A lot changes in 4 days – cholestatis

Well last post was all about making it to 38 weeks, there has been no indication that I couldn’t. Cervix has been strong, babies have been great. And what about the lull I mentioned?!

Last week I was feeling mildly itchy… thought it was due to the heat. I live in New England and we haven’t had that much hot weather. So when the humidity set in (with no AC installed yet) I thought it was the heat. Saturday it got worse, my feet were crazy itchy (but not abnormal, I have had excema on my toes before). Sunday it was worse but Sunday night it was unbearable. Everything I touched (including the sheets brought on an intense urge to itch. I ended up getting up at 2am and coming downstairs to drink gatorade. After 45 min I figured i try to sleep again, thankfully I did.

I was worried, I have a friend that had cholestatis just this past winter. Babies were fine but I figured I should call the doctor and get some blood work done. Just two hours later, the bloodwork came back and the doctor herself (not her nurse) called to discuss the next moves.

Cholestasis (source Mayo clinic)

Cholestasis of pregnancy can make you intensely uncomfortable but poses no long-term risk to an expectant mother. For a developing baby, however, cholestasis of pregnancy can be dangerous. Doctors usually recommend early delivery.

The term “cholestasis” refers to any condition that impairs the flow of bile — a digestive fluid — from the liver. Pregnancy is one of many possible causes of cholestasis. Other names for cholestasis of pregnancy include obstetric cholestasis and intrahepatic cholestasis of pregnancy.

For mothers, cholestasis of pregnancy may temporarily affect the way the body absorbs fat-soluble vitamins, but this rarely impacts overall nutrition. Itching usually resolves within a few days of delivery, and subsequent liver problems are uncommon — although cholestasis is likely to recur with other pregnancies.

For babies, the complications of cholestasis of pregnancy can be more severe. For reasons not well-understood, cholestasis of pregnancy increases the risk of the baby being born too early (preterm birth). It also increases the risk of meconium — the substance that accumulates in the baby’s intestines — getting into the amniotic fluid that surrounds the baby. If a baby inhales meconium during delivery, he or she may have trouble breathing. There’s also a risk of fetal death late in pregnancy.

So – good news is my liver is still working great and levels are not elevated in there. But my bile levels in the body are elevated so I am diagnosed with cholestatis. I start twice weekly NST and ultrasounds. I also start a new medication to help with the itch. Otherwise not much changes except the biggie – csection has been moved up two weeks. We are now looking at a csection of 36 weeks… yea… three weeks from now! The most important part is getting this noddles here safetly! The scariest part is the “fetal death” that keeps getting mentioned on doctor google. But thankfully I have a VERY mild case for now, we caught it early and we are monitoring it very closely.

So baby planning just went into overdrive! Family of 5 here we come!

32 Weeks

32 Weeks, I’m at a bit of a lull. I know it’s too early for twins to come but I’m getting anxious to meet them. Appointments are still 2 weeks apart and ultrasounds don’t occur weekly until the first week in July. Next week is my first week I haven’t had SOMETHING to look forward to as far as appointments go in a long time. But it’s our last full week of school – our last day is Mon the 26th. I’m hoping to make a few more half days but my time is coming to an end.


Someone refused to take a picture for Father’s Day! 

Ava’s pregnancy at 32 weeks

Pregnancy: #2

Gender: boy/boy twins

Weight gain: 40 lbs – made up for last weigh in – (I’m still under what I gain for Ava)

Symptoms: contractions if I push it too much but they are not leading to any dilation or intensifying in any way. Back started hurting this week. Anything I do requires some type of bend. Washing dishes, picking things up, folding laundry. The belly is so huge it gets in the way.

Food: Getting hungrier, and snacking is not sufficing.

Babies growth: Last ultrasound was June 7th – Baby A is average at 3lbs 9 oz. and baby B is above average at 4lbs 5oz.

Looking forward to: School ending and these babies coming! This week I think we finally have someone to take the queen bed out of the spare room so we can start to set things up a bit more. Right now it’s just a dumping ground of crap.

