Frank and I laughed as I apologized for being such a medical drama queen. Between pre-term labor with Eddie (which my new neonatologist now calls "pre-term contractions/irratability) and my gallbladder removal and appendectomy, I've seen quite a lot of hospitals in the past couple years. I'm going to write out our drama from this weekend while it is still fresh in my mind, mostly so I have all the drugs I had and the times and whatnot recorded. Here we go, folks....
I had some contractions on Saturday afternoon, ones that were just kind of there that I kind of just kept an eye on. After my experience with Eddie, I knew what I should do if I was having contractions and took it easy, drank a lot of water and went to the bathroom a lot. Around 5:00, the contractions really started to up in pain, length and intensity and I started to time them. When I realized that they were lasting about a minute and coming anywhere from 2-5 minutes apart, I knew it was time to call my doctor. The on call doctor was Dr. D, not my primary but the other doctor in the practice. He sent me straight to labor and delivery, which was expected. I left, Frankie called his parents to come hang out with Eddie and came to the hospital. I got checked in, and the contractions were still coming long and strong.
Right away they did a fetal fibernectin (sp?) swab, which to put it simply, is a test to determine if you're going to give birth in the next 2 weeks. While doing the swab, they noticed that I was dilating and checked me to find that I was 1cm dilated....not good news at all. There was immediate talk of me going to Rockford because they have a high risk unit and an amazing NICU. First, it was determined that we would do everything at my normal hospital that we could do, and if they didn't stop I would head up there. At that time, I was confident that we would be able to stop them. After all, 2 shots of terbutaline with Eddie stopped my contractions and we didn't have to move onto more serious measures. (Now I suppose is a good place to say that they have taken Terbutaline off the market). Frank got to the hospital, we realized we were in for the long haul and Eddie went over to my parent's house.
I was admitted around 7pm. I was given 20mg of Procardia and we crossed our fingers that the contractions would stop....after all, Procardia was the "new" terbutaline. They didn't stop, they got stronger and we really began to sense the urgency in the room. My nurses seemed nervous and Dr. D didn't seem happy that our first fix didn't work. Sometime around midnight it was decided that the Procardia wasn't working and I was moved up to the heavy stuff....Magnesium. I knew from other people that mag was bad - very bad - and tried to prepare myself for the hot flashes and the nausea that I had heard about. It was 100 times worse. My nurse mentioned that when she was on mag it made her eyes kinda funny, and after they pushed the first dose (I don't remember what it was, but know that the pushed something like 4 through right away and then slowed down to 2 pushing over an extended amount of time) my eyes were for sure funny (I couldn't focus and it felt better to just keep them closed) and I was positive that my lips had blisters on them because they were burning so bad. I had a little bit of nausea but nothing to bad.
Over time, though, the mag got really, really bad. It was hard to lift my arms and legs, and the worst of all, I couldn't open my eyes. I had a complete panic attack that I literally could not lift my eyelids and would up causing another huge commotion. After I calmed down and got used to my new technique of opening one eye a teeny tiny bit when talking to someone and keeping them closed the rest of the time, things got worse. The mag was working it's magic on every muscle in my body but where we wanted it to. While I was feeling horrible, the contractions just kept on. After a couple of calls to my doctor, he said that I was on the highest dose and we couldn't do anymore, we just had to hope that they stopped. I slept for a bit sometime around 4am and then again at 7am, about 1 hour or 30 minute stretches. I was hurting, exauhsted and scared out of my mind. The contractions weren't stopping and everyone who was caring for me seemed scared. Somewhere in Sunday morning Dr. D deferred to Rockford's neonatologist who added motrin to the mix and an antibiotic via IV. It didn't help.
When we first went in Dr. D said something that stuck with me - what we do now, if we can't stop them, gets us 2 days. 2 days before baby is born if we can't stop progression. I would be 31 weeks and 1 day, delivering a 4 pound baby. He was too small.
Sometime before 9am Dr. D walked into my room looking....tired? disappointed?...I'm not sure what. He told me that they we sending me to Rockford, there was nothing else that they could do for me there. All I thought was "no. he's too small. i can't deliver tomorrow. he's only 4 pounds. this can't be happening". I needed all the support and thoughts that I could get. I was scared out of my mind. The next person that walked into the room said that I had 14 minutes until the helicopter would arrive. 14 minutes to try and prepare myself for the thought that this was really happening. In my fear, I posted this on my facebook.....
"Early last night I went to labor and delivery. Unfortunately we are so far unable to stop my contractions and progression. In about 10 minutes I am being airlifted to rockford. Baby is almost 31 weeks old. It is a boy, his name is Finn. Please pray for us. I am terrified."
I just wanted support. In that moment, I wanted to know that as many people as possible were praying for me and Finn. And yes, we have known it was a boy all along, we just thought it would be fun to surprise everyone else :) HA! I wanted the most specific good thoughts and hopes and juju that I could get, so I tearily told the facebook universe that our little boy needed help. And off to the chopper I went.
