Sunday, April 7, 2013

Good Decisions

Evie's Birth, Part I  (March 18, 2013)

Evie's face, 32 weeks

It was Monday and I was at a regular 32-week check-up with my new OB, Dr. Moeller.  After measuring my tummy (normal) and listening to Evie's heart (normal), Dr. Moeller asked, "How are you feeling today Vera?"

"Anxious," I said.  "I have an appointment with a specialist on Thursday to check on my low amniotic fluid, and I am really hoping it has gone up. . . I have been eating, drinking, and resting well.  Plus I've been going to the pool every day."

"Well, I think I have an ultrasound room open.  Would you like to take a peek at the fluid?"- That was good decision number 1.  Dr. Moeller took me to a small room where she squeezed the cool gel on my tummy and turned on the monitor.  "Hmm," She said, "It's still very low- lower in fact.  I am worried because you have been doing everything right.  Let's do a non-stress test."  That was good decision number 2.  She helped me sit in a chair and hooked up a fetal heart monitor which spit out a long chart with little squiggly lines.  Twenty minutes later she came in to check those squiggly lines: "Hmm.  This looks OK, but baby isn't really moving too much.  She even had on little drop in heart rate. . . I think we better play it safe and have you check in to the hospital for IV fluids, rest, and monitoring."  There was good decision number three.

Two hours later I was hooked to an IV and getting a very thorough ultrasound by a radiologist.  Kabir and my sister Val were watching the screen as intently as I was.  Dr. Moeller and a colleague began explaining that there is a 10-point scale of fetal well-being, and Evie was at a 2: Low amniotic fluid was 2 points off; low movement was 2 points off; dropping heart rate from time to time was 2 points off, and her liver looked a little swollen which meant another 2 points off.  At a 2 out of 10, it was time for Evie to be delivered.

"You will need a C-section as soon as possible," Dr. Moeller said.  That was good decision number 4.  These 4 decisions saved Evie's life.



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