did those women do ? And more so - how can you hate someone that has achieved what you are trying to do?  What is it about infertility that brings so much negativity? We already have to battle so much in our lives, internal pressures, pressures from in-laws and parents, fears, emotions, he pain of BFNs, the pain of dashed hopes, the discomforts and pains of fertility treatments, the pain of miscarriages, and the emotional strain of it all. Should we really be adding negativity to the mix?

Yes we can sometimes feel incomplete because of our inability to rear children. Yes we can feel bad about our journey to fertility when we see the successes of others. But what kind of mothers will we be if we harbor so much jealousy and resentment before our children are born. And once we have those children - what kind of mothers will be be? Will we be self loathing because we've become the very people that we've resented so much? Do we suddenly forget that we were once envious of pregnant women? What kind of maturity does this resentment show?

I know that infertiles are often susceptible to emotional issues. After all many of us have hormonal issues. With hormonal issues comes emotional issues. But that's all the more reason we should make the extra effort not to be difficult. So to the bitter infertile I say - celebrate with your friend who has become pregnant. Go to your friend's baby shower - because you would want them to be happy for you. Be willing to hang out with your loved ones / friends and their kids because you would want them to do it for you. But more so - remember that child rearing is a miracle ( whether you have battled infertility or not) and it should always be celebrated.

Friday, September 9, 2011

I'm a mother - now what?? Oh yeah - and a confession

I'm really struggling with this concept. I've spent so long trying to achieve this goal - now it's here. Where do I go from here? How does an infertility warrior cope with having a baby? How do I deal with the emotions that come with this. So I had one baby - does that mean I'm fertile? I know that my body will go back to being infertile but how soon?? Should I try to get pregnant again? Should I wait to reduce my chance of miscarriage? Should I get pregnant quickly because I run the risk of going infertile again? It's so crazy!!

That being said, having this baby has been the most transformational thing I've ever done. Not only was it physically the most traumatizing thing ever, but it's forced me to redefine myself. In some ways my life was mainly defined around my attempt to get pregnant and my career. Then the midwife pulled this baby out of me - and I just knew she was what mattered most. Now here I am trying to figure out - who am I ??

My Confession:

So I have PCOS. I have mild insulin resistance. That means I need to be eating like a diabetic. Well since my daughter was born.... that has NOT been the case. After 3 years of a restrictive diet, I allowed myself to have a 12 week reprieve. I basically am allowing myself to eat whatever I want. I know that goes against everything I've know but I just need to feel normal for a while. So I went on a donut binge. Yes I ate a glazed donut every morning for breakfast for 7 weeks. I've been eating Jimmy Dean Sandwich Biscuits for breakfast. I thought my weight would skyrocket but it hasn't. I'm already below my pre-pregnancy weight and I'm not gaining a thing. I'm sure it's the breastfeeding that's helping.  I've had milkshakes, pizza , burgers, etc. That being said, I'm still making sure there are fruits and veggies and whole grains somewhere in my diet - after all - what I eat, the baby eats!

So I have 4 more weeks left, and I'm going back to the fertility diet. I'm going to try and conceive again in the near future, so I don't want to destroy my body. I'm sure you can imagine that motherhood is eating all of my time so I'm not blogging as much - but I'm almost back to my normal self and I'll be back on the horse!

Thursday, August 18, 2011

Could my fertility be back just 5 weeks post partum - even with my PCOS?

I never thought I'd be so happy to see a period. But before I get into that - let me start with what's happened so far. So I delivered in early June. I had a normal vaginal delivery. Granted my birth story was wild - but that's another story for another day.  Now if they don't tell you - the period you have after delivering is INSANE. It's like there's death coming out of you. It lasted about 4 weeks and then it started to trickle off. I believe they call it lochia.

So my lochia ended. My dear husband was excited because it was a sign that we might be getting things going in the bedroom again. Needless to say, 5 days later I notice that I start spotting. Then the next day it was a full blown bleed. I'm thinking - what the hell is this? I call my OBGYN and they tell me - your'e having a period!

I know that IVF and pregnancy can jump start your fertility but it never crossed my mind that I might get a cycle on my own. Not only that - but 5 weeks after delivering a baby?? It's a shame that I need to let my body heal because I kind of feel like this is my window of opportunity. Is it greedy to be a woman dealing with infertility, who's had a child recently, and already itching to make another one? Although I'm excited about this cycle, 28 days from now I"m going to be worrying that another cycle might not come. I miss being treated by my reproductive endocrinologist because I always knew exactly what my body was doing. Now I'll go back into that black hole of wondering if my ovaries are playing ball.

I can't believe that I may actually have cycles on my own. I can only hope that an egg came down with that flood of bleeding. I am so eager to find out if I'm finally going to be like a normal woman.

Thursday, July 28, 2011

All the things they should have told me about pregnancy and having a newborn

So I admit - I watched a birth story and looked at youtube videos to try and prepare myself for my child's birth. However, I feel very bamboozled about what I was expecting for my pregnancy experience. I don't have any regrets but there are many things that people just don't tell you when you are getting pregnant. Here's my running list so far :


  1. Morning sickness / vomiting is bad - but having 12 weeks of dry heaves and the urge to vomit is even worse!
  2. Pelvic Girdle Pain is real and hurts like all hell. It feels like someone is pulling your pelvis apart from the middle. 
  3. You  can bleed for up to 8 weeks after your delivery. 
  4. Epidurals do fail - and if you're on pitocin, the contractions will feel like death. 
  5. Having your water broken is not painful or uncomfortable at all. 
  6. Once your water breaks, you'll be oozing hot fluid until your baby is born.
  7. Your baby can poo in your amntiotic fluid - and that can give your baby a trip to the NICU if it affects their breathing.
  8. There's an unholy mixture of meconium, amniotic fluid and blood that can come out of you after the placenta passes!
  9. The midwife / nurse may massage your uterus to push it down after the delivery. That massage does not feel good.
  10. You may be put on pitocin for up to 12 hours after your delivery to help your uterus cramp down.
  11. Breastfeeding is incredibly painful - and can send knife-like sensations up your breast. 
  12. When your baby is born, you'll only have colostrum coming out of your nipples and it takes a lot of work to get the colostrum to come out. 
  13. Pumping colostrum is a joke, at best you can hope to get 20 drops at a time. You may have to finger feed your baby that colostrum.
  14. Breastfeeding after birth can give you very painful cramps in your uterus. This is normal.
  15. If you sleep when your baby sleeps - you'll never have time to pump milk.
  16. Having a cerclage removed can be an incredibly painful experience. 
  17. It's possible for your cervix to grow over your stitches in your cerclage. 
  18. Progesterone-in-oil injections can be incredibly painful 
  19. Betamethasone / celestone steroid shots burn like all hell - but if you need them you'll only need 2
  20. 17p shots don't hurt that bad - even though they use a horse needle
  21. You can tear during delivery - but its not that bad. 
  22. Your first poo after a vaginal delivery is the scariest poo you will ever take.
  23. Even if you don't believe in co-sleeping, your baby will find their way into your bed - if nothing else out of frustration from the late night cries.
  24. With your newborn.. you may have to do up to 15 diaper changes a day
  25. Don't make a birth plan - you're just setting yourself up for disappointment

Will breastfeeding be my ticket to winning the weight war?

