Showing posts with label IVF. Show all posts
Showing posts with label IVF. Show all posts

March 31, 2016

Life with Twins + 1: Long Overdue Update

So I don't know whether this blog continues to get any traffic, but it suddenly occurred to me that there should be an update of sorts.

Our twin boys Quinn and Liam were born at 30 weeks and 4 days (10 weeks early) on December 29th, 2014 after a very complicated pregnancy. I had TAPS (Twin Anemia-Polycythemia Sequence), which is a rare subset of Twin to Twin Transfusion Syndrome. This started developing at the 16 week mark of my twin pregnancy, and I was monitored fortnightly with ultrasounds until 24 weeks, then it was weekly, several times a week and DAILY by the end. I wasn't admitted early to hospital on bedrest purely because of 3 year-old Rowan at home. But I did spend half of my day at the hospital by the end of it.

Being a mother to premature twins was confronting and our boys spent 6 weeks (Quinn) and 10 weeks (Liam) in the NICU, followed by Special Care Nursery. Liam was diagnosed with Neonatal Chronic Lung Disease and spent eight months on home oxygen before being weaned from it in August 2015. Quinn suffered a minor brain bleed (IVH)  in the early days after birth but scans have showed that there is no longer any evidence of a bleed... phew!

Both boys are now 15 months old (12.5 months adjusted age) and are currently walking, learning to talk and being extremely cheeky to 5 year-old brother Rowan, who continues to adjust to his life being turned upside down by twin toddlers on a daily basis.

4 days before I delivered our twins (30 weeks exactly here)
Liam and Quinn shortly after birth, TAPS confirmed upon delivery via emergency c-section.
Leaving hospital for the last time, 10 weeks later!
3 months old (Liam is on the left in all pictures from here down)
6 months old
8 months old
10 months old
Happy 1st Birthday!
14 months old with big brother Rowan at Easter 2016
While I don't really update this blog regularly anymore (it was there for me back when I needed the outlet), I post regularly on Instagram as Aurian82. If by some chance you're reading this and want to connect, you can find me there. xx

July 19, 2014

7 Weeks... it's TWINS!

Yesterday we discovered at our first ultrasound that there are in fact TWO babies on the way!
On the trip  home from the scan Matt and I started discussing the logistics of not being able to fit three child/baby seats across the back of our car and what that would most likely mean for our family (I don't like driving huge cars/4WDs), double prams, and will we ever get any sleep again after the babies are born?!
However, it's all so far away (and yet.... it isn't!) and as we're both thinkers (as opposed to do-ers) it's time to start talking about it. Then there's the fun part of coming up with extra baby names (squee!) and deciding such things as finding out the sex of the babies before they're born. We were leaning towards waiting until birth to find out had there been one baby, but now that there's two we'll probably find out for practicality reasons. Not that I'm displeased with that, unconsciously I think I probably wanted to know anyway.
Three children when both Matt and I saw our family with two? If this all works out, we are definitely done now!!
So here is what we know so far:
  • The babies are identical
  • Our single embryo split into two before it implanted into my uterus (basically a 48-hour window between the embryo being thawed and implantation beginning)
  • Each baby has their own amniotic sac (a VERY good thing, I'm so relieved!)
  • The babies share a placenta (so there is a potential risk of twin-to-twin transfusion syndrome developing, worst case scenario)
  • My due date is still in early March, but it's likely that they could come in Jan/Feb, depending on how everything goes (scary...)
  • I'll be monitored more closely because of the twin pregnancy, mostly through ultrasounds (which could be as often as every 2-3 weeks)
  • This will make one heck of a pregnancy scrapbook!
When it was all sinking in yesterday (put it this way, Matt's initial responses to the ultrasound technician telling us that the embryo had split and there were two babies was a loud "OH SHIT!", and I could barely say a word except for muttering "TWO! ..... TWO! ..... TWO!"), my best friend gave me a good laugh. She said that the weakest of our embryos (as I called it, this one took 6 days to get to the 5-day blastocyst stage suitable for freezing) thought "I'll show them..." and went above and beyond the call.
And indeed it did! It also made me realise that this little one decided upon the stealthy 'divide and conquer' approach to survive, so now I have dubbed their collective tummy name as 'The Overlords'. No peas in a pod around here, that's for sure!
(and it's amused me today because I can throw random comments into the conversation such as "the overlords are hungry" and "the mission for uterine domination continues". Ahh, small things :P)
So here they are, meet the Overlords, both measuring at 6w5d (Rowan always measured two days smaller also).
In the picture, you can see one yolk sac in front of the other (the circles in the middle), with a baby at the top and bottom.

July 4, 2014

5 Weeks Pregnant

After using the last of our four frozen embryos (from 2010), a very straightforward transfer followed and the wait to the pregnancy blood test begun. 

