Showing posts with label bleeding. Show all posts
Showing posts with label bleeding. Show all posts

Tuesday, 1 January 2013

Reflecting on 2012

I do not generally revere New Years Eve or New Years day, mostly because I have never really been able to grasp what is so special about it, other than it being another excuse to celebrate and do something special with friends and loved ones.  In my view, a new year starts every single day - every single second, in fact.  In that sense, New Years is no different from any other day of the year, except that it marks the end (and beginning) of the calendar year.
  
That said, I do sometimes take the opportunity on New Years to reflect on the past 12 months, and to give some thought to how I want or anticipate the next 12 months to go.  I did just that last year, on January 1, 2012.  In retrospect, it is amazing how wrong I was.  2012 was nothing like we had expected.
  
I started 2012 full of hope, and plans.  We had been trying to conceive since September 2011, and did not yet know that we had been successful in creating a little life together in December.  Dreaming about starting our family was therefore my focus last New Years.  I knew nothing about miscarriage or fertility problems (other than that I suspected that I had low progesterone), and gave no thought whatsoever to the possibility that once I became pregnant, there might be any outcome other than a bouncing baby in my arms nine months later.
  
I also began 2012 somewhat resigned to the fact that I would be "stuck" in my then-current job forever.  I was a commercial litigator at the time.  While I loved (and still love) law from an academic perspective, I had come to realize over the course of my 6 year career that a private litigation practice did not make me happy.  In fact, in some ways, I hated it.  It was however all that I was trained to do.  After 7 years of school and tens of thousands of dollars in student loans, I felt trapped.  When we decided to start our family, I knew at that point that the time for making a drastic career change had passed.  We needed the stability and financial security that my position provided.  We could not afford to forgo my salary while I went back to school.  While I was willing to accept a salary cut in exchange for happiness, I had not yet found an alternate position or career opportunity that I felt would provide that trade off.  I had therefore accepted that I would return to my position as a litigator after taking no more than a few months of maternity leave following the birth of our first child.
 
 As I said, 2012 turned out very differently than I had expected. 
 
 In January 2012, we found out that I was pregnant.  We were shocked, as I had experienced what I thought was my period in December, in that I bled for a week, right on schedule.  As we tried again in what we thought was a new cycle in January, we could not figure out why I was not ovulating "on schedule", despite the fact that I continued to get postive ovulation test readings every day.  I started to bleed/spot after sex, which had become painful because my breasts literally felt like they were going to fall off.  So, against all logic, I took a test.  As I said, we were shocked to see two pink lines.  Shocked, and absolutely elated.
 
 Sadly though, the spotting continued.  I had several ultrasounds, where I saw our seemingly normal and healthy child, with a strong heartbeat each time.  There was no explanation for the bleeding; all we could do was hope and pray.  It was not enough.  We said goodbye to our angel baby in our home in late January, 2012. 
 
 I had thought that I had experienced pain and loss in my life before last year, and that I understood what it meant to have your heart broken.  I was wrong.  Nothing compared or can compare to the loss of a child, even when that child is still the size of a raspberry, growing inside you.  My entire world fell apart.  My heart was literally broken.
 
 Several days later, I received an email from a company that I had applied for a job with the previous August.  To say that it was my dream job is not an exageration.  I had coveted the position for years, however, there had been no openings for a long time.  I still checked their website weekly, and when I saw the posting, I could not get my resume out quickly enough. I went through the interview process, but had heard nothing from them for many weeks.  I had assumed and accepted that the job had gone to someone else.  Again, I was wrong.  Just days after losing our first child, I was offered my dream job - and the opportunity to escape a life that I had felt forced to accept.  It was such a bittersweet time.  I do believe though that that opportunity ultimately did help me heal (or hide) from the pain of our loss.
 
 Given that I was starting a new job, and not just any job, but THE job, we decided to put trying to conceive on hold for a few months while I settled in.  I also needed that time to mourn my first baby.  I was just not ready to try again so quickly.
 
 In the interim, we underwent fertility testing at the insistence of my doctor, who refused to deal with the progesterone deficiency without first running a full battery of tests.  The news was not good (although I certainly recognize that it could have been worse).  As I suspected, I was diagnosed with low progesterone.  I was also diagnosed with low ovarian reserve.  My husband had very low sperm motility, and a varicoscele. 
 
 We decided that in the circumstances, we couldn't wait any longer.  We therefore began trying again with the assistance of our fertility clinic, including one monitored natural cycle, one unmedicated IUI, and one cycle of Gonal-f.  That last cycle gave us our BFP.
 
 As you know from reading this blog, our second pregnancy did not go smoothly.  We had our second miscarriage early on, when we lost Bug's twin.  The hematoma and constant bleeding thereafter resulted in this pregnancy being by far the most difficult experience of my life.  To be falling ever more deeply in love with this child inside you, all the while knowing that you had a strong chance of losing him at any time....well, that was tough. 
 
 So here I sit again, reflecting on the last 12 months, and giving some thought to the future.  In the end, while 2012 brought more heartache than I could ever have anticipated, it also brought great joy, and good fortune.  We are so very blessed that through our love for each other (and with a little medical help), we were able to create yet another prescious life, who has thrived despite all odds.  Our relationship with each other has also grown stronger, as we faced the loss of two babies and the ever-present threat of losing Bug together.  The fact that I was lucky enough to finally find happiness and fulfillment in my career is an added and very meaningful bonus.
 
