Selasa, 07 September 2010

Slight Change of Plan

After my last post on Sunday morning, I got out of bed and quickly found myself feeling dizzy with all of my limbs aching and I was having difficulty moving around. I got back into bed complaining of everything feeling tired, me, my body, everything felt exhausted. I fell back to sleep for another 6 hours. I woke up and still felt crap. The next morning the same thing but not as acute. Anyway it turns out I had severe menstrual fatigue.


Menstrual fatigue is caused by low levels of hormones. I went to the doctor and found that my blood pressure was also on the low side too at 100/60. So he prescribed some Arginine to boost my energy levels, and it's been working, so I'm feeling better. But. I am now really concerned as to why that happened in the first place. So instead of attacking this cycle with clomid and an IUI, as planned (I even have the clomid in my handbag at this very moment) I want to do some more investigations into my general health and also the possible reasons why I miscarried, before embarking on any TTC hoopla.

Two things happened that made me change my mind about this cycle. The first was the menstrual fatigue and what might be interfering with my hormone levels - several tests to be done there. The second was a book a friend gave me called 'Is your body baby friendly?' by Dr. Alan Beer, which looks at immunological disorders as causes for miscarriage and unexplained infertility. Yes, Dr. Beer's approach is controversial among some circles but after reading the arguments it makes a lot of sense to me. And what I love is that this is the first Dr. I have come across who really gets what I'm going through - the pain, the distress, the hopelessness - but also the respect he has for the women who have been through IF hell and become experts in their own right and who often know more about their own fertility than the doctors treating them.


There is a part in the book which really really struck a chord with me:
The words "unexplained", "nothing more than chance" and "bad luck" are not consistent with medical terminology that is used to describe the majority of health disorders. This lottery language makes losing a baby sound like an accidental catastrophe: an indiscriminate and random act, like being struck by lightning or hit by a bus. Why, when we are dealing with the loss of a life and the utter devastation this creates, is the use of such words acceptable in modern medical practice? Beyond this, why does there seem to be little interest in finding out what exactly could be causing so many pregnancies to fail?
One woman recalling the events surrounding her miscarriage commented, "I wish when we lost our first baby, we could have had quick and easy testing that told us what went wrong. Then we could have done something that would have prevented it from happening again. But that's not the way it works. Sometimes the only way to know there is a problem for sure is to lose another baby. I hate that and am troubled by the practice."'

After my silent miscarriage and the chemical pregnancy, I know I really couldn't face another - so why not get tested? Then at least if there was anything I could get it fixed sooner rather than later and if there isn't then my mind would be somewhat at ease if I were to get pg again. It is insane if you think about it, that you are forced to have 3 miscarriages before they will even begin to consider something might be wrong. I am definitely saying NO to that.


The book is amazing and I have already read nearly 70 pages today. One thing that stood out for me and that has really made me question and reflect a lot today is this sentence which Dr. Beer repeats throughout the book: 'The reproductive system is incredibly overbuilt for success and when it fails, something is surely wrong.' Not that a miscarriage is bad luck but that there is something wrong and it needs to be investigated. Very far away from the 'just try again and hope for the best' mantra I am constantly being fed.

Also while reading the book I was alerted to this: "Dr. Beer has found that adult-onset chicken pox and the Epstein Barr virus are among the worst offenders in causing immunologic infertility." I got chicken pox for the second time three years ago (I know that's meant to be impossible but it turns out not for me!) and so I really want to know if that has had any effect on my fertility. Maybe not, but already down this long IF journey I know it's worth looking under every stone as you never know what you might find (like Mr. T's varicocele). So it's a big step but I want to get to the bottom of things as soon as possible before I continue on blindly. Will start organizing appointments tomorrow. Back in the driver's seat again. Let's see how far we get down the road this time.

A HypnoBirthing announcement--Brooke & Matt

Brooke & Matt took my HypnoBirthing classes at Babies by the Sea Boutique on Tuesday nights in May/June 2010. Here is their birth story...


The birth story of Grace M

We had been given several different due dates during my pregnancy because I switched doctors; the earliest of which was Friday July 16th. So when I started having mild surges Saturday afternoon on July 10th I made the assumption it was just false labor and that I had been doing too much and needed to relax. Matt and I had a very mellow Saturday and at 3pm I took a two-hour nap, which I think was a Godsend considering what the next 24 hours held in store for me!

The surges continued all Saturday evening and around 9pm I got into bed to watch a movie and try to relax. At this point, the surges felt like typical menstrual cramps; somewhat uncomfortable but not painful. I downloaded an app on my iPhone and started to time the surges (yes, there is an app for that!!) because I knew from class the difference between false labor and real labor was whether the surges were coming in a consistent time frame for at least an hour. The surges were kind of all over the place – it would go from 10 minutes apart to six minutes back to 10 minutes, etc. This further confirmed my thinking it was just false labor. Matt came up to bed around 11pm and was surprised to find me awake and timing surges. I told him I thought it was still just false labor and we went to bed. I was able to sleep, or at least rest, between the surges until around 3am at which point I was just awake and trying to rest and remain calm since I was starting to think we had a long day ahead of us. I was listening to the rainbow relaxation CD on my iPod this entire time, which helped me stay focused on keeping my body limp and relaxed.

