When Pregnancy Swelling Becomes Something More…

 

After years of trying to get pregnant, our dream finally came true. God had finally answered our heart wrenching prayers for a baby. Getting pregnant had been the hard part-being pregnant was a breeze in comparison. That is, until everything went wrong.

Because we had conceived with the help of IVF, I was already a paranoid pregnant lady. Even though I followed all of the recommendations, I still feared a miscarriage, a physical deformity, or a genetic anomaly. I had thought of most potential complications, and every little ting or pain alarmed my fragile state of mind. Knowing too much as a physician didn’t help. I reminded myself that it was normal to be overly concerned considering all that we had been through. It wasn’t like getting pregnant was a walk in the park for us. All forces of nature had conspired against us for years. Now that we had finally gotten a positive pregnancy test, I was a little leery that it was too good to be true. But, as months passed and our baby continued to be a perfect patient, the hypochondriac in me started to lessen. I resolved that I was going to have a happy and healthy baby.Love and new life concept. A woman's hands forming a heart symbo

Around 26 weeks of pregnancy, I suffered the worst headache of my life. My husband and I had recently moved states, and I had just established care with a new OB/GYN. I didn’t want to be the annoying patient who called about every little complaint, but when loads of Tylenol and sleep just didn’t cut it, I began to worry. Knowing that headaches can be linked with pregnancy induced hypertension and preeclampsia, I quickly checked my blood pressure. It was normal, but the pain in my head was not. With tears streaming down my cheeks, I asked my husband to call the doctor.

The physician on call recommended that I come into the hospital for blood work, to monitor the baby, and to get me something stronger for the headache. I couldn’t have agreed more. Thankfully, my blood pressure and blood work were fine, the baby was active, and the Percocet took the edge off.

After that episode, pregnancy life returned to normal. My follow-up blood pressures were fine. I hadn’t had another headache, and my only real complaint was the swelling in my feet. By swelling, I mean absolutely NO shoes fit my feet. I questioned, joked, and complained about my elephant feet, but I just assumed that it was part of the beauty of getting pregnant.

Since we had just moved to a new state without any family nearby, I knew that I needed to establish a support system before the baby arrived. This gave me the bright idea to join a Mom’s group while still only 32 weeks pregnant-I like to think outside of the box sometimes! I loved my “Real Mom’s” group from the moment that I met them. They applauded my assertiveness in joining the group while pregnant and welcomed me wholeheartedly. They didn’t, however, welcome my swollen feet! Instead, they insisted that I prop them up and have someone take a look at them. I reassured them all that I had a doctor’s appointment later that day, and that I didn’t have preeclampsia. It was simply swelling from pregnancy. I had noticed just the night before, however, that my glasses seemed a little tighter on my face, and my rings were even tighter than usual. I voiced my concern to my husband but then brushed it off as paranoia.

Fetus 7 Month In The Womb. Visible Head And Arms

At my 32-week prenatal visit, my blood pressure checked out fine. The Ob/GYN examined my belly and listen to the baby’s heartbeat. After measuring my belly, she recommended that we get a quick ultrasound of the baby since I hadn’t grown much since the last visit.

I waddled off to ultrasound, my feet aching with each step. The ultrasound confirmed that my baby’s growth had decreased to the 10th percentile from the 40th. Something was making her very unhappy inside of me. When I returned to the exam room, my doctor asked for a urine sample (which being pregnant I was easily able to give.) She reexamined my feet and decided to confirm my “normal” blood pressure. On recheck, my pressure wasn’t just a little high; it was stroke worthy! My urine dip screamed protein. And, when my doctor asked if I had been seeing any floaters, I dumbly responded that I had been having a weird, spotty kind of dizziness for months, but it seemed to be positional. Duh! Floaters! Wow, sometimes being a physician really doesn’t prepare you to be a good patient.

Within minutes I was loaded into a wheel chair and whisked to the OB floor for overnight observation. I voiced my concern that my mom was coming from Michigan to pick me up and take me back for a wedding shower. My Ob politely but firmly replied, “Emma, you aren’t going anywhere. First we have to make sure that you and the baby are safe.” By the time I made it to the OB floor, my blood pressure was sky-high, my head was pounding, and I was starting to get very scared. The nurse poked and re-poked me to start the IVs for the blood pressure medications and the dreaded magnesium. In what seemed like minutes, I had developed sudden and severe onset preeclampsia.

