26 weeks, 6 days

After three weeks in the hospital, three close calls of going into preterm labor, three rounds of magnesium sulfate for 12-24 hours each, and one more steroid shot for the babies’ lungs, I went into preterm labor officially at 26 weeks and 6 days. The contractions had come back and I could feel finally feel them, and feel them pretty consistently. My water had broken a couple days prior, so it was only a matter of time.

The whole thing was surreal. I’d had a feeling that the time was coming. That as much as I wanted to make it to 40 weeks, or even 34, something in me knew they were coming before that. But when the moment came I couldn’t believe it. I wasn’t ready. This wasn’t supposed to be the time.

I’d wanted to have a vaginal delivery, but Baby B was breech and, because they were younger than 32 weeks, they would not deliver the baby breech, due to hospital policy. The risk is too great to attempt at that age. Part of me wondered if, after delivering Baby A (who was head down) Baby B would turn around, but the uncertainty was too much for me, especially knowing that if he didn’t turn I’d have to be whisked away for an emergency c-section. After lots of consideration I just opted for a c-section for both of them. That was a hard decision to make, but I felt it was the right decision, and every time I think about it, I’d still make the same decision, given all the variables at the time.

An entire cascade of events happened the morning of the delivery, from me reporting my increased contractions, to finding out I was 7cm dilated, to the actual c-section delivery. It was overwhelming. I was so nervous and anxious I was making myself ill. Luckily I had my midwife, my doula, and one of my friends who had just happened to stay with me that night at the hospital. The three of them helped me come to terms with what was happening, and I found the strength give the go ahead for the c-section.

Given their age, just shy of 27 weeks, we didn’t expect the babies to cry or move much when they were delivered. But when Baby A came out, he came out screaming. Everyone rejoiced and all I could do was cry out of happiness. He sounded so alive. When Baby B was delivered, he screamed as well. Their screaming brought me so much joy and relief. My midwife was crying as well, and reporting to me what was happening with the babies as they were being taken care of and prepped for the NICU. They were moving and kicking and just so full of energy. They were both around 2 lbs (Baby A a little less, Baby B a little more).

They were ok.

In the weeks since, I have thought a lot about 26 weeks and 6 days. Some days I lament the fact that I couldn’t make it farther than 26 weeks and 6 days. That my body wasn’t able to do the one thing I had dreamed about for so long. That I couldn’t carry the babies as long as they needed. Some days I feel like my body failed me and that I failed the babies. Some days I miss being pregnant, especially because I should still be pregnant. I’m supposed to be pregnant right now. My babies should be with me, in utero, not away from me in the NICU…Some days are very hard for these reasons.

Other days I feel like it was a feat that I made it to 26 weeks and 6 days. The fact that after being told at 16 weeks that my cervix was extremely short and that I should be prepared for delivering at any moment…the fact that I made it almost 11 more weeks seems amazing. My body carried those babies almost 11 weeks more than the doctors thought I could. My body carried them to the threshold of viability and beyond. Four doctors, at separate times, told me that what happened was a miracle. That, being honest, they didn’t think I would even make it to viability, which was 24 weeks. That the fact that I was dilated to 4 cm, and stayed that way for almost 2 weeks was completely unexpected. Every time they came to check in on me during rounds they were always so excited and happy that I was still pregnant. They genuinely couldn’t believe it. My midwife, who is honestly one of the most positive people I have ever met, told me that while she hoped I’d make it past when I first entered the hospital at 23 weeks 5 days, she genuinely wasn’t sure how long I would go, that sometimes she was unsure I’d make it much past that. She tells me often that this was my doing – the babies being born at 26 weeks 6 days and not before was all my doing. The babies being born at 26 weeks 6 days and doing well in the NICU was all my doing. Some of the doctors have also told me this. On these days I don’t feel so bad, and actually feel good about things.

So now I am a NICU mom. Transitioning into the role of NICU mom has been challenging, and there is a long road ahead for the babies and me, but I am glad that we made it as far as we did in the pregnancy. For how things could have been, I am glad we made it to 26 weeks 6 days.

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A first time for everything

Today was my first IUI and I’m still a little in disbelief.

I’ve been in my thoughts a lot the past few weeks as I prepared. Lots of emotions were coming up for me about the process, emotions I’d tried to put away a few months ago. I was trying to manage the feelings of excitement and optimism, with anxiety and realism. The fact that I have adenomyosis, and therefore a higher risk of miscarriage, makes this a bit tricky, especially because there’s no way to know to what extent it will impact my attempts. It could either impact the process severely, or have no/minimal impact. Also, knowing that, because of that fact, a positive pregnancy test doesn’t mean it’s a done deal. This is true for everyone, but especially true with regard to this condition. So it feels like I wouldn’t be able to give a sign of relief until I was at least 32 weeks. That’s been challenging to sit with. To deal with it, I’ve been trying to be a realist about the process (with an emphasis on “process”), but I felt like it was masking what optimism and positivity I should have. On the other hand, I didn’t/don’t want to be so optimistic that, if a negative test result comes back, and if more than once, I’m not overly disappointed or devastated.

But can you really prepare for that? Can you really prepare yourself for disappointment? Should that be the focus?

I realized it shouldn’t be, at least not to the degree that I was letting it. Right now I’m just going with the flow. Letting what happens, happen, as best as I can.

I was on Clomid last week. That was an experience. My dosage wasn’t that high, but I felt the effects after the first day or so. I don’t normally have emotional PMS symptoms, or rather, it’s never really been to the degree that I notice it, but the Clomid was a different story. Extremely tired, irritable, sudden mood swings…That was fun.

So now, the two week wait.