Wednesday, April 22, 2020

This is ACTUALLY Happening! (4/11/20)

Our NIPT results came back low risk for everything. I can finally breathe!

April 2nd (11 weeks, 3 days)
The day had finally come to get the blood draw for NIPT screening. This day put us one step closer to letting down our guard and hopefully being able to fully embrace this pregnancy and the possibility of a second child.

Once again, I had to be screened at the hospital entrance. I carried tissues in my pockets to use when pushing the elevator buttons. The appointment was with my midwife and since we're friends it was almost like having a fun little social hour (aside from the awkward pap smear). :) Apparently, we were the only ones in the office at the time. No doctors, no other midwives, and I was the only patient. She kept commenting on how eerie it felt but I was thankful for the time to catch-up and socialize with another adult female.

After the pap smear, I mentioned that I hadn't had any bleeding since the last appointment, which was over 2 weeks prior. So she decided we should do an ultrasound to check on it. (I secretly think she wanted to see the baby). She got very excited saying, "No one is here! Let's go see that baby!" Of course I was elated to get to see him/her again and to get that reassurance. The ultrasound tech was there but my midwife stayed in the room with us. We just laid there watching Merbaby2 bounce around and wiggle. Putting his/her little hands up to the mouth and paddling the feet. It was so stinking cute. And... the sub chorionic hematoma was GONE! It was no where in sight! HALLE-FREAKIN-LUJAH!



I was so happy and excited after the ultrasound, that I got dressed and walked right out of that office without even thinking. Floating away on Cloud 9, I got all the way to the parking deck, and was in the car about to leave when my phone started ringing. It was the phlebotomist! I'd completely forgotten to get my blood drawn. I had to walk all the way back into the office to get my blood drawn for the NIPT screening. I don't know whether to blame that on pregnancy brain or being socially distanced for too long. But I definitely felt like a ding-dong. Only slightly embarassed, I made my way back through the hospital to have the blood drawn. After having about 5 vials of blood filled, I was on my way out happily staring at the pictures of my sweet bouncy baby.

The Wait
Thus began the looooong wait to get that phone call with the results.

After the appointment, I went to school to get some things out of my office. The building was opened for one week. We had to sign up for a 30 minute time slot and only 9 people could be in the building at a time. I was really late for my time slot (because of the appointment going long), forgot my badge to get in the building, and forgot the keys to my office. (My brain is obviously struggling to function these days). Luckily, the custodians signed up for the same time so they were able to let me in and open my office. I grabbed a bunch of books, crafts supplies, and things I thought Mertoddler might enjoy using at home. It was devastating being in the empty room. Everything was left exactly how it was 3 weeks prior. Nothing had been moved or touch and that was something so somber in that moment. I decided to clean up a little, put things away, and tried to organize the chaos.
Shortly after, the state governor announced that schools would remain closed for the rest of the year. And I cried. I cried way more than I thought I would. This is such a weird time and so many of our students need that constant education or they will begin to lose what they've learned. Next school year is going to be very interesting.



We spent the weekend going for walks, bike rides, visiting the farm animals down the street, reading the new books Mommy brought home from work, baking brownies, playing in the water and sand table, and more!



Paw Paw came by to drop off an egg decorating kit later that week. Mertoddler and I stood in the driveway waving at him and talking from a distance. It was so sad not to be able to run up and hug him. It really broke my heart.

I got a little desperate with the art projects this week. We collected pine cones and brought them home to paint... just to do something different. We did make some really pretty Easter egg crafts to hang in the window. And I attempted a Pinterest rainbow painting that failed but was still really cute. We're sending that one to Gigi.



Transitioning to the Toddler Bed
On Wednesday, March 25, Mertoddler climbed out of his crib for the first time ever. In the process, his chin/neck got caught on the railing. He wasn't injured but it hurt and I think it really scared him. I was in my bed and heard a loud "thunk" so I grabbed the monitor to check, and he was no where to be seen. So I ran out of my room and he was standing outside the door. Gasping in shock, I said, "How did you get out of your bed?!" His little eyes welled up and his lip started to tremble. He wouldn't respond and I could tell he was terrified so I scooped him up and cuddled him, telling him it was okay. That's when he started telling me that he got hurt. I made him show me how he climbed out and where he hurt himself. Once I determined that he was okay, he was back in bed and falling asleep. But, this meant that it was time to switch to the toddler bed!