Well I've managed to be just 19 days past my baby's birth and I'm now under my pre-pregnancy weight. Like all women I have a distorted view of who's in the mirror, but my husband swears he can see weight loss. And he says it's not just the belly - even the problem areas are starting to shrink. What can I associate this with? I'm thinking it's the fact that I didn't gain a lot of weight in my pregnancy and then I'm breastfeeding. While breastfeeding sucks (YES I SAID THAT), it seems to burn an insane number of calories and it seems to get some hormones going. As a result,  I may actually be able to lose weight while I'm recovering from this pregnancy.  We all know that weight loss is the cornerstone of beating PCOS symptoms. In fact, my first pregnancy was a surprise BFP while I weighed 165 lb. I haven't weighed that in almost 6 years or so. I'm only 15 lb from there now - so I'm hoping for the best. I would love to have a BMI that's well in the middle of normal instead of on the higher end of normal / lower end of overweight.

Sorry for the scant posts lately. Needless to say motherhood with a newborn has eaten a huge chunk of my spare time.

Saturday, July 23, 2011

2 weeks after delivery and back to pre-pregnancy weight - Take that PCOS!

9 months ago - I had this fear. Having PCOS, I was convinced that I was going to have to eat like a bird to prevent my weight from exploding. After all, PCOS has conditioned me into having a love-hate relationship with food. Yet somehow, during this pregnancy, my weight has been awesome. In fact it's been better than awesome. I went through the bulk of my pregnancy not having gained more than 15 lb. Then in the last week I gained 6 lb and then I delivered. Who knows what that 6lb was.

I'm proud to say, I'm already packing away my maternity wear. I was so jazzed to pull out my size 10 ultra low-rise jeans and they fit! In fact they had some room to spare and needed a belt :) I hopped on the scale and I'm right at my pre-pregnancy weight. Only 2 weeks after delivering my baby. I feel so lucky. It seems that somehow although PCOS has wreaked havoc on my body, I got a free pass in this pregnancy. I didn't gain any huge amounts of weight. My weight came right off and Id on't seem to have extra fat stores.

Now I do have my pooch and my tummy is a bit stretched out more than it was - but I'm feeling confident that it will return to it's not so impressive but not so noteworthy state.

I'm also breastfeeding - well attempting to. I had fears about having no milk or low milk supply. I really should have been afraid of my baby chomping on my nipples like a barracuda! That being said, I'm able to breastfeed her ( with formula supplements) and I'm pumping as well. So who knows.... with the lack of weight gain and the breastfeeding, I might actually come out at a good 10 lb under my pre-pregnancy weight. Any time that a cyster can end up in a situation where weight loss comes easy... we should celebrate!

Sunday, July 17, 2011

Life after winning the battle - the path forward

Sorry that my posts have been a little few and far between. Having a newborn is no joke and we've quickly realized just how much we have to arrange our lives around our new addition. As I was sitting here contemplating the next direction of my blog - I sort of made a decision. There are way too many blogs out there about motherhood, being a new mom, and having kids. I'm not saying that I won't share that part of my life, but the reality is that although I've won the war against infertility with this successful pregnancy  - I still have an uphill battle getting my reproductive system back on track.

I plan to actually take a different approach to restoring my fertility. For starters, I have about 9 months to a year before we start trying again ( yes I decided I think I will try for a second baby!). I'd like to see if I'm able to restore my ovulation cycles on my own. I want to see if I can manage to get into shape with a new baby in my life. I keep having this vision of doing pushups with her sitting on my back. I can't wait until I'm allowed to work out again. I have a treadmill at home and I plan to lay her on the bed, hop on the treadmill and hope the sight of me working out is enough to keep her entertained :) OK I digress!

My point is that the battle for this infertility warrior isn't over. PCOS has dominated my life for the last 6 years or so - and affected my life for much longer than that. I know it's still lurking in the background and I plan to beat it into total submission.

That's all for now - my baby girl has started fussing and I need to be a mommy now :)

Wednesday, July 13, 2011

Score: Me - 1 Infertility - 0, An Infertility Warrior's Birth Story

It sounds like a complete oxymoron - I'm an infertility warrior who is writing about her birth story. That being said - what good is battling infertility if you can't have a victory? On Saturday our bundle of joy was born. My entire battle with miscarriage, infertility, PCOS, incompetent cervix and ultimately a high risk pregnancy was riddled with setbacks and challenges. So it is only fitting that my delivery (the ONE thing I wasn't worried about) ended up being just as painful and traumatizing as everything else I had to deal with to get to this point. As bad as this 12-hour labor was, I was happy that I got to take my baby girl home.

On Saturday I had an induction. I also elected to have an epidural. Now I can tolerate pain as well as the next person, but I don't believe in being in unnecessary ( aka elective) pain. I'll start on Thursday before the induction. I went in to see the midwife. She offered to strip my membranes ( OUCH). After that she told me I might deliver at any point. She was just about to schedule my week 40 appointment when I reminded her that I had gestational diabetes and was supposed to deliver before 40 weeks. She quickly changed her tune and scheduled my induction. It would be at 5 am that Saturday.

At 4 am DH and I got up and made our way down tot he hospital. I had been actively emptying my colon for the 2 days before because of fears of crapping myself while delivering. I hear that happens a lot so I didn't want to increase my chances. We got checked in around 5 am and by 5:45 or so I was in a labor and delivery room and hooked up to an IV. This time the IV experience was positive. It was nothing like the IV fiasco that happened when I was dehydrated. The nurse got me started on pitocin and they ran that for a couple of hours. Somewhere around after starting my pitocin, the midwife came in and broke my water. It wasn't a bad experience. It felt like warm water trickling out of me gush by gush. She asked the nurse if she felt that the amniotic fluid looked stained. She told the nurse to make sure that the respiratory team was on site when my baby was born. She explained that it's precautionary - but she thought there was meconium in the amniotic fluid. If there was, my baby might need a little help breathing - so they would be in the room.

 I felt mild contractions, but it wasn't bad at all. I opted for an epidural as my pain relief. A few hours into my pitocin, the anesthesiologist came in to do my epidural. He seemed like a nice enough doctor. He explained the epidural process to me and went ahead and put it in. I felt the numbing work its way down my leg - and ahhhh - I calmed down. I knew that pain relief was soon to follow.

Once the epidural kicked in, they decided to crank up my pitocin. I felt mild cramps here and there but nothing major. An hour passes and I notice that I'm starting to feel contractions more. That didn't bother me but it got to a point where my pain level was about a 6. Now the continuous epidural has a button where you can administer more medication to yourself. I clicked on it too many times trying to slow the pains, and it cut me off and wouldn't up my dose any further. The nurse called the anesthesiologist and his physician's assistant came in. She offered to make me comfortable and added some more medication to my IV. By now, I was feeling full on contractions, but still only a level 6. My pain levels didn't change with the new dose. I also noticed something strange.... my feet weren't feeling numb at all. In fact, my knees were feeling ok. I started moaning from the pain and asked the nurse to get me some pain relief. I said something was wrong.