There were a few things we did differently this time which may or may not have contributed to finally getting that elusive implantation:

  • Acupuncture (immediately before and following the embryo transfer)
  • Progesterone support (400mg pessary, twice daily)
  • Dilatation & curettage (D&C) in the month prior to our transfer cycle 
  • Herbal support from my naturopath (I have a post-transfer mix that I take 3 times daily)
  • Keeping a consistent body temperature (no super-hot showers or very cold foods/drinks for 5 days following the transfer; blastocysts are temperature-sensitive)
  • Taking it easy (no heavy lifting)
I'd like to hope that one or several of these things tipped the scale in our favour (or simply, that what we thought was our least strong embryo - left until last - was the one that actually came through for us). 

I am on progesterone support for rest of the first trimester and while it's a bit yucky, if it means a healthy pregnancy for the next couple of months then I will gladly continue it.

I found out about this pregnancy at 6dp5dt, I had a temperature shift (37.3C from 36.8C) following a day of mild cramping (I put this down to implantation in hindsight) and woke up in the middle of the night with a rapidly beating heart and sense of something being 'different' in my body. This intuition was pretty much how I realised I was pregnant with our son (now aged 3) so immediately recognised it. I got up and took a test... and sure enough it was positive!

This wasn't the original in-the-middle-of-the-night test, but
instead one I took the next day to confirm BFP.

Normally I wouldn't test so early during a FET cycle but the signs were too strong for me to ignore. I am sensitive to HCG and have a strong sense of what's going on in my own body. In our other (unsuccessful) transfers, there haven't been any moments like this, just continued failed cycles after 5, 6 or 7 days post-transfer (another reason I pushed our IVF specialist for progesterone, following self-research). 

I have had two blood tests recently - one at 10dp5dt (15DPO) and another at 16dp5dt (21DPO). The first came back with HCG=198 / Progesterone=128. The second showed HCG=1600 / Progesterone=100. I have one more blood test in a week's time, and then our first ultrasound (!!) booked for 7w0d to confirm sac and heartbeat etc.

In the meantime I'm continuing to parent our three year-old son while starting to get hit with tiredness (hello Nana nap!), queasiness in the afternoon and growing breasts (I'm small up top to begin with so changes there are generally pretty obvious). I've taken a 'beginning' belly picture but won't post it just yet until I've got something to compare it to - last pregnancy I took pictures weekly but this time I think I'll do it every two weeks (or at least in the earlier stages).

My due date is March 5th, 2015 (two days shy of my 33rd birthday). :)

June 29, 2014

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June 14, 2014

FET #4

After my surgery last month in preparation for our upcoming Frozen Embryo Transfer (the fourth one since November 2013), we're getting ready for transfer day this week.

The surgery itself went smoothly with little recovery time and, after the effects of the anaesthetic were out of my system, I felt back to my usual self. The last time I had a D&C (dilatation and curettage) was back in 2008 along with the diagnosis and partial removal of endometriosis, and the recovery time was a little bit longer so I wasn't sure what to expect this time around.

Ready for surgery, supportive husband is tired.

I started taking progesterone a couple of days ago (the first time I've had medication as part of a FET cycle) as my cycles are on the shorter side. My IVF nurse and our specialist agree that my body might be getting ready for a period before our embryos get a chance to implant properly and start pumping out HCG. So here goes nothing, hopefully progesterone is the last piece of the puzzle in our failure to conceive through FET cycles so far. In comparison, the cycle that our son was conceived in was an IVF stim cycle (with progesterone support in the second half of the cycle).

So far so good in terms of the hormones, I've been slightly crampy for the past 24 hours (like in the lead-up to a period) but nothing major. Hopefully I don't get too many other uncomfortable side effects with it, time will tell.

Next time I update will hopefully be news of a successful embryo transfer in three days time!

May 30, 2014

Scrapbooking Infertility and/or IVF Journeys

Here's the thing about scrapbooking... most of it is about showcasing happiness and contentment. I've fallen victim to this too in the past - it's easier to put on your rose-tinted glasses and write/create about what makes life great.

But what about the aspects of life that aren't so great? In my personal case, I'm talking about loss, infertility and IVF. Back when we were trying to conceive Rowan, I didn't include our infertility journey in any of my scrapbooking. I kept this blog (private at the time) as a place to get out all of my feelings about the process, and in my eventual pregnancy album made a single page where I chronicled the path we took to where we ended up:

(click image to see more detail)
In reality, the journey to conceive a child could have very much been a separate album. It might not have been the most positive album in parts, and over time I've learnt

May 15, 2014

FET #4 Preparation

Looks like we're about to start again! Saw the IVF specialist today and I'm booked for surgery in 4 days (a curette) to clear everything out and encourage positive immune response to embryos. It's all a bit over my head at the moment and very quick turnaround time, but at this point in time we'll give almost anything a try once to get my body in peak condition to welcome an embryo!
For more information about what we are trying and why it was suggested by our IVF specialist, see this article. Essentially, the point is to injure the endometrial lining so that the body rushes immune cells to the area, therefore giving the uterus a boost or so to speak. There have been some interesting studies about the positive effects these procedures have on women experiencing unsuccessful IVF attempts, I've discovered today. The effect of the immune cells lasts around three months too.
Interestingly, we got stats on the embryos transferred so far... 1 x B grade and 2 x C grade (transferred in that order). This last embryo? It's running a little late but got to being frozen in the end. Running late? Sound at all familiar? ;)
(for the record, Rowan's embryo was an overachieving early one... traits just like Matt!)
I also pushed for progesterone in the second half of my cycle (as recommended by our IVF nurse) and got a prescription for that too. So while I've prided myself on having 'natural' cycles so far, it's time to throw a little more at it and see what happens...