Also tomorrow is Father’s Day – I’m excited to give hubby his gift!! The kiddos (Ava and twins) got him a set of yankee bibs and a Yankee tee that says DAD on the back with a #1. I bought him Red Sox tickets (I know thats odd but it’s the closest professional team without sending him to NY) with two other Moms and Moms to be for their husbands. They are going on June 29th for a mans night. Also, last minute I bought the book “My Little Girl” and wrote a note and we put Ava’s hand prints on the inside cover. She will always be Daddy’s little girl.

Best moment: Two of my students were able to graduate (I know it’s only 8th grade but they were so excited). One came running down the hallway with his graduation tickets just smiling away and high fiving me!

 

Sleep: half and half this week. I had some really good nights of sleep – there were a couple that weren’t so good though

Clothes: Um belly is big enough that even mediums are not coming down long enough (but are too big up top lol) I have some longer shirts and tunics that seem to be working but seriously 6 more weeks of this! nothing will fit by then!

31 weeks

Overall I have really had a fabulous week. Doctor put me down to 1/2 days at work. At work I’ve been trying to complete my paperwork and tie up loose ends. I’ve been able to come home and relax for a little while until Ava comes home from daycare. I even had energy yesterday! (Although the coffee place might have given me caffeinated coffee because I had almost too much energy). Taking it easy has helped my aches and pains and veins. I don’t feel as bad in the afternoon. I write all this and tonight I’m feeling like crap. I think one of them is stomping on mycervix or pushing on the vaginal wall. I’m laying down and still feeling very heavy and stabbing pains. Thinking about taking a bath. 

Ava’s pregnancy at 31 weeks

Pregnancy: #2 

Gender: boy/boy twins

Weight gain: 36 lbs -slowed down some 

Symptoms: contractions if I push it too much but they are not leading to any dilation or intensifying in any way. 

Food: I go through spurts of wanting to eat a lot. But trying to manage those times. 

Babies growth: we had an ultrasound yesterday. They are getting so big it’s hard to see much on the ultrasound machine. Baby A is average at 3lbs 9 oz. and baby B is above average at 4lbs 5oz. My belly is getting so big I can’t imagine it growing more over the next 7.5 weeks. 

Looking forward to: maybe taking off as of next week or the week after, I’m not entirely sure. We’ll see how it all goes. 

Best moment: ultrasound! Loving these frequent checkins. Non stress tests will start the first week in July and continue twice a week until delivery on July 31 

Sleep: not happening much lately. I get a good 3-4 hour stretch for the first part of the night then I’m up every 1-2 hours adjusting because my hips hurt or peeing. I don’t sleep in much either. 

30 weeks and an ER visit 

What should have been a relaxing day at home because I over did it at work yesterday, turned into a trip to triage. 🙄 

This all started because yesterday we had a required function after school. I didn’t go crazy but walking around compounded with a full day of work led me to be pretty uncomfortable. I came home, laid down felt better. In the middle of the night I was so uncomfortable! I was up for a good hour trying to get comfortable my belly was very achey no matter how I lay. So I stayed home, thinking a half day would be perfect. I felt better this morning but still kind of crampy. So I called the doctor hoping to move up tomorrow’s appointment to today. Instead, they sent me to triage 🙄 I hate this place. Thankfully it wasn’t busy and I was in within 20 min. (I have waited 4+ hours at this place before). 

Monitors showed babies heart rates were great. My cervix was closed and Long. But I am having contractions (those are the uncomfortable acheyness  I’m feeling.) they aren’t concerned and say to drink lots of fluid and take it easy. Feeling ok when I left the ER and went home but of course when hurricane Ava came home it got harder. Hubby was great, he made dinner we watched a movie but either the stress of her being home or it was just a coincidence, they came back. 

I’ve been laying down now for awhile. Going to take a bath once Ava’s on bed. I’ve been chugging liquids but not much eases them. I’ve been told by others that these contractions are normal for twins and could last up until delivery. Hope not though, I was trying to make it another week or two at work. Used a sick day today and tomorrow, maybe I can do some half days but we’ll see. I go to my doctor tomorrow, hopefully she has some more insight. 

