Monday, June 8, 2009

Scary pregnancy :)

I had multiple times in my pregnancy when I would just have bleeding, it would freak me out, and I got checked everytime. They decided that it was unexplained and we would probably find out after delivery what the issue was.
My doctor, Jason and I sat down at one of my appointments and went over many issues and decided that because of the bleeding it would be too risky to deliver vaginally. He was almost 100% that I would end up in section anyhow depending on the determination of the mystery bleeding.
I had my section on 4/22 after my blood pressure remained at an unsafe level. During my section I heard my dr talking to the other about all this stuff and I didn't know what they were talking about. So the dr came in to visit me about an hour after my section to let me know what was up. He explained to me that my placenta was bilobed and I had a condition called Vasa Previa. Its hard to explain so here is a little cut and paste on it.
"Vasa previa is a rarely (1:2500) reported condition in which fetal blood vessel(s) from the placenta or umbilical cord crosses the entrance to the birth canal, beneath the baby. The condition has a high fetal mortality rate (50-95%). This can be attributed to rapid fetal exsanguination resulting from the vessels tearing when the cervix dilates, membranes rupture or if the vessels become pinched off as they are compressed between the baby and the walls of the birth canal. When vasa previa is diagnosed, elective delivery by cesarean before labor begins can save the baby's life. Ideally, it should be performed early enough to avoid an emergency, but late enough to avoid problems associated with prematurity. The IVPF recommends hospitalization in the 3rd trimester, delivery by 35 weeks, and immediate blood transfusion of the infant in the event of a rupture."
So in hearing him tell me that if we had not done the section when we did, either or both of us wouldn't have survived delivery. Normaly when this is diagnosed early enough a section is performed at 35 wks, mine was at 36wks. Had I continued to beg him to let me deliver vaginally the results would have been very bad.
But anyhow, we both survived delivery. I ended up staying an extra night in the hospital because my BP spiked and I had to be given IV meds to get it down. They got it down to the 140/90 range and decided that was good enough to go home.
I was home one day and slept that night. The next morning I felt like crap, hey I just had a baby so I figured it was normal. After sleeping all day without being able to get up I forced myself up and took a shower. After my shower I sat in the bathroom for almost 30mins trying to catch my breath. I have a history of asthma so I figured that was it. I did a nebulizer and it didn't help. Jason was getting ready to go do some shopping and I didn't want to bother him so I let him leave. Within a few minutes luckily he came back as he forgot something and noticed something was really wrong with me. I didn't want to go to the ER so he took me to the walk-in clinic. It was about 3pm at this point and they told me that the wait was till about 8pm. So we sat in the waiting room for about 20 minutes and I just wanted to go home and sleep. So we left, Jason brought me to the ER against my will saying that he just wanted to make sure I was ok. I got to the ER and checked in, within 2 minutes they called my name to be assesed.
The nurse asked me a ton of questions, I told her I was short of breath and just felt tired. She was sending me back to sit in the waiting room when I offered that I just had a section and wanted to let her know even though it may not be relevant. Her face went white, I swear to god!! She yelled for a wheelchair and a Dr. They rushed me into a room and about 5 people rushed in. One person was giving me an IV, the other was giving me oxygen, another was taking my blood, and another was giving me a shot. I was sent for a cat scan, which was hard because everytime I tried to lay flat I couldn't breathe.
Fast forward. I had a pulomonary embolism and super high BP. They were pumping me full of heparin and nitro and BP meds. I was immediately sent to the ICU. While in the ICU I had so many other tests. It took them 2 full days on high risk IV meds to get my BP down to 140/90's range. They determined that I had a leaking Mitro valve, congestive heart failure and cardio myopathy. My heart couldn't keep up with all the fluid I had and was failing. So they decided to pump me full of diuretics to get the fluid out. They had to give me shots of this stuff now and then to slow my heart down because it was beating so fast it was about to give out, now I forget the word they used.
So yeah, after 4 days in ICU and another 3 in maternity, 3 near death experiences, 60 pounds of pee, not being able to see Nora for 4 full days, I lived.
If I ever decide to have another child, I will probably shoot myself, because all of this has a high chance of happening again. The previa most likely will come back, and so will the Pre-E. The only difference is that I will stay in the hospital till it all goes away instead of going home for a day.
I do have a beautiful daughter out of all of this, and we both lived :)