The Physician's assistant eventually arrived, 30 minutes later. She mentioned that she had to re-dose me. I heard another woman yelling in pain faintly in the distance. By now I was having trouble tolerating the pain at all. She put 3 vials of something and added Fentanyl to my IV. I kept trying to tell her - it's not the medication - I'm not numb any more. She leans over and says - I tried to tell the doctor  your epidural is probably failing - but he wants me to change your dose first. Well she changed my dose and there was absolutely no change. In fact, at this point the contractions were coming every 60 - 90 seconds. They were well over level 10 pains. The nurse tried to tell me to breathe through the contractions but they were so bad I couldn't breathe.  Every contraction made my lungs and heart sieze up and my heart rate went crazy. My baby's heart rate was jumping all over the place because I couldn't breathe. I started to panic. I told my husband - I'm dying.... I can't do this. I won't be able to push even if the baby comes. I need help - please!!!!! I was crying and screaming hysterically and I just knew I was going to die. I was also scared because I knew with the pain I was in - I couldn't push - and if I couldn't push I'd need a c-section....but if they couldn't do an epidural I couldn't do a c-section. I was terrified that we were going to lose our baby.

Finally the nurse goes and grabs the anesthesiologist. He tries to ask me about my pain level - all I can do is cry and moan. He tells me it seems the epidural has failed - so we will need to do another one. He asked me if I could sit up. I tried, but I didn't have the strength - plus the contractions were just coming non-stop. So they helped me on my side. I had to pause every time a contraction came because I just couldn't even breathe. He puts the epidural in and says he's going to use a drug that works faster. Well the drugs did work, and my pain levels came down - and I was able to talk. I was able to mention to the nurse that I felt like pushing when those contractions were going on. And then I passed out..

WTH? Well it turns out that the anesthesiologist - in an attempt to address my pain management quickly - ran my medications too fast. That made my blood pressure crash. And when I say crash - I'm not saying going kind of low - it dropped to about 70 / 30. I vaguely remember people frantically putting things in my IV. I remember being given epinephrine in an attempt to stabilize my blood pressure. I kept panicking - and I remember telling my husband that I think I'm dying. I was crying hysterically because I was too exhausted to push. I told my husband - even if they stabilize me - I don't know if I can actually push. Eventually they managed to get my blood pressure under control. It leveled out around 90/45 or so. I was so out of it I didn't have the wherewithal to ask how my baby was doing. When I started to get back to normal,  I sort of came to and told the midwife that I thought it was time to push.

She checked me and said - yep I can feel the head - and WHOA there's a lot of hair. So they put me in stirrups, my husband held one of my legs and we started pushing. I noticed that the respiratory team was standing by in my room. By then my contractions were still going strong but they felt like mild pressure. Every time I felt some pressure, I pushed 3 times. The whole process took only 20 minutes or so. When I gave the last push, I felt sort of a pop - and my baby was out. They put her on my stomach and before I knew what was happening - she grabbed my finger and I cried. I couldn't believe I was holding my baby. I expected them to start rubbing the baby to make her cry - but they said they wouldn't do that. My baby made a few weak cries but had a very strong grip on my finger. I asked them if she was ok - and they said she was good.

Then they handed my baby over to the respiratory team. My husband got a chance to cut the cord and the midwife worked on getting my placenta to pass. The respiratory team got to work on my baby. They were spanking her on the back, rubbing her and getting her to respond. Then they said , well she's having some trouble breathing. We're going to have to take her to the NICU. We don't know how long it will be. She might be there for a few hours or a few days. I shed some tears and told my husband to go with her. They assured me I'd get to see her before she went. Right before they left, they literally held her over me so I could touch her and then whisked her off.

I cried hysterically in the bed. The midwife got to work stitching me up ( although I didn't know what was what she was doing at the time). I was bleeding quite a bit and sort of out of it. I remember hearing the nurse and midwife talk about how many units of blood I'd lost. They kept running the pitocin IV to get my uterus to cramp down. I remember them massaging my stomach over and over to try and press down on my uterus.

It felt like an eternity, but my husband returned to the room to tell me what happened to our baby. He said she's in the NICU. She has a lot of meconium in her lungs. One lung cleared, but the other one isn't clearing on its own. They have her on oxygen and are working to clear her lungs. I was just completely devastated. My little baby was struggling and I couldn't be with her. They finally stabilized me in the labor and delivery room and prepared to transport me to the recovery room upstairs. When I got up there - I had a nurse and a tech monitoring me. They kept checking my vitals and checking my bleeding.

They told me that my first three trips to the bathroom would have to be with their assistance. By this time, my husband had been to the NICU to tell me that our baby was still ok but not ready to be released. They were trying to lower her oxygen levels but she would start hyperventilating. We called the NICU probably hourly asking for updates as to how she was doing. They also told us they thought she had an infection and were giving her antibiotics. I was feeling strong enough to go tot he bathroom, so I called the nurse. They helped me out of bed, and I walked to the bathroom. I looked back and I had poured blood all the way from the bed to the bathroom. That was the most stressful bathroom trip I'd taken. They still had me on a pitocin drip. Hours passed, and I did 2 more trips to the bathroom. I was still bleeding, but I wanted to see my baby. The nurse allowed my husband to take me to the NICU.

They put me in a wheelchair stacked with towels and I put the IV machine between my legs and off we went. I got to the NICU and emotionally broke down. My husband was too uncomfortable with picking her up because she looked so fragile. I asked the nurse if I could hold her. In my mind, if she didn't make it - I wanted a chance to know my baby. I held her and she just looked so helpless and so fragile. I cried as I held her. I think we spent maybe 45 minutes with her  -and then I felt nervous that I might be holding her back from her treatment. The NICU nurse put her back on the machines and my husband wheeled me back to the recovery room. I cried the whole way back to the room.

When we got back to the room, I felt such a sense of emptiness. It reminded me of how our house had this beautiful nest for our baby and there was no baby. We were sitting in our recovery room after a delivery and it was still just the two of us. The nurse and tech kept working on me- and somewhere around 10 in the morning, they told us, they are going to release your baby to you. Around 11 or so, they brought her in to our room and I cried again. I just held her and held her and didn't want to let her go. I couldn't even let her sleep in the bassinet. She basically slept in my arms for the next 24 hours. They still had her on antibiotics. She had her left arm all wrapped up with an IV line. It just broke my heart to see her so fragile. They came in and would work on her - and I cried listening to her cry as they flushed her IV. My recovery was fairly non remarkable after that.

I didn't need pain killers. She was doing great so they agreed to release me. They were still keeping her but I'd be allowed to stay in the room with her until she was released. Several hours after releasing me, they agreed that she was doing good, so they released all of us.

We took that first drive home and I shed some tears but I was so happy. She's absolutely beautiful. She's mine and to me she looks like a miracle on earth. Everything that I endured to get pregnant and then to stay pregnant was absolutely worth it. Even now as I write this and I shed a few tears remembering what I was going through - I wouldn't have traded it for anything. I absolutely love her.

Here's our little bundle of joy

At Home - Day 1:

At the Hospital after release from the NICU

Friday, July 8, 2011

Induction T-Minus 12 hours

This will be a really short post - for some reason I've been battling fatigue like crazy today. Also - since the midwife stripped my membranes I've been having some strange contractions. None of them have come together like labor but there are enough to make me feel uncomfortable. It's 12 hours until I need to show up at the hospital. I'm so excited and nervous. My appetite has been very strange and finicky today. I've basically had some berry smoothie ( just fruit and a blender), a grilled cheese + tomato sandwich, a bowl of mushroom soup, and a peach. I just don't feel like eating anything real.

