Third trimester

You made it.

You’re on the homestretch now.

Is the baby ok…..?

When I was pregnant with my daughter I had chronic migraine from the minute I found out I was expecting. I was diagnosed with SPD at 16 weeks unable to walk and that was extremely painful. I soon became very depressed and ridden with anxiety and intrusive thoughts. By the third trimester I was bedridden and had developed preeclampsia. We were induced later, she was born in withdrawal from antidepressant medication. Her first year was defined by trauma and towards the end when she was recovering, I was being diagnosed with fibromyalgia. As she grows, and continues to thrive I feel like with each flare up I die a little inside.

You’re so strong.

Lot’s of people go through complications and come out of it okay.

Stay positive.

It’s a myth (I believe) that people come away from pregnancy and birth trauma ‘ok’ we all move through trauma very differently, but what your mind is able to process your body fights against and you don’t always fully recover. Trauma and stress have a lasting impact on the physical health of a person.

This week I turned 28 weeks pregnant. Last week I found out I didn’t have gestational diabetes and I cried tears of joy, because I didn’t think I would cope with more complications. But every glimmer of hope is followed by a plummet, a sense of doom. Here we are today and my diagnosis and risk catalogue, continue to grow and the list of complications multiply again. I’ve again suffered migraine from conception, got diagnosed with SPD at 16 weeks, again. My blood pressure has been high. I’ve had a reoccurring shingles infection that isn’t responding well to treatment. My whole body is in a constant flare, I’m in agony, not just occasionally now, all of the time, surviving on the very minimum of pain relief. Some days I can’t move my body at all. This week I turned up for a growth scan only to be told I have a low lying placenta (placenta praevia) they’ll book another scan for 36 weeks but and I quote, ‘if you make it to 36 weeks.’

Don’t have sex – I can’t even move my legs hun let alone spread them.

Don’t do…. (insert anything) here.

You might need a cesarian.

No big deal right? Women have c-sections all of the time. Except it is a big deal for me because my body is already broken and major surgery only hinders it’s recovery further.

But the baby is ok, right?

My baby, the one I’ve been fighting for. My second baby, is currently safely cocooned inside me. But We don’t know if he’s ok, not really. I find it odd that this is the first question people ask when so many babies suffer complications late in pregnancy and post delivery. I also feel like it unintentionally goes towards invalidating my struggle. The baby’s fine so therefore you’re fine, stop moaning. We know he has a 1 in 3 chance of suffering the withdrawal similar to his sister, albeit to different medication. We know he’s at risk of infection because my body isn’t fighting them off well. We know that he is at risk of being born prematurely. We hope that he will come out of this unscathed. I am doing everything I can to ensure that happens, but I am not in control of this situation. So I can’t answer the question with anymore certainty than my doctor can answer me.

As a family we are doing our very best to survive, and surpass the finish line, in one piece. We are trying to stay focused on the outcome of a healthy baby, but we are definitely not okay.

My daughter who can’t wait to meet her brother has no understanding of why her mum is ruining all her fun by not participating in anything. My husband is now my carer, and he’s not getting paid, not even in kind.

I am thirty three years old and I feel like my world has been tipped on its head for the 100th time in my life, except this time I have no control, no way to turn it around. I don’t feel brave or strong. I feel petrified. I feel weak. I feel out of control and I feel bone weary, exhausted! As though cement has been poured into my body by mistake and set overnight.

I don’t like the idea that we must keep calm and carry on, because I don’t feel calm. I’m carrying on regardless, because I have no choice. Not because I’m not broken. Or because I’m coping better than I make out. It’s because carrying on is the only option. There’s a saying that goes, you don’t know how strong you are until strong is your only option.

I hope once our baby arrives we will look back on this time like we look back on that time with his sister and we will be okay. We will have all survived, together. We will be happy, and we will have reasons to laugh. I hope that I will regain some control over my health and days will look brighter again. Hope is my coping mechanism. I hope, because to give that up isn’t an option. You might be wondering why I continue to share all of this information, why I’m not holding out to share better news, and the answer isn’t a simple one either. I write to hear myself think. I write to process my thoughts, and to unburden myself of the doors negative thoughts lock when trapped inside my head.

