Saturday, June 6, 2015

Cerclage

There's been an ongoing struggle for me through this pregnancy: cerclage or no cerclage.  We discussed with our great docs to possibility before the transfer even happened and had it in our head that would be our plan.  But our specialist said we could also follow the cervix length regularly and wait to see.  Maybe everything went bad last pregnancy simply because it was twins (and at times, triplets with that clot hanging out in there) and my body wasn't ready for all the stretching.  Maybe.  Did we want to chance it?  The cerclage itself wasn't without risk, so which direction should we go?  Ultimately, we were given a 40% chance of needing an emergency cerclage placed later in pregnancy.  That seemed high to me, especially given the success rate of "emergent cerclages" at less than 50%.  Eek.  So, in the end, we opted to go for it.

There is something utterly terrifying about being wide awake in the OR, particularly if you are the one on the table.  Last time I was wide awake in the OR too, but was having 2 babies pulled out of me so somehow that was different, more tolerable.  This time I was nervous, incredibly so, as I was sitting on the OR table waiting for my spinal.  The numbing injection burned, then came the epidural.  Ouch.  I don't remember it hurting that much last time.  Oh wait, says anesthesiologist, that's not going into your spine, I seem to be hitting bone. Eek.  Take 2.  More numbing injections, another epidural, and searing pain shooting down my leg into my toes.  My left leg is all tingly and burning.  Here's the problem, my right leg is fine.  I can move it, I can lift it.  My pelvis, also fine.  Hmm...  Anesthesiologist says Oh wait one more time.  It's not working.  Seriously??  By this point I have tears streaming down my face, for 2 totally different reasons.  First, those spinals HURT.  To have it pierced twice was just too much for me.  Second, I'm not terrified for baby.  We were told the spinal was a better option because there was no risk to baby.  Now, I'm facing general anesthesia, which causes crazy reactions in my body, which I don't metabolize well at all, and which is delivered to baby.  Suddenly the risk seems like too much.  And just as I'm thinking that, I drift off to sleep.

I wake up 2 hours later in recover, convulsing and shaking, oxygen monitors signaling loudly that I'm not breathing.  It takes a team I'm only vaguely familiar of to calm things down.  I hate anesthesia.  But, because I can wiggle my toes so quickly (as the spinal never completely worked) I am quickly taken to a private room to wait it out.  It's nearly 4 hours later before left leg starts working and I can head home.  I now have a raging spinal headache.  Of course.

Fast forward 2 days, and that whole ordeal is worth it.  We get to have another ultrasound of baby, get to watch him/her kicking and scratching and moving all around.  The cerclage is in a great place, the cervix is closed, the baby is healthy.  That is ultimately the goal, and it's accomplished.  All medical efforts have been done to ensure this baby makes it to the 3rd trimester.  But here's the thing, ultimately, it doesn't matter what we do.  (of course it does to some extent, God gives us brains to think with and has enabled for these medical advances.  Such an excuse to just sit by and do nothing...).  Anyway, it doesn't matter what the odds, for or against, because our God is in control.  I know full well how frail my body it, how weak.  Yet, God is strong enough for all of us, and He can carry this child.  Such a comfort.

And, more exciting news, we get to find out TOMORROW what we are having.  Yay!  Pictures and official announcement to come very soon!

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