One day at a time

Thanks to you all for your support during this amazing and scary transition.

Right now I am full of excitement, desperation, anxiety, happiness, fear, and pure love. I can’t say I’m getting into the groove of this yet but I am continuing to take one day at a time.

After the results of the Harmony test and 12w Nuchal scan we took a few days to enjoy the knowledge that everything was looking good. Nacho was actually measuring four days ahead so they have changed my due date to reflect his new size. We have lost four precious days of this pregnancy as a result. Today marks 14w5d and I am in utter disbelief.

I attended my first antenatal midwife appointment shortly afterwards, at the hospital we decided on. I had been preparing to be treated like a normal pregnant woman, thinking they wouldn’t pay much attention to my history now that I have officially graduated from the recurrent loss clinic. But what came out of the appointment couldn’t be further from what I had expected. After a thorough Q&A and check of the relevant vitals it was determined that based on my RPL history and current clotting disorders, my family history and the list of drugs I’m on, I tick all the boxes for preterm labour and other complications and will be treated as a high risk case.

It was explained to me that all the choices I was previously told I would be able to make surrounding labour and birth have now been removed and that I would give birth in a labour ward under the conditions agreed with our consultant. This doesn’t really bother me, but I did wonder if they have had many RPL patients because BIRTH is the LAST freaking thing I could possibly even think about right now, I can’t even think about next week.

I’ve also been warned that I am likely to require a cervical stitch in the next few weeks, something I was not expecting. I will do anything if it helps.

Since that appointment I have already been seen twice (and got to see Nacho again – bliss)and will continue to be seen once a week by the midwives and various consultants for cervical exams, blood tests, and additional scans for Nacho. It is a bit overwhelming to be so thoroughly scrutinised but I am so appreciative. Anxious but appreciative.

Otherwise, nothing has really changed for me since the day one. I am still fundamentally terrified Nacho’s heart will stop beating one day and I will be able to do nothing about it. I wonder if that fear ever goes away.

But as DH and I move forward each day with trepidation, Nacho couldn’t be more oblivious. He is growing fast. His presence is showing now and each day it feels like the bump is getting bigger. Well I guess that is how it’s supposed to work. His growing, as happy as it makes me feel, also fills me with anxiety as I know I will need to address it with the outside world soon. This is something I am most definitely NOT prepared to do.

I have always hoped that I could just exclaim at the end of this “hey guys look what I found!” and point to a little person that (hopefully?) bears a resemblance of DH and me. Can’t I progress through this without having to tell anyone?

No one knows except for you guys and one IRL friend. Why don’t I want to scream it from the tree tops like everyone else? Why do I panic when I think about telling family, work, the few friends I have left?

1) Telling people makes it too real. If it’s real then something bad could happen. Again. If the universe doesn’t notice I might just squeak through unscathed. Stupid but pretty accurate.

2) The more people who know, the higher the expectation will be for me to go back to being the person I was before all the sadness. Many people have intimated they are just waiting for me to “snap out of it”, to be cured by finally having a baby. A baby isn’t just going to cure the sadness and heartbreak we have experienced over the years. I’m sure it will take the edge off, but I will carry my lost ones around with me forever and I don’t know if I can ever be the same person again.

So for now we have decided to lay low, to keep quiet a bit longer. It feels better that way. I can still try to enjoy this pregnancy even if no one else who knows about it. But I will have to tell work soon. I can barely think about that. Today I’m just going to focus on making it through today.

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I can’t believe this

I can’t believe I’m writing this post but unbelievably, remarkably, I can report today that all is well.

The results of the Harmony test came back 1/10,000 chance of Edwards, Patau or Downs. The Nuchal scan confirmed that so far everything is ok.

And little Nacho is a wriggling, gesticulating, kicking little boy!!

We are both so overwhelmed with emotion at the moment. We never ever thought we’d actually get here. There are still many hurdles ahead but just having reached twelve weeks is massive blessing to us. Whatever happens going forward we are just so so thankful to have reached this point.

I’m going to go ball my eyes out now. I promise to write more later.

Thank you to you all for your support and encouragement. It has helped me more than I can ever articulate. xx

Graduation

Thank you so much to everyone for all your well-wishes, especially to those who stopped by to check on me the last few days. I apologise for the radio silence. Work has been crazy for the last two weeks which has been a blessing in a way because it has taken my mind off constantly wondering if Nacho is ok in there. But working through the weekend and into the evening isn’t really what I had in mind. I’ve been sick as a dog with the flu for a week on top of things and fatigue has taken over my life. That’s pretty much the only thing that reminds me I’m still pregnant.