 I've been watching a "Baby Story" like a mad woman for the last couple of months. I don't know - I kind of think watching it will help me come to terms with what's coming. Up until now every trip to the hospital has invoked  feelings of suspicion and dread. For once I'm going to Labor and Delivery because I want to go there and get my baby out. How strange is that. I'm full of anxiety, excitement, fears, anticipation, and who knows what else. Ok drowsiness is taking over again.... maybe my next post will be to announce the birth of our baby!

Thursday, July 7, 2011

Induction - T-Minus 2 days

Well - it's official - I have an eviction notice date for this baby. Today I went to see the midwife and to see what we could do about inducing me. For starters, let me say - this was my first late afternoon appointment. I don't like them at all. Besides the classic long wait at the OB, the staff were clearly tired.

I did the usual routine  - urine, blood pressure, and weight. First the surprise for me was that I gained 4 pounds in a week! Overall it's not bad, I have gained only 17 pounds in this entire pregnancy. Secondly my blood pressure was a bit higher than usual - 138/80 . I'm normally around 115/60 or lower. My urine was fine. I mentioned this to the midwife and asked if I should be concerned, but she checked my ankles and commented that they were nice and skinny - so no worries there.

After getting through the usual stuff, we saw the midwife. She did a fundal measurement and measured the baby's heart beat. I have to admit, for a moment, she couldn't find the heartbeat on my left side. I knew I'd felt the baby move earlier in the day, but there's no anxiety like the moment when you're waiting for the doctor to confirm that the baby really is alive. She checked on my right side - and there was her heart beat nice and strong. PHEW! The midwife asked me if I wanted to her to separate my membranes. I told her yes  I would. She did a cervical exam to measure my cervix - and it was 3 cm. So ... not so bad. I've gone from 3 cm to 2 cm, to 2.5 cm to 3 cm again! That exam always pinches a bit but I can breathe through it. Then she warned me that she was going to strip my membranes. I braced for the pain but no amount of bracing could help. I yelped - OH JESUS! And I'm not the very religious type! She let me know that she was done. She warned that I might spot and I might have contractions. She also mentioned that my water bag was right there - and that she could feel it. She said my cervix was completely thinned out as well. Ultimately she said we could go at any time. She mentioned that the stripping might jump start labor too.

Finally, she wanted to set my next appointment for another week out - at 40 weeks. I mentioned that "umm I have gestational diabetes - the last time I was here I was advised that I needed to be induced at 39 weeks because of that." After scouring through my file, she agreed and told me - I'll call you tonight to let you know when we'll induce you. So we said thanks, checked out, and made our way out. I was feeling all kinds of strange cramps and things but nothing unbearable. On the drive home, she called - my induction was scheduled for Saturday - just 2 days away. In fact it's less than 48 hours away!

So here I am ... realizing that I've actually served my baby with an eviction notice. All that's left is to execute the eviction notice on Saturday. I'm scared and excited all at once. I can't wait to get this process started. Spending 3 weeks waiting for labor has driven me nuts and I'm just glad to have a date to work towards.

Friday, July 1, 2011

My first false labor and failed self induction methods

So I went to the oB and was examined by a midwife yesterday. I was somewhat excited when she reported that I was 2.5 cm dilated ( yes less than my last measurement) but I was fully thinned out (almost 100% effaced). That sounded like progress to me.

Now the manual exam is a painful experience if you haven't had one. It's bearable, but it basically involves someone sticking their two fingers inside of your nether regions and spreading them as far as they can go to see how open your cervix is. I even think that much poking and prodding can drive you into labor. I told the midwife that I was ready for this baby to come out and we chatted some. She agreed with my game plan - The famous labor-inducing legendary Eggplant Parmiagana from Scalinis , very spicy indian food, some walking around and sex with DH. She asked me not to take castor oil because "it would give me diarrhea and I'd still be pregnant!"

Armed with her guidance, we decided to do some window shopping to walk around to help labor along. I started contracting and added to my pelvic pains and lightning crotch, I sincerely felt like there was finally something going on. We stopped at Scalini's and got the eggplant parmiagan. Then we went to Swapna, the local indian place and ordered spicy vindaloo, spicy goat curry, and  lamb Biryani. That's enough spicy Indian food to set your backside on fire! By the time I got home - I was having regular contractions. They were pretty painful but they were strong enough to time them. I laid on the couch and started timing them. They were fairly rhythmic - about 10 - 15 minutes apart. I was so sure that this was the beginning of something.

There I was contracting and uncomfortable. I was in too much pain to have sex with DH. The contractions ran until 3 in the morning and then they went away! Ugh! I got up to go to the bathroom, and the contractions started again. 10 minutes later they were gone! By the time I woke up around  6 am - they were all gone.

Not to admit defeat, the next morning I decided to get on the treadmill. Maybe some walking would get things going. I hopped on the treadmill, put it on a fast walking pace and put the incline on 7 ( out of 10). I did an entire mile. And guess what.... not a single contraction! Seriously??? So here I am after suffering through a night of painful contractions - still as pregnant as ever. I'm exhausted and I don't feel any closer to delivering this baby.

Just some final thoughts.... I am having trouble digesting the thought that for so long, I was on pins and needles in fear of losing this pregnancy and now I'm sitting here ready to evict my baby. It's just so surreal. I am excited about getting so close to being a mother, but I am terrified of something going wrong. It seems so strange to be on the other side of fertility....

Monday, June 27, 2011

I want to serve my baby eviction papers

I never thought this would be me. How can someone who dubs herself an infertility warrior actually be fantasizing about the day this baby comes out of her? I don't know what happened, but in the last 10 days or so - I got very tired of being pregnant. I feel like every day I get a little bigger. I'm terribly uncomfortable. It hurts to move and I feel like a beached whale. In addition, I have this irrational feeling that until this baby is in my arms she's at risk. My body has failed me before - so why should I believe that it's going to work perfectly this time. My doc won't induce me before 39 weeks - and that's just 1.5 weeks away - but it feels like it is oh so far away.

I've heard that women get to this point - where they just want the baby out - I just didn't think I would. I hate looking at the baby room which is all done. I have the play yard set up in the living room so she'll have a safe place to sleep. I have the co sleeper in my bedroom - just waiting for the baby. Today's post will be short as I'm sleep deprived, feel like I am carrying a solid beach ball on my stomach. I just want my labor to finally begin!

Wednesday, June 22, 2011

I'm going crazy looking at my empty nest

You would think that the last weeks of a high-risk pregnancy would be the best weeks. After all - we've crossed all of the danger zones. We're in the final stretch. I'm just 1 day away from being term, yet somehow I'm more anxious now than I have been all the way through this pregnancy. In my early pregnancy - I nested with crocheting needles. I made countless blankets, booties, hats etc. Once we passed viability and we creeped past the micro-preemie zones, I started to nest with my credit card. Before I knew it, the baby room was coming up nicely. Now we have every single thing we need for the baby - yet the empty nursery is driving me nuts. I can't wait to fill it with our little baby.