I called my mom to let her know the change of events. Knowing nothing about preeclampsia, she asked, “Emma, is this serious?” That’s when I broke down sobbing. Yes, it was serious. I was getting sicker by the minute, and I knew that my baby needed to be delivered soon…TOO SOON.

For more about preeclampsia head to The Preeclampsia Foundation or March of Dimes. Both have their annual walks all across the country in May and June. Sign up to raise awareness and support women who have had pregnancy complications, and help prevent complications for others.

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Little Babies Matter Too!

Every woman dreams of a healthy pregnancy. Every woman also dreams of an easy one…one lacking swollen feet, excessive weight gain, countless stretch marks, and negligible energy. But if you were to ask any mother if she had to choose between healthy and easy, I guarantee you that she would choose HEALTHY any and every time.

Yes, we all have a tendency to complain when our waddles get a little to wide (a consequence of water buffalo breadth hips), our bellies block any reasonable effort at shaving, and our swollen feet refuse to fit into anything but granny shoes-all legitimate complaints in my book. But, what would we trade for a healthy baby? What would we give to deliver on-time without any complications? What would we vow if we could keep our infant out of the neonatal intensive care unit, tube and wire free?

Maybe you’ve never thought about it, but lately this has been weighing heavily on my mind. Every year about 450,000 babies are born too early. That’s 1 in 9 babies. Unfortunately, that was my baby! I admit, a premature delivery wasn’t on my “worry list,” and it’s not because my list was short! Santa Clause would have even had trouble keeping up. No, for some reason everything else landed on my irrational, OCD, hypochondriac list; then preeclampsia took me by surprise, and my body and my baby’s life by storm. If I could have done something differently I would have. 3 pounds and two ounces is too tiny for any little one to make a grand entrance into the world. Intubation tubes, heart rate monitor lines, feeding tubes, incubators…these life saving interventions brought both comfort and terror.Care For A Sick Child In The Pediatric Icu

Could my emergent c-section at 32 weeks have been prevented? No one knows. Even in today’s medically advanced world, preeclampsia is still a mystery. My risk for developing sudden and severe onset preeclampsia in future pregnancies is literally the flip of a coin. 50:50. It’s a chance I’m willing to take, but not one that I take lightly. After 9 weeks spent in the NICU with my daughter, I know the fear, exhaustion, and grief that prematurity brings. When the tiny twin next door doesn’t make it, or the micro-preemie down the hall is whispered one last loving farewell from his devastated mommy…it’s all too much to bear.

If I don’t know what to do…what can I do? Of course, there are known contributors to premature deliveries such as tobacco use, alcohol and illicit drug consumption, and a lack of prenatal care; but, none of these apply to me. I don’t drink, smoke, pop pills, or shoot up with anything other than infertility medications. And, since In Vitro Fertilization is our ticket to parenthood, my prenatal care starts at day zero. I take prenatal vitamins, exercise, try to eat healthy, and limit my stress. Yet, none of these have been shown to reduce the risk of preeclampsia.Birth

So, in an effort to protect my future pregnancies I’ve decided to look beyond myself. Now, I’m pushing researchers and the health care community for answers by partnering with The March of Dimes. I want to know what causes preeclampsia. I want to know if there is anything that I can do to prevent it; and if not, what can be done to treat it more effectively? If I am destined for another preterm delivery (one that could happen at an even earlier gestation) I want my preemie to have the best chance not just at survival, but at a healthy life free from neurological complications, breathing problems, visual and hearing disturbances, and developmental delays.

My desires may seem unrealistic, but I know them to be possible. Just 60 years ago my grandmother whispered goodbye to her preemie son only moments after he was born. 60 years ago she was told that there was nothing that they could do to save his life. 60 years later, my healthy 2-year-old daughter is living proof of the life saving advancements developed by the medical research community and largely funded by March of Dimes. All I’m asking for are more answers…quickly!Girls Kissing Mom's Belly

I can’t do it on my own. Please join me in making a difference for pregnant mothers, unborn babies (my own included), and preemies by walking with me this May 9th, 2015 in the March for Babies or by sponsoring me. Start your own team. Be a corporate sponsor, or sign up to raise awareness in your community. My dream is that 60 years down the road preeclampsia and preterm deliveries will simply be a thing of the past.

