I could tell by the look on her face, and the fact that she stopped talking mid-sentence, that something was wrong.
Ten seconds earlier, my OB had been explaining to me that sometimes the cervix will shorten and most of the time it's no big deal. She was reassuring me that, while 3cm in length is preferred at 32 weeks 5 days, sometimes it shortens a little more than that {like down to around 2cm, in my case} and everything turns out to be fine. I was going to be sent to labor and delivery, just as a precaution, and this would be a good opportunity to have blood drawn to check my liver and blood levels for Preeclampsia {once and for all} since my blood pressure had been going up and protein started spilling into my urine a few weeks ago.
Then she stopped talking.
"Well," my OB said, "you're 80% effaced and 3cm dilated. You need to go to labor and delivery right now. You're going to Sister's {that's the high risk labor and delivery, for both mamas and babies} and I'm sending some cultures with you."
Awesome.
I didn't know what to say, so I just nodded. This could not be happening, but it was, and I was really scared. She started asking me about pressure and contractions, so I told her I had been feeling lots of pressure in the last few days but Baby had dropped, so I didn't think it was unusual. Then I explained that I had only had maybe four contractions in the last three weeks - that I could recall anyway. They were all on different days and had amounted to nothing. Just a shot of pain, a tightening belly, me holding in my breath, and then nothing. I said I just thought they were Braxton Hicks and I had no idea they were actually doing something, but I guess they had been.
Lets rewind about 45 minutes.
I was happily enjoying watching my Monkey Man roll around during a growth ultrasound. He was looking great, so thoughts of IUGR {Intrauterine Growth Restriction} were far from my mind, and I was just soaking up the moments with the newest man in my life. I laughed at 3D pictures of his little toes {his big and middle toe make a peace sign, just like Little Rocker's do!} and I smiled wide for an adorable picture of his cute little mouth, hand, and nose. Nothing could bring me down when my little boy was looking and doing so well. My fluid levels were coming up perfect and, best of all, he was measuring in the 60th percentile and weighing approximately 5lbs! Amazing!
The ultrasound tech told me that she couldn't see my cervix, because he finally flipped and had dropped happily into the "birthing position." His head was right at the mouth, and he was completely blocking her view. She warned me that she'd unfortunately have to do a Transvaginal ultrasound in a minute {you know, the dildo cam} if he didn't move on his own. After a few unsuccessful attempts to convince him to move by jiggling my belly, she told me that it was time to de-robe, lol.
I put the gown on and got back onto the table, and I knew that something might not look right as soon as she got started. During the whole ultrasound, she had been laughing and joking with me about how silly my little guy was. We were talking about Little Rocker and about her niece who is the same age, and we laughed about the crazy and funny things toddlers do. Now she was quiet, almost grim, and had a very serious look on her face. After a few minutes of double-checking and telling me that "I had a hard cervix to see, so she was just making sure" she told me the big news. She said that my cervix was shortened a lot, and it was now only about 2cm. This is far less than ideal. 3cm or more is what they like to see at this point in a pregnancy, and 2.5cm is manageable, but less than that can sometimes be no good. She asked me about contractions and pressure, so I told her, and she then told me I could get dressed and the doctor would be right in to see me.
I was nervous, but hopeful. Maybe it was just a slightly shortened cervix and nothing else. Maybe they could give me a pill to make it get better. I knew they couldn't put a cerciage in, because I'm much too far along, so I mostly thought about what the heck they even could do for me at this point.
Then my OB came in and she calmed me down a lot. She too was hopeful, and that was wonderful to hear and see, but as soon as she did the internal I could tell she was nervous. I was rushed to check out, while my OB prepared the cultures she had just taken and faxed down my chart. As soon as everything was ready, she handed me two biohazard sealed bags, filled with ice and cultures, and told me that the nurse in labor and delivery would be waiting for these. I was on my way.
Without going through the crazy logistics of gathering my parents to watch Little Rocker while RJ and I rushed away to the hospital, I finally got everyone home. My mom drove me there and she stayed with me until she had to go to work. She was there about an hour and then I was alone for a while, while RJ tried to get Little Rocker {whose entire day was completely out of whack} to take a nap. He finally gave up and left Little Rocker in the care of my dad and best friend, who is also Little Rocker's godmother.
So guess what!!!
No one has any idea what's going on.
The good news:
I don't have pre-e yet. My blood pressure is up and I'm spilling protein, but all my blood and liver levels came back negative. The OB in labor and delivery said that I'll probably get it within the next few weeks, but for now I'm still good and can relax about that.
The bad news:
No one knows why I'm dilating. I've been having no measurable contractions, and it's pretty much just happening on its own. The OB in labor and delivery was pretty confused when I told her I haven't felt one contraction, and she questioned why my dr had even checked me today. I just explained that the tech noticed my short cervix during my growth ultrasound that I was having due to IUGR, and my OB felt she needed to check me to be safe.
I'm home now, because they can't keep me without "imminent labor" {i.e. you know, actual contractions and what not}, but they gave me the first dose of steroid shot to develop Monkey Man's lungs before I left and I need to go back tomorrow for the second dose. The little guy is measuring 5lbs, so both the OB in labor and delivery and my OB are pretty confident that if I do deliver soon he should he ok with that size and the steroid shots.
Basically, no one knows anything so I have to stay on strict bedrest. I'm exhausted from being at the hospital all day and I'm scared that I'm so dilated, effaced, and shortened at just 33 weeks. Oh, and also because of the fact that it's all a big mystery to the medical professionals! Yikes!
I would love to be sleeping right now, but after two tiny naps I just can't fall asleep again. I'm pretty sure it has something to do with this migraine I've had for the last two weeks, but what are you going to do?!
If you're the praying type, please send some prayers up to God and ask him to keep this little monkey inside his mama for a few more weeks. I'll be 33 weeks on Thursday, so even three more weeks would do. Despite his estimated size, I'd really love to let him cook for a while longer and I don't want him to suffer after he's born because it was slightly too early.
Thanks, everyone, and good night!!