30 weeks, 2 days

Wow! What a great mother I am…first I can’t get pregnant, now it seems I’ll struggle to stay pregnant. Just like that our dream of making it to 37 weeks is dashed as another bleed lands me in hospital yet again.

Lying on the couch after a busy but not overly strenuous day, I feel a couple of small trickles creep onto my panty liner. It doesn’t feel right so I get up and head to the toilet. Yep, sure enough there’s blood and this time it’s bright red rather than the old brown blood of my 26-week bleed. I panic and call out to my husband “looks like we’ll be off to the hospital again” I say, just when I’d been about to go to bed too.

Hubby picks up the panic vibe and rushes around trying to find the obstetricians phone number (of course us idiots hadn’t saved it to our phones after last time), while I begin to sob hysterically on the loo, this can’t be happening. I plead with the boys to hang in there and stay put. “It’s online!” I cry as he’s still flustering. It’s so stressful and neither of us can really think straight.

Eventually hubs gets through to the after hours service and explains the situation, then dashes around packing me a bag for the hospital. In a fashion typical to us, I’d started packing my hospital bag during the week intending to finish the packing in the weekend but never quite got around to it, and what do you know, Sunday night we need it.

The OB on call phones back and tells us to head on in to the Women’s Assessment Unit, yes we know where that is. Despite being a little scared to leave the toilet we make it out the door for what seems like the longest car journey ever. We clutch each other’s hands, me trying not to cry and willing our now silent boys to move, and hubby trying to reassure me that things will be ok. I still can’t help feeling like a failure as a mother, why can’t I keep our boys safe?!?

We arrive and minutes later so does the OB who is on call from our usual OB’s practice. We’re given a private room (yay!) then taken through for a quick scan to make sure the boys are ok. They are (phew) but are still in odd positions – one breach, one tranverse. The OB can’t see any reason for the bleeding but is going to book me in for a proper scan with the sonographers tomorrow just to be sure. We then head back to the private room for an internal exam.

This is even worse than the last time we were here. Our usual OB uses a speculum so it’s somewhat like a smear test only a bit more painful. This one uses his hand (something I suppose I should get used to in case I happen to go into labour naturally). Boy is it uncomfortable! What’s worse is that his glove comes out absolutely covered in bright red blood. “Ooo, there is quite a bit of blood,” he says, then “it feels like your cervix is shortening so there’s a chance you could go into labour and/or need a c-section tonight. It’s quite possible you won’t be leaving hospital without having your babies.” Eek, that freaks me out but as long as the boys are ok I’m ok, so I’m less worried and stressed than the last time we were here. They’re 30 weeks gestation now so it’s less daunting than the threat we had of delivering them at 26 weeks. Perhaps I won’t be making it to my baby shower next weekend after all!

They pop me on a monitor and, despite the boys wriggling around a little requiring me to angle the sensors, we actually manage to get a decent heartbeat reading this time – something we struggled to get at 26 weeks. Unfortunately the machine is showing that I’m having contractions, of which I only feel the odd one here and there, which will mean a c-section tonight for sure if things don’t settle down. They think the boys will definitely come early regardless, I just hope we can hold them in at least a few more weeks.

Unsure as to what may happen they decide to keep me in the Women’s Assessment Unit overnight rather than transfer me to a ward. It’s not something that happens often – they usually try to clear you out of WAU pretty quickly – but it’s great as it means I get a private room for the night. I’m hoping I’ll get a decent sleep but the booster shot of steroids I’m given lays rest to that. Not only do those shots blimmin hurt and give you muscle cramps, they also give you insomnia, awesome! Oh well, at least I can lie awake without the worry of disturbing someone else.

After about an hour the monitor shows the contractions easing, and I’ve had no further gushes of blood, so the midwife decides it safe to leave me be for the night with the understanding I’ll buzz her immediately if anything happens. My hubby heads home for a much needed rest and I start my long night of wishing I could sleep.

In my wide awake state I start writing. First a note to my husband about my wishes should a c-section occur (regardless of whether this happens tonight or not) and something goes horribly wrong. I realise this may seem very morbid but I’ve had more than one friend go through a traumatic caesarian section, and two friends nearly die on the table, I feel like I need to be prepared and I need to get my thoughts down in writing to ease my mind. I can’t write that one without tears, a lot of tears, but despite being a horrible note to write, it’s a nice release of pent up emotion and energy. When I finally finish that, I start this blog post, then eventually stop writing for the time being and grab a fitful couple of hours sleep.

