Bed rest and pre-term delivery

Hello mommies out there,

Don’t sulk and frown at me. I know I left everyone half way with the pregnancy posts. Some of the expecting mothers among you might have had their babies by now. But I was trapped with the three hellions. What I understood in the past one year is that if you have a child, it’s beautiful, endearing;if you have two kids then you are handful; if you have three kids you are in chaos. If you have four kids and more, may god bless you.

So, I had left the line of posts with the cervical encirclage. We saw the two main types of encirclages. Since I had my encirclage for the first baby in my seventh month, the uterus was already expanded and the stitch was towards the end. Hence it was more painful when compared to the rest of the cases. I was on complete bedrest for good two months.There can be difference of opinion regarding the bedrest. Pregnancy is a time when we get unsolicited advice, with a lot of tips. For my bedrest as well, I got too many advices. Why are you taking rest, that too with the foot end of the bed raised! So and so doctor wouldn’t have advised bedrest, for a healthy baby a mother should walk and work, you shouldn’t have travelled so much lest this wouldn’t have happened, this and that and there and then and what not.

My dear to be mommies, the first thing you should do on getting pregnant is to shut your brain to baseless advices. Just smile and nod and forget! I had to undergo encirclage because I had incompetent cervix not because i travelled in my car. I had to remain on bedrest because I have a unicorn uterus which is too weak to carry a baby. Now, how can I convince this to the aunties and chachis and bhabhis. So, i just smiled and nodded and forgot!

However, I spent two months on bed. After 33 weeks I started having pain in the pubic area like I had during the 27th week. The NST test didn’t show any contraction and hence doctor asked me to wait. I waited for one more week and after 34 weeks the pain was unbearable and doctor decided to remove the stitch lest it would break and asked me to come for a check up after four days. On the fourth day, we went for the check up. We reached the hospital at 5 o’clock in the evening. On doing the finger test, doctor said “I think I can feel baby’s head” and asked me to go to the labour room and started induction. My father went to take necessary clothes and my mother called my husband who was only a few kilometres away from the hospital. It was 6 o clock by then. Induction started and immediately I said “I have the pushing tendency.” Doctor asked me to wait for an hour Or two since child birth takes time. But I was unable to wait and kept on compelling the doctor to do something. Finally the doctor gave up and checked my cervix and I still remember her horrified face. She started screaming “OMG!Crowning has started. Shift her to the labour table.” The sisters literally swung me near the labour table and asked me to shift. With the baby’s head stuck in my vagina, I still don’t remember how I made myself shift from the bed to the table. Doctor asked me to push. One strong push and a filthy thing flew to doctors hands. I was angry that after so much why didn’t  my baby come first. In the ba`ckground I can hear the doctor yelling about suction. And suddenly I heard a shrieking sound from the filthy thing which happened to be my baby daughter and my delivery was done in twenty minutes. Offff I have goosebumps now.

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The nurses, after cleaning her, wrapped her in a white towel and brought her to me. That was the most beautiful sight I have seen in my life. A little face with tiny dots in the place of eyes and a line instead of mouth and a prominent nose like a Pinocchio, just like their dad, to my dismay. This reminded me of the funny quote ” I carried you for nine months, I was in labour for fifteen hours, I couldn’t sleep properly for six months, and you came of looking like your dad.” In my case I can’t even tell that since none of my kids stayed inside my uterus for nine months and my daughter came out in twenty minutes. Nevertheless I have an edge over my sons since they put me in labour for 15 and 72 hours respectively.

I didn’t notice that doctor had applied local anaesthesia on my vaginal area and stitching the bruise that this little angel has caused. I slipped into a dreamy trance and slept.

Next post is the most debated Normal delivery Vs Cesarean. If you haven’t read my previous posts, please find the links below:

Incompetent Cervix and encirclage

The test time- TVS and Obstetric scan

Cherishing that tiny heart beat

Understanding the purple lines

 

 

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Incompetent Cervix and encirclage

After six months of comparatively hassle-free and easy pregnancy, I faced the first challenge. I used to wonder why I was so lucky to be free of nausea or any pregnancy related fatigue. But I had least idea about what was in store for me. We, in Kerala have a custom called ‘Kootikondupoval’ which is equal to the ‘ Godh bharai’ or ‘Valakappu’. The preggy’s parents come to her marital home with 7 varieties of eatables on the 7th month of pregnancy and take their daughter to her parental home. I was super excited to go to my own home and relish the pampering and love of my parents. But the happiness didn’t last long.