Click this link to donate/sponsor The Mom in Me, MD or to learn more about the March for Babies:

http://www.marchforbabies.org/themominmemd

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Little Giraffe and my Tiny Preemie: Discount Code Included for your own Little Giraffe Shopping Spree

Newborn baby boy covered in vertix inside incubatorI have mentioned before that Little Giraffe is one of my favorite baby/child luxury lines. From their stuffed animals to their bath towels…they are the best! My daughter, Ayla’s, very first stuffed animal was the GIANT (not Little as the company name implies) plush pink, grey, and white giraffe. My husband bought her for our preemie daughter while we were living in the hospital neonatal intensive care unit. Sophie (that is what we lovingly named our pet giraffe) stayed in the NICU with us for those trying nine long weeks. She moved around the room, sometimes even stealing the nurses’ work station seat at the computer, adding beauty and laughter to an otherwise stressful situation.Iphone 1944

When our daughter was able to safely be held outside of her incubator, one of her early pictures taken by one of our AMAZING night shift nurses (Chelsea you rock!) was in the arms of her Little Giraffe. At 3 lbs. 2 ounces, our daughter’s tiny size was even more profound in comparison to her plush friend. Over the past two years we have continued to take pictures of Ayla in the arms of her Little Giraffe. I am blessed to say that she is now almost as big as Sophie! I never thought a stuffed animal could be so sentimental…but, our Little Giraffe is more than just the cutest plush you’ve ever seen. To this day, Sophie still sits beside my daughter’s crib as a reminder of all of our answered prayers.994389_627788507281149_541333443_n

So, yes, I have a soft spot for the Little Giraffe company, and I tend to agree with the Company of the Year Earnie Award that they just received. Since they are so excited about their award they decided to invite us to the party!!! Yep, you guessed it, they have a special discount code offering 15% off of their entire online store until November 1, 2014. This never happens! Simply enter LOVEWINS14 at checkout to get the discount.

If you missed my previous review of their bath products…click HERE to get up to splashing speed! Happy shopping…even if it is just window shopping (that’s what I do most of the time:)

From the Mom in Me, MD

 

Our Preemie Journey: Holding My Dream Come True for the First Time

I couldn’t do it. I hadn’t been able to get out of bed with my soaring blood pressure, pounding headache, and magnesium clouded confusion. I desperately wanted to hold HER; but, it had been two days, and I had yet to see my baby. Today was the day! I willed my body, forcing my legs to carry me just one step toward the wheel chair. Un-showered, unrecognizably swollen from the preeclampsia, connected to several IV lines and a foley catheter bag…I was far from a picture, perfect new mother. Actually, I was a wreck! I was trying to hold it together, but it was all too much. My body continued to suffer the side effects of preeclampsia, unresponsive to the blood pressure medications being loaded into my veins. I was terrified for myself and my tiny newborn. But, I had to see her! I had to hold her! I had to touch her!Iphone 1634

Iphone 1729Every tiny bump, even the elevator’s gentle thumping felt like foot-high speed bumps. My head bobbed and my body swayed as though I was on a tiny fishing boat weathering rough seas. Although Dave was probably only moving at a turtle speed, I begging him to slow down. The nurse at his side, there to make sure that my blood pressure didn’t jump any higher and that my IV lines were running appropriately, assured me that we would be to the NICU in moments. I reminded myself to take deep breaths. I could make it. I would make it.

The NICU was a whole new world. Small rooms filled with even smaller babies. IV’s, feeding tubes, heart rate monitors, ventilators, incubators…all in an effort to save these precious little lives. My wheel chair stopped in front of HER room. It wasn’t the perfect pink room with a white crib and velvet curtains that I had planned but hadn’t had the time to decorate. Instead, it was a hospital room with a tiny incubator, purple walls, heart rate monitors, and a hospital curtain.Iphone 1653Iphone 1764

I barely noticed the room. All that I saw was HER. So tiny…so fragile…so transparent. Again, I was terrified. I didn’t see a beautiful, healthy, chubby baby that I could snuggle and kiss. Instead, what I saw resembled a frail, baby bird that had fallen from its nest. Her skin was translucent, covered in downy hair. Her features were far too fine and underdeveloped, lacking the fullness and health that fat brings. Her skin was wrinkly, and her arms and legs almost looked skeletal from the lack of fat. Some may be appalled to read that I didn’t find her beautiful at first sight. I loved her desperately, but her appearance was shocking…even to me, a physician.Iphone 1693

