How to Behave Around A Pregnant Woman Part 1

“Common Sense Isn’t Common Anymore” is a phrase that I hear and use almost daily.  What use to make perfect sense to everyone to do or not do is not the case anymore.  People now need baby-step by baby-step instructions for everyday interactions.

Especially around pregnant women.

Now, this is just my opinion, with input from some friends, but I think most pregnant women would agree.  Here is the start of my list

Having a baby bump does NOT give you permission to rub my belly.  I mean I could go on and on, make this whole post about it but here are a few of the big reasons

  1. Personal Space.  I get it, some people are just touchy-feely and will find any excuse to hug your or whatever.  But you wouldn’t want me rubbing your non-baby belly, so why should you rub my belly.
  2. Maternal instincts.  We are growing a little human in our wombs.  That is my child.  Don’t touch my child.
  3. Sensitive Skin.  Did you know that some women actually experience sunburn like symptoms on their bellies due to the stretching.  Yea, it hurts. Don’t touch.

Don’t Call A Pregnant Woman “huge”.  We’re women.  We can be vain.  We are suppose to gain about 20 to 30 pounds in a pregnancy.  We develop swelling in random places, carry water weight and have a hard time maneuvering with our protruding bellies.  We already feel huge, you don’t need to point it out. And husbands, calling your wife fatty or even “phatty” is NEVER acceptable.

Don’t Ask “Is this your first?”  Such an uncomfortable question for so many women.  There are those who have had many miscarriages, or lost a child, that the question is just hard to answer, and it is hard for the other person to hear the answer.

Then there are those who have multiple children, and people give really weird looks when you say “It’s my 4th,” like you’re some kind of side show freak.  I hate when someone responds with “Ever hear of birth control,” or even more inappropriate “Ever think of saying no.”

Children are miracles from God, a blessing to their families.  Whether in our arms or in our hearts, every baby is precious.

Are you still sick?  Have you tried ____?” If you have HG like me, the answer is always yes.  And sometimes that’s hard for people to understand.  And then they list off things that they tried to deal with their morning sickness.  When you’ve been dealing with it for 20+ weeks, don’t you think a women would spend hours online looking up home remedies and old wives tales and try them all, just to feel better?  You really think telling me to drink Ginger Ale at 22 weeks is going to make me say “Oh gee, why didn’t I think of that?”

Don’t offer to help if you’re not going to help.  If you offer to make a pregnant women or new mom a few meals, or to come help with chores, or to watch the kids so she can sleep, and she accepts – DO IT.  If you’re not going to follow through, DON’T OFFER.  And, if she doesn’t accept – DO IT ANYWAY.  Call and say “I made an extra dish of lasagna for dinner, can I bring it over to you?”  As a mom of 3 with Hyperemesis, and a husband who works 50+ hours a week, making dinner and household chores are hard to get done.

Veggie Lasagna… takes 5 minutes to put together.

Make one for someone!

First Images

November 2013

18 weeks, still getting sick.

I was scheduled for our mid-pregnancy ultrasound, but it had to be rescheduled due to illness.

My husband and I didn’t want to wait.  We wanted to make our announcement, we wanted a picture to show everyone. But most of all, we wanted to make sure baby was ok.

We already knew a few people expecting and due around the same time as we are (April 2014) had made their announcements early on in their pregnancy.  We hadn’t wanted to steal anyone’s thunder, but we wanted our moment too.

So on November 22, we went and had 3D/4D ultrasounds done at My Little Me.  For $70, we were really hoping for some great pictures.  However, baby kinda had other plans.  We were able to get a few cute shots, but baby was breach.  Feet right by the face for most of the session, sitting at a weird angle.  We got one cute one, though.  Not sure which sibling the new baby looks like…

Samantha, 2005
Emmalee, 2006
Steven, 2008
Baby #4

It was an emotional moment, watching our son/daughter moving around, kicking it’s feet, even waving at us.  It creeped the kids out a bit, they didn’t quite understand how we could see inside mommy’s tummy.  But there is the newest member of our family.  Even if I’m sick everyday until the day the baby is born, as long as he/she is ok, it will all be worth it.

