I'm a Bad Blogger. 18w Update

Stephen King always talks about his "faithful readers". Well, if I have any, i owe them an apology. I've been very lax at blog upkeep. It's been over a month, but it's been a VERY sleepless month, in my defense. Do you want to know the main difference between being pregnant with #1 and #2?

The toddler.

And I love that toddler more than I ever knew possible. But man, if having one doesn't make being pregnant a LOT more difficult. Gone are the days where when I was tired, I could just put up my feet and try to rest. Enter The Toddler. She needs attention and mommy time and honestly, who could blame her? She's going to have to share me pretty soon, and although I'm so happy to be giving her a sibling, I know it's going to be an adjustment for all of us. But man, am I tired. I'll be really happy when this latest round of teeth are in.

But here we are at 18w. And just because nothing can be easy, i spent this morning at the perinatologist. Over the weekend I had a lot of intense cramping and a little bit of spotting. Finally monday morning, I called the midwives just to get their opinion. Fast forward to today.

A picture of an 18w Squishy picture

Baby looks great. So, no worries there, and I'm perfectly happy with no documentable reason for what I experienced. It's certainly better than some of the alternatives, like pre-term labor, placenta previa, etc. But when the perinatologist du jour came in to check on me, he saw that I was worried and told me we could chat in his office before i left.

We reviewed my c/s (again) and Smudge's birth history, which led to a shocking statement from him that still has me reeling.

He doesn't think I had a complete abruption. 

No, that's not what he said. He said I DIDN'T have a complete abruption. And what he says makes sense, because he just highlighted every doubt I've had over the last 22 months. A complete abruption would be the equivalent of severing the adults aorta. Completely cutting off blood supply and oxygen to the baby. Babies who have complete abruptions die and those that don't, have resuscitations. They don't have 1 minute apgars of 9.  Maybe they don't have normal placental pathology either (my placenta was completely normal - i saw the report).

My OB lied about so many things. For example: when I had my 35 week scan, and Smudge weighed in at 5-12,  we laughed about it, because I had "requested" a 6 1/2 pound baby. Then when she was born, my OB said, "well, we always knew she was going to be small". You f-ing liar, do you not think I remembered that 35 week conversation? You may have dozens of patients. I only have 1 OB. I know what we talked about. Truth is, you missed an IUGR situation, and you just didn't want to get called on it.

My doula told me months after Smudge was born that my OB had been pushing for a c/s for hours. Did i just become an inconvenience who was taking up a hospital bed for 2 shifts? Did she just pull out the ONE reason she knew I wouldn't refuse?

Did I really have a c/s that I didn't need?

I'm so upset. I'm heartbroken and hurt and all of these adjectives I can't even name. And I'll never know the truth. My chart is a mess. It's handwritten, not even computerized and my doctor can write whatever she wants. No one has to corroborate anything. 

My c/s was a huge step in my feeling like a complete failure. 1st having to do IVF, then the c/s and then not being able to breastfeed. I feel like my body has completely failed me. And I know that the c/s is partly responsible for the breastfeeding issues, because the IV fluid lead to increased swelling that my 5lb baby couldn't maneuver around and the IV narcotics I was forced to have (i refused them, and the anesthesiologist gave them anyway. He said I "had" to have them, but he would give me a smaller dose) then impacted my ability to breastfeed in recovery. 

I'm still dealing with the emotional impact of all of it. I really hate my body, I feel like I can't do anything right. 

And this may have not been my fault. This could be just a freaking OB on her own schedule who didn't want to just let me take more time when my contractions spaced. So convenient that my contractions spaced and then I had the decel that sent me to the OR. 

I'll never know.

18w midwife appointment tomorrow. Smudge's appointment at CHOP is Monday. Anatomy scan the following week and Fetal Echo with Smudge's cardiologist the week after. 

October is going to be busy. So much to think about right now. Really didn't want to add to the pile. 

Please send hugs and vegan cupcakes. 

The WORST 2ww

It's no joke that the 2ww between retrieval and beta sucks. I even have a whole posting dedicated to how much so, here. But if anyone tells you that it's the worst wait, they're either complete and total liars or they've just never done this before, because the WORST 2ww is between that official beta and the first u/s... when you find out if you actually have a viable pregnancy.

Assuming I DO have a viable pregnancy, this is what my baby is up to today: Check Out: The Visible Embryo. I love that website.

That first u/s is usually at the 6w mark. A few other things usually get ushered in around that mark, morning sickness among them. I'm hopeful that my little embryo is snuggling in nice and deep, because today I woke up sick as a dog. WIth Smudge, I spent a lot of time nauseous, but never threw up. Can't say the same now, that's for sure. My acupuncturist has asked me to not drink peppermint or ginger right now (of course). Something about they're very grounding and we want to be uplifting, or some other new-agey hoo-hah. I'm just going under the assumption that a can of organic ginger ale here and there isn't going to be the worst thing in the world, because it REALLY makes me feel better temporarily. 