I had been having pain in my pubic bone for the days preceding the function. But after two days, the pain was unbearable and I was taken to the hospital. On checking doctor informed me that ‘os’ are open. Now this time I didn’t have the time to go back home and Google about the OS because doctor said that I needed to be admitted and a stitch needed to be applied to my uterus in order to prevent a pre term delivery or abortion. Doctor said that I had an incompetent cervix.

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Image courtesy :- http://www.medindia.net

“Had you not been diagnosed at the right time, you would have lost your first born. Your cervix had a two finger opening”, said the doctor later.

Back in the hospital room, I’m engaged with the universal tutor, Google. Google told me that incompetent cervix means that my Cervical tissues are weak and that cervix begins to dilate and efface before term, and hence the pain. OS is the opening of the cervix to the uterus.Applying the stitches in the cervix to hold it closed is called encerclage.

Normally encerclage is done earlier by about 12-14 weeks of pregnancy but in my case it was 28 weeks. This is a rarity but not the first of its kind. Applying a cerclage during the late pregnancy is called emergent cerclage. The patient will be given general or epidural anaesthesia. I was given general anaesthesia for the three pregnancies. Yes, you heard it right. For the three pregnancies I had to undergo encerclage. But it is not necessary that for everyone it is so. There are mothers who underwent encerclage for the first pregnancy but had a trouble free pregnancy further. This depends on the strength of your uterus.

There are three types of encirclages. We will find the difference and furthermore in the next post .

Read the previous posts on this topic

The test time- TVS and Obstetric scan

Initial days

Understanding the purple lines

Cherishing that tiny heart beat

The test time- TVS and Obstetric scan

The last post was a short one. Apart from the headache which the physician misdiagnosed as migraine, my first trimester was hassle free. The three months came to an end faster than any other pretty  since my UPT was done at two and a half months. “On completion of third month we will do TVS and Obstetric Scan,” doc said. I stared at her in horror. My overestimated self-proclaimed vocabulary seemed to come a cropper under those words applied in daily life. Unable to admit that I didn’t understand what she just said, I smiled and took leave. First thing I did on reaching home was Google TVS and Obstetric Scan. The first link came was that of TVS motor company. Cursing the stars in revised my search and typed “TVS pregnancy”. There came the answer, thanks to babycenter. There I got to know that TVS is Transvaginal Scan. I was wondering how it would be  done. On further research it became clear that it would be done by inserting a probe inside the vagina. The probe would be covered with a condom to avoid infections. Okay, so that much is clear. Now Obstetric scan. As you guessed I didn’t even know the spelling. All thanks to auto correction, I managed to type the name. Obstetric Scan is Ultrasonography used in pregnancy which brings me to the knew knowledge that Obstetrics is a branch of medicine and surgery related to child birth and midwifery. My overconfidence of being knowledgeable about every ‘science’thing was reduced to ashes.

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Photo courtesy : www.ob-ultrasound.net

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Transvaginal Scan

Photo courtesy http://www.cancer.gov/images/cdr/live/CDR618018-571.jpg

The first pregnancy is a time we are introduced to many acronyms. After completion of third month, I went in for the obstetric scan aka Ultra sound scan. The nursing staff asked me my LMP. I stared at her as if I saw a ghost. She, seemingly used to such reactions, clarified with the expansion Last Menstrual Period. Thanks to the white soul. Else, I would have to excuse myself and Google again. I sadly and shamefully one of those who were reluctant to say “I don’t know”. The bravest thing to do is to learn how to say “I don’t know” instead of pretending that you know everything.