The frustrations of labor watch
When you have incompetent cervix, you have this ever-present fear of your baby falling out. You stay fixated on the fear that your cervix is going to absolutely give out at any moment. Then I crossed 36 weeks. My stitches were removed and then I was just so sure I'd go into labor. The peri warned me that it can take 1 - 2 weeks for labor to begin - but in my head - my cervix was so defective, it would just unravel and open up. Well here I am 7 days later, and my labor hasn't begun. My cervix dilated to 3 cm and 80 % effaced when the stitch was removed, yet here I am and I haven't gone into labor. My Braxton Hicks contractions are frequent but painless. I still have the lightning crotch that flares up every night and lately in the mornings I feel contractions. I never thought I'd be so eager to feel pain - but I just want to feel something definite. The wait is killing me.

Torn between wanting to meet her and wanting her to keep baking
Am I a bad mother because I'm eager for my baby to be born? I don't know why but I have slight fears about something going wrong. I know she will be fine during the birth but I don't think I can relax until I hear her cry and she's in my arms. So tomorrow I reach term. I never thought I'd get to 37 weeks but here I am! Now I know 39 would be better but I'm ok seeing her whenever she arrives. I just want some finality to this pregnancy and right now I feel like I'm just here for the ride.

Final thoughts
So I find myself walking past the nursery, waiting for the day I hear cries coming from that room. I'm fantasizing about when I can lay our baby down on the hand-picked bedding or changing table. I'm waiting to show her the nest that we painstakingly designed in preparation for her arrival. I'm waiting to show her the lions, birds, and other safari animals on the walls. I'm waiting to play lullabies for her to help her sleep. My nest needs a baby and I can't wait for her to come home.

Monday, June 20, 2011

Crazy Labor Watch - Day 5

Well I am 5 days off bed rest and I am officially on labor watch. I've spent so much time afraid of experiencing any labor symptoms, now I can't wait for it! I have shamefully googled every early labor symptom. I know for sure I have been having tons of braxton hicks. They are disorganized so I don't think there is much to it. Today I felt a real contraction. It wasn't terribly painful - maybe a 1/10 on the pain scale. Then I noticed  I had a runny tummy. Hmm could it be a symptom???

I am all packed - and lugging my hospital bag everywhere haha! The anxiety is killing me! I can't wait to meet this little one!

Thursday, June 16, 2011

Labor Watch - Day 1

I can't believe I'm actually posting about being on labor watch. Today is 1 day since my cerclage was removed and I'm basically waiting to see when my body tries to eject this baby.  I'm feeling pretty good to be honest - and I'm a happy camper. My peri thinks I'm 3 cm dilated - my midwife thinks I am 2 cm dilated - who knows! So I know this doesn't even qualify as a blog post - but .... the great labor watch begins!!!

Wednesday, June 15, 2011

My Epic De-Cerclaging

Oh my gosh - boy I didn't know what I was in for. I admit, I read tons of blogs online about the cerclage removal process. I read the horror stories. I heard about cerclage removals gone wrong - but I had no idea that my experience would fit right in with those. Now I should start by saying - I'm not angry at my doctor. I don't feel like he did anything wrong - but this was a painful experience. It also sucked that there was no anesthesia for this whole procedure.

When I arrived at the peri, the nurse offered to do one last abdominal ultrasound. It was great to see our little baby and to get another confirmation that she's doing fine. When the peri came in, we settled down to get it out. First he tried the plastic speculum. I've always hated the clicking sound they make.  I felt pinching pains here and there but it was bearable. He finally said - I can't reach the stitches, I need to go in manually and pull the thread down. He pulled it down - OUCH - and put the speculum in. That didn't work. He tried again. No luck. This went on for about 20 minutes, and then he said - I think I need a metal speculum. It will open everything wider and won't pinch as much. 

Now with the metal speculum in, I'm wincing and blurting Owww over and over. After another 15 minutes of trying - he explains that my cervix has grown over the stitches and he needs to basically go in deeper, push the cervix back and then access the stitch. He goes on to explain that it's going to put me in more pain and I have the option to leave the stitch in until I deliver - then the OB can remove the stitch when I'm in labor. 

I'm sorry that idea simply didn't work for me. I had a vision of an OB desperately trying to remove a stitch he wasn't familiar with. I had a vision of my stitches tearing into my cervix. NO THANKS! I told the peri, "here's the deal - I'll stop complaining about the pain - and you just get this thing out of me. I am not leaving here with a stitch in me." He said, "OK" and went to work. DH stood next to me and gave me his hand to hold. I kept up my end of the bargain, I didn't complain one more time. I simply squeezed DH's hand harder and harder and dug my nails into his hand. I also started having contractions while this was going on - so I was trying to breathe through them. 

This went on for another hour!! I have to admit - it hurt like all hell.  This wasn't the 10 minute nip and tuck that women talk about with their cerclages. This was someone clawing at my insides trying to find stitches that were so high up inside of me - my cervix grew over them. Add the pain of my baby sending lightning crotch sensations down - and ugh - it was hell. Eventually the peri  looked up and said  - all done! He held up the stitch and said - Got it!!! It was a dark green mass of thread with blood all over it. Gross I know - but I have never been so happy to see a bloody piece of string! The nurse congratulated me on how well I was doing. The peri pulled the speculum out and told me he was going to check me to see how I was doing. He reached in there and gave me a quick cervical exam. He announced, "You're 3 cm dilated and 80 percent effaced." Just like that - I realized - my body was getting ready to drop this baby. He suggested that I maybe have a week or so left before labor settles in.

After all was said and done and cleaned up, I hobbled to the bathroom, put my clothes on and made my way to the nurses' station to get my last 17p injection. I don't know why but the shot burned like hell today! Ugh - I can't win today! Anyway - I said my goodbyes, hugged the nurse, promised to send pictures and said my goodbyes. The peri asked me to bring the baby in when she was born. 

I won't say this is the most painful thing I've ever endured - but it was an hour and a half or so of some seriously excruciating pain. My lower half feels crampy and definitely feels different - but I feel a serious sense of achievement. I have been wishing for the day that my cerclage gets removed for months and that day came. I was not about to be a failure and leave with the stitches inside of me. I'm glad I did this because without a cerclage I'm convinced I would have lost this pregnancy. Now we're taking bets on when labor will come. I'm kind of excited to see when she will make her appearance. 

Tuesday, June 14, 2011

Why I don't expect my pregnancy to empower me

As I'm approaching the removal of my cerclage and the next phase of waiting for my weak cervix to finally give way... I wanted to address this idea of the woman empowered by child birth. I probably won't win any fans for this blog post, but I've been surfing blogs lately and I came across something very disturbing - Powerbirthing. But before I go into that, I want to put some thoughts down about this idea of the empowerment of child birth. I know there's been a big movement towards natural birth. I've read tons of information about women complaining that they should be in full control of their deliveries. I've read about women complaining about doctors making us do things that are not natural. I've even read about women who feel empowered by doing a birth the way they want to.

I don't want to be in charge

Maybe I'm wrong for feeling this way, but I don't see anything empowering about the child birth process. I am also not looking to get on some kind of level playing ground with my doctor when it comes to my care. My responsibility is to be as informed as possible and to pick a doctor who falls in line with how I want to be treated. But here's where I deviate from the idea of being empowered - I don't want to be in control of my treatment. I want to pick a doctor that I can trust so much that I take their advice and direction when it comes to my health care. After all - they are the experts.