I’m not a person who believes her suffering trumps someone else’s. I know other people have it worse. I know I may come away from this beating the odds and better, but I don’t share for your attention or your sympathy. I share for my own peace of mind. I share so that when we come out the other side, we can look back and know we survived.

28 Weeks of growing you

After your sisters birthday it was my own. An event that used to have such a big place in my life but that has dwindled in importance over the years and many are now spent in recovery after the buzz of your sister’s celebrations.

We have been out a few days, me on my scooter and had some fun with it too. There’s no denying that it takes it out of me so significantly now, just popping out for a few hours leaves me feeling like I’ve ran a marathon. The SPD is worsening as you grow, and for the last few days I have been completely unable to get myself up in the mornings. Your dad is having to lift me from bed and before I’ve even got my feet on the ground I am crying in pain and it’s hard. It’s not in my nature to be this dependent on another person it’s also scary and feels like another string in my bow of can’ts at the moment.

On the plus side, and there have been pluses, mentally I feel a little less erratic and panicked and more prepared for the worst in terms of my health and mobility. We have had some changes made to the house which is enabling my independence whilst you’re inside me, and will hopefully continue once you are here. Grab rails are appearing everywhere and though cosmetically unsightly, they are providing me with much needed independence.

We will see you again this week, on a scan and talk to the consultant about your arrival. I hope we’ll be able to avoid going overdue with a planned induction rather than a cesarian, just because my recovery is already a worry, but what will be will be. Now things are opening up again and restrictions continue to ease, I hope extended family will make more effort to be involved and help with your sister if only to take the onus off of your dad. He returns to work this week after a week off, being without him will impact me again. He has been so hands on and it’s fair to say I don’t know what I would do without him how I would of gotten through these months without his undivided support. Your sister is going into holiday club for a few days this week to take the edge off and we’re lucky that she is a sociable little darling who’s happy to make new friends.

She went quiet for a while asking about you but her interest has piqued again and we are getting back to our daily chats and cuddles, though your kicks don’t seem as exciting to her at the moment, your pending arrival definitely still is. Onwards we move through the quagmire of a loose routine and no real structure, getting by on a wing and a prayer, but getting by we are with a lot of love and a little help from our friends. 💙

27 weeks of growing you.

It’s been a long one, one full of apprehension, appointments, medication, embarrassment, but smiles too.

Last week I had a recurring shingles infection outbreak, it meant I had to go back on antiviral medication and it was painful. During this time we had to see a midwife for a routine appointment and because I can no longer attend these appointments on my own, your dad drove me and got to hear your heartbeat live, for the first time. That was smile number one.

On Thursday I attended the hospital again for some blood tests, and also had a GTT or glucose tolerance test as they are known, to check for gestational diabetes. I have been dreading this test. I had one with your sister too, though I have diabetes in my family, I wasn’t considered high risk during my first pregnancy. This time though due to BMI and hypertension, I was convinced gestational diabetes was a given. The test was painless but it’s effects on my body, fasting, blood taken on an empty stomach with only pain killers rattling round in there made me sick. The drive was uncomfortable, the wait in between the same. I felt like dog shit. The twenty four hours that followed scared me. It was your sister’s birthday party the weekend following the test, and I was panicky about not being able to indulge in birthday cake. Thankfully though, I found out on the morning I DIDN’T have gestational diabetes, my relief was tangible, I cried real tears. Finally a sliver of hope amongst what has otherwise been an assault on my body.

Friday morning I took my recently hired mobility scooter for a spin. It pains me to say that this was difficult. It shouldn’t have been, but deep rooted in my psyche is inherent ableism. I didn’t get questioning looks, but I did get a lot of sympathetic smiles, which in truth were almost as uncomfortable as the former would of been. However, with that in mind, I enjoyed a morning out with our family, and that inspired smile number two.