May 9, 2014

Another Negative FET Cycle

We lost another of our precious embryos this morning. To say I'm disappointed would be an understatement. With every embryo that I don't get the chance to grow and nurture beyond 10 days brings us one step closer to the realisation of potentially undertaking more full IVF stimulation) cycles.
We have one remaining frozen embryo left from the cycle that Rowan was conceived in, and have an appointment with our IVF specialist next week to talk about the next step (probably some progesterone support for the second half of my cycle). Years earlier, when pregnant with Rowan, I mused over one of those embryos joining us again one day, a special 'twin' (conceived in the same month) but born years apart. I always thought that was cool. With each loss we have, I feel sad that this might not be the case.
Can I even call these unsuccessful cycles 'losses'? It feels almost like a mockery of those women who carried babies for much longer. I'll never know whether any of these three embryos kept growing, tried to implant into my uterus or even started forming foetal/placenta cells.
If there is one thing I'll care to admit though, it will be that I'm glad every embryo we have had thawed so far has done so successfully... and all have made it home to within me once more.

April 17, 2014

FET #3

We signed the paperwork to begin FET#3 yesterday, after a break since January, when we unsuccessfully had FET#2 (a break well needed due to emotional reasons). Two frozen embryos remaining, fingers crossed that one of these is the sticky one...

I saw my naturopath during the week, I always feel so empowered after seeing her because she is like a doctor, natural health practitioner and psychologist all rolled into one. She listens to what I've got to say, asks thought-provoking questions and is all-round a great person. In the time I've been seeing her (on and off since 2009, when I was seeking advice following my endometriosis diagnosis and related cycle problems), I've been pregnant once, she twice and between us we have three beautiful, healthy boys. I met her eight month old at my most recent appointment, he's such an engaging little creature (the 6-8 month stage is one of my favourite baby times, despite it being teething time; I love the developmental leaps that happen then).

Anyway, I'm getting sidetracked (see, babies will do it to me every time!). I'm now on a course of herbs (slightly altered from the formulations preceding it) very similar to what I was taking when undertaking IVF first time around with Rowan but, rather than targeting egg quality this time around, it has to do with progesterone support (for implantation and healthy placenta formation). I'm getting some blood tests done over this weekend to see where my progesterone levels are at, as I've been having some funny-looking cycles this year - mostly very short ones, but with equal time between starting, ovulating and starting again. So rather than it being a short luteal phase potentially causing inadequate time for implantation (which was one of my initial fertility hurdles, it has naturally sorted itself out after my periods returned when Rowan was 7 months old), there might be something else going on.

To be honest, it frightens me a little that there could be something else lurking beneath the surface. Last time around, sure - we went through a lot before the initial IVF stuff - but we were successful pretty early on with that. This time? There's a 60% chance of success every time we go through a FET using our embryos, and so far we haven't been on that side of the figure yet. If this cycle doesn't result in a sticky embryo, I'm going back to our IVF specialist attached to the hospital in order to seek advice before we use our last remaining embryo. Personally, I'm hoping that there's a simple (ha!) explanation to not being able to fall pregnant this time (we haven't been preventing pregnancy since Rowan was 6 months old... and he is 3 now).

If I have to go through another full stim (IVF) cycle I think I'll cry, I really will. And yet, I'll push through... because I can't dwell on what isn't, simply what is. I haven't found peace with that yet, but perhaps in time I will. And hey, maybe a little more positive thinking on my part wouldn't go astray?

November 23, 2013

Embryo on Board

So this happened today....


Today was the day we used one of our four frozen embryos, created during the same IVF cycle from 2010 that Rowan was conceived within. Luckily for us, the first attempted thawing worked and we still have three in storage (1 x B-grade and 2 x C-grade; Rowan's embryo was an A-grade). The photo of the embryo in the bottom right was the one transferred, it looks lumpy and doesn't fill the whole cavity (despite being an expanded blastocyst) because it was still rehydrating at this point. The embryologist assured us that it was already looking good and doing everything that it should.

It's been a long month in terms of additional testing and appointments, trying to get everything lined up in order for the FET (frozen embryo transfer) to take place. And now I wait... wait until December 4th for a blood test to find out whether or not we'll get an early Christmas present. ;)

October 21, 2013

Let's do This!

Appointment with the IVF specialist who did the egg retrieval in the (stim) cycle that led to the conception and pregnancy of Rowan on November 1st.