To hell with natural unmedicated child birth - it hurts

Now I should be clear - I'm not advocating for elective inductions or elective c-sections because I'd never go under the knife unless I had to.  That being said, I don't want to breathe through excruciating pain during my labor so I can wear some imaginary badge of honor saying I did it naturally. Natural birth has been killing women in child birth for centuries. I have felt contractions before - and frankly speaking if I could get through a labor never feeling them - I'd be the happier for it. We've come far enough that we can have medical interventions that significantly decrease the risk of death for mother and child. I want a doctor with such a good track record that I feel safe getting an epidural. I want to feel so confident that I'll push when they say push - because they've done this over and over.

I hear women talk about birthing in tubs, wanting no medication, wanting to feel every inch of pain - and I can only ask myself - why on earth would I want to do that? Will it make them love their babies more? Is there any research that proves that babies born with no medical intervention / pain management are more successful as people in the long run? When did it become cool to go through a painful experience?

I plan on having a vaginal birth - and only because I don't want to have to go through the pain of recovering from a c-section. I want to have the faster recovery. I've already had to have 2 surgeries just to get this far with my pregnancy - I don't want to have to do a third. I also run the risk of needing a D&C like I did after my first failed pregnancy. I had a textbook delivery but was still passing clots days later.

What exactly is empowering about birthing with pain?


 I read tons of blogs  talking about getting empowered through childbirth. It's the one thing we go through where we are helpless. We need assistance, we need moral support, we need physical support and we need medical support. I don't see myself as feeling any more empowered once I've managed to push a small watermelon outside of my body. If anything it's going to be my most significant moment of weakness - where I'm going to relinquish control to those I trust the most and blatantly ask them to help me get through this. I remember when I lost my first pregnancy at 20 weeks. I had to go through an entire delivery - and all I could think was that my husband was there giving me strength. He was there to be strong when everything inside of me felt that this was the most traumatizing thing I'd ever been through. I knew I could trust him to make any medical decisions that needed to be made for me. I knew he'd take care of me - and through that confidence, I knew I'd be ok.

I'm anticipating the same thing when I deliver. My labor will have pain, I'll have to lean on him for support, and in my moment of weakness I will feel the ultimate sense of safety because I know he'll be there - and I trust my medical team. So maybe this is me just ranting - but where's the empowerment in this whole process? At what opportunity will I have a chance to feel like I'm a stronger woman?

Now this PowerBirthing thing


This won't be a popular thing to say - but far too many women have posted horror stories ( example - click here ) about how going through a PowerBirth has led them to feel violated, feeling childbirth raped, left them with physical damage, left them with psychological scars and scared them off of natural child birth. Some people argue that manual dilation is part of the process, others say it isn't.  I went to the PowerBirth website (click here)and it's a blur of saying this is how millions of women have delivered naturally, that doctors have taken away our rights as women in child birth, that we don't have to be fully dilated to deliver safely, that a cervix can't be destroyed by pushing too early, etc. It talks about how you can empower yourself taking over the birthing process by taking control. To me it sounds like it speaks to the insecurity that far too many women suffer from. It promises an opportunity to somehow feel like you are stronger than how you feel right now.  Oh yeah and for the price of a book and a DVD, you can buy a window into this wonderful world of empowerment through PowerBirth. What I do know is that I refuse to accept that minimal medical intervention is somehow better.

I'm not judging anyone

I have a good friend who just went through a natural non-medicated birth with a labor that lasted 38 hours. And hands down - more respect to her - because there's no way I'd ever do that to myself. I have another friend who wants to do a water birth. Of course there's no chance of an epidural with that route either. I've actually had an epidural twice in my life - both with positive results - so I consider them acceptable pain management tools. I don't judge them for going that route. I can honestly see how attractive it seems - but in my infertility battles and struggles to stay pregnant, I've dealt with excruciating and even chronic pain - and I prefer not to feel it if I don't have to. I'm already having a test tube baby. My pregnancy is a testament to the marvels of modern medicine. I see no reason why I would suddenly rebuke my medical interventions and try to do this on my own.

So the whole point of this random rant is to say - Kudos to those who want to do all natural birth and will somehow enrich their lives by embracing all of the discomforts that come with rearing children. I have absolutely no desire to - and although my opinion isn't the popular one - it's mine and I'm sticking to it :)

Monday, June 13, 2011

Lightning Crotch - Why didn't someone warn me about this???

Honestly I feel bamboozled. Everyone knows pregnant women suffer from any number of discomforts. I was prepared for cramps, hot flashes, sore joints, nausea, headaches, constipation etc. But no one warned me that once I reached the third trimester, I'd get a sensation that feels like my baby has been armed with an ice pick and is trying to claw her way out. I had to google this - because although my nurses, OBs, midwives and perinatologist swear it's normal it is the most unholy sensation.

If your'e wondering what it feels like - it's like having a lightning jolt at the top of your vagina or on your cervix. It lasts maybe 2 - 4 seconds at a time. My poor DH has to watch me walk and then start to stagger without warning. Lately I've been having these "lightning crotch" spells in the evenings and they can last an hour or longer. They are so strong I can barely walk or worse they bring me to my knees. I've been terrified that it's my cerclage failing or worse, my cervix trying to dilate through the cerclage. I've got less than 48 hours until the stitch comes out, so I guess there's nothing to do but wait. The last time I've gone in for appointments after having these pains, my cervix has measured fine.

I confess, I've consulted Dr. Google and according to him, there are pretty much 3 reasons this could be happening. #1 - It's the feeling of my cervix trying to dilate.
#2 - It's the baby's head pushing on a nerve
#3 - It's a side effect of a cerclage

Ugh - so of course this is completely inconclusive. I can only hope that it goes away once I have my cerclage removed.

Sunday, June 12, 2011

3 days till my cerclage comes out

It's so weird - it's starting to feel real. I went into this pregnancy knowing it would be incredibly difficult to get pregnant and even harder to stay pregnant. I convinced myself that I was going to have a preemie. I remember just wanting to get to 24 weeks so we'd have a chance at viability. Then 26 weeks, 28 weeks, 32 week, and 35 weeks passed and I couldn't believe it! Now DH and I are sitting here installing a car seat, washing baby clothes, packing a hospital bag, packing a take-home outfit, and it seems surreal. Even when I had 15 weeks of bedrest - it never dawned on me that the bedrest would actually work. A friend of mine just gave birth to her baby boy a few days ago - and I'm so jealous. I am so ready to meet our baby. I know I might have up to 4 weeks at most to go, but I'm so ready to see her.

Now this whole pregnancy was a series of hurdles. I wanted to get through the cerclage surgery. I wanted to get through weekly 17p injections in my butt. The second procedure is the removal of the cerclage. I have to admit - I'm a little nervous. It's done with no anesthesia. I am having a hard time believing that stitches put in there from 15 weeks ago can be removed with no pain management. That being said, I'll trust the doctor. The woman who booked my appointment added extra time for complications. I have to admit - that freaked me out a little. Anyway, if it gets bad - they can always do it as a surgery. Ugh.... I'll be sure to write a full post about the cerclage removal procedure. Fingers crossed!