The next day, Merman took the front rail off of the crib. Not sure we should have jumped into transitioning so abruptly but we did it. I don't think Mertoddler was ready for it and I definitely wasn't ready. It has been quite the challenge as he does not want to stay in bed and/or falls out at night and sleeps in the floor. A friend of mine suggested putting a pool noodle under the sheets to prevent him from falling out. I went out that very night to buy the pool noodle (and stroll around Target a little bit just because I miss it so much). That noodle was the perfect trick! He hasn't fallen out of his bed since that we placed it under his sheets and he seems more excited about being in bed. My mom (Gigi) sent him a new race car comforter and he loves it!

After many sleepless nights and lots of anti-sleeping battles, I've began reading about toddler sleep training. I've used some of the methods I read for the past two nights and it seems to be helping. Bedtime is much more pleasant and less of a battle. He's not depending on me or Mr. Merman to be in the room so he can fall asleep. He's still going to sleep past bedtime but it's a pleasant experience and a step in the right direction (I hope). We're still having night time wake-ups but they aren't as frequent and he's able to quickly go back to sleep. Hopefully, we'll be back to our normal sleeping pattern soon cause this pregnant mama is pooped!



NIPT Results 
April 9- Okay, back to the pregnancy! As the week went on, I was getting more and more anxious about the results. I tried focusing on the excitement of finding out the gender, hoping to block out all the negative thoughts and worst-case scenarios. They said it would take 7-10 business days to get results but I got a text on Monday saying it was being processed. Surely, it wouldn't take a week to process?!? Every time my phone rang and I saw an unknown number, my heart would begin to race. Taking deep breaths, I'd listen to the voicemail only to find that it was not the results. The suspense was killing me.

Finally, on Thursday afternoon (exactly one week later), I realized I had a missed call and a voicemail from the OB office. Listening to the voicemail, the nurse sounded very happy and positive so I quickly called back. She said that everything came back looking good so I asked her to repeat that everything was normal. ha! She explained that the test determined whether things were low risk or high risk and all my blood work came back low risk. Jumping for joy, I just kept telling her how worried I'd been and how grateful I was.

What a relief! I didn't realize how much that was weighing on me. Knowing that this baby is healthy and safe has finally allowed me to let down that protective wall. This is actually happening. We have a baby on the way! After getting off the call, I grabbed Mertoddler and we did a happy dance. We ran down to the basement and interrupted Merman (who was hard at work) to tell him the good news. EEeeekk!!! This is real!

As for gender, I asked the nurse to text it to a friend (my best friend's sister actually). She has already ordered some gender reveal poppers on Amazon and will be placing them in our mailbox once they arrive. Sometime next week, we'll schedule a Zoom meeting with family and a few close friends to do the gender reveal. I am very excited but also have no preference about which gender it is. I've always pictured myself as a boy mom and can't even imagine having a girl now that I have Mertoddler. There would definitely be some pros to having another boy: we already have all the clothes and toys, they would likely enjoy many of the same things, etc. But, I think Merman would really like a girl and I would be excited to experience life as a girl mom too. So we will see! I honestly don't have any kind of intuition on which it could be. I'm just so excited to have a healthy baby in there. And I'm still in shock that we did this on our own. AMAZING!

Next Steps
I have an appointment with the MFM on Monday. I had planned to cancel it, especially since the hematoma was gone but I got so worked up waiting for the results this week, that I decided to keep it for my sanity and peace of mind.

Announcing to family and friends! Now that we have the genetic results back, we're ready to announce. Mertoddler will be finding out on Easter. He'll be getting two big brother books so we're hoping that will help us explain what's going on. We will likely Facetime Merman's parents that day to tell them, as well.

I've sent a package to my mom and stepdad in the mail, which will arrive on Monday. It has some goodies in there (artwork, socks, candy) along with a brag board that contains a picture of my niece, Mertoddler, and the sonogram photo saying "Due October 2020." I've told her that I want to see her reaction to one of the gifts because it is going to be so funny. (The socks are personalized with her dog's face, so she'll open that first and think that's why I wanted to watch her face). For this reason, she will Facetime us before opening the gifts. Once she knows, we'll Facetime my sister, niece, Dad, and text some other family members. I think we'll put Mertoddler in a "Big Brother" shirt and see how long it takes everyone to notice.