Saturday arrived and your sister was buzzing for her birthday party, we’re still under strict restrictions here so she was only allowed one friend, but it was her bestie, Maddie. It was wonderful, your nanny, daddy & I all dressed up in fancy dress and I painted your sister and Maddie’s faces. Using the crutches has become increasingly difficult and painful for me, making my fibromyalgia scream, so after a few hours I was beat. But smile number 3 was the best, seeing your sister’s happy face and feeling like under the circumstances I had given her the best possible birthday party, was a moment to cherish and be proud of. I couldn’t sleep last night because the pain following has been so unbearable and today your Daddy took your sister out for the day so I could get some rest. The pain of carrying you on top of my illness is becoming harder to control the more you grow. The hardest part of all this is the limitations on the medication that is safe for me to take whilst carrying you. I worry how I will care for you when you arrive.

In under two weeks time we have another scan to check your growth and also to discuss how you might enter the world. I think I’d like to have a planned induction this time if it’s possible for me to avoid cesarian. Your sister was induced and it definitely wasn’t easy but in comparison to pregnancy, labour isn’t something that scares me.

Tomorrow is your sister’s fifth birthday and we will celebrate again despite the pain I’m in, because us mums push through for our kids, but I know I’ll need time to recover again afterwards. I have an occupational therapist visiting next week to see if I am suitable for some more adaptations to help me see out the rest of this pregnancy with limited mobility.

I am staying strong, and so are you. Keep it up. We’re doing okay you and me.

26 weeks of growing you

Your movements have returned to normal, I cross my heart and thank god, that together we are surviving this.

My brain though, my mood, my feelings are still off kilter. I don’t know how I feel anymore but I think the word best to describe it is numb. I don’t feel despairingly depressed which can only be a good thing, but I don’t feel overjoyed either. I feel like all I do is complain, I feel like all I do is feel pain. I feel like I’m blaming pregnancy for a lot unintentionally. I don’t want you to be born from these feelings but it’s very hard, so hard to feel connected to you when I myself feel so disconnected from everything and everyone. This week I had a reactivation of an old shingles virus – it’s agony, it’s keeping me awake at night and it can be potentially dangerous for you, so I have to take more medication.

I’ve been so quiet, so distant, my friends have tried encouraging me, coaxing me, offering support and I’m so grateful but I have nothing to say. I’m acutely aware that I am becoming a negative person a person whose insular and reclusive, a person who brings the mood down, a fun sponge.

You are growing and I am growing with you, finding comfort in food because I can’t move so exercise is non existent. A man from the council came today to fit me a second stair rail, I’ll be getting a bath seat too apparently and I feel eighty five years old. I feel fat, not glowing. People’s kindness in their opinion that I glow is actually starting to annoy me. I look fine so I must be fine. (Rolls eyes)

I am conflicted. I’m so grateful for the people that have rallied round and tried to make me feel supported even though I haven’t been able to be supportive of them. I take my friendships seriously and it frustrates me if I can’t give back. I don’t think it’s expected but I want to be able to be supportive of friends of mine too. In reverse there are also people that I selfishly perhaps feel should care more and have been distant.

Then I have to be stern and remind myself that everyone has stuff going on and the world doesn’t revolve around me and my pregnancy. Except that’s all my world revolves around at the moment. I’m getting fomo again of everyone’s summer plans and I’m envious, I know it’s not cute to admit your jealousy, but I am nothing if not honest. You will learn that.

Your dad and I have been trying to write a will – well I have. Who would look after you and your sister if something happened to us both? Your sister has eight godparents. It was too many and the lesson has been learnt that giving someone a title will not make them an active participant in a child’s life.