At 19 weeks, my official ultrasound was rescheduled.  Baby still breach.  It was hard to get measurements, but we estimate around 8oz in weight.  Couldn’t really get a length.  Again, baby was active, but this time it was harder to watch.  It was like there wasn’t enough room for him/her.  More waving, lots of hiccups.  Even a yawn.  We aren’t planning on finding out the gender.  Even if we wanted to, however, the baby didn’t cooperate.  Oh well, Steve wins this time.

Thumbs Up
Big Yawn!

Shots Shots Shots!

Week 17 AKA:  my worst week yet.

Now that I’m not getting fluids through the IV, I really needed to try drinking more.  On a good day, I might get 20 oz in.  But I really needed 40-60 at least!  The Zofran helped me from getting really sick, but didn’t prevent the nausea.  The problem with it, while I could take 8mg every 8 hours, it really only gave me relief for 3 to 4 hours before it faded away.  It made for some unpleasant days at work.  The last thing I wanted was for anyone else to have to be around me when I was getting sick.

The doctor has tried to get me a prescription for Diclegis, but the insurance wouldn’t cover it.  They had some samples to give me, hoping that the insurance will cover it now, since we’ve exhausted every other option.  It took a few days, but they finally approved.

Because my 3 other children were born 2.5, 3.5 and 5.5 weeks early, the odds of baby #4 being early were pretty good.  With my son spending 10 days in the NICU, and then 2 months on an apnea monitor, I wanted to be sure to do whatever I could do to prevent another premie.

So to be proactive with this pregnancy, my doctor ordered me P17 (progesterone) weekly injections.  Yup, shots.  Every week.  For 18-20 weeks.  In the hip.  Every week.  And the medication is thick.  And it hurts.  Every week.  For the entire week until it’s time for the next one.  Granted, everyone has different pain tolerances, and my new nurse Kate said some patients say one side hurts more than the other.  But it is not pleasant.  However, the alternatives are worse, so I’ll stick with my shots.

Aside from the pain the first few days after the initial injection, I noticed my nausea wasn’t as uncomfortable.  I wasn’t getting sick at the thought of food, so I began to eat more.  Beverages were still a different story, but I was actually able to chew food for the first time since before I found out I was pregnant.  No more over-cooked pasta and mashed potatoes!

I wasn’t really sure if it was the shots or the Diclegis, so I tested it out by skipping the pills.  Bad idea.  The combination of the progesterone, Diclegis, and my Zofran all were working together.  Take anything out of the equation and I’d be asking for it!  So, now I know.

I feel really thirsty though.  I tried to drink, not just sipping like I had be, but properly drink a small glass of water.  Bad idea.  I tried juice, it stayed down, but I felt “swishy.”  From what I’m reading in a few support sites, many moms dealing with HG can’t tolerate plain water…  I wonder why that is…

Off the IV

November 2013

Week 16 brought a few more firsts for us.

Steve was able to feel the baby for the first time… it was an encouragement for him to know that the baby was ok.  We still haven’t made the pregnancy “Facebook Official” yet, in fact, only a handful of people know about the pregnancy at this point.  But that moment resonated with Steve, and he even posted “Felt something magical last night” on Facebook.  Call it hormones, but it choked me up when I saw that.

I began eating a bit more.  Soft, bland foods, still, but I was eating.  Scrambled eggs for breakfast, pasta for dinner.

This week, after church on Sunday, while my husband was at work I took the kids to lunch at Salsaritas (Gotta love Kids Eat Free days!).  I actually had a bit of energy to drive there, but the line was super long, and I regretted it.  But standing in line, a lady with a small child in a sling came up behind me, and said “Sorry you’ve got the PICC Line.  I had it too.”  While waiting to order, we chatted.  She had to have her IV for the entire pregnancy.  After a few months, her doctor let her unhook at night.  She told me that she too had trouble with people not understanding the symptoms.  It was encouraging for me to see that she had a healthy baby after all that stress that she’d been through.