Wednesday, June 8, 2011

1 injection to go, 1 peri appointment to go, 7 days to freedom

I thought it might be fun to tally up some numbers for this epic pregnancy of mine. I'm 35 weeks pregnant, 15 weeks ago my cervix made a run for the south border. At 12 weeks pregnant I got a cerclage put in to reinforce my cervix. Since then I've been subjected to 15 weekly 17p injections in my butt.  I've had a total of 7 cervical ultrasounds every 2 weeks since then. I've had 12 acupuncture sessions. I've had a total of 27 ultrasounds and 2 surgeries. I've take over 200 pills, and put nearly 50 suppository pills up my nether regions. I've injected myself close to 100 times. I've had 44 eggs harvested from me, 17 frozen and put in the bank, 15 used for fertilization, 6 embryos arose from that fertilization, 1 was lost to a failed implantation, 2 used for a frozen cycle and 1 successfully implanted. I have spent 115+ days on bed rest on my couch. All this to lay my eyes on one baby!

Sunday, June 5, 2011

Blown away by our baby showers

I didn't expect to have a baby shower - let alone two. I've been so scared through this whole pregnancy that I really anticipated being hospitalized or ending up with a preemie. So up until a few weeks ago, I was having a hard time even conceptualizing having a baby shower. That being said - the idea of two was unfathomable. But we crossed the 28 week mark and then we crossed the 30 week mark and when we crossed the 32 week mark, I was willing to commit to a baby shower. I talked to my doctor and got an OK to attend a shower outside of the house and to have one at my house. Since I was on bedrest it was interesting to have so many people monitoring how much walking around I was doing. My water was always refilled and people were quick to remind me to sit back down :)

My coworkers threw and office shower for me - and I was just floored at the turnout and the number of gifts. We had roughly 25 people at the office shower. I was really humbled by the generosity of the gifts and the turnout. For our friends outside of my work, we hosted a shower at home. A good friend helped us organize the whole thing. Since I'm still on bedrest, we catered food. I bought favors online. I was a bit nervous about how it would go because I'm used to cooking for HUGE parties. We did a co-ed shower, so we went very light on the games.

For the guys ( and any brave women) there was a beer chugging competition. We filled 8 ounce baby bottles with beer. We closed them with slow flow nipples. The competition was basically to be the first person to suck 8 ounces of beer out of a baby bottle the fastest. It was a blur of people sucking on bottles for dear life, giggles, beer soaked t-shirts and crazy laughter. It was an absolute hit. The guys loved it and it didn't have that formality that you often see at baby showers. For the ladies and kids, we had a traditional baby shower game - guess the name of the baby animal. In both games the prize was alcohol. The beer chugging game gave the winner a 12 pack of beer. The animal game gave the top two winners a bottle of wine - a sauvignon blanc or a moscat.

The shower started around 4 pm and the last person left around midnight. After the games it was pretty much a free-for all food-wise and drink-wise. I was really happy to be able to celebrate this pregnancy as this is the first time I've actually celebrated it. My husband and I have been on pins and needles for so long that it felt just great to be able to say for one day - we didn't worry about the baby being ok... we were just happy.

Between both showers, we received close to 100 gifts. I know I keep saying it but I really was humbled by everyone's generosity. I had no idea that we'd be receiving that much stuff. The whole experience has made me appreciate our friends and our friendships with them that much more. Now I am beginning to fully appreciate how important these types of life events are.

Wednesday, June 1, 2011

Been locked down for 90 days - 14 days to freedom!

I can't believe it. I have been confined to my couch for 90 days and I still have my sanity. Yes I feel a little cracked out. I do feel a little antsy. It's been hard to go from the whole Type A power woman to a bed ridden pregnant woman. Yet here I am. Today I saw my perinatologist for my second last appointment and I couldn't believe it. I actually scheduled my cerclage removal.  I also got my 3rd last 17p shot. In 2 weeks, no more injections in my back side! We got to see our baby on the ultrasound and it was interesting to see that it was getting harder to see her insides. She's actually gaining baby fat! She's starting to look like a newborn baby! She's head down and really ready to go! I'm also thrilled to know that I'm managing my gestational diabetes well. She's showing no signs of abnormally fast weight gain. The doctor thinks she'll probably top out around 7.5 lb when she's born. That's absolutely delightful to hear!

I can't believe in 2 weeks that my cerclage will be removed. I can deliver at any point after that. I could be holding my baby in as soon as 2+ weeks. Realistically the doctor told me to expect it to be 1 - 2 weeks after the cerclage is removed. I don't even know what I will do with my new found freedom. I want to walk, go out to eat, even go back to the office for a little bit! I'm so looking forward to traveling around with an overnight bag for the hospital and a diaper bag with a take-home outfit for our baby. I'm having my baby showers this week. I can't believe I've had the confidence to even have a baby shower. I'm absolutely loving this.

To any mothers out there still on bedrest - hang in there. I'm getting closer to the finish line and it was completely worth it! I can't wait to meet this little one and hear her cry for the first time.

Monday, May 30, 2011

The nursery decal mission progresses

My dear husband gave up a few hours to put up decals in the nursery. I'm absolutely in love with how they came out. I put up the first images here : http://pcosflowerchica.blogspot.com/2011/05/nesting-is-in-full-effect.html back when I was sticking decals on the walls in different places to get an idea of how to lay out the room. Aside from the name decal that came with the kit but looked way too small, we've got them pretty much all up. Don't mind the crazy looking cat eyes in the first picture. She wouldn't move out of the shot!



Sunday, May 29, 2011

Who gave my baby an ice pick?

So once you get to 8 months pregnant - you get cocky. You start thinking you have a pretty good handle on the pregnancy symptoms and discomforts. I survived the first trimester morning sickness blues. I've dry heaved, been nauseas, suffered through cravings, been bloated, peed every 10 minutes, etc. I just discovered a new blessing. As my little one gets bigger (I'm 33 weeks), when she shifts or punches - I get a stabbing sensation in my cervix at the top of my "cooch". It literally feels like she has an ice pick and is trying to poke her way free. It's so bad sometimes it stops me dead in my tracks or makes me gasp. My poor husband has to watch me randomly wince in pain.

Of course both my perinatologist and my obgyn swear that it's normal. They say it can be more intense with a cerclage. I totally hear them but my instinct just isn't buying it. It doesn't seem normal to have such a strong sharp pain and for there to be nothing wrong! That being said... I'm only 2.5 weeks away from having my cerclage removed. Then the labor watch begins! How crazy is that!!!

A friend asked me yesterday why I sound like I have no fear about the labor. I don't know why - but I explained that maybe it's because I've been through hell already. I've already delivered a 20 week old baby that didn't make it. I know what labor is all about. I've gone through IVF cycles, a cerclage surgery, weekly injections in my back side, watching 2 nurses fight to put an IV In my arm (4 failed attempts ), cramps from ovarian over stimulation, and crippling sciatic pain from 17p shots. Could labor really be any worse than that?? I'm just ready to meet this little one!

Tuesday, May 24, 2011

Trending my glucose numbers with gestational diabetes

As if the excitement of sticking my fingers 4 times a day wasn't enough, I decided to actually start charting my numbers for my glucose readings. It's sort of frustrating when I see numbers that are out of range. I'm also kind of interested to see what my perinatologist and obgyn will say about these numbers. I'm sort of nervous about being prescribed glyburide. I hear about women feeling groggy and having really low blood sugars. My ketones have been awesome and are almost always in range. My 2 hour scores are pretty much manageable. The general rule is as long as it's home cooked foods, my numbers are fine. I get high numbers when I eat out. My fasting is what I can't quite figure out... It does seem to be just above normal. The only consoling thing is that our baby hasn't been showing any signs of abnormal growth because of my gestational diabetes.