Around 6am on Sunday morning I could no longer stay in bed and moved to sitting on the toilet, which was comfortable and helped keep my pelvis open. This is when we called my sister-in-law Kelly (who is a midwife), and she confirmed that since the surges had been coming since Saturday afternoon, I was definitely in labor. She booked a ticket on the next flight out of San Francisco and was landing in San Diego at 10:20am. She was originally scheduled to fly down later in the week to act as our doula at the birth.

Matt drew a bath for me and I labored in the tub for about an hour while he got the bags and everything ready to go to the hospital. Around 8am we called the doctor’s office and as we expected my doctor was still on vacation so his backup called us back. She said if the pain was too much we could head to the hospital so I could receive an epidural, but if not to wait until the surges were about 4 minutes apart for an hour. The surges were fairly intense at this point, but I kept breathing through them and it really wasn’t too bad. It was actually quite an exciting time because we knew our baby was coming and everything we had been preparing for was happening!

As far as we could tell, when we called the doctor the surges were ranging from 4-7 minutes apart. We had a really hard time timing the surges because they start off mild and then get more intense and then get mild again before stopping. This being said, it was hard for me to tell exactly when they were starting and stopping which made timing them very difficult.

Around 9am, I had showered and Matt had the car loaded and everything ready to go to the hospital. We didn’t want to go to the hospital too early so I laid down on the couch and kept listening to rainbow relaxation on my iPod and trying to relax. Around 9:45am, during one of the surges my water broke while I was on the couch. At this point, the surges were ranging from 2-4 minutes apart, and now that my water had also broken we decided we should head to the hospital.

It happened that we were ready to go to the hospital at the same time my sister-in-law was landing at the airport. Rather than her having to take a cab all the way to Encinitas we decided to pick her up at the airport and then head straight to the hospital. Like I said before, our thinking had been we didn’t want to get to the hospital too early so at the time it just made sense that we’d pick her up. And since I had been laboring on the couch, the front seat of the car didn’t seem too different. ;) We live in the Kearny Mesa area so I ended up laboring in the car for about 40 minutes.

We picked up my sister-in-law at the San Diego airport at 10:20am and headed up 5 North to Scripps Encinitas hospital. During the drive, I had the front seat fully reclined and was lying on my side which felt better than on my back. My feet were up on the dash and I had the window half way down because the fresh air felt so good. I’m sure people driving by thought it was a strange scene! I was listening to rainbow relaxation on my iPod this whole time and was continuing to breath through the surges. My instincts told me I was in pretty intense labor at this point but still the surges were manageable as they don’t last that long. And the breaks between them, albeit short, were still wonderful! When we pulled up to the hospital, Matt actually asked if I had been having surges during the car ride because I had been lying there with my eyes closed and not making any noise! I kind of chuckled and said, “Yes”!

We checked into the hospital and it took some time to fill out the paperwork, etc. I declined the wheel chair they offered me because it felt much better to stand during the surges. As we got to our labor and delivery room around 11:30am I was starting to feel intense pressure like I was nearly ready to start pushing! The nurse checked me upon arrival and I was 8cm! Considering this was my first birth I didn’t really know what to expect so we were all really excited with this news! The nurse gave me a hospital gown but I had brought a robe from home that I preferred to wear which she was fine with. Once I had changed I sat on the birth ball and leaned against the hospital bed while the nurses did all the initial tests/monitoring to me. The fetal heart and contraction monitors were attached around my stomach while I sat on the birth ball. The plan had been to do the initial monitoring for 20 minutes and then have everything removed so I could move around (this never happened since things moved along so quickly). At 37 weeks I had tested positive for Group B Strep. I had been doing some natural at-home remedies, but still had to get a dose of antibiotics when we arrived at the hospital. They gave me the antibiotics while they were doing all the other initial monitoring things.

We requested the nurse check me again a little before noon because I was feeling such intense pressure and felt ready to start pushing. At this point, I was now standing next to the hospital bed doing the modified downward dog position with my hands on the bed because I could no longer stay seated on the birth ball. Once the nurse checked me again and confirmed I was to 10cm I moved onto the bed to start pushing. It was noon when I started pushing.

Right away the doctor confirmed she could see the baby’s head, and I was trying to push the head to pass under my pubic bone. After about 20 minutes of pushing and between surges the doctor checked me and then asked us when our last ultrasound had been. Both Matt and I were so confused and told her it was at 19 weeks when we had the anatomy ultrasound. After this she told that was not the baby’s head we were seeing and it was her bottom! We were all in disbelief as my doctor had confirmed at my 37-week appointment the baby was head down, and then again at my 38-week appointment the nurse practitioner had felt my stomach (because my doctor was on vacation) and also said the baby was head down. The doctor immediately suggested a c-section and we asked for a few minutes to discuss it privately. As my sister-in-law is a midwife and has delivered breech babies, we did consider trying to still do a vaginal birth, but in the end we decided to be conservative and agreed to the c-section.

