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Tracking Pre-Eclampsia.

Almost there!By virtue of the name itself - "bed rest" -  you'd think I'd be sleeping a ton and feel all squishy and relaxed here at the hospital.  Like a spa, only with crappy food.

Oh hell no.  Because of the nature of pre-eclampsia, and having a high risk pregnancy to begin with, I'm under constant supervision.  This is a good thing, because the doctors and nurses here absolutely know how to handle any circumstance that crops up, but it's a tough thing sometimes because the "rest" part of this is hard to achieve when the door is opening and people need vitals all day long.

My day begins around 5:45 am, when the resident on call pops in and checks up on my basal rates, blood sugars, and overall puffiness.  Her questions are usually the same - "Any bleeding?  Spots in your vision?  Pain in your upper right side?"  I'm happy that I can answer "No," to these questions.  And then she leaves. 

My nurse comes in at about 7:00 am to review blood sugars, liquid intake, urine output, takes my blood pressure and temperature, and gets the heartbeat on the baby (which is a great way to wake up in the morning, to the sound of my daughter's galloping heartbeat).  She leaves, I test my blood sugar, and try to go back to sleep.

But at 8 am, the Joslin team comes in and does a review of my blood sugars, basal rates, and everything else diabetes-related.  (Basically, I review the same information about three times before 8:30 in the morning.)  We review and/or make adjustments as needed, and their crew leaves in a flurry of labcoats.

(At this point, I order breakfast from the kitchen and hope it doesn't arrive while I'm in the shower, because nothing is more awkward than "Room service!" trilling in from the door while I'm making attempts to wash my hair with these enormously swollen hands.)

10 am brings the nurse back to my room with a dose of Heparin (fun shit) and my Labetalol pill.  I've asked to administer the Heparin myself, because there's something about the way that the nurses give the injection that makes my skin bruise ferociously.  (Pictures to come soon of those messy bruises.)  So instead of using the normal "horse needles," they're letting me use insulin needles and give the shots myself, which helps a lot in managing the bruising and pain.

After the medications, they hook me and BSparl up to a fetal monitor, which keeps track of her heart beat, her movements, and any contractions in my uterus.  She's been dubbed "busiest baby on the floor" because she's a very active little biscuit, and even though I'm attached to the monitor for 40 minutes, it's comforting to hear the sound of her heartbeat filling the room.

And then it's like lunch time(ish), and I make futile attempts to catch up on emails, check in with work stuff, and read some blogs.  My hands are beyond swollen, so computer work is very limited and after about 30 minutes of typing, the pain is pretty intense.  (And from what I've been told, after I deliver the baby, I'll swell up even more for another day or two before it starts to subside.  This kid better love the hell out of my Cookie Monster mitts and Fred Flintstone feet.  ;) )

The afternoon seems to vary, but always includes input/output tracking for my liquids, at least a few hours laying on my left side to alleviate the stress on my kidneys, and my watching of an episode of Law & Order: SVU. (Best.  Show.  EVER.)  And a vitals check from the nurse staff.  (Yesterday had a bonus visit to the radiology department, where I had an ultrasound and saw my daughter's chubby cheeks.  I love her.)

Evening includes dinner.  And usually a few phone calls.  And another round on the fetal monitor.  Sometimes I make attempts at the computer again, but it all depends on what my hands are agreeing to follow through on.

10 pm has the nurses visiting again with my prenatal vitamins (Note:  They let me keep bottles of insulin in my room but they confiscate my prenatal vitamins?  Not sure if they think I'm hooked on DHA or something.) and the second dose of Labetalol.  Vitals are taken again.

Midnight brings the second dose of Heparin, and another check of the baby's heartbeat and my blood pressure.  After the nurses leave, I try and collapse into bed and fall asleep.

Until 3:30 am, when the nurses return for another heartbeat check, blood pressure check, and blood sugar check.  Check, check, check ... 

Bored yet? Well-rested, are ya?  This is the day in-day out routine for the next two weeks, and I'm snoooooring at the very thought (yet unable to really sleep because I have nurses visiting every few hours).  But BSparl and I are being watched so carefully and so closely that if any issues crop up, they won't take anyone by surprise.  That helps keep she and I safest, I think.

But for now, it's boooooooring.  Thank goodness for my parents, who have come by with flowers, entertaining pictures colored by my nephew, and magazines.  Thank goodness for my mother-in-law, who calls daily to check in and reminds me that this is only temporary.  Thank goodness for my best friends, who call often and keep me in the loop on what the hell is going on in the "real world."  Thank goodness for the Internet, which is letting me connect with you guys and Facebook crap and all the other nerdy connection points that I'm relying on when I'm the only person in my hospital room.

And thank goodness for Chris, who is shuffling back and forth between our house and the hospital, working hard to prepare the nursery (we didn't have much notice on this visit, so things are a little bit in disarray for Ms. BSparl), maintain our home, and oh yeah, work?  When he comes here and sleeps over, just having him in the room makes everything easier.  (I'm just waiting for one of the nurses to accidentally try and get his blood pressure.)