I've been told to try Sea Bands for nausea. Thoughts? Leave them in the comments!! :)

This stuff is AWESOME.

The good news is that the spotting has finally stopped. I'm officially over 24 hours without spotting. Even so, if you know me, you know that there's no way i'm going to make it another 10 days to u/s without ANY monitoring at all. So, I just got off the phone with my covering nurse (of course Fran is on vacation this week), and they're fitting me in for a beta thursday morning. I'll feel much better if I can just see the numbers continuing to rise.

I'm 5w tomorrow. Stay tuned. 

Double Trouble

I swear, the International Symbol for Infertility should be:

Well, minus the smokes, of course.


I think I spend as much time waiting for the phone to ring as I do shooting myself up with various poisons. 

Anyway, when last we met, we were hoping for a strong beta today. The definition of a "strong beta" is to double in 48 hours. On Monday (9dp3dt), at 11am, my beta was 42. 

Today (11dp3dt), at 7am, less than 48 hours later, it was 142. 

According to my new best friends at BetaBase.info, my beta has a doubling time of 25 hours.  It more than tripled less than 48 hours. There IS some concern. My progesterone DID drop again. It's now 29. Dr. Z is being very proactive and upping my PIO dosage. Yay - bigger butt shots. Whatever I have to do, i'll do. I'm just glad he's not forcing vag suppositories on me again. Those things suck - and quite honestly, I'm spotting enough already. 

Oh yeah, the spotting. Still going on. Fran says that if I'm still spotting next week, that Dr Z will let me come in for another beta and maybe even an early ultrasound to ease my mind. But she's not worried. 

Because, as a very good friend has told me, I'm good and knocked up. 

Here's my theory - and we'll see how it pans out. Even though I still feel like there's only one in there, and Heather (my acu) feels like there's only one in there, maybe there are 2 after all. I'm wondering if one embryo splitting could cause a rapid beta rise but a slight drop in progesterone. There would only one corpus luteum to produce progesterone, so that would explain that being a little lower, while the beta was slightly higher. 

Another beta and progesterone check on friday. I guess we'll see. 

Here We Go Again.....

Dr. Z is pretending today's blood work results don't exist. I know he didn't want to run them, but Fran is my hero as always and got me in. They checked my beta and my progesterone. My progesterone DID drop a little to 31.5,  but it's still above 30, so he's happy with that and not making any changes to my bloodwork.

My beta is 42 on 9dp3dt. According to BetaBase, that is just above the median, so I will take it. 

Dr Z is bringing me back for my "official" beta and progesterone check on wednesday and then again on friday, like today never happened.  All I know is, today, I am pregnant. Heather (my acupuncturist) says I'm VERY pregnant. I feel good. Early pregnancy spotting/bleeding is normal and much easier for me to deal with than having another failed IVF cycle. 

That's definitely two lines.

I'm pregnant. 

Blood, Sweat and Tears... a 2ww Update

This morning I am 9dp3dt (9 days post 3 day transfer). That makes me 12dpo (days post ovulation). So what would be a better way to celebrate this milestone, than to go to the bathroom at work yesterday and find light brown (really tan-ish) CM/spotting.

Okay - as if that isn't panic inducing enough.

When I got home from work, that brown CM was bright red blood.

Let's TRY to focus on the positive here for a few minutes. I have NO cramping. A few twinges here and there, which is totally normal for the 2ww. And I have NEVER bled after IVF before coming off of PIO. My first cycle I didn't get my period until 6 days after the PIO stopped (and no spotting prior at all) and my second, I never even so much as spotted before my bleed at 11w6d pregnant.

But I also had bright red bleeding, which I've never had before other than either my period or when i had the sub-chorionic hematoma when I was 12w pregnant with Smudge.  And bright red bleeding right now is NOT what I needed to see. I'm at the point where I just need to know either way. If this didn't work, I need to mourn and move on. Right now, I'm trying to not focus on the implications of what that would mean. If it DID work, and I am pregnant right now - i just want to be pregnant and love my baby and take it one day at a time. 

What is killing me is the not knowing. At 12dpo, I should be able to have an idea of what is going on in there.  Smudge's Aunt rushed home last night with a FRER for me, because honestly I just need to know right now either way. But I'm too chicken to use it. Dr. Z's office doesn't start answering the phone until 8:30am - and that's too long away. I'm going to call the answering service in about 1/2 hour and ask to be patched to the office. They've done it before, and hopefully they'll do it again. I'm going to ask Fran, no, I'm going to beg her for an early beta. This was SO different when it was just me. But I'm completely incapable of being a stable parent right now. Last night, I got out of the shower, started bleeding and walked into Smudge's room to get her ready for bed. I cried the entire time I was rocking Smudge to sleep. I can't parent her this way. I'm prepared for a 12dpo beta to be low - but at least I'll know if it's positive or negative and be ready to move forward. 

The good news this morning is that before I went to sleep, the bleeding was just brown spotting again and that there was no blood overnight. 

Now I just have to get to beta.