Coincidentally also our 5th wedding anniversary... let's do this!

September 30, 2013

My Brain Has Turned into a Mush of Peppa Pig

I’ve been in Hobart, Tasmania for the past few days (and got home on Saturday) and though it was fun and
had moments of relaxation, it was hard work too. Travelling with a toddler isn’t relaxing in the slightest and while we’ve persevered twice this year (Sydney in March and then Hobart), it isn’t something I’m keen to do again in a hurry.

I’ve also looked back at my patterns of my blogging/writing this year and realise that as my down-time (as a parent) has diminished, so has my writing. Completely understandable – I get it now – being so exhausted by the end of the day can make the outpouring of words seem like a chore. During the moments of calm and relaxation, I find that my words all seem to go ioedbnoeboetisnmorkaesmontlwhmoup56m together (not a slight exaggeration) and any eloquence I once possessed has vanished, to be replaced by the rhetoric of entire episodes of Peppa Pig. For my own mental health I need to get back into this.

And when it does come time to write... what do I say? When I feel a little unsure about things, I prefer to keep it trapped in my mind rather than blurting it out to an audience (even myself), because that makes it just seem more real. As for now? A lot of negativity in my mind, mainly linked to insecurities about parenting and control issues/power struggles. Rowan dropped his day sleep around the same time that he weaned from breastfeeding, then has been ill for the past two weeks (finally coming good at the moment). I’ve felt him easing back in his affection towards me at times (or at least that’s how I feel) and it’s all about Daddy of late. There are continual tantrums, many of which are linked to overtiredness and the refusal of a nap, and then I feel myself losing control of my level-headedness and just want a few minutes to myself without the tears, screams, pushes or the dreaded ‘limp noodle’ position. So I feel a bit inferior as a parent at the moment, which has spilt over into my teaching days and I find myself second-guessing what I do both at work and home, losing confidence in both areas. As a professional I feel underappreciated (and have for most of this year, but have already written about this before), and yearn for a sea change, but know that it isn’t to happen until the end of next year (I want the redundancy and parental leave payments, both highly lucrative and enough to encourage me to keep going). Part of me wants to be pregnant as soon as possible to have an easier pathway out of teaching, the other part of me knows how much I’m struggling to be the parent I want to be right now and that pregnancy might compound things. And then there’s infertility, IVF and that opens another can of worms completely.... ugh! When did life as an adult become so complicated?

But that’s not to say that life doesn’t have its moments of joy. Laughter, cuddles, food, sunshine, photography... all good things (but overshadowed by the trappings of my mind at times). I want to share some photos about the positive things, as I don’t want to forget them...

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This is me... a hair update (I'm in a red phase at the moment)

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Trucks and sand on our balcony.

 photo 09-18-2013_rowan-hat_zps818a89c9.jpg
Playing with my dragon hat before a work dress-up day (and Rowan's artwork on the fridge)

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Scenes from my hubby's parents' house in Hobart, Tasmania.

 photo 09-26-2013_hobart-sponge_zpsff73de8c.jpg
My attempt at a strawberry cream sponge. Tasted brilliant if I say so myself. ;)

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Matt and I (before the hair transformation)

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Rowan and Matt at The Aproneers, a great organic and sustainably-focused store and cafe in Hobart.

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Jumpers that are way too big are fun. ;)

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And crazy bed hair is pretty fun too!

January 16, 2013

My Pregnancy Scrapbook [in Full]

I've made this post public for two reasons: 

1. To share with my family and friends who have listened to me talk about this project for a long time now; and

2. To inspire anyone who happens to find this post through search engines that there are many ways to document a pregnancy, and digital scrapbooking is one of them. :)

Just after Christmas, I finished working on my pregnancy scrapbook which had been over two years in the making. I taught myself digital scrapbooking when I was pregnant with Rowan so that I could undertake this project, and when I look back over my earlier layouts to the more recent ones in the book, I can really tell the difference. I thought about remaking a few of them before printing, but resisted the urge because I have memories associated with these earlier pages. So instead I tweaked the shadows and fixed up any glaring mistakes, and sent it all off for printing.

I printed with an Australian company called 123Cheese, as I had a coupon I'd bought earlier during 2012 with this purpose in mind. Basically, I got a $100+ project printed for $30, including postage/shipping. I was impressed with that, and had printed with the company before (photobooks, not digital scrapbooking projects) so I could vouch for their printing quality. Blurb are another printing company that I recommend, their quality is phenomenal but they are more expensive (you can search out coupons online pretty easily though, there are generally 15% coupons floating around; even up to 25% off before Christmas).

Anyway, back to the book... it was quite literally a labour of love and although I've shared pages here and there from it before, I've never posted it in its entirety before now. So without further ado, here are some pictures of the printed book itself and all week-by-week layouts. Lots of text (mainly for me to look back on, plenty of belly pictures and all the things I deemed important to tell at the time. I've had people ask me if I'd go to this much "effort" for subsequent pregnancies and I've said no, though I'd probably do a more abridged version if time allowed.