Again: Let me break it down for you.  Have you ever had a stomach flu? or food poisoning?  It took a lot out of you, right?  You felt like you spent all day in the bathroom, right?  And the last thing you wanted was to eat or drink something, in fear of it coming back up.  But the relief you felt knowing that it’s only going to last a few days…  Yea, imagine all that, except you don’t know when it’s going to stop.  That’s HG.

Oddly enough, my nurse was off that week for my weekly dressing change, but her nurse was filling in.  She was also sharing with me some of the issues she’s seen with her patients. Again, it was really nice to know I wasn’t alone.

This week when my PICC Line dressing was changed, something felt off.  Usually, it doesn’t hurt, but later that day, I started feeling some pain.  I texted my regular nurse, and she came over the next night.  My arm (which is measured weekly) had swollen over the 24 hours from the dressing change.  And was very warm to the touch.  She sent me to the ER.

After 3 hours of waiting, blood tests and an ultrasound of my arm, I got my diagnosis.  Blood Clot!  Yay.  So my PICC Line had to come out.  I had 10 days of antibiotics to take, plus heating pads to the swollen arm, but no IV, no fluids.

As annoyed as the bag made me at times, I needed it.  At least I knew that on my worst days, that baby was getting what it needed.  Now, I don’t have that comfort.

The days following the IV coming out were some of the worst.  My nurse told me that many HG moms start to feel relief after week 16, but that week, it didn’t seem I was going to be one of those moms.

First For The Kids

14 weeks…

 

Yuppers… welcome to week 4 on the IV!

 

It’s gone from an annoyance to just a part of life.

 

At this point, all our immediate families know… We were timid about it, not really sure how everyone would handle it.  Especially the IV situation.

 

The kids had a day off school, and I happened to schedule my 14 week appointment for that day.  So my husband and I brought the kids with us to hear the baby’s heartbeat.

 

Usually, my doctor is pretty steady with getting their patients in.  I arrived, checked in, gave my urine sample like every visit, and waited.  And waited.  And waited.  It was 90 minutes before I was called in to the examine room.  My weight went up, but it was all water weight from the last 90 minutes of just sitting.  We checked again after a potty break – only a 2 lb increase from my last visit.  Still under my pre-pregnancy weight.  Yay.  😦

 

It was such a great moment for my husband and I to hear that baby’s heartbeat, knowing that baby is ok.  And it was great for our kids to hear it too.  We hadn’t really come right out and told our 5 year old son that I was pregnant, but we’d been prepping him.  After the heartbeat was echoing in the room, we told him.  The most priceless moment was him saying “I want a baby brother.”  It didn’t even seem to bother him that he wasn’t going to be the baby any more.

 

I began to feel movements around 15 weeks.  It was subtle, but as it is the 4th time around, I knew what  to be “looking” for.  I know my kids were eager to feel the baby, and would say that they could feel it, but I wasn’t quite sure that they did.  Either way, they developed a connection to the baby.

Lonely

Week 13…

The only places I’ve gone in the last few weeks have been work and the doctor’s office.

I miss people.

Don’t get me wrong, I love my husband and kids, but I use to go to networking events a few times a month.  I use to go walk around the mall just because.  I use to have nights out with friends.

One week before the PICC line was put in we had a game night with friends from work.  It was nice.  The kids were well-behaved, we got to enjoy some laughs and I didn’t get sick until we got home!  (However the next day wasn’t as kind…)

I haven’t been to church in weeks… my kids really miss it, too.  Steve has been training at his new job, so he hasn’t been able to take them.  Does anyone even notice that we’re not there?

We haven’t made our “Facebook Official” post yet, so I can’t vent publicly.  But I’m so lonely.  Part of me wants to ask my husband to take a day off with me and send the kids with a baby sitter, and just spend the day with me, no responsibilities.  But he needs to work, we need to save up for my maternity leave.

I’ve been invited to a few “direct sales” parties.  But I don’t want to have to bring my stupid backpack with me, and then deal with the fear of getting sick at my friend’s house.

Hormones are a pain, too.  It doesn’t help feeling lonely because of the isolation that the condition forces you into, to then be overly emotional while it’s happening.  Really, does anyone notice that I’ve been hiding?  Does anyone care?

