Sorry for my posting delay. Again. I just don't seem to be able to keep up very well. I'm always astonished that I ever get comments since I'm so inconsistent. So for those of you who hang in there with me, thanks. For the others, I totally understand: BORING!
Okay, I'll get to the story of my 4th hospital admission. After my previous post, I had an OB appt on the next day. I weighed a scary 14 lbs heavier than the week before. Somehow, this was not alarming to my OB?? She originally brushed it off as "normal." I had already decided that it definitely wasn't normal. The alarming factor for her: my shortness of breath and by that time I had also completely lost my voice. I was admitted following the appt for these latest developments.
I was admitted to rule out cardiomyopathy, pulmonary edema, pre-eclampsia, or a bad reaction to my dose of Procardia 20mg every 4 hours. I had an echocardiogram that revealed mitral valve prolapse (which I already had from several years ago) and a new tricuspid valve regurgitation, but I was informed that this is common in pregnancies-especially multiples. So, good news was no cardiomyopathy. As for the pulmonary edema, I also didn't have this by definition.
I was taken off all Procardia at the OB appt and therefore didn't have any more of the blood pressure med once I was admitted to the hospital. With the pre-eclampsia potential diagnosis, my blood pressure never really shot up out of control after going off the meds, so that was really comforting. I also did a 24 hour urine to check for protein, which came back normal. Some of my labwork was of concern, particularly my liver enzymes and platelets. The liver enzymes were elevated, which can occur with pre-e, and my platelets dropped 60,000 from the time I was admitted until the day I was discharged (yes, I really got discharged). I'm still concerned about them because if platelets drop too low, it can mean lots of things, but particular to my condition, would preclude me from getting a spinal or epidural due to the fact that my blood would have trouble clotting. Therefore, I would get general anesthesia for my C-section. That would really sadden me as I would feel cheated in my birth experience. Finally, I have this great fear about bleeding out (and dying) on the OR table following the incisions into my abdomen and uterus if my platelets are too low. Yes, highly unlikely, but a fear just the same. Much more likely would be that I get platelet transfusions to get them back to reasonable level.
Over 3 days, I lost all 14 lbs. I felt like a new woman. Granted I went to the bathroom every hour and was able to donate between 300-500 cc each time! It definitely was the easiest weight loss I've ever achieved. Would love to figure out how to do this in the post-partum. Anyway, after shedding the ridiculous swelling (hard to call it a weight gain) and high blood pressure and protein in the urine never making their appearance, I was discharged. Also, I was able to avoid mag sulfate by keeping my contractions between 4-8/hr. So, I'm officially not on any meds to stop my labor.
And that brings me up-to-date. I still have ctx, but not painful, so I'm not calling the OB until I have regular, painful ctx that are close together (ie, in true labor with progressing dilation) or my water breaks. Of course, if I start exhibiting any signs of pre-eclampsia, then that would send me to delivery. But otherwise, I'm in it for the long haul.
They did growth scans on the babies today: Harry (our future NFL lineman) weighs 5 lbs 14 oz and Luke was 4 lbs 13 oz. No one (other than Steve and me) seems bothered at all by their weight discrepancies. Peri and OB both said they are fraternal and it's therefore like two separate pregnancies. They have both been scoring 8/8 on their biophysical profiles, so that's great! And, my cervix is still hanging in there at 2.8cm. So to sum it all up, we are all doing okay. I thought for sure I would deliver them last week, but I'm feeling and doing much better now, so maybe we're going all the way to 38 weeks. Who knows anymore!
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