Some of the text/pictures might be difficult to make out, but that's due to the compression and resizing. In the printed book, everything looks crystal clear - even the thin journalling fonts. :)

The book itself; hardcover and linen-bound, printed in 12x12".
Hand for size comparision!

An example of layouts in the book (weeks 16-17)

The printing quality is exceptional, though a stitch-bound album would have been lovely,
glue-bound was only available from this company.

Following the week-by-week pages, I have his (lengthy) birth story, and a spread of 10 photographs of Rowan's first week in the world

ONTO THE ALBUM!

To view all pictures at a better size, click on one of them and it will take you to a full-windowed gallery (displaying bigger than in this post)

Inside front cover



November 6, 2012

Mastitis

So after feeling yucky and terrible for over 24 hours, I started expressing yellow-green pus from my right breast after Rowan boycotted eating from that side. No wonder he wasn't interested in it. And no wonder I was feeling so ill. I've had my fair share of blocked milk ducts in the past (almost) 19 months, but this was in a new league... hello mastitis!

I chowed down on raw garlic, rosemary and hand-expressed what I could over an 18-hour period and, after hand-expressing milk several times last night and this morning (Rowan slept 11 hours straight), the lumps in my breast are a lot smaller and not feeling engorged/tight, and only mild tenderness remains. The red streaks across my breast are also gone today – and the colour of the milk is more normalised too. By tonight, Rowan fed normally off that side, so I’m guessing that the taste was back to his liking too. I haven’t felt so flu-like either so, while I wouldn’t consider myself in the clear just yet, I’m feeling a damned-sight better than I was 24 hours ago.

Rowan has been going through a pinching phase lately (not in anger/frustration, but experimentation; just touching skin and saying “ouch” – my breasts included. He pinched/pulled quite hard a couple of days ago, so I’m wondering if that had anything to do with what I have been going through?).

One of the women in our Mums Group announced that she is pregnant again (she is 11 weeks, her daughter is 18 months old and the youngest in the group; the rest of the babies are between 19-21 months old at the moment). I’m thrilled for her but understandably have a little stab of envy. While pregnant and parenting Rowan, it was/is easy for me to forget our fertility struggles at times... but knowing that more pregnancies are likely to be announced by the other ladies in the next year or two makes me a little apprehensive about our own next step. Yes, we want to have (at least) another child in the future, but I have no idea what form this will take. I don’t know if I’m strong enough to go through month after month of disappointment, or appointments, needles, hormones, medication, procedures and waiting. Oh the waiting. Yes, we were incredibly lucky to have conceived Rowan on our first attempt of IVF but who’s to say that we won’t be so lucky next time? Going through this all the first time I had nothing to compare it to. But now? Being older, wiser and with more life experience I know how hard it can be. And I’m scared. Even things such as riding the IVF rollercoaster and going to appointments without work/family knowing (ie, arranging care for Rowan) so at least we could keep things more of a surprise next time if/when pregnancy happens. 

August 20, 2012

Musings on Baby Fever

I knew it would happen at some point, that "baby fever" would kick in again at some point in time. I think that the catalyst at the moment is three friends giving birth in the space of a week (!), and seeing pictures of tiny, squishy newborns has my uterus going ahhhhhhhhh! 

Would I say that given everything the past sixteen months has thrown our way, are we ready for another child yet? No, even despite infertility hanging over my head (it's easy to live in denial when running around after a toddler and smiling when answering other people's questions of "so are you having more children soon?"), which is a potential ticking clock in its own right, the time doesn't feel right. The initial months of motherhood weren't kind to me, I beat myself up a lot at the time about a lot of things - my emotions, the transition from wife to all-encompassing mother, breastfeeding, sleeping, the decision to re-home our pet. This time last year I was just starting to see the light after a bleak few months despite the snuggles and awe-inspiring observations of baby development at its finest. I can't imagine going through this again at the moment, not with Rowan as a toddler. 

But having said that, maybe the next time around (if we're lucky to be pregnant again) I'll be kinder on myself, perhaps I'll relax more and go with the flow, knowing what the initial newborn stage can be like (rather than starting from scratch).

Rowan surprises and astonishes us everyday with the new things he's learning (quite often, Matt and I find ourselves looking at each other and saying "are everyone else's babies like that?!"; of course, we live in a bubble where our own child is a prodigy :P). Tonight as we got Rowan dressed after his shower I found myself saying "if you ever have a sibling, you've set the bar pretty high". 

And he has. I also know from many friends that rather than the love in your heart dividing when another child is born, instead it multiplies. And when the right time comes, what shall be will be.

February 13, 2012

Menstrual Cycles & Fertility After Baby

I’m in the process of returning to so-called ‘normal’ menstrual cycles following the birth of my baby.
After my post-partum (PP) bleeding (called lochia; it lasted 5-6 weeks for me) I didn’t have a period for seven months but begun to feel familiar stirrings in my uterus from about five months PP. I bled for a couple of days when my son was 7.5 months, and then again when he was 9 months old. Yesterday, out of nowhere (26 days after my previous bleeding; my son is 10 months old) my first proper period started... and boy, I wasn’t ready for that! I had forgotten how heavy they can be.

