House Arrest

My plans for the month of March drastically changed last Wednesday.  We had an "ice day" here Tuesday and my scheduled MFM (maternal fetal medicine) appointment was moved to their home office on Wednesday.  I went into the appointment expecting that I'd be put on restricted activity. And I was right.

I officially have an "incompetent cervix", a broad term to describe any cervix that is being contrary.  And mine is being contrary. It should measure an average of 3.5 to 4 cm in length in the 24-28 week range of pregnancy.  At 25w6d, I measured a 2. And then at 27 weeks, I measured about a 1.6.  I had the same issues when I was pregnant with the twins and measured around a 1.5 at 28 weeks with them.  (Basically all this just means I'm at a higher risk factor for pre-term delivery.)

So, restricted activity aka house arrest.  Studies are not conclusive that bed rest will do anything to successfully delay labor.  However, perinatologists are a cautious sort by nature.  My current protocol is to limit standing and activity; the couch is to be my best friend.

The month of March now has nine doctor appointments lined up: five MFM, three OB, and one dentist. Can't neglect those pearly whites.  However, no more grocery shopping for me, no shopping really of any kind. Limited outings all together unless I can rest.  Housework is restricted to easy meal prep and occasionally throwing laundry in the direction of the washer.

Thanks to Christmas gift money, a cleaning service is starting this Friday. I am so excited about this! Well, other than the fact that the kids, dog, and I will have to hibernate in place during each biweekly cleaning session...

We're about a week into house arrest and already I am bored.  Pinterest is not really my friend.  Crafts are a great idea for the kids, except that involves prolonged sitting. And prep work.  And then clean up.   Or I find delicious recipes on Pinterest that demand more prep work than I can give. Or appeal only to me.  I seem to be pinning a lot of avocado recipes lately and you know Bryan could care less about those. I even pinned a Brussels sprouts recipe - what has happened to me?!  Must be delusional in my couch-ridden state.

On nice weather days, I can send the kids to the back yard and try to ignore the grass/dirt tracked in by them and the dog.  But even Texas has been having some less desirable weather lately and we're all stuck inside together. Legos and coloring books and and puzzles and Go Fish and Magic Treehouse books and blanket forts occupy our time. But that repertoire is becoming limited already.

I think we might just start doing a little bit more homeschooling. We need a bit more scripted activity during the day but it has to be things that can be accomplished with minimal physical output.  For me.    In the meanwhile, I've got to get these kids to burn off some more energy!  Hmm, maybe I'll take up old people chair aerobics? The kids can do those with me.

I don't want to come across as whining or griping. I really do have so much to be thankful for!

I am thankful my doctors are watching over me. I may think they are over cautious (for example, I already received the steroid shots that strengthen baby's lungs in the event of an early delivery), but they know the best  possible growing environment for Violet right now is on the inside.   And they'll do what they can to keep her womb-bound for as long as possible.

I am grateful my husband is in town and can do the grocery shopping (no online delivery service around here).

I am thrilled my doctors allow me to bring the kids in tow (other than the dentist).  Finding this much childcare would be not fun.

I am ecstatic about today's technology:  Facebook, Pinterest, kindle, blogger, amazon... I can take care of a lot of needs online, both physical and mental.

And I am truly blown away by Violet's growth.  She is beautiful and growing at or ahead of schedule.  She also currently has the hiccups.

Thank you all for your prayers.  I have felt comforted and calmed.  Please continue to pray that we have a good while longer before we meet Violet face to face and that we all survive the interim.

Prayer request

I struggle with fear.  One particular fear of mine this pregnancy has been preterm delivery. I rejoiced when I hit viability at 24 weeks.

The news my cervix was prematurely shortening wasn't extremely alarming, in and of itself.  However, I had a friend just deliver at 27 weeks.  And then I overdid things on Thursday and had a lot of pelvic pressure Friday, a sign of preterm labor.

And my mind, which had been doing a decent job of keeping fear at bay, completely succumbed to it.

There is no local hospital that can handle micro-preemies.  My closest hospital, only five minutes away, only has a Level 1 nursery. They send all premature deliveries, regardless of gestational age, to Austin.  There are other hospitals nearby that have Level 2 NICU's but I don't know details.

I feel kind of helpless. I am not having preterm labor symptoms now.  But I am still on self-prescribed bed rest through the weekend. Unfortunately, this gives my hypersensitive brain ample time to analyze EVERYTHING.

The baby is moving like normal, alternating periods of high activity with sleeping. Of course, in my hypersensitive state, I don't like those periods of "sleeping baby" even though I know they are totally normal.

Can you please send up some prayers for me and Violet? For peace, health, and wisdom to know when to act, if needed?

St. Gerard, pray for us. St. Anne, pray for us.  St. Gianna, pray for us.

EDIT: I want to add that, should I deliver now (26w3d), I'd be sent to Austin as baby would need the Level 3 NICU.  My interest in a Level 2 NICU is what if  I deliver in the early-mid 30 weeks of gestation?  What's my best move then?

I have my follow up perinatal appt Tuesday and will be going in with a list of questions!

A little health update

I am 25w6d and am regularly bombarded by kicks, jabs, and an all round intense pummeling.  Mac got kicked in the face last night by "Violet" and was ever so pleased.  Literally, he was beaming!

Today was my regular once a month perinatologist visit and the baby looked great.  Estimated size of 1 pound 15 ounces, I think.

I asked the tech to check my cervix too while she was taking measurements.  It was around this point in my pregnancy with the twins that my cervix issues were noted. I just wanted to cross that issue (premature cervical shortening and funneling) off my list.

Apparently my cervix is acting up again. Sigh.  Guess I am glad I pushed to have the cervical checks done!

I did a little digging and found my cervical measurements from my twins: 2.1 at 24 weeks and 1.5 at 28 weeks.  I measured at about a 2 today at almost 26 weeks. A little online digging told me I should be anywhere from 3.5 to a 4.0 from weeks 24 to 28.

Cervical shortening and funneling is a sign of premature labor. It never amounted to anything with the twins, though I was put on "house arrest" for five or six weeks as a precaution and an attempt to slow the funneling.

Right now my protocol is a week of "take it easy" and progesterone suppositories at bedtime.  Between my minimal internet research and chat with the perinatologist, I can assume progesterone slows preterm labor symptoms.  And then I'll be remeasured next Tuesday.  I can realistically expect any of three scenarios next week: cervix is shorter (bad), cervix is the same (good), cervix is longer (best case scenario).  And so I'm in wait and see mode for a few days.

Bryan and I had a wonderful few days last week in St. Augustine, Florida on our "babymoon".  We did a lot of walking, so I can't help but wonder if that exacerbated my cervical shortening. Who knows?  In the meanwhile, the kids have been "pampering" me with fresh flowers aka flowering weeds picked from the backyard.