I found this online about the role of a godparent – In general, a godparent’s role is to stay connected with the child in some manner throughout life. You will be at the baby’s christening and perhaps take part in the ceremony. Most importantly, you’ll serve as a mentor and take the symbolic place of the child’s parent of your gender if that parent passes away

Your sister sees approximately three of her eight godparents. Two she hasn’t seen since her christening four years ago, but less than she’s seen them, she doesn’t even know they exist. What will happen if we die? Who will step up to the role? I’m doubtful that I would include more than one, maybe two of them as a named person in my last will and testament to care for her, so who will care for you? Should I even bother to get you christened? My circle is smaller now. I’m fine with that, but I’m also a person who takes these things seriously so I find it sad that others don’t. Again maybe unfairly, but don’t sign up for a job you don’t want.

This is anxious rambling I know that. I know this is worse case scenario stuff, but someone has to think about it, don’t they? Someone has to consider what will happen in the event your dad and I can’t take care of you.

As I write this you are kicking up a storm in my tummy, active after my last cup of tea. I’m in bed now, it’s 13:00 so the middle of the day but after the guy came to fit the stair rail and I talked to my boss on the phone, I am once again drained of all energy and expenditure of said energy cannot recommence until I am recharged.

I’ve packed away some of your new clothes, tried to think again about what you need whilst also planning for your sisters birthday this weekend. She wants to be a mermaid, her wish is my command. I hope you two will love each other fiercely but I won’t pretend that she is always an amenable character, sometimes she’s feisty like me. On Sunday night she stayed at Nanny’s and got her head stuck in a dining chair. Everyone was too panicked to take a picture but it’s a story we’ll tell you in the future when reminding you what not to do – I laughed, she is fine. I will keep laughing because humour helps and you like the sound of my cackle, the witchy tones of my voice. My underpronounced T’s and over pronounced R’s. I know this because sometimes I talk to you and you move.

You’re on your way now, growth speeds up here, and I will continue to keep you safe. Please keep moving.

25 weeks of growing you

I had a bath on Monday and got out at 7pm. Most nights we read your sister a story in bed and you kick like crazy, her trying to catch them in between prolonged pronunciation and sounding of words like the, but your kicks were gone.

Your sister went to bed sad that she hadn’t gotten to feel them and I was starting to get concerned. I watched The Caroline Flack documentary with your Daddy and it was very sad, she reminded me a lot of myself and how I don’t have the capacity to cope well with heartbreak and complex emotions, but it didn’t serve to take my mind off of you. I ate some crisps, jiggled my still soft bump and your dad made me a sugary tea. Still you stayed still, I felt like I could physically hear your silence, deafeningly loud to me.

By bed time I was frantic, I called maternity but couldn’t get through the first 14 times. My call log looking like the days when your dad used to go out ‘for a few drinks’ and leave his phone unanswered. He doesn’t do that anymore thank goodness. I tried again and got through, they wanted to see me. Or at least told me they’d need to. I haven’t driven for almost two months. It’s dangerous for me because my mobility is so bad, but I didn’t have a choice, I had to go. Your sister in bed and nobody I felt able to call at 11pm at night to sit with her. My mum would of done it, your Nanny, but I didn’t want to wake her.

When I arrived I couldn’t get through to the team again, it was dark, scary in the poorly lit car park. Me trying to swivel out of the seat and lean over for my crutches. I hobbled to the door, a midwife waiting for me ‘you should of parked closer’ she said, and I felt guilty, I couldn’t risk another parking fine, we don’t have any money. But maybe I should of drove to the door, why was I thinking about money when all that mattered was you? My brain felt fried.

She asked me about my mental health and I bristled, feeling like I was waisting her time. I’m not crazy lady, I’m here because it says on my notes, don’t delay if you notice something off with your baby. My baby boy, you, I have felt your kicks thick and fast for weeks now. I count them.

‘You’re only 24 weeks + 5 days, still early to feel regular movements’ she was trying to be reassuring but she just began to annoy me, because I know you. I know when you don’t move.

After this dance she got me on the bed.