Lulled into a false sense of security, I thought that I might be one of those women who continues to bleed lightly during periods while breastfeeding their baby. Evidently this is not the case (my son has four breastfeeds a day, and 1-2 in the night, and has three solid meals). It was painful, though not as excruciating as I remembered. Perhaps natural childhood has changed my scales of pain now (or again, lulled into a false sense of security...!).

I’d been doing some research into whether you can take targeted pain relief medications while breastfeeding and most of my findings tend to be inconclusive. In the past I have taken naproxen for period pain relief, though the manufacturers don’t recommend it for breastfeeding mothers. A very small amount of the drug passes through your milk into the baby, but it is very small – about 1%. And in large doses (certainly not typical use) it can have effects on the baby’s digestive and intestinal tracts. Some women may not feel comfortable taking such a risk, but for me –with a history of endometriosis and very painful periods – these little blue pills have been my saviour through recent years. So I have decided to take them for pain relief even while breastfeeding. Now I’m not silly and don’t go above the recommended dosage (I have never really needed to in the past), but I think that’s more important now than it ever was. If pain relief over a 36 hour period (excuse the pun!) allows me to function throughout the day and look after my baby, then that’s something I’m definitely continuing. :)
So am I returning to pseudo-fertility? (remember that my son's birth was the result of IVF after endometrial scarring on the fallopian tubes made natural conception a very low possibility) Who knows, time will tell.
And I guess that's another thing too - if I was fertile and capable of becoming pregnant without the help of reproductive technologies - would we be ready for another child now? I hear many other infertile women (yes, I still consider myself infertile despite having had a child) say that they would be thankful for any successful conception and birth that came their way, but honestly... would I truly be ready now - with a 10 month old - to fall pregnant again now? No, I wouldn't be. If I did, I'd cry, laugh and get on with it. Would we consider IVF again right this second to increase the size of our family? Of course not. Yet I know women who would. Or women who are trying to conceive another baby when their babies are 18, 12 or even 6 months old!
We will have another child someday, but not in the near future if we lived in an ideal world where all our wishes were answered. And that's the truth.

April 24, 2011

Rowan's Birth Story (long)

Rowan (otherwise known as Manatee) came into the world peacefully. Whether this is a reflection of his future personality it remains to be seen, but his birth was what I can describe as a positive experience, and one I do not have any regrets or negativity about.


His birth story starts in the early hours of Wednesday morning, when I was 39 weeks and 1 day pregnant, around 1.30am to be exact. I found myself waking up from sleep with period-style cramps that weren’t relieved by using the toilet, walking around or anything else. It was a little odd because up until that point I’d been having only Braxton Hicks contractions, and no other early labour sign except it being the month of his due date that birth was imminent. Although, thinking about it now, my body had been progressively cleansing the bowel for the past week. Since I was also taking some liquid preparations from my naturopath I didn’t think much of it, as her brews often tend to have that effect on me anyway – so it remains to be seen whether this was a sign or not.

Back to the story. The cramping was creeping into my back during the early hours of that morning, and that struck me as unusual (as BH are on the front only). My Mum’s words also passed through my mind, as she said back pains were part of the beginning of labour onset in her pregnancies. As the hours passed, the cramping became more regular, and Matt suggested we time them – they were roughly 10-15 minutes apart, and lasting about 30 seconds at a time. Sleeping through them wasn’t really working, so I ended up spending some time online instead while the dark of night progressed into the morning’s dawn.

By 8.30am the cramping (which I was now identifying as contractions, as they had peaks and ebbs) was coming in 5-10 minute intervals and I decided to phone the midwives at my hospital to get some advice. They said that it might be the early beginnings or labour, and to keep in touch during the day if things progressed, and to finish any last-minute hospital bag packing. Come 10.30am the contractions had eased back again and were becoming irregular – disappointing because both Matt and I were starting to think that this was it and were getting a little excited! (note: I now know that it was the way I was leaning back into the couch that slowed down the contractions, throughout the labour leaning back in a similar way caused a distinct slow down of progress)

Disappointed, we went about the rest of our day with as much normality as possible - I did a little light cleaning, spent time on the computer, watched TV etc. At about 4pm, my body cleaned itself out one last time (I think that made six times that day!) and the contractions started coming swiftly once more. 15 minutes apart, then 10 minutes, and then 5 minutes! No longer could I sit through them, but was instead pacing around a lot, leaning forward and using the kitchen bench as support when they were intense. I decided that it was time to get Jesse looked after, in case we had to leave home during the night, and Mum and Chris came to get him. I was a little teary at this point in time, having a case of the self-doubts about labour and birth, and seeing Mum really helped my emotional state.

