First of all, huge thanks to everyone for your kind comments. The tremendous support and love we’ve received has definitely made the last two days more bearable. For me probably the hardest part of dealing with this ordeal was the sheer suddenness of it. On Sunday we passed 18 weeks – halfway to full term. And physically, everything had gone so unbelievably easily up until Sunday night. I had been psyching myself up for blowing past all the averages and doing it all while maintaining my own mobility and independence… This is just hard to comprehend. I’m sorry for not posting again sooner. It has been draining to talk about it. I started this a couple of times yesterday but let myself get sidetracked. Forgive me for leaving you in suspense. Also I’m sorry but this will be a little scattered.
Basically, nothing really changed between Monday and Tuesday. For the search engines, in case it might help anybody out some day: what we’re dealing with is Preterm Premature Rupture of Membranes, or PPROM, with triplets at 18 weeks. I had another ultrasound yesterday just to check the heartbeats (because with three, they just can’t use a doppler because they can’t be sure who they are hearing), and all three were still okay. I also had a blood test yesterday that was fine, and my temperature and blood pressure have been checked a bazillion times with no sign of trouble there. (My BP was actually downright normal, so yay for medication and resting.) The fluid leak hasn’t stopped but it’s slowed down, with no distressing color or other changes. I am not having contractions or cramps or any other real pain. The doctors said yesterday morning that if I remained stable, they expect to release me home today.
I haven’t had a chance to ask the doctors about trying to stop preterm labor if it starts, since seeing Emily’s question. However, we did discuss the possibility, if I do go into preterm labor on my own, of delivering Baby A only and then medically interrupting the labor and keeping B and C inside longer. This doesn’t happen a lot, but it isn’t unheard of; there are some potential benefits for the overall outcome for B, C, and myself. However, it’s definitely not a sure enough thing for them to induce me in order to accomplish this outcome. Right now I’ve got no indication of labor being imminent. As I said, no contractions – maybe one BH yesterday, and it was a mild one. During Monday’s pelvic exam they took a look at my cervix, which the MFM described as not completely closed, but not really dilating like it would in labor. I expect they will take another look before they send me home?
Baby A: Without the fluid, his lungs won’t be able to develop sufficiently for survival outside the womb. He’s still producing fluid, and sometimes with PPROM the hole does heal and the amniotic fluid does build back up. It depends on the nature of the rupture, from my understanding. However, the MFM (who is not Dr. D that I saw a couple of weeks ago, but who we do rather like) doesn’t have a lot of optimism for our Baby A. With the most likely cause of the rupture being weakening from stress on the uterus because of the demands of three rapidly growing fetuses, it doesn’t seem like the type of trauma that will be able to successfully heal on its own. Speaking of the doctors’ lack of optimism for A, the personal dynamic of yesterday’s ultrasound was, uh, lacking. Some intern or something finally came in to check the heartbeats at 4pm, though I’d been told it would happen some time after breakfast. He was the first person here who was genuinely lousy. Didn’t introduce himself or ask how I was feeling; he muttered the heart rates as he found them, and then when he had gotten all three, I said “So they all look fine for now?” and he replied something like “Well, they probably told you, since Baby A doesn’t have any fluid he probably isn’t going to make it.” Ok, thanks, Mr. Sensitive. We understand that. We just barely heard the numbers you said, and we don’t really have a lot of context to go by.
I have occasionally been feeling non-constant, slightly painful pressure sensations about where A is located. It is most noticeable with a freshly empty bladder, or when I am lying down and shift position certain ways. I keep wondering if what I’m feeling is A moving around without the cushion of his fluid. The thought of him in distress is pretty difficult.
This, for some irony giggles. Levity is good, right? This blog seems to attract lots of robot spam comments, which are all intercepted automatically by WordPress for me to delete. I found this one from yesterday entertaining, though:
CLOMIPHENE is a fertility drug used to increase the chance of getting pregnant. It is used to help women ovulate (produce a mature egg) properly during their cycle. Compared to other fertility treatments, clomiphene alone does not greatly increase your chances of having multiple babies. An increased chance of having twins may occur in roughly 5 out of every 100 women who take this medication. Occasionally clomiphene is prescribed to men with fertility problems due to low sperm counts.