Wednesday, October 17, 2012

Blood Transfusion and A PLAN

Early Monday morning (July 23rd) the doctor on rounds had ordered more blood work. I was so used to being poked by needles at this point, I just stuck my arm out and said "Here ya go!" The phlebotomist looked at me funny, but it wasn't really a joke. I had more needle holes in my arms than my 4 1/2 year old could count. And, he was a pretty good counter!

The test came back a little later, and the doctor was convinced he had a solution to my problem. The problem being my constant headache. No one seemed to focus on the swelling, protein in my urine, high blood pressure, or any of the other symptoms I was having. They just wanted to tackle the headache so that I could be "more comfortable" in the last few weeks of pregnancy. They were convinced that my headache, as painful as it was, was causing the heightened blood pressure. I disagreed, but, then again, I disagreed with about 99% of everything they had told me since I was admitted. Until they told me they agreed I needed to be induced, then I really didn't believe anything coming out of their mouths. 

His solution was this: a blood transfusion. My blood count was significantly low and he had in his head that giving me blood was going to release tension on my head, or some nonsense like that. I didn't believe him. And, the thought of putting someone else's blood in my body was not a pleasant one. 

I was all alone at the hospital, and I honestly didn't know much about blood transfusions. I needed some advice. My friend Caryn is a nurse, and I asked her opinion. She agreed that it didn't seem as though the blood transfusion would help with my headache, that only actually delivering the twins via vaginal delivery or c-section would actually cure it. But, based on my blood levels (which I know nothing about, also) she said it was a good idea. Especially if I ended up having a c-section, I would want to make sure I had enough blood in my body in case I lost a lot during surgery. 

After talking to Caryn, I decided that it would probably be a good idea. As scared as I was about it, I trusted Caryn over any doctor I had seen so far. And I wasn't about to die during c-section because I didn't have enough blood. 

Minutes later, MY OB walked in my room. Yes, MINE! Boy was I glad to see her. She came in to talk to me because the other OB, recommending the blood transfusion, told her that I had some concerns. She could tell that I was miserable, she could see just how swollen I had gotten, and she knew that I wanted the babies out and ASAP. 

The best thing I had heard since I got to the hospital, or for a LONG time really, was the next thing she said. "After the blood transfusion, we can start induction." FINALLY!!!!!! A plan!!!!! I couldn't believe my ears. Was this really happening? I needed to call E & S and STAT. Oh, and my mom! And EVERYONE. This was the best news, ever!

I mentioned to her that the other OB, the one who ordered the transfusion, wanted me to have a c-section because baby B was breach. She said that even if baby B was breach we could still do a vaginal delivery, and that if she didn't turn after baby A came out that they could do a breach extraction and pull her out by her feet. This was something we had discussed previously, as well. She reminded me though, that it's not always possible to do a breach extraction because she could be butt down, or some other extremity. And there was still a chance of c-section after baby A was born. As scared as I was to have a c-section, especially after having the first baby vaginally, I still wanted to try vaginal delivery for both. Baby B could still turn! 

So that was the plan, blood transfusion then induction. She said we could start shortly after the transfusion was done. And, it usually took about 4 hours or so to complete. So, that meant I'd be induced around 6 that night! Holy cow, this was really happening! 

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