Tired after little sleep the night before, Matt convinced me to try and relax in bed for a little while and we watched a documentary on the laptop (I dozed in between contractions). I had two very painful ones in a row and found myself clinging to Matt, and a sense of warmth between my legs (by this point we’d had towels under me “just in case”). I waddled to the bathroom to find that I had lost my mucous plug and a fair leak of bright red blood with it – time to call the hospital!

They advised me to shower, put on a fresh towel/pad and wait it out for half an hour before coming in, which was easier said than done because immediately the contractions were ramping up (and I was a little hesitant – I’d had no bleeding whatsoever during the pregnancy). I made some time to quickly update online with the news while Matt was trying to rush me around and saying it was time to leave! Hey, did you expect any less? ;)

Luckily there wasn’t much traffic at that time of night (11pm-ish) and Matt was quite hasty in his driving with the 15 minute trip to the hospital (he made it in 10 minutes :P), despite me telling him we had ‘heaps of time’. I was taken through immediately to a birth suite, and genuinely surprised by how quiet and calm the whole area was – it turns out that there were no other labouring women there that night, I later found out. My blood/fluid leak was analysed and I was told by one of the midwives that I was “in the very beginning stages of early labour” and that I simply was having “a very bloody show” (bloody scary to me though!). I was told that they would admit me, give me Panadol and a mild sleeping tablet to get some rest, and would continue labouring in the morning.

Cue me feeling very disappointed! I felt like I’d really let myself down and I resigned myself to the bed after taking the offered cup.

However, it was impossible to get any rest, especially laying down and I continued to waddle around and eventually had another ‘show’ within a couple of hours, with quite a bit more plug. A second midwife wanted to examine it and quickly called the first woman back into the room, offering an internal check, which I took them up on. Imagine the visibly shocked look on the first midwife’s face when the second said I was dilated 5cm already and well beyond early labour – we’ll be having this baby today, she said (I *knew* it!).

For the rest of the early morning hours until the dawn, I spent time pacing and standing between contractions, and the bliss of the birthing bath. Matt was feeding me snacks for energy (bits of museli bar, soft jube lollies etc – eventually I didn’t want the water anymore though and went back to my pacing/bracing against a bench). And this is where things start to blur more – I now know that I dilated from 5-8cm fairly quickly and was stuck there for several hours, was beginning to drop into micro-sleeps between contractions (I remember weird lucid thoughts – also can’t place any now - combined with hallucinations and all sorts of odd things), and my obstetrician was called. I was made to lie on my back while waiting for him and that was incredibly painful – he was at the neighbouring hospital at the time and it took longer than expected for him to come in. From my records this was around 8.30am. He did an internal examination (again, very painful as he was trying to determine whether my membranes had ruptured as yet; it was eventually decided that no – they had not – and gave me the news that the baby was still posterior at this point). I was also given the option at this point to have my membranes ruptured, which I thought long and hard about between two contractions before deciding to go for it. This was the only intervention I had during the labour, and shortly after I hit transition.

Matt tells me that this was about the time I stopped speaking between contractions and got a bit primal. I was on all fours on the bed, supporting my top half over the head of it and supported by pillows (similar to the standing position I had assumed for most of the night; by now my legs weren’t supporting me anymore). The contractions were very intense, almost on top of each other, and I was going through a little bit of doubt in my ability to birth this baby. I was beginning to bear down unconsciously and went to the toilet for a bit, where I proceeded to tell the midwife that I needed to empty my bowels again (yes, you can probably tell where this is heading).

The midwife smiled, got a chair and sat in the doorway of the bathroom where she told me to push if I felt the need and that I could have this baby on the toilet if I wished (I’m still not sure whether she was trying to humour me, or if she was telling the truth!). I was bearing down and several times I moved my hand to see whether I could feel anything, and was surprised to feel a bulge (not the head, but muscle/tissue). Pretty cool actually. Because my pushing wasn’t being overly productive, the midwife checked me again – this time on the bed – and announced that I was “a stretchy 9.5cm”. Huzzah! Between contractions she moved the last little lip of cervix that was in the way (can I say ouch??) which made me at 10cm and fully dilated.

I was shown how to push during contractions, and to bear down several times during each one (as opposed to one long push). My hands were around my ankles for leverage and this was quite a productive position, all things considering. I remember seeing the trolley and cot being set up at this point and thinking inwardly it’s nearly time! My obstetrician was called again and Matt was on my right side, up near my head (I can’t remember whether he was touching me or just sitting nearby while I laboured; what I do remember was that he was full of positive affirmations, telling me that I was ‘doing so well’). At some point in the last two hours, the baby had turned anterior (finally!!) which meant that no suction or forceps would probably be required, which I was told may happen if he remained posterior.