‘Heartbeat strong, oh wait there’s only one, but don’t worry it’s your baby’s’ What the fuck was this woman on? I gave myself a shake and listened in to you. If my heartbeat was gone, it didn’t matter because in that moment I knew I was alive, all I cared about was if you were.

I feel tired, so unbelievably tired. I feel like I have nothing to give to anything else. Nothing to give to the life around me because everything is focused on getting you out in one piece.

I’m not being a very good friend at the moment, I’m not being a very good wife either, because the dwindling energy I have is focused on being a good mother. I can’t give your sister everything she needs whilst I’m carrying you, but I’m trying, and if I can carry you to the end of this pregnancy and deliver you safely, we’ll all be together and hopefully more physically able to take life by the horns as a family of four. Hang in there boy. The kicks count.

Week 22 of pregnancy, carrying you, baby #2

We didn’t know what you’d be. We weren’t sure you’d show up on a scan as healthy. Our twenty week scan was nearly two weeks late and it made us impatient and anxious. We still don’t know what the outcome will be or if you’re truly ok in there. All we know is that you’re wanted.

Now I can no longer walk again it’s difficult to associate pregnancy with positivity. It was the same with your sister, causing me pain so difficult to overcome that I never really know what each day will bring. We’ve been left to our own devices by the health care system. Lots of people told me it happens with second babies. You’re an assumed pro by number two, you don’t need any support. Except I do need support. I do need reassurance. I am not a pro.

You present me, your mum with symptoms similar to the ones your sister did, but it’s different this time. They keep telling us about the risks to you, but don’t really do anything to help us overcome them. Maybe there’s little they can do, or maybe they expect me to know, I don’t. Medication that I need to function, to care for your sibling too, means you might need help when you’re born.

They have offered me mental health support that has been good, but physically I’m in worse shape than ever and I still have to care for your sister, so it’s hard.

We weren’t amongst the chaos of a pandemic when she was on her way. This time our support has lacked and your sister has been home for most of it. Waiting for your arrival with baited breath. With hope, but also with boredom. She longs for a playmate but she doesn’t fully understand the implications of pregnancy and why her mummy has become less fun.

Me, your mum, I have a few health issues already. Ones that were present before you were even a thought in my mind, a seed in my belly. Ones that haven’t gone away, that never really will, but that we’re working hard to escape. We love you already. That much we know, but each and every day that we will you to grow, we are scared that you’ll have a hard start. That your life won’t begin with all of the joys of a hot July summer. We worry that I might not be strong enough to care for you. That the help we need might not be available or accessible. Maybe we should have been more prepared but you showed up with two lines three weeks after my last period and we weren’t prepared, all we knew is that we would keep you.

I’m off work at the moment. Pregnancy isn’t kind to my health or my mind. I was struggling to hold down a job before you came along, but I’m trying. I fall into a category of disabled that isn’t well recognised or even always believed. I don’t get financial help for my disability and your Daddy works very hard but we aren’t wealthy enough that I don’t have to work. We are looking at ways to accommodate my return, and we have to hope that I will be well after your birth. Well enough to care for you. The trouble is I get periods of wellness that don’t really last. They are usually days and not weeks or months. I hope you don’t grow up having to care for me. I hope that I will always be able to give you what you need.

I love you. I love your heartbeat and your tiny feet. I love your kicks and I hope that when you arrive you will know that whatever challenges we face, my love for you will continue to grow.

I hope that you and your sister will always know that Mummy tried. She will never stop trying to give you a good life and will always be there to share it with you.

What’s it like to be half way through a high risk pregnancy?

Lonely. Because everyone experiences pregnancy differently and when you’re more worried than you are excited, people think you’re being negative.

Hopeful. Because hope is all you really have. We can’t change the future or the past but we can hope for better.

To get excited could mean to jinx it. I don’t want to rave about how excited I am when I still can’t fully envisage a happy ending.

Only another 4.5 months to go, I can do this.

Oh shit another 4.5 months left of this, I can’t do it anymore.