... it doesn't hurt that as soon as BSparl hears his voice, she gets all bugged out and wants to dance.  She loves her daddy.  I think she likes me okay, too.  I'm hopeful that the next two weeks go by as smoothly as possible, keeping her safe and happy in there, and eventually bringing her out to us. 

So we can hold her and dance with her on the outside.

Comments

There's a lot of us that can't wait to hear about that first dance...!

Soon, Kerri, soon. Prayers being said that it's not *too* soon, though. ;-)

Wow - like you say - life in the "spa" is pretty exhausting. BTW, I'm going to be in Boston (Marblehead) this w/e - if you feel like another visitor - let me know. Maybe seeing Body1 gang on Friday (have to check if they'll be around - missed them last time I came by) - but inbetween doing the sailboat thing - would love to meet up with you if you're up to it that is!
C
iao bella! Hang in there - we're all rooting/tooting for you and BSparl and Chris!

This schedule reminds me of my diagnosis. I was so glad I finally got to get out of there after 3 days. At least you get to shower! They didn't think I would be there that long (or I would at least get my own room), so I didn't get a shower for 3 whole days. Ewww!

Your post brought back so many memories! I was on bed rest with twins 6 years ago. What made the stay fun for me was SOCKS! Everyone brought socks, wild, butt ugly, or the cutest. Striped, polka doted, you name it, I got it. I would look at my feet and I would laugh and smile. To this day, I would see them in my drawer and giggle. Towards the end, it was socks for the boys! So cute and I still have them. Tell your friends, you need socks!! Oh, by the way, delivered the boys at 35 and 1/2 weeks and they both were over 6 pounds. All good, went home in three days. Rooting for your family. Good times to come.. I promise...

I look forward to when you blog. It's like my favorite book. This chapter has got me on the edge of me seat! :)

Reading your last few posts reminds me of my first pregnancy. At my 34 week OB appt, he told me to be at the hospital by the end of the day. I called my husband and drove home to get my things together. As I stood in my unfinished nursery, where baby shower gifts were still in their boxes and the crib was not yet put together, talking to my best friend on the phone, she asked me if I had an outfit picked out. "For what?" I asked. "For when you bring the baby home, duh!" She said. I hadn't thought about it until then. I would be bringing my baby home when I was done with all of the hospital nonsense! I was in the hospital for 2 weeks, so swollen I could barely bend at the waist, which was ultimately challenging for the doctor that put in my epidural. I was only allowed to shower every OTHER day! I was lucky to be an RN delivering in the same hospital that I worked in, so my friends visited day and night, and were sometimes allowed to take me in a wheelchair to visit the floor I worked on. Even though I had to tolerate watching their bad soap operas at lunchtime, I was happy for their visits. My experience was also boring, stressful, and scary at times, but in the end, my beautiful baby girl was born at 36 weeks by C-section, healthy, and everything went perfectly.(I loved my OB!) I am hoping for the same for you and your husband. Hang in there!

Glad to see you're in good hands! Keep relaxing and if you feel like it- take up a new craft! You could always make some decorations for the nursery! http://familyfun.go.com/crafts/home-garden-projects/kids-bedroom-crafts/

Soon you'll be dancing with BSparl in your arms!

Hang in there Kerri and BSparl. Soon, she will be dancing on the outside. All of this, day in and day out, gets you one day more of 'baking' in there and one day closer to her coming on the outside!
Thinking of you and sending lots of positive thoughts and the days to go quickly, your way.

Hang in there! I was on home bedrest at times during both of my pregnancies... had two preemies (for reasons not at all related to what you have going on)... and today they are healthy, active kids. :) Modern medicine is such a blessing!

I'm praying that your little one will incubate a few more weeks and everything goes well!

I had this one awesome nurse when I was on the pre-natal floor on bed rest with the big PE who introduced me to AMBIENCE. (or is it AMBIENT?) I don't know but it was this beautiful little sleeping pill that was safe to take and helped me get some goooood zzzzz's despite all the blood pressure taking and glucose testing! Ask for it if you get desperate! :) Enjoy the great service while you can!! HAHA! :)

Just think: all this checking nonsense is preparing you for 3:30 a.m. feedings. :-) Thinking about you all the time. Glad you're sort of keeping busy and not going mad yet.

Sounds like you need some voice recognition SW, so you can get those logs (formerly known as fingers!) a rest.

We are out here pulling for ya! Well not literally - you still have to do all the work - but mentally at least.

Enjoy the spa!

Fair WInds,
Mike

all the poking and prodding will be over before you know it!! you are doing a fantastic job at keeping your sanity and sense of humor!!

Oh no, I didn't know you were in the hospital w/the pre-E. I'm glad everything is being monitored and that all goes well for you three. All the best!

Take care Sweet Kerri and beautiful little BSparl.
Only a few more weeks.....til she is in your arms and gets to nuzzle those (only for a bit) swollen Mommy paws.