I can't even believe this is my reality. I'm so beyond grateful!



It Happened Again (2/25/20)

We got pregnant on our own! I'm currently 6 weeks and 1 day pregnant and I'm an anxious mess.

How It Happened
As I mentioned in the previous post, we decided to continue trying on our own while we waited for IVF to actually start. We'd taken a break in November and December to focus on the holidays with Mertoddler. Not to mention, the much needed emotional break I needed after loss and months of Letrozole. After all the chaos of January (Mertoddler's head injury and all the sicknesses), I almost decided to extend our break. But just as ovulation was approaching, I was finishing up the medication and beginning to feel like myself. So, we gave it a go! My OPK was positive on January 26 and we went for it. But I never imagined it would actually work.

My mind was preoccupied with raising more money, filling out applications, and scheduling IVF to begin in March. The two weeks leading up to the positive test was spent getting everything in order and scheduled with my nurse. We'd gathered enough money to pay for the medications so I put that in a safe place. I spoke with my Attain representative and chose a plan. My nurse was filling out the application and needed an updated AMH level so we scheduled it for the second week of February, when my cycle was due. I chose the lender we wanted to use and scheduled a date to meet with a representative and apply. The medical records request was sent to the OB so that my RE could make adjustments to our protocol based on the data from our Letrozole cycles. I even had a meeting with my principal to explain what the next few months would look like and to get approval on the sporadic absences. Lastly, my nurse was preparing the protocol and we were supposed to begin hormone priming with my March cycle. EVERYTHING was coming together perfectly.

Finding Out
About a week after ovulation, I was having pretty bad cramps and complaining to my friends about how it was too early to be cramping (Cycle Day 20). The cramps lasted all week and my boobs began to feel extremely tender. This is common leading up to my cycle but it was still so early! I snapped (Snap Chat) my best friend to complain about this horrendous boob pain. The tenderness was similar to that of a breastfeeding momma who needs to feed ASAP. The only way I knew to describe it was that I felt this crazy, weird urge to breastfeed a baby just so I could get some relief. The tenderness was much more intense and sensitive than it is with a typical cycle. And so my friend suggested that I take a pregnancy test. I thought, "Well that's ridiculous but what the heck? I've got a box full of tests that'll never be used. I know it'll be negative and that's okay because once my cycle starts, we're one step closer to beginning IVF." So, I went home and pulled out a cheapie to use the next morning.

Friday, February 7, 2020
It was a bit of a chaotic morning and I wasn't sure if I'd be able to test. I was trying to get Mertoddler occupied while Merman was taking care of Piper. I'd been holding my pee since waking so that I could use it for the test and wasn't sure how much longer I could wait. (By the way, I didn't even tell Merman that I was testing. I really expected it to be negative). But I finally got Mertoddler set up with breakfast on the couch while his favorite cars video was playing. Racing upstairs, I was able to pee in the little cup before my bladder exploded. I used the dropper to drip three little spots of urine onto the test strip. Instantly, there was a line... a positive test line! There was zero wait time! It was immediately positive! I hadn't even missed a period yet. I was only 12 days past ovulation and on Cycle Day 25. 




I spent the next 3 minutes pacing the bathroom in shock, constantly checking the test to see if I was going crazy. Thoughts of surprising Merman ran through my head. Ultimately, I decided I just needed to run and tell him. As he was walking in from taking Piper out, I ran to him with the test and that's when I started to cry. He seemed confused and asked what it was, then looked at me and said, "Are you crying!?" I think I muttered something about sore boobs and that I was pregnant as we hugged and kissed. What a surreal moment! And one I'll never forget.

We scrutinized the line together and he thought it was too light to get excited. So I explained how early in my cycle it was, how quickly the line had appeared, and how tender my boobs had been. I think I was trying to convince myself more than him. Because of his "faint line" comment, I began second guessing the cheap tests that I'd never used before and snapped my friend to ask how reliable they were. I grabbed an Early Response test and put it in my work bag so that I could test again with my second urine of the day. If the familiar brand was positive this early on, I could trust that this was actually happening and prove it to Merman.