I was afraid to hold her. Would I break her? Her weight had dropped into the 2 pound range-down a little from her birth weight of 3 pounds 2 ounces. The nurse reassured me that SHE would be fine. It took some time to get her out of the incubator and untangled from all of her iv and monitor lines. Just as she was placed in my arms I began to feel waves of nausea. My blood pressure had jumped, and my medications were making the room spin. I had made it this far. I had to hold her.Iphone 1661IMG_2042Iphone 1703

After only a few moments, with tears streaming down my face I asked for someone to take her from my arms. I had to close my eyes. I had to lay down. My body was my enemy. It was preventing me from being the mother that I longed to be. But, I had seen her. I had held her-even if just for a moment. In that moment, in my sick and terrified state, I was in love with a little life that had been gifted to me. She was tiny, but she was precious…the most priceless gift my arms had ever held.Iphone 1832

From The Mom in Me, MDIphone 1738

Breastfeeding a Preemie: thoughts from a mom who has been there!

Don’t be fooled by the title. This blog is helpful for all breastfeeding moms! I have been asked on several occasions now to touch on breastfeeding a preemie or a baby who is in the NICU. Mommies ask…I answer! While I’m not a lactation consultant, my role as breastfeeding mom to a preemie has given me quite an education. I’ve decided to address some of the common challenges that go along with breastfeeding a preemie. Some of these challenges also exist for non-preemie babies…so, all of you nursing moms may want to keep reading.Newborn baby boy covered in vertix inside incubator

1. Not Yet Ready To Breastfeed

Many moms with preemies have a sense of helplessness. They want to protect and take care of their newborn, but this is incredibly challenging in the NICU setting. Breastfeeding is one significant way for moms to impact their preemie’s health. But, one of the major challenges of having a preemie or sick infant in the NICU is that they are not yet physically ready to breastfeed. Many little ones require a feeding tube and IV nutrition for their early meals. Eventually, many preemies will be ready to breastfeed, but in the meantime, moms can have an incredible impact on their preemie’s health by pumping breast milk to be given through the feeding tube. Research tells us that infants (specifically preemies) that receive breast milk have better outcomes. Since preemies are already at a disadvantage from day one, giving them any extra health benefits is MAJOR!

That being said, pumping often feels like a task rather than an opportunity. Having your breasts hooked up to a suction machine for thirty minutes, twelve times a day is far from pleasant. It doesn’t afford the same bonding that actual nursing creates, but don’t give up. Eventually your baby will be at the breast, and you will be able to pump much less frequently.

This is often a slow process and starts with nonnutritive feedings, where your preemie is simply put to the breast but not expected to actually transfer milk. Be patient. With time, your preemie will figure things out. In the meantime, I can’t say this too many times, pump, pump, pump. Be diligent in establishing a good milk supply from day one. Pumping every several hours for at least 20 minutes to start will help ensure a good supply. Being in the room with your preemie while pumping can also increase the amount of milk that you produce. The times that I sat looking at my preemie while pumping I often was able to pump at least an extra ounce of milk.

Getting enough sleep is also an important part of milk production. Once your milk supply has been established, allow yourself to go one somewhat longer stretch at night (not more than 6 hours-you don’t want to get engorged) without pumping. This extra sleep may help keep your supply up. Drinking enough water is another important component to an adequate supply. Water…Water…Water! Keep refilling your bottle.Mother breast feeding her baby with closed eyes

2. Small Mouth

Most preemies have tiny mouths, making it difficult for them to latch correctly. Make sure that you are using the help of a lactation consultant when teaching your baby how to latch. They have amazing tricks for helping the little one open widely and latch deeply. If your baby is latched too shallowly not only will they be unable to get milk efficiently, they will also cause you incredible pain! You are not going to gag your baby! Sandwich your breast with your hand and shove your baby’s mouth as deeply as possible onto your breast. The angle of their mouth should line up as though they are taking a bite from a sandwich. If you are in extreme pain, simply slide your finger into the corner of your infants mouth to break the suction. Unlatch and try again. Don’t let your baby feed with an incorrect latch! Sometimes a nipple shield may be necessary as well.