I'm sorry about all the hullabaloo that you are dealing with right now but I'm happy that you are being watched closely and that you are BSparl are safe. Hang in there girls! You can do it!

Do you mind me asking how they are treating you and your diabetes? Specifically how pushy they are being about your pump and diabetes while you are in the hospital? Are you still wearing your pump? Do they let you use the Ping (especially considering it's your meter remote) or do they make you use their meter? Do they tell you what to bolus? Or do you still do everything and they just chart it?

Sorry for the third degree . . .but going into the hospital for any reason has always made me very anxious because I never know if the docs and nurses will take all my diabetes routines out of my hands and take control of everything. And when they do it's terrifying for me and usually means crappy blood sugars for the duration. Just curious how they are handling you and your diabetes! Might give me some insight for what to expect when I'm pregnant and a patient on L & D!

Thanks Kerri! And take care!
~Layne

Kerri,
I usually just lurk but I want to wish you the best of luck as you go through this rough patch. You sound like a real trouper, and I'm sure you and Chris will be wonderful parents -actually, you already are.
Hang in there,
Sara

Hugs Kerri....

Doing a T1 pregnancy is a barrel of laughs huh? Yesssss.

Can you try injecting the heparin in your leg? I had to take something similar throughout pregnancy (to stave off preeclampsia actually) and because of the bruising and my need for tummy space for insulin, the leg was good. Plus I didn't have to look at the bruising.

And I know you'll have heard this many times before but try if you can to ENJOY this last little bit of peace and quiet. You're going to be hitting the ground running FAST soon and you'll forget what reading a book looks like.

You are doing a great job :)

Many good wishes, prayers for all of you. Take care of your mom, they tend to worry about you even when you're so close to being a MOM yourself.
Hugs!

Thinking of you every day. This really is temporary and you will soon be back home with your baby to hang out with and nuzzle. The euphoria at the beginning is just lovely and will blot out any low moods you are feeling now.
Big hugs. Check out some Eddie Izzard stand up on "You tube" to cheer yourself up! Nothing like a cross-dressing comedian to raise a smile.

I haven't quite started the whole journey yet but I'm freaking out a bit about if I'll make it even close to full term, my kidney disease, blood pressure, and diabetes totally wrecking the whole thing but I'm glad to hear the blow by blow (honestly!) of this while thing so I kind of know what to expect! Thanks again!

Hang in there. I was on lengthy bed rest with both my pregnancies (Type I on pump) and I have 2 beautiful, healthy children now. You will get through this with patience and the love of your family. Keep your sense of humor and your smile, and let the excellent team take care of you and BSparl.

My father was just in the hospital for pancreatitis (may have spelled it wrong, but oh well) so I understand the hospital "routine." We took turns staying with him, since he was so high on pain meds. I'm praying for your family, and for a safe delivery of a healthy little girl, so be well and please post as often as you can!

Kerri, I'm usually just a lurker, but my heart goes out to you & BSparl.

Bedrest SUCKS! I was on home bedrest with Richard O. from 28 weeks until his early arrival at 35 weeks -- and though he was a guest of the NICU for his first week of life, he came out strong, spunky, and breathing on his own.

I also had pre-eclampsia, and wound up looking like the Stay-Puft Marshmallow Man. Funny to look back at those pictures now, really. Keep that sense of humor -- it will serve you well in motherhood (says this mom of a 3 year old!)

It won't be long. You will soon have the best love of your life!!! MORE POWER TO YOU AND YOUR LOVe!!!

ohhh.... much MUCH sympathy. Hospitals are so not the place to rest, esp. when you're pregnant. Once she's on the outside, though, they'll leave you alone at night for the most part, barring any other complications. In fact, don't feel guilty about letting her spend most of the night in the nursery - rest while you can!

RE: the nursery. Don't worry about it a bit. Just make sure the bambino has something to sleep in and you're all set for a couple of months. My girls spent the first several months in a bassinet right beside my bed. I don't think I used the nursery at all those first few weeks. They will give you a few diapers to bring home from the hospital, and you don't even use wipes at first, just water and a soft paper towel. Hang in there. You're doing great!

I had pre-eclampsia with my 1st daughter, who just turned 12 on April 1. I vividly remember doing utterly nothing while on bed rest for 10 weeks, 4 of which were in the hospital. That sucked royally as rest was not part of what I received there. I managed to survive, she was born healthy 27 days early, and we both got to leave 3 days later. I've heard the collection of margarine the cafe kept sending me is still legendary at the hospital (I had 88 when I was discharged, never received bread, just 2-3 tiny margarine tubs). Nothing like being a double high risk.

Hang in there, you too will survive and be thrilled to go home with a beautiful, healthy baby girl.

Hi. I stumbled across your blog while looking for something else and now I'm hooked! My sister has diabetes and had a lot of similar issues when she had her two girls (everybody came out great). I love that you are keeping your sense of humor (it is/and will help more than you could ever know). Even though I don't know you and your family I can't wait for you to deliver your baby! Best wishes!

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