 As for looking ahead to 2013, well, I have I have very high hopes.  While I know that life can turn out very differently than you anticipate, I refuse to enter this year with anything but hope, faith and optimism.  I can't wait to meet our son, and to begin this new chapter in our lives together, as a family.
 

Sunday, 16 September 2012

An Experiment

My symptoms really began to pick up last week following my ultrasound on Tuesday.  I started actually bleeding, whereas I had only really spotted prior to that point.  Well, with the exception of the massive hemorrhaging incident of course.  Anyway, the blood last week was mostly still brownish, but it seemed to have a reddish tinge, which totally freaked me out.  My cramps also became stronger.  

As my symptoms picked up, so too did my fear.  Also, while I do trust my doctor, I can't help but notice that my symptoms do seem to be more pronounced when I am moving around.  So, while she swears left right and centre that full-on bed rest will not help, I am still skeptical.  

My solution (hopefully)?  Vacation time.  My husband and I had a trip tentatively planned for late October - we were going to go south for a week (or maybe to Greece, but that was less likely).  I was convinced that a week away would help us heal if the worst happens.  It probably would have.  But, the time is much better spent trying to PREVENT the worst from happening in the first place.  So, with my employer's blessing, I moved the vacation time up last minute.  I have been off since Friday, and do not go back to work until the 24th. 

 While on "vacation", I will be giving bed rest a shot.  My hope is that whatever is torn or bleeding inside of me will be given some time to heal.  I am actually somewhat optimistic in this regard.  In fact, after only two days, there is a very stark difference in symptoms.  My bleeding has stopped - I am back to extremely light brown spotting (I have had this almost daily for almost 8 weeks).  Cramps are still there, but maybe after a few days, they will ease up too.

I am already bored out of my skull!  :). I have been doing partial bed rest for weeks (ie. in bed at all times when not at desk job), so it is already pretty old.  I am running out of ways to occupy myself.  It  goes without saying that it will be worth it though, if it helps.  I would do a LOT more than bed rest to protect this baby.

I will probably just end up working remotely all week.  I really do love my job, and it is certainly more interesting than staring at the walls. :)

Anyway, that is my update.  I am doing everything I can to save this baby.  Hopefully, it will be enough.

Sunday, 2 September 2012

So Much for Optimism

Everything seemed to be going so well.  The hematoma was shrinking, I had stopped spotting, and my cramps had really eased up.  I was becoming very optimistic, and was fantasizing about how  we would tell our family and friends that we were expecting.  I was getting increasingly excited, and was starting to think that I might just carry this baby to term like a normal person.  Maybe, just maybe, I wasn't broken after-all.

Sadly. that optimism was short-lived.

On Friday, out of the blue, I started gushing bright red blood.  :(. I went to the ER, where I had an ultrasound.  Bug  was there, dancing away.  He was measuring ahead at 11 weeks, 6 days.

 Unfortunately, the ultrasound also showed that the hematoma (or hemorrhage at this point) had more than quadrupled in size in a week.  :( It was measuring at 8.7 x 5.8 x 1.6 cm.

I have been on self-imposed bed rest since, while I wait to see my OB on Tuesday.  I am still bleeding.  Mostly brown, but some episodes of bright red as well.  That is really not good, obviously. I have read that with a hematoma, bright red bleeding means that whatever is causing the bleeding to pool inside the uterus is actively bleeding.  It could be a tear in the uterine wall, and it could be the placenta detaching.  :( I know that the hematoma is near my placenta and therefore, I am fearing the worst.  Even if that is not what is happening, my uterus is absolutely full of blood at this point (even on Friday, it surrounded 50% of the baby, and is much bigger than he is).  Something likely has to give.
 
My OB doesn't believe in bed rest at all.  She says that there is no conclusive evidence that it helps and therefore, she will not prescribe it.  I get that I am not a doctor, but frankly, I am still skeptical.  Everything that I have read has suggested that there is a difference in medical opinion on the subject, and that most women (especially those are are seeing a high-risk specialist) are put on bed rest, for at least two weeks after an active bleed subsides.  While bedrest would be disastrous for me professionally right now, I desperately want to make sure that I am doing everything that I can to save this baby.  I can only do bed rest if it is recommended by a doctor, as otherwise my short-term disability insurance will not kick in, and I will not get paid.  I am therefore thinking of switching doctors (or at least, getting a second opinion) if my OB doesn't reconsider her stance on the issue on Tuesday. 

In the meantime, I am too scared to use my doppler to check on Bug, because I don't want to make the bleeding worse by pushing down on my uterus or placenta.  I also don't want to do anything that might cause him pain or discomfort right now, given what he might be going through in there.  If my litttle Bug is fighting for his life right now, the last thing I want to do is make that harder for him.
 
I am so heartbroken at the thought of losing him.  :(
 
Here he is as of Friday, by the way.  He is getting so big, and looks so human now.  I love looking at him, but I also hate this picture.  I think that is part of the hematoma to the right, below the placenta.  It looks like the blood is coming from behind the placenta, which is pretty much worst-case scenario.  I am trying to remind myself that I am not trained to read ultrasounds, and therefore don't know for sure what I am seeing - but it sure looks like that is what is happening to me.





I guess there is nothing else to say.  I am pretty sure I am losing him, and my heart is already breaking.