Kids’ last soccer practices… one of the few times I left the house

 

Water Weight & Extreme Fatigue

12 Weeks…

 

We were really hoping to only have the IV for a couple of weeks.

 

After 2 weeks, there was no way Bridget was going to let me off them.  I was still getting sick several times a day.

 

I began to eat one small meal a day, in addition to my Herbalife Monster Cookie Shake at New-Trition for breakfast: Mashed potatoes.  And not even made from russet or yukon golds… no powdered dehydrated mashed potatoes.  Seriously.  And I became kind of ‘brand specific”.  Idahoan, to be specific.  They were the only brand that tasted ‘good’ and would actually stay in my belly.

 

Life with an IV isn’t pleasant.  You have this thing in your arm, all day every day.  And you get this backpack.  It’s not attractive, so you can’t really pass it off as anything but what it is.  And it’s heavy!  The 4L bag weighed about 20 lbs, and after 2 weeks I was decreased to 3L, in hopes I would feel the need to drink more.  The 3L bag weighs about 15 lbs.  And you have to carry it with you wherever you go!

 

 

 

I adjusted my schedule so I changed the IV at night, so it wouldn’t be as heavy during the day.   But here’s the thing about having 3L of fluids pumped in your system everyday: in addition to the trips to the ladies room to get sick, you have to empty your bladder a dozen times a day too.  Imagine getting up at 3AM to go potty, and having to carry a 15 lb backpack with you… seriously.  Try it sometime you have to get up in the middle of the night – carry two 8 lb bowling balls in a bag and then tell me “It’s no big deal.”

 

The fluids helped me make sure the baby was OK, but there was still plenty of fear and doubt that baby was OK.  Then there’s the guilt about taking care of the rest of your family.  I was so sick that I had no strength to do anything.  Making dinner was hard for me to do.  I was thankful for my husband, and the care that he gave me, us.  But there were nights that he’d work late, and I’d be on my own to make dinner.  It was hard.  There were plenty of nights where all they had were PB&J and fruit.

 

I was so thankful for our friend Jenn making us dinner.  Though I wasn’t able to eat it, my kids did.  And there was plenty for dinner the next night, too.  We hadn’t even asked for help, she just went out of her way to help us out.  We are so thankful.

 

One thing that I’d encourage any mom dealing with HG to do, is not be afraid to ask for help, and don’t be embarrassed when it’s offered.  You are growing a person!  And you will occasionally need help.  So if someone offers, accept.

 

IV Drama

11 weeks

I don’t know about you, but I hate blood.

Having 3 kids, I’ve seen my fair share of cuts and scrapes.   But truly seeing your own blood….  ugh.

I just wanted to take a shower… I couldn’t take a shower with my IV backpack, so I had to unhook from the IV.  But I twisted off the wrong part of the catheter on accident, and suddenly there was blood.  It was extremely nauseating.

Thankfully my husband works in the medical field and able to clean my line and help me hook back up.  But I was getting sick while he was helping me clean it up.  So embarrassing.

My nurse was due later that day, she added an extender piece, which the hospital had not added, which is why I was able to twist off the wrong piece.  The extender would be easier for me to unhook for showers, but made to IV’s line really long.  I found myself getting it caught on things, tripping over it.  It wasn’t until a few days later that I learned how to shorten it.

Another issue was priming the bag/tubes.  The pump itself could prime it, but you had to hold the button on the machine for 15 minutes…  then my nurse learned a trick – put it up and prime it manually. HOWEVER… the bag is heavy, and to hook it on to the temporary IV stand was hard to do alone.  And the stand was very wobbly.

If anyone knows an easier way to prime the line, let me know!

Bring on the Fluids!

10 weeks

I rescheduled my 12 week appointment.  I’d lost 3 lbs in the 2 weeks since I’d been there.  My blood pressure, due to the NCS/POTS has always been very low, but it was really low at this visit.

On a plus side, I heard the baby’s heartbeat.  Only one – everyone that we’d told at this point assumed that I must be carrying twins, and that was causing my sickness.