29 weeks tomorrow

Tomorrow marks 29 weeks of pregnancy. I feel like I’ve come so far, yet I have so far to go. In reality it’s not THAT far to go. Less than 10 weeks. Currently my c-section is set for July 31 (38 weeks and 4 days) but at my last appointment that doctor said that depending on my Varicose veins, level of pain and ability to move they could move it up to 37 weeks. I’m having an eh day, where 37 weeks sounds amazing but the other part of me wants those buns to cook as LONG as possible. Hopefully they continue to measure well. Baby A is average size and Baby B is a tanker. I wish I could remember what Ava weighed at her ultrasounds, because even though I went 40 weeks and 2 days with her, she was only a whopping 6lbs 13 oz and dropped to 6lbs by the time we left the hospital. So if these guys are going to small, I will push  myself even if it means complete bed rest.

Ava’s pregnancy at 29 weeks

Pregnancy: #2 – TWINS

Gender: boy/boy fraternal

Weight gain: I am up 35lbs with the twins as of last Friday. Still under what I gained with Ava, hoping to keep it that way or at least gain the same amount.

Eating: Very well – craving sweet things but trying to keep myself in check a bit. I have a small bag of hershey kisses. I grab a small handful and eat those after dinner. OR when I’m craving a milkshake I make a chocolate and frozen banana smoothie with almond milk and carnation breakfast mix. Still high in calories but probably way better than drinking a milk shake every night. I am still snacking on healthy options throughout the day, pita chips, trail mix, yogurt, cheese sticks. Breakfast is cereal or a bagel. Heartburn has surprised me in the middle of the night twice this week, but I keep the tums by the bedside and it goes away pretty quickly.

Sleep: great, turned to ok has now become horrible! I can fall asleep well and I can fall back asleep when I’m awake. However, I’m waking up 5-6 times a night. Sometimes one of the babies is pushing on my bladder, sometimes my hips bother me and I just need to stand to realign them. Sometimes I get a nasty charlie horse (last night) and I have to stand and walk around and massage my leg. These are all happening in one night. I’m suprised I’m still functioning at work. Although at work I’ve taken up the task of testing all students that missed the state testing on our scheduled day. So for the past week I’ve been sitting for half the morning just watching students test. Which has been oh so nice!

Symptoms and Movement:

Movements: Lots of movements. I think I feel Baby B a bit more and he’s stronger. He kicks my ribs and pushes on my lungs. Baby A is kicking and pushing on my nether regions. Whether dancing on my cervix or tapping my bowels (it’s the oddest feeling.)

Varicose veins – my legs seem to be keeping the status quo. My vaginal veins are definitely getting worse and spreading. The have moved to the crease where the elastic of my undies sit so even the support belt is getting extra uncomfortable as the day goes on.

Bump– Getting bigger, people ask when I’m going to pop. Then their jaw drops as I tell them 10 more weeks. Many don’t know how I’m still working but I’m trucking through it. I have 14 sick/personal days and 23 school days left. So trying to work either until the end or take some 1/2 days here and there.

Emotions: Ok this week, tired which is probably lending to some crankiness

Missing: Still missing the ability to move. I also miss being able to each lunch meat on a soft italian roll. I probably eat a sandwich with lunch meat maybe once a month (not pregnant). But lunch meat is one of those things I really try to avoid during pregnancy. So I watched my husband eat a delicious salami, provolone, ham etc italian sandwich on Saturday.

Purchases: Finished organizing (for the most part) the boys closet. Bought some organizing things on Amazon and arranged the closet. !/2 of it is our stuff and the other 1/2 will be the boys stuff.

Looking forward to: 1) summer vacation 2) getting rid of the massive queen bed in our spare bedroom (soon to be twins room). That room is stuffed with furniture – crib, dresser, bassinet, changing table AND a queen bed. We haven’t even touched the second crib yet because there’s not where to put it. Hopefully the queen bed goes in the next few weeks. I’d love to finally set the room up properly.

Best moment of the week:

Clothes: Bought some clothes online at motherhood last week, they came in…. and the small pants (which have little stretch to them) didn’t fit! hah well I’m sure I could have squeezed into them but after a few weeks they wouldn’t fit at all. So I kept the mediums and I’m returning the smalls.

Exercise: lowered my fitbit goal to 5,000 steps – I hit that almost every day.

Mother’s Day tea

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27 Weeks (and the past two weeks)

We had a wedding last weekend – It was fun to see friends from school and look nice for a change. I’ve been feeling a bit blah and lacking in motivation. I’m so tired lately I’ve been worried about twins and a toddler BUT I keep trying to tell myself that when they get here I wont be growing two humans and waddling around anymore.