Ketones
Average Ketone - 3.8 - less than trace ketones

Fasting
Average Fasting - 94.5
47% of fasting numbers in range

2 hour after Breakfast
Average 2 hours after breakfast 109
76% of 2 hour after breakfast numbers in range

2 hour after Lunch
Average 2 hours after lunch 106
88% of 2 hour after lunch numbers in range


2 hour after Dinner
Average 2 hour after dinner 115
56% of dinner fasting numbers in range

Going by these - I kind of feel like only breakfast and lunch are under control. The other numbers are a crap shoot!

Saturday, May 21, 2011

I got hospitalized for severe dehydration and hectic contractions

Well yesterday was quite the rollercoaster ride. It all started around 9:00 am. I took a shower, but when I got out of the shower I didn't feel so good. I had what I thought might be a cramp from diarrhea about to start. It lasted maybe 10 minutes. I went downstairs and prepared my usual lame breakfast of cheerios and a handful of almonds. I was hit with a very strong cramp. And the cramp didn't go away! I messaged my husband upstairs and told him I was cramping. I immediately logged when it started and when it ended. Then 10 minutes later, I got another one. This one lasted about 5 minutes. A third one came and I started to notice tears were rolling down my cheeks.

We logged the fourth and fifth one. I thought I might be having an upset stomach, but I tried to go #2 and nothing came out. By the time I logged the sixth one, I decided to call my specialist. They said I should call my OB first. If my OB wouldn't see me, they would let me come in. I called my OB and did my routine introduction, "I'm a patient there, I'm 32 weeks pregnant with a cerclage and history of incompetent cervix." I added, "I've been having severe pain / cramps for the last hour and there have been more than 4 in an hour. The nurse put me through to the nurses' voicemail. Of course in my mind I'm like WTF!!! Anyway - the voicemail message said they would call back in an hour. I repeated my little speech and waited.

30 minutes passed, and still no call back. At this point I Was in severe pain. I tried all the things they say to do, drink water, lay on your side, try to relax, etc and none of it was working. Out of frustration I called the OB back and told them my deal and said - I've already left a voicemail - no one called me back and I need to come in. Finally after a 10 minute wait on the phone, they said if you can be here by 11:30 - we'll see you.

DH packed an overnight bag in lightning speed and we hopped in the car. In the car I started crying. It was a combination of the waves of pain that were coming as well as just plain fear. The last time I raced to the hospital while pregnant - I ended up losing the baby and I just didn't want to go through that again. I got to the OB office and had to go through the whole routine. It was frustrating because I was contracting in the waiting room while waiting for them to see me. Then I had to walk to the first station to give a urine sample. Then walk to the second station to get weighed. Then I had to walk to the waiting room. All the while I'm contracting. They called my name and moved me to an examination room. They tell me to get undressed. Oh no - more contractions! Finally the midwife comes in and says, let me ask the doctor if he wants me to examine you. She steps out - more contractions! Ugh! It felt like forever, but she returned and said - the doctor doesn't want me to examine you. We're going to give you an ultrasound and then admit you to labor and delivery. So please get dressed again and I'll take you to the ultrasound waiting room. I get dressed - and guess what - more contractions!!

In the ultrasound waiting room, DH and I are sitting there and two women walk in. I'm barely paying attention to their conversation, but I distinctly remember them basically badmouthing their friend who was dating an overweight woman with no ambition. Of course it was odd because they were both overweight... but hey ....who am I to judge. More contractions start. Finally the ultrasound tech calls my name. I get on the table and get an ultrasound. My cervix is still closed - PHEW! I start having contractions again while on the table. She looks at the baby - and she's looking good on the ultrasound - double PHEW! Oh this means I'm not in labor yet.

We go back to another waiting room. The midwife comes over, tells us how to walk over to Labor and Delivery.  She tells us that they are waiting for us and also arranges for me to have a diabetic lunch meal when I get there.  We make the trek through the heat and get over to Labor and Delivery. We do some paperwork. In the middle of doing the paperwork it hits me - we've just preregistered for the hospital. One more thing on my checklist done! Again the contractions start. They finally get me into a delivery room and they get me hooked up on the monitors. They also get a urine sample from me. The nurse brings me a jug of water and tells me to start drinking.

For a little while, I was feeling good. Then I got scared, that maybe once I'm finally under observation, my contractions will disappear and I'll look like one of those hypochondriacs who claim to be sick when they aren't. I lie there and the pains start again. The nurse comes in and confirms, "yes - you're having contractions". They tell me they are going to try giving me water first to see if that stops it. If not, they will give me an IV. If that doesn't work they will give me medication. She eventually comes back and says my urine sample shows me as being dehydrated. I drink a bottle of water, a jug of ice water, and even the unsweet tea from my lunch they gave me - and still no luck. I'm still contracting. I'm getting up every 10 minutes to go to the bathroom - but still no luck. And the contractions are still going.

The nurse decides to put an IV in. She struggles to get a vein. Once she finds one that she likes, the puts the IV in. It fails. It hurt like all hell to have her pushing that needle in and out trying to get my vein. I'm used to getting lidocaine to numb the area before they stick. She didn't do that. I start moaning in pain. She gives up and gets a senior nurse to try. The nurse tries the other hand. The same thing happens. They push and pull the needle in and out but no luck. At this point I have bruises on both arms from attempts to get an IV in. The nurses conclude they need to pull in the IV specialist team.

During this entire time I'm still trying to guzzle water and the contractions aren't going away. FInally after an hour, the IV specialist shows up. She was really pleasant. We spoke a bit about epideurals and her advice was get the pain meds if you can. She'd done a pregnancy with and without and swore she'd never deliver without again. She started looking for a vein. It took her quite a while but she was able to get it and to get an IV in. FINALLY! The nurse comes in and starts running the IV into my arm. My contractions start slowing down. My mood definitely started improving. The midwife came to see me and talked to me a bit about how I may have gotten dehydrated. She explained that in my case, the traditional 60 ounces of water a day might not be enough. She suggested no less than 80 ounces but ideally I should drink as much as I can tolerate even if I live in the bathroom. She also offered to give me a drug by IV for pain and to calm my uterus. She explained that it was good that I came in. If I hadn't come in, it would have progressed to full labor.

They put that drug in my IV and I didn't feel anything until it was almost done. Then I suddenly lost all sense of balance. I also started dozing. I saw another nurse come in and tell me I was being released. DH walked me over to the bathroom to pee again. I could barely walk. He had to help me get dressed. I remember him walking me back to the wheelchair and I plopped down but my head was still spinning. I remember being walked out of the hospital and we waited for him to pull up. DH took me home, I believe we stopped to pick up sandwiches. I stayed in the car. I dozed off while sipping water, and spilled water down the front of my shirt. In fact I think it spilled out of my mouth. He brought me a sandwich. I took some bites, but I dozed off mid bite and the food nearly fell out of my mouth. DH woke me up before it did. I passed out a few times on the drive home and I remember walking into the house.

So here I am the next morning. I'm on the couch, guzzling water, and hoping for the best. I have 4 weeks until my cerclage comes out - well now under 4 weeks, and I'm just grateful for every day that we get.