Come morning my condition has improved further and the team decides it’s safe to transfer me to a ward. I’m booked for a proper scan with the ultrasound team at 1pm so hang around in WAU until then as it’s just across the hall, unlike the wards which are a wee walk away. The scan shows both boys are doing well. They’ve moved so much (from both being breech and perfectly parallel down either side of my belly to one breech and one tranverse top and bottom) that both the sonographer and the obstetrician struggle to work out which twin has historically been labeled Twin 1. Essentially they’ve switched places so that Twin 1 should now really be labeled Twin 2 and vice versa, but because they need to be able to plot the same twin on the same growth line each time they scan, the boys labels can’t be changed.

Both Bumble and Bee are still on the small side, measuring a week to a week and a half behind, but at least they’re growing appropriately and are both around the same size. There’s still no obvious sign of where the bleeding is coming from so the assumption is made that it’s probably a bit of placental edge bleeding and to continue monitoring to make sure everything’s calming down. I’m moved to a ward.

It’s not quite as warm a reception this time around – I tell you the Orange Team are the best! – but at least I get to specify dietary requirements (I’m still struggling to eat dairy which is so weird for someone who rarely has trouble with any food) and am asked if I’d like a tour of the place. I’m one ward over from where I was last time (and share facilities with my old ward) so I know the layout and where to find everything, a tour is unnecessary. I settle down to the nothingness that is hospital ward-time. I don’t bother telling too many people I’m here as I don’t want to worry people, but after much debate I let my family know (feeling bad as my Mum, Step-dad, and sister have just flown back into the country this morning after a holiday).

The rest of the day is broken up by obs and baby monitoring, and thankfully my husband comes in for the day (and brings me real food!) to keep me entertained. The ward is pretty busy so one of the midwives is borrowed from my old ward to help out. She’s the one who took care of me during the days for most of my previous hospital stay and recognizes me almost straight away which is kind of nice. “I know you!” she says, I reply that I was in here a month ago, and she manages to rattle of most of the details of my previous stay – that I was on the other ward, the bleeding, both hubby and my reactions and feelings the last time we were in, comments we made etc etc. Enough to make me realise she’s not just read my notes again and truly does remember me. The ward obstetrician had recognized me too (although not to the same extent, purely a “you look very familiar, have we met before?”) and both make me realise how good the staff here can be.

The CTG (cardiotocography) monitoring shows the boys are doing well. Bee is a little rascal and moves so much during every monitoring session that the midwives often struggle to find his heartbeat and, when they do, he’s often only there for a short time before darting off the monitor, necessitating another ‘come find me’ session. Nevertheless we manage to get decent readings from both twins and they’re looking good on all sessions. Likewise my obs are consistently normal, and the bleeding is still easing, so hopefully I won’t be in hospital much longer. The trouble is I know exactly what I need to say to be set free so I constantly have to monitor myself to ensure I’m reporting accurately rather than saying what I know needs to be said to be discharged.

Everything seems to be coming right a bit faster this time and it looks like I’ll only be in the ward for one more night before being sent home. I know what to look out for now and what I need to do (more rest!) so can easily monitor my condition myself from home. Lucky for me as my hospital roommate is so sick with a cold, on top of her pregnancy problems, that she snores like a freight train all night and I once again struggle to sleep. I make a comment to my husband that I’m probably not leaving hospital without a cold she’s that ill, apparently it’s been doing the rounds of the wards and everyone there is sick. Fun times.

My regular obstetrician is back on duty again the next morning and seems pleased with how things are progressing, so after two nights in hospital I’m released. Woohoo! I head home for more rest as, same as the last time I was in hospital, I come out feeling worse than when I went in. I don’t know if it’s the food, the lack of natural light, the stress of being there, the lack of sleep, or all of the above but I’m absolutely shattered and it takes a few days of decent eating and relaxation to come right. Unfortunately after two bleeding episodes the likelihood of another occurrence happening is pretty high so it’s entirely possible I’ll be back in hospital sometime soon. It’s also more likely that the boys will come early so resting and taking care of both myself and them is even more important now. I’ll do my very best!

 

Postscript – my comment regarding the cold turns out to be prophetic…or maybe a self-fulfilling prophecy…..either way I end up with the worst cold I’ve had in at least six years and am snuffling and coughing for the next two weeks. Grrr.

 

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