Second Test
On the way to work, it started to snow! We haven't seen snow here in two years. It was pure bliss and I just laughed and smiled all the way to work. Around 8 AM I decided to go to the bathroom and try to force some pee out. Luckily, it happened again. The test line showed up instantly. And it was really, really dark. I started cheering and crying again then sent a picture to Merman saying, "I'm pregnant, Babe!"

   



















Within a few hours, I'd contacted my nurse and scheduled a beta for that day. I ran to the front office and told my principal what was going on. She seemed just as shocked as I was and gave me permission to leave early. It was a glorious day and I was on Cloud Nine!

Beta Results: 
3 weeks 4 days- 81
3 weeks 6 days- 222
4 weeks 3 days- 1215

These numbers are very promising as they're higher than the results I had with Mertoddler.



Symptoms:
This pregnancy is already so different from my first pregnancy with Mertoddler. Other than the tender breasts, my face is breaking out terribly. I don't think I've ever had so many pimples on my face. I'm also experiencing quite a bit a nausea. For some reason, I crave chocolate every time the nausea hits. It was extremely bad this weekend so I purchased ginger candy, chocolate, and ginger ale. But eating a lot also seems to help so I'm basically eating all day... which can't be good this early on.

I've had some mood swings and noticed that my patience seems to be lacking with students and at home.

I've peed on about 10 sticks over the weeks just to see that line grow darker and reassure myself that this is really real.


Ultrasound
Tomorrow is our first ultrasound at 6 weeks 2 days. And I'm a wreck. All I can think about is everything that can possibly go wrong, especially since my eggs are such shit. Focusing on the here and now has been helpful but I can't push away this feeling of dread... impending doom. It's making me crazy! I know that the miscarriage in April has really effected me and has a lot to do with my current level of anxiety. However, I've made it further into this pregnancy. My betas are much higher and stronger and so is my progesterone. I'm pregnant with no injections. It's unreal to think about!

But I'm at a higher risk for genetic disorders and miscarriage because of my diagnosis. I don't have the added comfort of knowing that this embryo is genetically normal like I did with Mertoddler. Because of this, I feel like I'm putting up a wall to protect myself. If this doesn't work out, if it ends early, if we found out there is something wrong with the baby, I need to be prepared. My biggest fear at the moment is that this might be a blighted ovum. And if we see a heartbeat tomorrow (please, please, please) my next biggest fear is that it won't be strong enough or that it will suddenly stop during the next couple of weeks. And after that, I worry that a genetic disorder could cause a late miscarriage or create some major life changes for us.

Basically, I'm driving myself into a panic. On repeat in my head: this is out of my control and, at the moment, I'm pregnant. All the symptoms are promising as are the betas and darker tests. This can actually happen and go well. Worrying won't fix anything!

There have been days where I just knew that this was going to be a successful and healthy pregnancy. Confidence was radiating through my bones as I imagined what the next few months would look like and wondered how we'd arrange the bedrooms for two kids. And then doom hits and I can't even allow myself to get excited. Honestly, at the moment, I feel like I giving myself a pep talk for getting bad news tomorrow and practicing how I'll react. WHY?!?! I know this can't be healthy for me or the baby.

I've never been so scared or anxious about anything in my entire life. We got pregnant twice (naturally) in less than a year. What a miracle! I just hope this second time delivers us a healthy baby.

Until tomorrow...


All Good News (3/28/20)

What an interesting time we're in. A worldwide pandemic....

But, we'll get to that in the next post. Today is all about this baby growing in my belly and all the events that have occurred since my previous post. As of today I'm 10 weeks and 5 days pregnant.

First Ultrasound (6 weeks, 2 days)
February 26- I took the day off so that I could mentally prepare and process whatever news came our way. Anxiety was through the roof! As I was getting dressed, I started crying because I was so afraid that this day would bring bad news but I was also so excited to be seeing our possible baby for the first time.