I wouldn’t call pushing the most difficult part of the labour, it was a means to an end at this point, and even though I was exhausted, I was excited that our baby was nearly here. The OB and midwife invited Matt to come and see the baby’s head (still inside me at this point, but coming down more with every push), he surprised me by having a look – as originally he’d said that he wasn’t too keen on being at the ‘business end’ (and later on remarked that it was very cool to see; I wish I’d have seen too – I forgot to ask for a mirror!). As the baby crowned, I got to feel the head and discovered that the ‘ring of fire’ that I’d heard so much about was entirely true! Oooh... sharp agony! I tore slightly, but not all that badly, and was made to pant a little between certain pushes, as they checked for the cord around the baby’s neck. The head was fully out!

This was the single-most surreal moment of the entire birth, waiting between those two contractions while having a head hanging out of my nether regions. Because the rest of the baby’s body was still inside me and attached to the placenta at this point, he wasn’t breathing yet – he was still and perfectly peaceful with eyes closed. I remember being concerned and asked if this was normal, I was assured that yes it was. It seemed to take forever for the next contraction to hit (almost five minutes, according to Matt) and I pushed and pushed as his shoulders were worked out and suddenly with the biggest feeling of emptying suddenly he was earthside at 11.23am and was accompanied by a gush of miscellaneous fluids and substances! Matt and I were surprised by how tiny he looked, and by the fair hair on his head!

The baby took his first breath and surprised me with the ferocity of his lung capacity, startle reflex active, and was placed on my chest where he immediately calmed and wrinkled his forehead in what appeared to be serious thought. Within a few minutes the placenta detached and was carefully birthed (intact).

“Does he have a name yet?” the midwife asked, while the cord continued to pulsate as blood was returned to the baby.

Matt and I looked at each other and nodded, knowing who this little soul was.

“Yes... his name is Rowan”, I said with a smile, speaking his name to his face for the first time.

After Matt had cut the cord and the obstetrician had finished tidying me up (he smiled and said I did ‘all the work’, making it easy on him), we were given close to an hour of uninterrupted time in the dimly-lit room to get to know our baby. We touched his beautiful skin, remarked on his tiny nose, the shape of his fingernails that resembled my own, and his seemingly-oversized feet. After our journey of infertility and IVF, our little manatee – our Rowan – was here and he was worth everything.

December 9, 2010

22 Weeks

The bumping and thumping continues, with baby making his presence known more by the day.

We had an appointment with our obstetrician this morning, where we found out that everything was well with the 20-week scan (as expected, as we were given every indication during the scan that nothing was awry!). Weight gain so far this pregnancy is at 8kg (I'm now carrying an extra 1/7th more weight than pre-pregnancy!), the doctor seems to be pleased with how everything is progressing.

I'll be doing the (non-fasting) glucose test on January 4th - not particularly looking forward to it but such is life! The doctor also said that with his IVF patients he usually schedules a 28-week ultrasound to make sure that everything is continuing to progress nicely. Another ultrasound? Another chance to see the little man's features more developed? I'll definitely be in on that (even if it's for purely selfish reasons :P).

I quite like our obstetrician, he said he needs to have a "reason" (his words) to perform another scan, with IVF in itself not usually being enough on the request form. So he popped down that the baby is potentially measuring small (even though he's not!), and voila... scan is booked for January 20th.

Recent gifts for the little man(atee) that arrived from my MIL and sister in-law. Very cute, and in squee-worthy newborn size!


View from the top at 22 weeks! ;)


October 24, 2010

Infertility in a Fertile World

I've had a few moments of serious thinking lately, which has been triggered by a few people saying "You're not infertile anymore, you're pregnant!".

I have a bit of a problem with this for a few reasons - if anything I feel more guilty because I have an obvious phyiscal marker of fertility in front of me every day now. People notice my growing bump (which has been on the move quite a bit this week), so it's easy to pretend on the outside that I'm fertile like a lot of the female population.

The trouble is that I'm not. IVF and the wonder of science has helped my husband and I achieve this dream of childbearing, and without it we would still probably be trying and experiencing BFN after BFN, slowly losing hope. Where do I sit now? With the women who pregnancy has come naturally to, or with the women who still yearn for a child and my bump is a reminder of what sets us apart?

It can be difficult being an infertile woman in a fertile world, and the thought of going through IVF again in the years to come terrifies me as I now know what we're in for. I'm not the praying type, but I hope that my fallopian scarring somehow reverses with this pregnancy.

August 23, 2010

Ultrasound is Tomorrow

Tomorrow marks the land of no return... the first ultrasound. Will there be a sac? Will there be a manatee-shaped human-to-be inside? Will there be a heartbeat?

I'm on edge because I'm still in that limbo between being treated for infertility and so-called 'normal' pregnancy. I'm seeing a reproductive endocrinologist (tomorrow will mark the second-last visit before graduating to more local care) and will be joined in the waiting room tomorrow by a variety of women - some of whom might be in a similar situation to me, or midway through an IVF cycle - or their assisted reproduction journey may be just beginning.

In plainer English, I'm a little scared, more than a little cautious and hope that above anything tomorrow brings good news.

...and for the time being I place my hands carefully over my lower abdomen as if to protect the life that I think is going on within right now. Pregnant until proven otherwise.