Ava’s pregnancy at 27 weeks

Here are some pics from the last few weeks!

 

Pregnancy: #2 – TWINS

Gender: boy/boy fraternal

Weight gain: I was 29 lbs up after my appointment last week – not exactly where I wanted to be but not horrible either. The doctor wasn’t even remotely concerned with my weight gain

Eating: Great! (knock on wood) no heartburn lately. I like to eat small meals/snacks all day long. But I choose healthy snacks. I try to keep all the candy, ice cream and treats out of the house. But somehow donuts keep ending up on my desk randomly……

Sleep: ok – I sleep well until early to late morning (1:30am-4am) I am up at 5:30 so if I can sleep until 4 it’s not too bad. Sometimes I just need to get up and move, a trip to the bathroom usually does it.

Symptoms and Movement:

Movements: So much movement, even more than two weeks ago. I feel kicking everywhere!!!

Varicose veins – no update, just worse – every part of my lower half hurts

Bump– Getting bigger, I think I look like I’m 36-37 weeks pregnant with one. I feel like I’m in the home stretch, but I know I still have (hopefully) 10-11 weeks left

Emotions: Emotions are everywhere. My husband made a comment that he has seen me cry more times this pregnancy than our entire 8 years together. The person he told (my old boss who is like a mom to me) says in her 25 years of knowing me she doesn’t need one hand to count how many times she’s seen me cry…. so I guess I’m more emotional than I thought. I feel like I am crying out of frustration, I hate that I cannot do things or keep up with my toddler. So I feel guilty and bad.

Missing: being able to move like normal, not being winded

Purchases: Nothing – was hoping somebody would throw a sprinkle for me (is that selfish?? lol) well this is my place to be honest, it would be nice to have had a sprinkle, but I didn’t (and don’t) expect one. a few people have asked and said, “oh but you’re having twins and boys, you can do a sprinkle” but I’m not about to throw one for myself so I’m gong to start to buy more little by little as we get closer.

Looking forward to: Ultrasound growth check tomorrow. I forgot to make this appointment so I had to go to a private place. The first one couldn’t get me in for another week and a half (ahhh) I can’t wait that long. So I called a second place and got in tomorrow 🙂

Can’t wait for mother’s day tea tomorrow at school!

Best moment of the week: Not sure, it’s been so meh at work

Clothes: Bought some light weight yoga capri pants for spring, then Motherhood had a sale so I bought some nursing tanks and khaki capri pants. Lots of stuff is starting to get tight

Exercise: thinking of lowering my goal to 5,000 steps…. lol

25.5 weeks – Twin Boys and thinking about what should/could have been 

 Tomorrow marks what would have been our due date from our first pregnancy, May 1st. May would have also been our due date for our chemical pregnancy last august. I’d be giving birth soon rather than waddling around for 3 more months. May is a month of sadness and deep thoughts for me, a lot of what ifs and what could have been’s. 

our first pregnancy was our first fresh ivf cycle. Two embryos in, one stuck with very very high betas (nurse even mentioned twins). Ultrasound showed 1 strong heartbeat (3 ultrasounds). But when we were released to OB and after I had my first appointment at 10 weeks, 3 weeks later I went to the ER with bleeding and bad cramping. My body was getting ready to delivery. Our miracle baby hadn’t made it.  At the ER our baby was only measuring 9 weeks (the heart must have stopped days after our last ultrasound). I’ve never seen my husband cry the way he did that night in the ER. I opted to have a d&c right then and there with no pain meds (little did I know that they usually knock you out for those). I couldn’t imagine going home still “pregnant”. We left the ER that night 6 hours later minus our baby. I took a few days off and resumed life (I had a friend tell people so I didn’t have to). I tried to forget by jumping back into treatments as soon as we could. 

Our chemical last august was a bit of a long shot. We had slow rising betas anyway, I had little hope although the doctor kept hoping with each draw. But at 6 weeks my body said goodbye to our third little baby. 

I can play the what if game all I want but I know God has a plan for me. Ava would not be here and I wouldn’t be pregnant with my little boys right now if those pregnancies lasted. There is a reason for all things, even if I cannot fathom what it is. God has a plan for me, my daughter and my boys. I will forever be a mommy to 5 babies that implanted and grew. God willing 3 living breathing babies and 2 angel babies. 