Mr. Merman met me at the clinic. We arrived about 20 minutes early, which made the wait seem so much longer. I could not sit still in the waiting room. My legs are bouncing, I was moving all around in the chair, and taking deep breaths. Once they finally called us back and I was settled in my paper skirt, sitting on the ultrasound table, the bouncing and deep breaths continued. My doctor walked in with a big, excited smile asking how we were and I just blurted out, "I'm so nervous!" She literally said, "Well let's jump right in." And there it was. Our little baby with a heartbeat! The doctor turned the screen for me to see and showed me where the heart was. Tears began pouring down my face. What joyful relief! She was so great about just letting us look at our sweet baby before she started measurements. Baby's heart rate was 129 and he/she was measuring 6 weeks 1 day.

They printed pictures for us to keep, congratulated us, and left the room. At that point, I was sobbing. Mr. Merman didn't know what to think. He kept asking if they were happy tears because he's never seen me cry so much. There was so much joy and relief in that small amount of time that it just overtook me. But we needed to celebrate! So off we went to lunch at 10:30 in the morning. We had a quick Chick-Fil-A date before Merman had to get back to work. Then I headed home to relax and be HAPPY for the rest of the day. We hung the ultrasound pictures on the fridge and allowed ourselves to be a little more excited.

6 weeks 2 days * HR= 129


SCH
Feb. 29- Just three days after the initial ultrasound, I was folding laundry and felt dripping in my panties. I was too afraid to look so I just kept folding and tried to pretend it wasn't happening. But the dripping seemed to be picking up so reluctantly, I went to check. Sure enough, there was some red-pink blood in my panties. My heart sank to my stomach as all of the possibilities ran through my mind. Flashbacks of the miscarriage came into my mind as I fought away tears. I cleaned up and told Merman so that he could take over bedtime with Mertoddler. The defeated, disappointed look on his face when I told him there was blood just about killed me.

I laid down and called the on-call line at the fertility clinic. They called back to schedule an ultrasound for the next morning with my doctor who just happened to be working that weekend. YAY! The nurse was very reassuring as she explained that it's much less likely for a miscarriage to occur after a confirmed heartbeat. She also reassured me that bleeding is common and the fact that I wasn't cramping and soaking through pads was a good sign. I even texted my midwife and she called me instantly. She explained that it could be a subchorionic hematoma and tried her best to reassure me that things could still be okay. I put a hospital pad on the bed, a maxi pad in my panties, and laid down for the rest of the night. I don't even know how I slept but I did.

(6 weeks, 6 days)
I practically cried all the way to the clinic the next morning. Fighting back tears, I sat in the waiting room anxiously awaiting my name to be called. Before the doctor came in the ultrasound room, I was crying. She walked in to find me in tears and got right to it. She was so great to show me the baby and the heartbeat as soon as it popped up on the screen. The heart rate was 139 and Baby was measuring ahead, which were both great signs! And, sure enough, there was a subchorionic hematoma (SCH). It was about 2 cm long and right above the cervix. What a relief! But, also, what the heck?!?!

She explained that I would likely continue to bleed, especially after an ultrasound and with bowel movements. I was put on pelvic rest and told to "take it easy." Which means to stay off my feet as much as possible, no heavy lifting, and lots of rest. She offered to write a work excuse for the entire week but I chose to only take Monday off. I'm pretty sure I cried even more on the way out.

That night, Mertoddler was up coughing all night and having a hard time breathing. It was terrifying so I rushed him to the doctor the next morning (so much for taking it easy and taking a day off to rest). Croup (again)! He was diagnosed with croup and given a steroid to help open his airways. We spent a day at home together and I was able to keep my legs up and take a nap when he did. My poor, sweet boy always seems to get Croup and it breaks my heart for him.

6 weeks 5 days * HR= 139
You can see the hemorrhage at the top left, like an upside down L


Third Ultrasound (7 weeks, 3 days)
March 5- This was my final ultrasound with the fertility clinic. I'd been bleeding all week but it wasn't heavy and the amount and color fluctuated. This was the first appointment I went to without an overwhelming amount of anxiety and probably the only appointment that didn't involve tears (yet).
Baby looked great! He/she was measuring ahead again and the heart rate was 159. The SCH was still there but hadn't grown. So, I "graduated" and was told to make an appointment with the OB. They gifted me a baby spoon and sent me off with medical records.