The helicopter ladies were awesome. Always trying to keep the mood light (I had just used a bed pan in front of these people, I mean really...humor was the only way I knew to help THAT situation) I told Frank to make sure that he took a picture of Momma in the helicopter. Our phones were almost dead though and wouldn't take the pictures, so one of the chopper people pulled out her phone and started snapping away. I had to show Eddie my big moment :)
{i'm posting this here because above all, this blog is the best record our family has, and i don't want to lose this! first person to make fun of the way i look gets punched. oh, and that was as far as i could open my eyes. in fact, i was making a super concious effort to open them as much as possible. gross}
The only way I held it together on the chopper was by looking out the window and just trying to think that I was on a ride. A few tears slipped but I mostly held it together, knowing that the more stress I added to my already stressed body wouldn't help anything. I had to be calm. I couldn't deliver a 4 pound baby.
{my lovely view....thank you Chopper Meghan for taking pictures for me!}
And Rockford was apparently magic. Before we left, my contractions went to 8 minutes apart. On the chopper they were 10. When I first got hooked up they were 12 and by the time the doctor started to see me they were a whopping 15 minutes apart....the longest apart they had been in 2 days. Dr. B, the neonatologist came in and was quite underwhelming.
Basically he said.....You're not in active labor. You had a negative fetal fibernectin, you've delivered a full term baby (38 weeks), it is the same father and you have a (sorry TMI) long cervix. You will not be delivering a baby. I do not know why you are here.
And then he walked out.
And Frank and I were all - WHAT. THE. FUCK.
After we had some time to process, we called the nurse in for some clarification. From what they had seen, I was not concerning. The above 4 things that Dr. B listed off were their biggest markers of seriousness, and all 4 things were in my favor. And my contractions had slowed. To them, I was not "interesting". To a normal hospital and a normal OB, I was terrifying. To Rockford, I was small potatoes. And while that is incredibly reassuring, any normal person would also have the thought that Frank and I did. WE JUST PAID OUT THE ASS FOR A HELICOPTER TRANSFER FOR NO REASON. We were scared out of our minds to be told that I shouldn't be there. We were tired, confused and a little pissed.
{you DO NOT want to know what this lovely ride cost}
They took me off the Magnesium right when we got to Rockford and I thankfully felt normal pretty quickly. My brother and sister in law surprised us at the hospital sometime Sunday afternoon, but to be honest I don't totally remember. I was still kinda drugged and sound asleep when they arrived, but I know they came, made us laugh and left with lots of hugs. I was thankful for the friendly faces in what seemed like an incredibly unfriendly place. I passed out sometime around 7:30pm and slept until 5:30am, when I rolled over on the montior that I had apparently taken off in the night. The last time I remember it being there was sometime around 3:30am. I told Frank that it basically showed how much they were really watching me - 2 hours without any monitors on and no one noticed.
So, whatever. I woke up, brushed my teeth and such and got back in bed. And the contractions started, strong, right away. And they weren't letting up. Nurses changed and my nurse from the night before that I loved was back. She was on the contractions right away and I knew that I was back to being on shaky ground. After watching me for a bit, Dr. B decided that the contractions weren't letting up and they gave me 10mg of procardia. I went for an ultrasound (3D! 4D!!! IT WAS AMAZING!) and came back with more contractions. Another 10mg of procardia and a visit from my Eddie man and Nanna and the contractions had slowed and were letting up in intesity. Dr. B was in a meeting, and I knew that when he got out we would find out just how long we were in for. My nurse prepped me for at least one more night because of my active morning
{looking normal again! eddie's visit was fun, here he is trying to pick frank's nose....}
{so then we all pick noses. because we're normal and not weird at all}
Dr. B was as charming as ever. You have a negative fetal fibernectin...you have this that and the other. Yes I was contracting, but I HAD A NEGATIVE FETAL FIBERNECTIN. Which in Dr. B's world, seemed like the be-all-end-all. I was simply a blip on his radar, and I suppose he thought that since we had slowed the contractions, my blip should be gone. The man was probably the least loveable person in that hospital (seriously, the food service and cleaning people were sweeter than him) but honest to God, the moment he said I was going home I could have kissed him. He had zero smiles from me the whole time but man, did I give him my biggest and best smile. I'm sure the man is amazing and is very, very good at his job. I'm sure his strong as hell, no bullshit attitude is comforting when you are a serious high risk patient. I'm sure most people love him. I am thrilled as hell not to be under his care anymore.
So we're home. I'm taking procardia every 6 hours and am on bedrest, but am allowed to walk around the house a bit. So far we plan to spend most of the week at my mom's since I'm not really supposed to be as active as Eddie needs me to be and the weekends at home with Frankie. It will be a huge and probably not so fun at times transition. But being home and going from house to house is better than bedrest at the hospital, or the scariest of all, delivering a 31 week old baby.
Right now we're counting our blessings, swooning over our amazing ultrasound pictures of Finn, chugging water and visiting the potty often. Right now we're thankful for the prayers, thoughts, good wishes and positive juju sent to us in the last couple of days. Right now we're trying to laugh about helicopter rides and the way Dr. B said fetal fibernectin. Right now we're thankful for 2 sets of amazing parents who we're really going to lean on in the next couple of weeks. Right now, we're happy to be showered and at home safe.