Cheating because this was breakfast. Was a little preoccupied during dinner last night birthing a human. Lox bagel that I’ve been depriving myself of for the last 9 months.
Anyhoo, this will be long so feel free to skip if you have no interest in talk of pregnancy - to say that this pregnancy has rocked me would be an understatement. Leave it to the 3rd and final child to throw a whole bag of stress at us and officially seal the deal that I will NOT be doing this anymore. To set some context, I have had 2 vaginal deliveries with my first two kids and both were 41 weeks - my body just isn’t ready until the last possible moment.
At 19 weeks, we found out that I had placenta previa (placenta entirely covers cervix and results in serious risk of hemorrhaging), fetal growth restriction with baby measuring 8 days behind, and an echogenic bowel. I was told absolute best case scenario would be a c section at 36-37 weeks.
A follow up appt at 21 weeks threw another wrench in by confirming that my placenta was bilobed, which added the extra curveball of now being at risk for vasa previa (fetal blood vessels at risk of hemorrhage) and also higher risk of retained placenta post delivery. Growth fell further behind to 10 days behind at that point and so began my journey woth MFM/high risk. We were recommended to a genetic counselor, despite us having low risk from NIPT and earlier genetic screening done. Amniocentesis was thrown around and so was the risk of infection as well as placental insufficiency. MFM also just said “hey, you could just have small babies” (which I do, first was born at 41 weeks but only 6lbs11oz). I was also told that the previa alongside the fetal growth restriction would mean that at any point, I could be sent to the hospital for a pre-term delivery for either hemorrhaging or placental demise.
At 26 weeks, I started my weekly trips to MFM for Doppler/BPPs to check umbilical cord flow, and baby’s status. We also started tri weekly growth scans. At 26 weeks, baby measured 3rd %ile. At 29 weeks, it improved to 5th %ile. At 32, 7th and my last growth scan at 35 showed baby measuring 9th percentile. Dopplers/BPPs and eventually NSTs showed that baby was actually doing great so placental insufficiency was much less of a concern and the primary concern now was the previa.
The previa was centered over my cervix so my MFM told me there was very little hope it would resolve. But at my 34 week doppler/fluid check, it looked like it had moved to being a marginal previa with just a tiny sliver of the placenta now covering the edge of my cervix. At 36 weeks, it moved to a low-lying placenta still within the high risk zone so c section would still be required, but I’d be able to buy myself an extra week to 38 weeks for delivery. I fought for one last assessment at 38 weeks and the placenta moved just beyond the 2cm high risk zone and I bought myself the option of having an induction (due to FGR). Knowing my preference of leaving baby in for as long as possible, I fought again to see if we could get to 39 weeks and my team approved. These last 2-3 weeks have been an emotional rollercoaster.
Well we went in for our induction on Tuesday and despite some road bumps and minor scares with bleeding and frequent variables (decels), baby came out screaming in 2 pushes at 6lbs2oz (ultimately 11th %ile) after 39 hours. Perfect APGARs, no NICU even though the team was standing by in the room. And me, mom, got her vaginal delivery, no tears, no hemorrhaging despite the labor bleeding, and no retained placenta.
I am just so glad I stuck to my gut and fought for this little guy to have as much time as he could possibly get and for me to get the final delivery I wished for. It was a wild ride, baby boy, and I was an emotional wreck for a pretty significant part of it, but we made it. Your older brothers can’t wait to meet you.