Tuesday, July 06, 2010

17 Hour Ordeal


The pain started while driving: menstrual like aching across my lower back, and sharp mid abdominal pain. So much so, I thought of turning the car around and going straight back home. Except we were counting on the vegetables I was going to buy to go with the fish we were planning to have for that night's dinner.

As I walked around the store, my discomfort eased. My stomach felt a little more "full" than usual, but I'd just taken my blood pressure at the drug store, so I knew that was all good.

I had decided not to get the mini grocery cart I like so much, as I couldn't be bothered with the quarter, opting instead for the handheld basket--never a good idea, never mind when you're seven months pregnant. Of course, I ended up with all kinds of things in the basket, legitimately making it too heavy for me to sensibly carry, but still I forged on.

Even the bag of groceries I carried back to the car was obviously much too heavy, because I'd only brought one shopping bag with me and I refused to get a second plastic one. The drive back home was again extremely uncomfortable, reminding me of getting my period last October when I discovered I was no longer pregnant for the first time.

Back home, I only put away what groceries I absolutely had to and made it to the couch where I immediately laid down. Except it hurt more when I was on my back than when I was sitting in the car. Rolling over to my side, I found my breathing to be quite shallow and wondered not for the first time if this was what one element of labour would be like. As the pain subsided, I hoped this would be but a brief pregnancy phase.

Rob kept trying to encourage me to get things done regarding the baby room, and I kept insisting with my silence and stationary activity that wasn't going to happen. For the rest of Sunday, every time I sat up straight, I felt this pain mid abdomen and aching immediately flare up in my lower back to radiate higher and higher.

After as much TV as I could stand, a slow walk around the block, and several unsuccessful self diagnoses on the Internet, I finally went to bed. Everything seemed fine, except when I rolled over. The brief moment on my back produced an intense mid abdominal pain. During once such roll over, I got up and decided to walk around the house. After pacing back and forth for over 5 minutes, I tried another search on the Internet. But just as with the others, all I could discover was that menstrual like back pain or sudden onset back pain was not considered a good symptom, and mid abdomen pain was more difficult to diagnose--ranging anywhere from heart burn, to urinary tract infections. Not to mention that just sitting in the computer chair was causing me a tremendous amount of discomfort (say 7 out of 10 on the scale) which was taking longer and longer to ease off.

Still, I went back to bed. When I woke up in the morning to what seemed a worsening set of symptoms--taking special note of the level of intensity of discomfort while on my back, I decided to call Health Link. I thought perhaps they might refer me to my doctor, or a clinic, but they of course, referred me to the hospital. The nurse later said they always will--which should be reassuring except when it's coming from a nurse who is telling you to "keep this in mind" if/when you call Health Link.

So, after Rob got home from the gym at 6am, we trucked off to the hospital, me lying as prone with a pillow as possible in the passenger seat. Even though we were able to bypass emergency and go straight to the labour and delivery unit of Rockyview, we still ended up spending 17 hours there while the doctors practised due diligence in terms of ruling out a variety of the possible sources of my symptoms.

Many things were eliminated within the first four hours. But the final test was to be an ultrasound to make sure my placenta had not ruptured, which could be the source of that mid abdominal pain (which had lessened only to a small degree, but was still fully present when sitting and lying on my back). I was told around 2pm the ultrasound would not occur until after 4:30. Meanwhile, I had sent Rob to work as it didn't make sense for us to both sit around waiting for this final test--which didn't end up happening until 8:15 that night!

Cut to 11:30pm, where we finally decided we should leave the hospital (against medical advice we were told--which had always been an option). The people at the hospital had been very attentive in the beginning, and did periodically check in on me while I waited (very patiently, I might add) for the ultrasound, but we felt after 17 hours, there had to be a little more attention thrown our way.

When I told the resident I wanted to leave and just needed to know the risks, I also asked what the treatment would be if my placenta had ruptured--which I was told was TO DELIVER THE BABY. Riiiight. It was that kind of initial risk, which we hadn't even fully known, that kept me at the hospital for 17 hours to begin with. But the resident said she'd check with the doctor one final time and come back to advise us.

Lo and behold, the results of the ultrasound were able to be produced upon her return, and like all the other tests, were just fine. This was of course the best answer and clearly a relief; I did not need to find something wrong to feel justified in taking the precautions I had, however, I could not help but feel like an over reactive pregnant woman, or worse, a hypochondriac.

The pain was real.

The pain was getting worse.

I'm 31 weeks pregnant; I have to take abdominal pain seriously.

Still, I felt guilty.

Still, I second guessed--had I just rushed off to the hospital when I could have just assumed I was going through yet another uncomfortable phase in the pregnancy (even though the symptoms didn't seem to correspond with any typical phase)?

It's not like I wanted to spend 17 hours at the hospital, have 2 internal exams, have people fussing over the monitors that were placed on my belly which produced little charts to trace the baby's heart beat (for over 4 hours), and push a little button every time I felt the baby kick, all the while worrying about what was normal or enough.

Or not go to work for a second day because I was exhausted and still in discomfort from the original set of symptoms.

While I was waiting, I told Rob it was only time I was losing, and I felt the symptoms were serious enough not to ignore when I first went in, so how could that really change the longer I waited? How could I not make that decision again? The only thing was, contrary to all the symptoms, I was convinced my little baby was okay. I just wasn't convinced the symptoms were what they should be for this stage of the pregnancy.

MAH.

I want this baby to stay in there as long as possible, of course.

I have to wonder though, how long will it take before I'll feel like I have my body back?

In future, I absolutely will make sure I'm not lifting anything too heavy. I'm just not sure what that always means, but the notion of "placental rupture" will run through my mind the next time I attempt anything out of the ordinary lifting-wise.

Sweet Baby, just take it easy on Mommy, will ya?

3 comments:

Amanda said...

Oh Tiffy! That all sounds SO stressful. This post pissed me off actually - our healthcare system really BLOWS sometimes. 17 hours? That is criminal.

It sounds like you did everything right. You shouldn't ignore severe pain, especially when a nurse on the phone tells you to go to the hospital. I remember getting really sharp abdominal pains while walking - very scary.

I'm just relieved to read that baby stayed inside! Hope you're feeling better. Sharing your body is not always fun.

-A

Shawna said...

Never, ever feel guilty about doing whatever you feel you need to do to ensure the health and safety of your child. Glad everything is okay. Stay in there, Baby.

TJ said...

I certainly need the empathy as I was really feeling stressed (more so after the fact, it seemed), and totally second guessing my actions. Even today with work, I felt I had to justify my decisions.

I realize it's totally self imposed, and I suppose will be just the beginning of wondering if you're always doing the right thing by your child.

Alas! I agree, STAY IN THERE BABY!

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