3. Lazy Feeder/Tired

Many preemies are tired. They don’t have much of an energy reserve due to their small size and lack of body fat. Overdoing it can definitely tire them out. Don’t expect your new preemie to eat efficiently at the breast for some time. It will come eventually. Some tips to help your little one stay awake to feed include stripping them down to a diaper and tapping the soles of their feet or stroking them.Mother Breastfeeding her newborn

4. Bradys

Many preemies will have bradycardic events (drop in heart rate) while breastfeeding. This is incredibly common. If this happens, take the baby off of the breast and stimulate them either by rubbing their back or the soles of their feet. Eating takes a lot of energy and sometimes if they are not yet efficient at handling milk flow, they may “choke” or “gag” resulting in a brady. Your nursing staff will help you know how to look for the warning signs before it happens. I always knew when I was nursing when my daughter was going to have a dip in her heart rate before it showed up on the monitor. She had the same tell every time where she acted like I was water boarding her with milk. If a very fast flow is an issue for your baby, you may need to pump for just a couple of minutes first to get the fast let down out of the way. This may benefit your preemie anyway, because they will be getting more of the hind milk which is richer in fat. If you notice that your baby is starting to struggle or gag, it may be a good idea to remove them from the breast for a moment and let them recover.

5. Poor Suck-Swallow-Breath reflex

Preemies have a lot to learn. Unlike other infants, they are expected to be high achievers before they were even supposed to enter the world. They shouldn’t have to breath air, suck a breast, or swallow milk yet. Expecting them to put all three of these activities together in a coordinated fashion is incredibly demanding. Most full-term infants are born with a suck-swallow-breath reflex. It happens naturally. For most preemies this is not the case. Give your baby time. Eventually they will figure this out. I was incredibly frustrated because I thought that my daughter would figure it out immediately. It took her nine weeks before this became natural.

The list of concerns and complications goes on and on when dealing with feeding a preemie. I have only touched on a few of the common issues. Please feel free to comment with questions, concerns, and your experiences.baby near mother's breast

From The Mom in Me, MD

 

 

Our Preemie Journey: Day 1 of Motherhood

When I awoke, I almost forgot that I was a mother. The discomfort from my c-section and the breast pump forced my mind to acknowledge that I had a baby, but I hadn’t seen her. I hadn’t held her. I hadn’t even named her yet. I knew she existed, but she felt like a distant memory. The magnesium continued to cloud my mind. I was sick. Oh, so sick. I knew that I cared about a little being, but it was hard to think about more than my own failing body. I was flooded by feelings of guilt. Did I truly care about myself more than my baby? Was I really that selfish?

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My precious preemie daughter!

The thought brought tears to my eyes. I wasn’t selfish. I loved my baby more than the knot in my throat would allow me to voice. Preeclampsia was to blame. Preeclampsia was the guilty one. Still, I couldn’t shake the guilt. I wanted to hold my baby for the first time. I needed to hold her, but I couldn’t. Even if I would have been able to move out of bed, I wasn’t allowed to leave the obstetrics floor with my dangerously high blood pressure and my magnesium IV still running. A picture of my fragile, tiny baby was my only glimpse into her world. She terrified me. She was so small. Too small. Scary small. I couldn’t look at her picture without bursting into tears.

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My baby in her incubator under bilirubin lights with feeding tube and supplemental oxygen.

A baby that small needed her mother. She needed to know my love and my presence. She had been a part of me for 32 weeks, and I had been her EVERYTHING! Now she was being cared for by people that she had never met. I envied them. I envied my husband who was able to spend hours cherishing our baby on his chest, skin to skin. The two floors that separated my hospital bed from her incubator might as well have been a continent. My heart longed for her. I was now a mother, but I felt childless, empty, hollow. How could day one of motherhood feel this tragic? I wanted my daughter back. I wanted to give her eight more weeks to grow and develop inside of me. I wanted to rewind and then fast forward to a perfect, full-term delivery! I wanted a day one of motherhood “do over.” I knew I couldn’t get my “do over”, so instead I decided to fight toward my next best option…Day 2 of motherhood with my preemie. Maybe tomorrow I would finally be able to hold my baby.

From The Mom in Me, MD

 

 

 

 

 

 

 

 

 

Our Preemie Journey: The Beginning

Pregnant Woman holding her hands in a heart shape on her baby bu

After years of trying to get pregnant, our dream finally came true. God had finally answered our heart wrenching prayers for a baby. Getting pregnant had been the hard part-being pregnant was a breeze in comparison. That is, until everything went wrong.