Doctor gave me a perspiration for Phenergan, but said it was not something to take unless I was home and not needing to go anywhere for a while.  My doctor told me to not worry about eating, my appetite would come in due time.  But I needed to get fluids in me; at least 60 oz.   I was told, if things didn’t improve by the end of the week, I’d be put on IV fluids.  That scared me.

So I went home, took the Phenergan.  No joke, I was asleep on the couch in 20 minutes, and slept for 4 hours.  I woke up to get sick.

So the end of the week came, and things didn’t improve.  In fact, they were getting worse.  I couldn’t keep down any fluids, and the though of eating anything made me sick, so I didn’t even bother.

I guess if you’ve never experienced morning sickness that’s lasted more than a week or 2, you might not get it.  And if you’re a guy, you have NO IDEA at all what it feels like.

Let me break it down for you.  Have you ever had a stomach flu? or food poisoning?  It took a lot out of you, right?  You felt like you spent all day in the bathroom, right?  And the last thing you wanted was to eat or drink something, in fear of it coming back up.  But the relief you felt knowing that it’s only going to last a few days…  Yea, imagine all that, except you don’t know when it’s going to stop.  That’s HG.

I made the call on Friday, and at 1:30 I found myself in the Intervention Radiology department, having a PICC Line put in.  They numbed my arm well enough, but the procedure itself was fairly long, and awkward.  The Nurse was being observed, as he was being introduced to a brand new “kit” that had its own procedures.  They were carrying on a conversation while he put 45cm catheter in my arm and chest.

My arm was so sore, I wanted to put a heating pad on it, but that was a no-no.  And taking a normal shower?  Not going to happen with that thing on my arm.  I’d have to wrap my arm with plastic wrap every time I wanted to take a shower.

The next morning I received my delivery of 7 days of 4000 ml of Fluids, and met my nurse Bridget.  She was great, and it was nice to know that she’d seen many patients with similar symptoms, and were fine after a few weeks.  She was upset because the nutrients that were ordered for me were not delivered… in fact, there was a nation-wide back order.  I supposed that since I was getting the fluids, that was the most important part.

But I felt so guilty:  I couldn’t take my prenatal vitamins, I couldn’t eat.  Was my baby really ok?

Can’t Do Anything!

8 weeks…

The first 2 months of my pregnancy were spent sleeping, spitting up, and spending time with my family.  In that order.

 

 

 

I was so exhausted.

 

At my 8 week visit, they gave me my Zofran, and told me to try adding B6 vitamins.  The problem… The only B6 tabs I could find were 100mg, and I was only suppose to take 25mg.  Grrrrr!  Found some online later, but I wanted them right away, not wait 3-5 days for shipping.  I also got some sea-bands to help.

 

I didn’t really see any improvement.

 

Anyone who has had babies knows that you will most likely get sick for a few weeks, at most.  But in my first 3 pregnancies, it was pretty routine… First thing in the morning, then maybe in the afternoon.  But there really wasn’t a lot of nausea involved.  It would kinda just happen.

 

So why was EVERYTHING making me sick?  Brushing my teeth, drinking, eating, walking, driving the car, laying perfectly still in bed?  Seriously?  Getting up at 2 and 4AM to get sick?  Really?

 

I knew something was wrong.

 

It didn’t help much that we had plans to be at Cedar Point around the 8 week mark.  I’d only just begun to tell my co-workers, and I was going for a work event.  Obviously, I wasn’t going on rides.  However I did take my 7 year old daughter to the kids areas.  I got sick just watching her – several times in fact.  I’m sure that staff at Cedar Point is familiar with people getting sick, but I’d assume they were not the spectators…

 

That day was the first day when the so-called “morning sickness” really became more than a nuisance.

 

It was at the 8 week point when my appetite completely disappeared.  And drinking anything – yea right.

 

The only thing I was able to keep down were the shakes I got everyday at New-Trition, and it took me a long time to finish the 16oz shakes.   I honestly don’t know what I would have done without them.  Usually I was more of a berry shake kinda person, but the only shakes that tasted good, and stayed down, is a shake called Monster Cookie.

 

Called the doctor.. going back at 10 weeks instead of 12…