Most of my symptoms and what little nausea I had has stopped now so I have nothing to tell me Nacho is actually ok in there. That’s not normal is it? I don’t know, we are entering into unchartered territory here.

When symptoms stop is when alarm bells go off in my head. That’s when things went wrong before at ten weeks. So when I mentioned my feelings to DH he immediately suggested we get a scan to put my mind to rest. So we got one last week and it was worth every penny. I was quite nervous though and my heart rate was visibly elevated and as a result so was Nacho’s. It never occurred to me that our heart rates would be linked. This really hit home. That my stressing directly affects little Nacho.

The sonographer was very pleased with Nacho’s progression. DH keeps telling me that he’s just trying not to worry me and is just quietly growing and ticking along. But really Nacho, I wouldn’t mind a few signs here and there, you know?

Last night was our 10w scan and the Harmony test. This isn’t covered under the NHS so we’ve gone privately for it. I know this test is called all sorts of things in other countries but it’s basically a non-invasive blood test to tell us whether we are at a risk of chromosomal abnormalities like Downs, Edwards, Patau. When read in conjunction with a nuchal scan it’s supposed to give a highly accurate assessment of risk and should help make decisions whether to proceed with amnio or cvs. We decided to get the test and nuchal scan done at the same clinic by the guy who invented the combined test because we ultimately want to do neither amnio or cvs and figure if we have to pay for it we might as well go to the best.

We find out the results in two weeks when we have the Nuchal scan. This scares the crap out of me. The thought of being told Nacho might have a 5-10% chance of surviving beyond the first year fills me with horror. I don’t like statistics, I don’t have much luck with them. But I’m getting ahead of myself. I’ve promised myself not to worry about things beyond my control right now, for Nacho’s sake. I’m going to stick to that plan. I don’t want to cause Nacho any unnecessary anxiety. That little heart needs to keep beating peacefully.

What a difference a week makes. Nacho has gone from a blob on a screen to a bouncing, kicking, stretching, waving, smiling person. It was the craziest thing I’ve ever seen. We never expected to see that yesterday and were brought to tears by the sight. Yippee!!

This morning we had our regular recurrent miscarriage EPU check up where we were discharged. The thought of finally graduating from that miserable place made me giddy with anticipation. We have officially surpassed all previous pregnancies in terms of gestation at this point. Scary unchartered territory but I feel ok. Passing my due date a few weeks ago was so hard but things are lightening up.

Now I just want to relax. I don’t want to make any decisions. I don’t want to have to chose a hospital. I don’t want to have to decide what my treatment plan is going forward. I don’t want to have to choose whether to have amnio or cvs. I just want to lay low. These first 10 and a half weeks have all been such a rollercoaster and I am exhausted.

One thing is for sure: I can’t wait to get off this prednisone. Don’t get me wrong I am thrilled that it seems to be helping and would do it again a million times over but man do I feel terrible on it. My face has recently swollen up and I can’t sleep no matter how tired I am. Two more weeks to go.

On the plus side, doing clexane injections everyday has become very routine and they don’t bother me at all. I’m quite impressed with myself that I’ve been on top of it enough not to have skipped a single medication or supplement so far. I hope I can keep it up.

I don’t know what did it this time but between the Intralipids, LIT, Clexane, progesterone, prednisone, aspirin, Chinese herbs and pre-conception supplements and routine something seems to have clicked. I don’t care what it was that worked as long as it keeps working. Grow Nacho grow!

Nacho lives

Today was The 8 Week Scan guys.

I was really quite freaked out again. I had gone about 3-4 days without ANY symptoms last week so I was convinced there would be nothing in there. This rollercoaster is so knackering.

But Nacho’s heart was beating away and he/she was measuring bang on. It was so crazy to see. It was also crazy to hear a heart beating for the first time. We’ve only ever seen it. But hearing it is completely mental.

More tears, more high-fives, more sighs of relief. Today was a good day.

I had high hopes today. I took it as a sign that of good things to come because Nacho Libre was on tv today. What are the chances of that? The universe is sending me a sign!!!

So what did we do to celebrate? Went for a Mexican lunch! Little milestones. Little steps. I’ll take whatever good stuff I can get right now.

The weeks to come terrify me. I have a another scan on Wednesday but I’m hoping to keep it together for that. Wednesday though is also my due date for Sweetpea #5. This one will hurt more the rest I expect since it was the one that made it the furthest. The one we had the most hope for. I want to bury myself in my duvet and make it all go away.

The next big milestone is The 10 Week Scan. Because we lost SP#5 at 10 weeks I know I’ll be terrified going into it. But I realise there’s nothing I can do now but wait and see. More waiting. More hoping.