Because we had conceived with the help of IVF, I was already a paranoid pregnant lady. Even though I followed all of the recommendations, I still feared a miscarriage, a physical deformity, or a genetic anomaly. I had thought of most potential complications, and every little ting or pain alarmed my fragile state of mind. Knowing too much as a physician didn’t help. I reminded myself that it was normal to be overly concerned considering all that we had been through. It wasn’t like getting pregnant was a walk in the park for us. All forces of nature had conspired against us for years. Now that we had finally gotten a positive pregnancy test, I was a little leery that it was too good to be true. But, as months passed and our baby continued to be a perfect patient, the hypochondriac in me started to lessen. I resolved that I was going to have a happy and healthy baby.

Around 26 weeks of pregnancy, I suffered the worst headache of my life. My husband and I had recently moved states, and I had just established care with a new OB/GYN. I didn’t want to be the annoying patient who called about every little complaint, but when loads of Tylenol and sleep just didn’t cut it, I began to worry. Knowing that headaches can be linked with pregnancy induced hypertension and preeclampsia, I quickly checked my blood pressure. It was normal, but the pain in my head was not. With tears streaming down my cheeks, I asked my husband to call the doctor.

The physician on call recommended that I come into the hospital for blood work, to monitor the baby, and to get me something stronger for the headache. I couldn’t have agreed more. Thankfully, my blood pressure and blood work were fine, the baby was active, and the Percocet took the edge off.

After that episode, pregnancy life returned to normal. My follow-up blood pressures were fine. I hadn’t had another headache, and my only real complaint was the swelling in my feet. By swelling, I mean absolutely NO shoes fit my feet. I questioned, joked, and complained about my elephant feet, but I just assumed that it was part of the beauty of getting pregnant.

Since we had just moved to a new state without any family nearby, I knew that I needed to establish a support system before the baby arrived. This gave me the bright idea to join a Mom’s group while still only 32 weeks pregnant-I like to think outside of the box sometimes! I loved my “Real Mom’s” group from the moment that I met them. They applauded my assertiveness in joining the group while pregnant and welcomed me wholeheartedly. They didn’t, however, welcome my swollen feet! Instead, they insisted that I prop them up and have someone take a look at them. I reassured them all that I had a doctor’s appointment later that day, and that I didn’t have preeclampsia. It was simply swelling from pregnancy. I had noticed just the night before, however, that my glasses seemed a little tighter on my face, and my rings were even tighter than usual. I voiced my concern to my husband but then brushed it off as paranoia.

Fetus 7 Month In The Womb. Visible Head And Arms

At my 32-week prenatal visit, my blood pressure checked out fine. The Ob/GYN examined my belly and listen to the baby’s heartbeat. After measuring my belly, she recommended that we get a quick ultrasound of the baby since I hadn’t grown much since the last visit.

I waddled off to ultrasound, my feet aching with each step. The ultrasound confirmed that my baby’s growth had decreased to the 10th percentile from the 40th. Something was making her very unhappy inside of me. When I returned to the exam room, my doctor asked for a urine sample (which being pregnant I was easily able to give.) She reexamined my feet and decided to confirm my “normal” blood pressure. On recheck, my pressure wasn’t just a little high; it was stroke worthy! My urine dip screamed protein. And, when my doctor asked if I had been seeing any floaters, I dumbly responded that I had been having a weird, spotty kind of dizziness for months, but it seemed to be positional. Duh! Floaters! Wow, sometimes being a physician really doesn’t prepare you to be a good patient.

Within minutes I was loaded into a wheel chair and whisked to the OB floor for overnight observation. I voiced my concern that my mom was coming from Michigan to pick me up and take me back for a wedding shower. My Ob politely but firmly replied, “Emma, you aren’t going anywhere. First we have to make sure that you and the baby are safe.” By the time I made it to the OB floor, my blood pressure was sky-high, my head was pounding, and I was starting to get very scared. The nurse poked and re-poked me to start the IVs for the blood pressure medications and the dreaded magnesium. In what seemed like minutes, I had developed sudden and severe onset preeclampsia.

I called my mom to let her know the change of events. Knowing nothing about preeclampsia, she asked, “Emma, is this serious?” That’s when I broke down sobbing. Yes, it was serious. I was getting sicker by the minute, and I knew that my baby needed to be delivered soon…TOO SOON.

From The Mom In Me, MD