05 October 2011

Pregnancy #3

In my last blog, I talked about trying to get pregnant again even though my uterine septum had partially grown back. To continue...

Finding out we were pregnant again the day of our move from our home in Texas to our temporary apartment in Lafayette was so awesome (April 2011). I was overjoyed! Before we ever found out we were pregnant, I began praying that God would cause the baby to implant in the perfect spot. The location of implantation was so important because I still had that portion of septum that could interfere with the pregnancy. I prayed every day before and after we found out we were pregnant.

Moving pregnant also presented us with the interesting challenge of finding another wonderful OBGYN while pregnant in a new city. We already knew that the Houston area was saturated with excellent health care and that we were moving to an area that has good doctors, but that was not saturated like Houston was. Our first Monday there, I started calling OBGYNs with good online recommendations, and I found several. Unfortunately, almost all of the doctors that I called were either not taking new patients, or they wouldn't take high risk patients. So I finally found a doctor that would see me before the second trimester, and he happened to be a Maternal Fetal Medicine specialist, which is a high-risk doctor. I scheduled an appointment for the following week at 5 and a half weeks pregnant. I was delighted they were willing to see me so early.

Later that night, I started spotting bright red blood. Abigail was already sleeping, so I left her and my husband at the apartment to sleep while I drove myself to the emergency room. I was scared, but I also had a peace about the pregnancy. I knew that the ER was the right decision, but I was also sure that things were going to be ok. The ER staff at 11PM were very busy. I was there until about 2AM before they took me up to have an ultrasound, which of course showed nothing but a thickened uterine lining at 4 weeks. They did mention that my beta HCG (the pregnancy hormone) was so low, they were surprised I could have gotten a positive on Saturday. They sent me home with instructions not to have sex and to take it easy.

The next morning I called my new doctor, and they told me to come in the next morning for my first appointment. They saw me, did a complete exam, and then scheduled me for not only another beta HCG test, but also a 1-hour glucose tolerance test ....at 4 weeks pregnant. They didn't have their own lab in the office, so I had to drive to a hospital to get the labs done. At this point, it was almost lunch time, and Abi was livid about the whole process. So when I found out that I would be there for over 2 hours for the 1-hr glucose, I wasn't exactly thrilled. We used all of Abi's snacks and watched a lot of PBS while in the lab that day.

The results were not stellar. I failed the glucose test, and was scheduled for a 3-hr glucose test. And my HCG had not quite doubled. For a healthy pregnancy, it should double every 48 hours, and mine was calculating to be almost 80 hours. I still had peace.

I went back to the lab for another HCG and the 3-hour glucose on Monday. Then on Tuesday, I went back to the doctor's office to get results and talk to them about what was next. I passed the glucose, but my HCG was still only doubling about ever 75-80 hours. The doctor and the ultrasound tech were out of the office, but the nurse practitioner explained to me that it might be a "chemical pregnancy" which would result in a miscarriage or would require another D&C. I still had peace, but I was starting to get a little nervous.

I was also starting to have a recurring sharp pain on the left side of my abdomen, which was not very bad. I assumed it was related to the pregnancy, but since it was not bad, I also assumed it was nothing to worry about.

The following week, I went back to the office to have an ultrasound. My HCG was about 2000 at that point, and a gestational sac should be visible when a woman's HCG is 1000. The ultrasound revealed nothing ....literally nothing. No sac .... nothing. I asked about the pain on my left, and the ultrasound tech and the nurse practitioner assured me that it was probably just the left ovary since it was enlarged from producing an egg. She also said that it was probably not a viable pregnancy and that I would get a call from the doctor.

At that point, I got scared. I held it together until I got to the car and got Abi buckled in. But once I called my husband, I lost control and started crying so hard I had to pull over the car. I decided that I really needed a second opinion. The ultrasound machine at that doctor's office seemed really old to me, and I had also experienced some staff incompetence at that office, so I had no confidence in what they were telling me. I scheduled an appointment for the following week with another doctor in the area so I could get another opinion. That afternoon, the doctor called me to review my ultrasound results, and he explained to me that it could just be an early twin pregnancy. He was not concerned, and he said we would repeat the ultrasound the following week.

I had work scheduled for the next few days in Houston, and I almost cancelled the trip in light of the news. But then it occurred to me that I could possibly stop in and see my amazing, wonderful OB in Houston to get that second opinion. I trust her completely, and I knew she would get to the bottom of what was going on. Their office was happy to oblige, and so I packed Abi into the car and drove to Houston.

I was feeling afraid and concerned about what I would find out, but I was also still upbeat and positive about how this pregnancy would turn out. I was sure that not only would God take care of my baby, he would take care of me.

We were going to be ok ....weren't we?

No comments:

Post a Comment