Pregnancy complications | Week 24-25
Routine check up
It was just a routine check up and as usual I was excited to see Baby Girl and see how much she’s grown since my last appointment. Everything was still going great with me, aside from the pelvic pain which I’ve moaned about previously and my recent spells of being short of breath – which considering how far I am and baby girl growing beautifully is all perfectly normal. Right? Well… It hasn’t been easy, but I didn’t think I would experience these complications.
All went well, we chatted a bit and Doc asked how things were going. We chatted about my pelvic girdle pains as well as my troublesome knee (osteoarthritis in the left knee, which meant when I fell pregnant I stopped taking the anti-inflammatory prescribed by another Doc for babys health).
My Doctor suggested getting a pelvic support belt from one of the Physio’s who specializes in women’s health and well-being and a knee brace before resorting to any forms of medication, but if the pain persisted gave me a back up plan for when days were a bit harder.
We then started my scan, the part I love the most of all my appointments. Baby Girl was wide awake and busy, showing off for Doc and myself. Hitting all her markers, clocking the scale at 697g and everything seemed great.
Then ISH got real
But then my Docs face changed ever so slightly, and she asked to scan again just to double check something. She joked while trying to keep me calm but she was definitely more serious this time.
What she saw wasn’t like OMG you need to be admitted to hospital right this instant but was enough for her to call for a second OBGYN’s opinion. They both had the exact same thing to say.
Dynamic cervix is a situation where the size of the cervix shortens spontaneously, which could be a very complicated issue for a pregnant woman and their unborn baby.
When googling this you get so many different views on what treatment you should follow. Many suggest having a cerclage placed, but on the other hand risk of infection and further complications arise when this is performed after 21 weeks (all according to Google).
Placenta previa occurs when a baby’s placenta partially or totally covers the mother’s cervix — the outlet for the uterus. Can cause severe bleeding during pregnancy and delivery. Overall, placenta previa is present in up to 1 in 200 deliveries.
No idea what it means but I was told that my placenta is 9.2mm from the internal OS. I have googled this measurement and don’t completely understand it, whether good or bad. I have no clue. All I know is that it would be ideal if my placenta could just bugger off to somewhere else in my uterus. This also is a good reason why baby has been laying breech – she doesn’t really have that much space to turn all the way around. Thanks body.
Also why I’ve been feeling all this added pressure and pains in my girly bits.
Cervical funneling is a sign of cervical incompetence and represents the dilatation of the internal part of the cervical canal and reduction of the cervical length. Greater than 50% funneling before 25 weeks is associated with approximately 80% risk of preterm delivery.
An incompetent cervix poses risks for your pregnancy — particularly during the second trimester — including:
- Premature birth
- Pregnancy loss
See this is when my heart sank completely. The more pressure this little girl placed on the placenta which was already blocking my cervix the more my wonderful cervix started opening up sporadically.
One minute I was overwhelmed with the thought of having another baby right now and in an instant I can’t even think about a life without her. She’s already such a big part of our lives, already has her Daddies heart and the boys are inlove with their little sister – all this and we haven’t even met her yet.
When you hear all these things its easy to feel a little overwhelmed with all the information. Its serious so you need to listen but you also shocked a bit by everything being said. Not being able to fully process and understand what’s happening and why your body is failing you and your baby.
Both Doctors decided on the plan of action and explained that medicine and listening to them could play a big part in whatever the outcome.
Progesterone is a hormone that helps your uterus grow during pregnancy and keeps it from having contractions. Treatment with progesterone during pregnancy may help some women reduce their risk for premature birth.
Bio Nifedipine XL
Commonly used to reduce blood pressure, can also be used to relax uterine contractions and postpone a preterm birth
This I’m finding to be the most challenging of everything. I was also told very specifically NO STAIRS. I’m finding it challenging to lay in bed all day, I have other kids and a Husband that I attend to. It’s frustrating being helpless and needing someone to help me, if Carl’s not home I’m just a tiny bit screwed. All our bedrooms and my bathroom are upstairs. But if I’m there, how do I eat? If I’m downstairs, how do I shower and feel like a human being and sleep in my bed?
This is our current struggle. It sucks and I hate it.
The more I drink the more I need to wee – story of every pregnant woman’s life but when you’re settled in your spot for the day being on bedrest and finally comfortable only to be interrupted with a full bladder 5min later can be a real pain.
Thankfully I know I’m in good hands;
- God’s hands
- My husbands hands
- My Doctors hands
The warning signs I was told to look out for during the next few weeks from my Doctor include:
- Rupturing of my membranes
- Having my show / Losing my plug
- Bulging in the nether regions (could mean membranes have decided to escape my compromised cervix)
So YAY! Fun times.
I bawled my eyes out, it was literally the longest drive home of my life. Since then nothing much has changed, every time I think about what could happen I start crying all over again. I’m completely overwhelmed, I’m shit scared and completely stressed out. Carl however has managed to keep his calm, he has stepped up and is amazing at home with me and the boys.
I have a follow up appointment in 2 weeks time to re-evaluate the situation and see if there has been any changes. It could really go a few ways; nothing has changed and I remain on bedrest whereby I will have to include steroid shots to mature baby’s lungs OR things have calmed down and I can return to my every day activities (remaining on medications till the end of the pregnancy) but taking every day slower. I prefer the latter.
So for now, we’re praying harder than we ever have. We know we’re safe in God’s hands and that his plan for our life will play out as its meant to. We may not always understand or agree but we’re trusting and praying for his hand of protection on this little girls life.
One week at a time is all we can manage now, its hard as hell and the kids don’t understand what’s happening at all but we will get through this.
So forgive me for the silence while my heart just breaks a little and we try and process all the information and pray for small victories.
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