Leaving that day was surreal. While waiting on the elevator, it hit me that I may never be back in that clinic EVER AGAIN. After years of infertility and appointments, it almost felt like a second home. So I teared up again. ha! Such a bittersweet moment. But I truly hope I never have to return to that place. I'd love to be able to put infertility behind me and move on with life.

7 weeks 3 days * HR= 159


First OB Appointment
(9 weeks, 2 days)

In between these two appointments, the Coronavirus pandemic took over the world and I was so scared that I wouldn't be able to make it. I'd been bleeding ever since we discovered the SCH. And just a couple days prior, I'd passed a small clot and the bleeding was a bit heavier. I had pretty much convinced myself that I was losing the baby and the SCH was just tricking me into thinking everything was okay.

March 18- Because of the Corona Virus (COVID-19), I had to be screened at the door of the hospital (where my OB is located). They took my temperature and asked a series of questions. Since I passed the screening, I was given a sticker and granted entry.

All doors were left open so that no one had to touch door knobs or handles. There was not a sign-in sheet at the desk. They pumped sanitizer into my hand before allowing me to hold the pen and fill out paperwork. It was like being in a fiction movie.

Anyways, the nerves struck again as I sat waiting for the ultrasound. Deep breaths ensued. When I finally made it onto the table and saw that sweet blob pop up on the screen, I began to cry again. He/she was just wiggling around and popping up and down in there. Again, Baby was measuring ahead and the heart rate was 179! Happiness and relief! (This whole process has been quite a roller coaster of emotions).

The SCH is still there but measuring about the same at 2.4 cm. I met with my midwife to go over future plans/appointments and to discuss the hematoma. As long as it's not growing, she said I have no reason to worry. Ironically, the bleeding has completely stopped since that appointment. I assumed it would get heavier after having the ultrasound but it did the opposite! It's been 10 days without a spot of blood. I don't know whether to be excited that it's clotting and going away or scared that it's filling with blood and growing bigger.

Furthermore, she has set my due date as 10/20/20 because they go off the first day of your last period. But I've been calculating based off of the ovulation day so I'm telling myself that I'm a day ahead of this. And since Baby has been measuring ahead, I'll continue counting weeks as if my due date is 10/19. I know it's only a one day difference but I enjoy Mondays being the day I get to "change weeks."

9 weeks 2 days  *  HR=179
You can still see the SCH at the top. The little black pocket.

Next Steps

The next plan of action is genetic testing. I go into see the midwife this Thursday, April 2nd for a routine pap-smear. At that appointment, I will have blood drawn for the Panorama testing (NIPT). This tests for things such as downs syndrome, Trisomy 13 and 18, Turner Syndrome, microdeletions, and more. We also have the option to find out the gender, which we have decided to do. EEeeeekkk!!! I'm trying to focus more on the excitement of finding out the gender over the anxiety of finding an abnormality.

Then, on April 13, I go to the MFM specialist to have an NT scan done. This will further test for Downs Syndrome, Turners Syndrome, and Patau Syndrome. They will also check the SCH at that time. This is two weeks away and I just can't stand waiting!

This was my attempt to finally allow feelings of
excitement so that I could take a little "bump" photo.



We haven't announced or told the family yet and it's killing me. I'm already showing, which is crazy! But since we're on lockdown and sheltered-in-place, I'm not having to hide from anyone and am comfortably working in my yoga pants.

As for symptoms, the worst have disappeared. I rarely have nausea anymore. But those first few weeks were pretty brutal (although I never threw up). My boobs have definitely grown and are still really sore. Mertoddler has noticed this as he keeps wanting to poke at them and even asked to see them one day. He said, "Are those big!?" hahahahaaaa! All I could do was laugh and confirm that they were definitely growing bigger.

I'm still hungry all the time. Just when I think that symptom is calming down, it hits with a vengeance. I partly think my "showing" is just from eating everything in sight. And now that we're stuck at home all day, it's really hard to stay away from comfort/junk food.

The countdown to genetic testing is on! I'm still really reluctant to get excited until we know everything is okay in there. I can't wait to let my guard down and just be excited about this miracle pregnancy and our future baby.