25 weeks

Emotionally, I have somehow managed, thus far, to hold it all together. Maybe that is my way of inadvertently trying to reassure my partner that everything will be okay, when everything is going horribly wrong right now. He actually has no clue as to how serious things are. He knows what is going on, but he just doesn't grasp the depth. I'd rather keep him oblivious, for all of our sakes. LOL

I am, and have always been, a woman of strength. I vent a lot of things about the struggles that I am having after the strain of carrying it all has taken me over the limit. I vent it off, and somehow, beyond what I even knew I was capable of dealing with, I manage to carry on. I manage to keep calm during the daily challenges by setting everything aside. I set aside the emotions and basically do a mental 'check out' with whatever I had to set aside. THAT is how I have managed to survive.

As the days go by though, the gravity of the situation right now is really starting to clamp down harder on me.

I spoke with my mother on the phone last night. She has laryngitis. She's not in pain at all, but her voice sounds horrible. When I started talking to her about the baby and my condition right now, and she responded....her voice cracked and it almost sounded like she was speaking through tears and was in pain....not by the fact that her voice is messed up due to illness, but out of genuine worry, concern, and pain for me. In that moment, I couldn't hold back the tears that silently streamed down my cheeks.

In these moments, I'm glad that there is no one here, face to face, to speak with me about such things. I would not be able to keep myself together. I would much rather shed my tears alone, than further bear my soul for an audience. I would not want anyone to be burdened by such a situation either, so I'm kind of glad that there is no one close at hand.

I awoke this morning with a some swelling in my face. My lower lip in particular, was noticeably swollen when I glanced at my reflection in the mirror. While my blood pressure has been fine today, and only the most moderate of swelling is visible on my hands and feet...I still worry.

I spent most of my day in bed, which was strange, given the fact that I didn't even get out of bed until 10:30 this morning. I napped for about four hours, assisted with dinner, and have been lying on the couch ever since, watching movies. I drank as much water as I could, which was apparent enough by the 50 visits to the bathroom I made today. I'm certain that I over-exerted myself yesterday, but it was necessary that we spend three hours in Austin tying up some loose ends.

Two hours from now marks week 25 and baby's survival rate increases to 50%. That fact provides me with a small bit of comfort...but doesn't soothe the soul quite completely enough.

Beyond that, beyond baby, I am still struggling to accept the fact that this is the end. That the choice to have more children has been made for me. By my own body. It's kind of the enemy right now! LOL

In the coming weeks, I plan on venturing out to pick up a few preemie outfits and a few baby supplies that need to be replenished. Diaper cream, baby shampoo, some more lotion, cotton balls, vaseline...you know the things I mean....

The bassinette will be pulled out, the sheets washed, receiving blankets washed, burp rags located, washed and folded....I have to be prepared, because there will not be time later. Nesting will start early....even if he doesn't come home right away. He will come home. He will.

24 weeks 4 days

24 weeks. Viability. We have achieved viability. It's a milestone that every expectant mother anticipates meeting. Some never achieve it, and many are born shortly after. Every day counts.

That is kind of where we are right now. Every single day matters.

This week my perinatologist increased my insulin dosage to 12 units of insulin per night. It has worked wonderfully, and I'm now within the acceptable range that they want me to be with my fasting numbers.

I was also put on a second medication for my blood pressure and taken off of the first medication due to an allergic reaction. The biggest side effect of this medication is the dizziness that it causes. I woke up this morning at 3AM to the WORST case of the spins that I have EVER experienced. Put yourself on the spaceship ride that is at the fair, called The Gravitron and ride it for several hours. I literally did not have the ability to roll over in bed and make it to the bathroom by myself it was so bad. Thankfully the intensity of the spins have worn off some and things are more or less just swaying back and forth now rather than full on spinning. Although, it did NOT help the nausea that I experienced this morning. I'm supposed to give it through the weekend, and if it doesn't go away, they are going to try me on a third medication.

I had an 'anatomy scan' today. Basically it's like a regular ultrasound, only a little more in-depth. The doctor wanted to look at each of baby's fingers and toes and do complete measurements again.

The BEST news we have, is that the baby's heart is still looking great.

The baby is still very tiny though. He is still measuring about two weeks behind. His weight is 1lb 5oz, which puts him in the 25th percentile. The largest we can hope for him to get is approximately 7 1/2 lbs, but probably closer to 6 1/2. This is a little unsettling for me, and I was worried that there was something that I had done, but the doctor just reassured me that he was still within normal range, even though he was tiny, and that nothing I have done, or haven't done, could have caused him to be so tiny. I have ALWAYS had big babies. My smallest baby was 8lbs 6ozs. Everyone else was bigger than that. It feels WRONG for him to be tiny.

We want to keep baby in the 25th percentile. If, during my next scan, he is at all below the 25th, we will worry about growth restriction and other things that could possibly be going on.

My target right now is 34 weeks. That is the point we would like to achieve at the least. Ideally, I will make it to 36 or 38 weeks.

The situation with my blood pressure right now is much more concerning than my diabetes. I was told, straight up, that I have about a 1 in 3 chance of developing pre-eclampsia due to my pre-existing conditions. Right now, my blood pressure can be stabilized with medication. The headaches are moderate, my swelling is minimal, and my 24 hour urine collection was 159 for protein and that doesn't get concerning until we are nearing the 300 level, which is grounds for an immediate c-section, no matter where you are in your pregnancy.

I'm currently seeing my perinatologist every two weeks, and my ob/gyn once a month. The further along I get, or however worse my condition becomes, I will be seeing doctors more and more regularly. Within the next month, I will be seeing someone once a week. Nearing the end of my pregnancy, I will be seeing someone probably 3 times a week.

Mentally, I am still pretty content with knowing all of this information. Knowing the statistics. Knowing the risk factors. Knowing the consequences of premature birth. It makes me sad knowing there is not much that I can do, but at the same time, I'm still really grateful that we have the best doctor that we could possibly have right now. And he's not afraid to answer the VERY tough questions that I sometimes present to him. I can be a difficult person to deal with, and it's hard to be put on the spot sometimes, especially when you are dealing with an emotional pregnant woman to boot and don't really know what to expect from her LOL