Time came for the first ultra sound scan. The radiologist, after taking forever to examine, showed me the heart beat. A tiny blip. I felt as if God is winking at me reminding me to cherish the moment, to freeze it in my memory. My first feeling of motherhood. My first baby. His /her heartbeat. I couldn’t believe that it was real. I felt as if I’m floating on thin air. I wanted him to be with me. My partner in crime, partner in pregnancy in this case. His expression was one of the most priceless moments in my life.

Don’t you agree with me? Oh my God. I’m getting emotional. It might seem unprofessional but I need the moment to resurface. Even after experiencing it thrice. So folks, let’s see next week.Next week you will see the one thing, the revelation that changed my life forever.

You can read the related posts here

Understanding the purple lines

Cherishing that tiny heart beat

Initial days

Initial days

So we have seen he pregnancy tests last time. Now, the sickness. Pregnancy is synonymous to morning sickness. Get up in the morning brush your teeth ‘Thup’. Drink Tea, coffee or milk, Thup. Eat something cook something, smell something Thup, Thup, thup. There can be several reasons behind this like increased hormonal level, decreased blood sugar etc. Level and type of sickness can be different for different pregnancies. In most cases, vomiting stops by the fourth or fifth month, which makes me feel that BETA HcG is the reason behind this.

Minor sickness can be ignored and cured with home remedies. Having lime water helps sometimes. Fry cumin seeds and boil water putting these fried seeds. This helps in some cases. Smelling lemon helps some ladies. Put a kalimirch in your  But these are all relative. Sickness during pregnancy is a tricky thing. We never know what helps for each person. If you feel that you are dehydrated, do consult your Gyn.

I had severe headache during the first trimester. As mentioned before I had no idea that I was pregnant and took medications for migraine. Thankfully nothing dangerous happened to the baby even if migraine medicines are not advisable during pregnancy.

It is said that we shouldn’t reveal the news of pregnancy to anyone till 3 months. This is because first three months, chances of miscarriage are more. If you find unusual spotting do consult a Gyn.

That’s all for today guys. See ya next week

Checkout related posts here

Cherishing that tiny heart beat

Understanding the purple lines

Cherishing that tiny heart beat

I have been requested on and on  to write about my experiences with three pregnancies and apparently motherhood that follows. As a person who is obsessed with privacy, I have always kept my personal and professional arenas at bay. Nevertheless, I was unable to misheed the requests. Hence here I am with my first post in the series Prengancy and motherhood.

It is a mandatory custom in Indian household to be ready with the question ” When can we see the little one ” exactly a month after marriage. It is as if marriage is a football match and folks around are waiting for the goal. ‘ The penis shoots the sperm it dodges the forward, defense and tribbles the way through the opposite team goal post aka uterus. The goalkeeper aka egg dives in the air and catches the ball And it’s  a GOAL sorry zygote’. Does it work that way???  Sadly the women folks who knows about the reality are the ones to sit in the gallery and wait for the goal. Following the custom, I was also asked the same question ” When can we see the little one” not by my family though. 

Nothing prepares you for the big news but experience. No biotechnological knowledge prepared me to understand that the spotting I found was not due to climate change or honeymoon stress but a tiny dot in my womb. Again presuming the dark spot was misplaced ‘chums’ I waited for a month more for the next blood in the moon which never came. That was a moment when I came face to face with the motherhood question. Am I or Am I not? Instead of choosing the easy way of the UPT or the Urine Pregnancy  Test at home, we went to the hospital right away. The first question that the doctor asked me was ‘Did you do the UPT?’. Well, thankfully, without much cribbing, she prescribed a Urine test and asked us to wait. 

The moment came. YES IT’S positive. I mean really? ?? My husband was like ‘Are you sure?’. It took an hour more for the reality to sink in. The first instruction I got was not to tell anyone outside family till the third month. I couldn’t wait to but I did. Wait, wait and wait to tell my friends, relatives, cousins everyone. For me, till the seventh month or precisely 27 weeks everything was smooth and fine. What happened afterwards will be shared in the further posts.

Every Time, getting the positive UPT or passing the three month hurdle is not as easy as it seems. Next week we will see how to identify a positive and negative UPT and risks during the first three months.