What does high risk mean?

Different things for different people, even pregnancies for mums without underlying health issues come with environmental risks. Sometimes the risk will be more prominent for the mother and sometimes for the baby. But risk factors can be present for both.

What does in mean in my case?

For me, it’s meant the risk of long term immobility because my Symphis Pubis is at risk of rupture and I can no longer walk. It means another 4.5 months minimum of immobility to go. If the SP ruptures it could mean further more extreme long term disability, loss of mobility, incontinence and need for surgical intervention.

Preeclampsia. You are more at risk of preeclampsia if you had it during a previous pregnancy, which I did. I have had also high blood pressure throughout this pregnancy along with chronic migraine. Migraine can be an indicator of preeclampsia and I’ve had one every 3-4 days for the last 22 weeks. So you can imagine the worry is ongoing, and the risk of early onset preeclampsia is higher. Survival rates for babies increase significantly if preeclampsia is developed later in the pregnancy.

Withdrawal. 1 in 3 babies exposed to medication in utero are at risk of being born with Neonatal Abstinence Syndrome. Ciara was born with NAS from antidepressant medication. I no longer take antidepressants but I still take medicines that I need to be able function medication that I will be on for the rest of my life in all probability. I take more medicines than I was taking when pregnant with Ciara so our risk is already much higher this time.

Underlying health conditions. Though Fibromyalgia & Migraine don’t directly impact the baby during pregnancy, the reduction in medication along with hormonal changes exacerbate symptoms drastically, and I have spent the last 22 weeks in pain, every second of every day. There are no ‘good days’ we are getting good hours and that is the best we can hope for. We know pregnancy is impacting my health, but we don’t know what it means long term.

When you tell me it’s not forever I am reminded of how long I have left to go being unable to walk, dress myself and cook, and that actually as a functional human being I was already struggling. A positive mindset is very difficult to hang onto when you lose your sense of self through physical disability. Your mind knows what’s going on but your body doesn’t do what you want it to.

When you tell me you’re excited for me I’m reminded of how scared I am. I’m reminded that I too should be excited, instead I’m fearful.

When you ask how’s the baby? I’m reminded that I’m their house and I don’t know really how they’re doing, not really, because until they are here and in my arms I won’t know if all of the above risks have impacted their development. I wish you would ask me how I am instead because that’s a question I can answer. But when you do and I’m honest I feel like it’s the wrong answer and I’m a burden, so again I feel forced to stay optimistic about something that scares me.

It’s been 22 weeks of anxiety, worry and physical disablement for me and though we have hope, hope is still all we have.

Nobody knows what to say so they stop saying anything at all and some might question why I even bothered to get pregnant in the first place if all I am going to do is complain. But my complaints are not born out of a dislike for pregnancy. They aren’t because I don’t want my baby. They are born out of fear and worry and the inability to fix a broken body. They are born from exhaustion, and guilt and trauma.

I do need help, but I won’t ask family and friends for it because it makes me feel like more of a failure and because I know that every single person in the world right now needs something. I know that people are all going through stuff, maybe worse stuff like dying and losing loved ones and everybody’s mental health is in a state of decline, so what makes me special? Nothing.

So why am I speaking up? Why don’t I do my wallowing in private? Because I still want to feel connected. Because I don’t want to be the person who suffers in silence anymore. Because if it was my daughter going through this I would want her to feel able to open up in whatever form that helped her, and incase you’re new here. Writing is what helps me.

Today we found out the gender of our baby, and all I could think was at least they’re alive. Grief does not only come from loss, I am grieving the excitement I want to feel, I’m grieving the process, and I’m grieving past pregnancy and birth trauma that still haunt me vividly whilst I wait for the arrival of my second child and hope that when they get here I will be strong enough to keep them safe. I am grateful that we have gotten this far, and I am hopeful that will can get to the end.

I’m grateful for a little girl who can’t wait to find out if she’s having a brother or sister and who has enough hope and excitement for all of us.