Grace was in the Frank breech position, which is where her legs were straight up so her feet were at the top of my stomach and were kicking in the same area she would have been had she been head down. And then since her head and bottom are both firm, it did feel like it was her bottom at the top of my stomach. Regardless, it was disappointing her breech position hadn’t been discovered earlier so we could try some things in order for her to move positions, but in the end if she hadn’t moved we probably would have scheduled a c-section. I’m glad this didn’t happen because as crazy as it sounds, I am glad I got to experience labor as it was such an amazing experience; emotionally as well as physically. So after all of this Gracie was born at 1:05pm via c-section! She came out alert, healthy, and crying loudly!

I don’t know how I remembered, but after the c-section they were getting ready to stitch me back up and I recalled a section in Ina May’s Guide to Childbirth book that discussed the importance of having the uterus sutured in two layers rather than the one layer method which is currently popular in the situation of a c-section. I asked the doctor if she was going to sew me up in one or two layers, and after telling me they routinely do one layer, she asked if I would prefer her to do two layers. I told her I would. Per Ina May’s book, this will help the uterus stay stronger and increase the likelihood of having a successful VBAC in the future.

The doctor and nurses were all so wonderful, and we were very happy with Scripps Encinitas hospital all around. They were completely supportive of everything we wanted and were very familiar with HypnoBirthing. Everything with the baby was in-room so Grace was never out of my sight. They even brought her to me while I was still on the operating table after the c-section. I really appreciated this.

I definitely think your HypnoBirthing class helped make Grace’s labor as great as it was! Due to all the training and practice I was able to remain very calm and relaxed throughout the entire time I was laboring which I believe helped ease the pain and helped speed labor along. The doctor told me after Grace was born I would be an ideal candidate for a VBAC; something I will definitely consider when Grace gets a little sibling. And even though the c-section was an unexpected turn of events during Grace’s birth, I think taking the HypnoBirthing class helped us meet this calmly and I still have such positive memories from our birth. Thank you so much for all your support and advice throughout the pregnancy! We appreciate all that you taught us and are so glad we took your class!
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Thank you so much for sharing your story! I think it's so important for people to realize that HypnoBirthing helps in whatever situation comes up during your birth experience & that it's not "just" for natural births. It can be extremely helpful during c-sections as well.

Congratulations on the birth of baby Grace! Continue to enjoy your babymoon!

All my best---Carol Yeh-Garner
www.AWellLivedLife.Net
www.AWellLivedLife.blogspot.com

For more information about HypnoBirthing, please visit Carol's website at www.AWellLivedLife.Net or go to the main HypnoBirthing website at www.hypnobirthing.com.

Minggu, 05 September 2010

Something Snapped

As expected I POASed yesterday morning just to get another glorious BFN and then AF showed up punctually, as per, this morning. So another month goes by, another set of hopes crushed and I get ever closer to October. I dread to think what kind of emotional wreck I will be when THAT day comes along.


I started hyperventilating when I realised that after turning 30 (that was an emotional fuck-wit of a day which thankfully you all missed due to my blogging hiatus - I was a crumpled heap of tears and kleenex the day before my birthday, it was not a pretty sight) that if nothing happens by October I won't even have a baby before I turn 31 and then that will turn into 32 and on and on it goes. At which point Mr.T snapped at me: stop talking about numbers! It's all just numbers and it doesn't mean anything - stop putting this pressure on! To which I yelled back: IT'S ALL FUCKING NUMBERS! EVERYTHING! How many sperm you have - What number day I am on my cycle - what level my hcg is..... I always hated Maths.


For a moment we were quiet. We held each other and then started whispering our infertility mantras 'we have each other', 'i love you so much', 'we'll try again', 'it's not fair' - our monthly attempts to comfort ourselves. But something snapped this month. For both of us.

We decided to embark on a more aggressive path. Mr. T will go in for another SA. If all turns out okay we will start on an IUI but this time with drugs. For me. Oh yay. Since it's CD1 today, I'll head into the clinic tomorrow to check out what my options are. I'm presuming it's most likely to be clomid. Urgh. My anti-drug, mother-nature-knows-best principles are just flying out the window here.

But. There is a big emergency stop button here. If this doesn't work out, we will not pursue anymore treatments for a while we may even stop actively TTC. Neither of us feel that we have the emotional strength to pull through anymore bad news. Mr. T even feels (I will too most likely) that even if I did get pg he couldn't celebrate it as he would be terrified for the first 3 months - there is so much fear it's exhausting.


So if/when the emergency stop button gets pushed we will start actively pursuing adoption. The bottom line is we need a little person to love. And there are so many little people out there that need love. I have friends here in Morocco that run orphanages for abandoned babies and that's where we're gonna start looking into the process. Then our biggest challenge will be paperwork instead of our uncooperative bodies.

Deep breath. These are big steps for us. But we have to move forward. We have to.
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