Twins update : 

 

24 Weeks Pregnant with Ava

Pregnancy: #2 – TWINS

Gender: boy/boy fraternal

Weight gain: I’m surely over 25lbs but we’ll see at the end of the week when I go to the OB. I think I was up to 21 lbs two weeks ago

Eating: Still eating very well. Craving sweet things, like the yogurt covered craisins my daughter brings to school. Or the chocolate oreo ice cream I ate tonight on our first ice cream trip to Eskimo King of the summer. I fill up quickly, so I don’t seem to eat too much. Very thirsty lately… well the whole pregnancy I have been, but even more so lately.

Sleep: ok – ugh when will it get better?! Some nights are ok, some are terrible. Haven’t had a really good one in a while. Our rooms upstairs are very hot (its almost like an attic type heat, so with the last few days of very warm weather our room has been very hot, making it difficult to sleep even when I wear next to nothing. It’s supposed to be cooler this week so hoping it gets better (OR AC will be turned on this week).

Symptoms and Movement:

Movements: So much movement, I can catch them bumping out of the corner of my eye sometimes. I like to feel their presence. So far no movements are painful, although one of them was kicking my ribs this morning an THAT felt weird.

Vulvar varicose veins – no update, just worse

Bump– It’s getting heavy. I had a few days that the weight of my bump has interfered with working and I’ve put strain on it (hurting my muscles on the sides and causing cramping. SO, I ordered a maternity support belt (how many support contraptions can a pregnant woman wear?!?!) Its not my favorite, and it sucks to sit with it on, but it does help when standing. I’ll probably bring it to work and only wear it if I need to.

Emotions: Patience is wearing as I get uncomfortable, but overall I’m doing good. I tend to get weepy when I’m alone with Ava and I can’t seem to keep up with her or get things done. I’m a go go go kind of person, and I hate that I cannot complete simple tasks because I have a 20lb bump on board, stupid veins, someone pushing on my lungs and a 2 year old. Hubby called to see if I was okay on Sat as we were trying to get ready for a birthday party, it took all my strength to not cry and say we were fine.

Missing: being able to move like normal

Purchases: some organizing things for the babies room – trying to slowly get things in order. Slowly purchasing things off my registry, I don’t think anyone is going to through me a sprinkle so I’m just trying to figure out what we need ASAP and what can wait.

Looking forward to: OB appointment this week and starting 2 week appointments from this point on. And an ultrasound on the 19th. I booked out newborn photographer 🙂 very excited, she did Ava’s newborn and 1st birthday. She did great! She is very excited to do some more 🙂

Best moment of the week: Spending time with Ava. She has been so good and happy lately. We are still struggling with clothes (she only want to wear specific ones) I had to tell her everyone wears dresses to birthday parties to get her to put one on on Saturday lol Most of the time I don’t care, but I want her to wear some clothes that my mom has bought her.

My Mom also came over and helped me organize and do some things around the house that I just can’t get done alone. She cleaned out the front garden and prepped it for mulching. Hubby and I did the mulching today. She put Ava to bed to give me a break. But the best was all the organizing we did. I have all of the boy clothes (whether bought, handme downs, consigned) organized by size, NB, 0-3, 3 month and everything bigger. I put clothes in the dresser and organized the hates, booties and socks. I hung the sweatshirts and outfit type things. I was also able to organize the stash of cloth diapers I have built. I ordered some closet organizers to help with the rest of the “stuff” The hardest part is the giant queen sized bed in the bedroom that I am impatiently waiting to be picked up by a friend. She says she can get it in June. In all honesty she’s doing me a favor so I don’t have to try and sell it or pay to throw it away. But I’m impatient! We haven’t set up the second crib yet, they won’t even be in the crib for a couple of months probably and I might stick them together at first anyways, so no real need for BOTH cribs just yet.

Clothes: A local mom from my moms group gave me a few bags of clothes, which has been very helpful in adding to my work clothes. I’ll need some summer stuff soon but these things will get my by for now. I bought some compression sweats from Old Navy, I wore them today and they seemed to help a bit (probably not as much as compression tights would, but those can’t be comfortable.

Exercise: Very rarely hitting that 6,000 step goal – but still trying to move a lot as it helps with the veins.