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Really bad appointment


Forum: May 2013 Playroom

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  #1  
February 25th, 2013, 12:29 PM
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So I had a dr appointment today. I had to bring my 3 yr old son with me bc I didn't have any childcare, which was stressful in itself. Luckily I brought my iPad which was a godsend for him.

I found out at the visit that I now have protein in my urine (+1) and sugar (+1). I was totally freaked out by this and had a complete breakdown, sobbing. We just came off a bad weekend of stomach flu, plus I had trouble sleeping last night, plus hormones. I'm also incredibly worried about my platelet level. For those of you unfamiliar, I have a condition called gestational thrombocytopenia. Basically, my platelet levels drop below normal and it gets worse as pregnancy progresses. Normal levels are 150-400. I started my pregnancy at 148, and at 28 weeks was down to 121. In my last pregnancy, I started at 161 but dropped to 102 at delivery. I barely made the cutoff to get an epidural (you need a count of 100 or higher).

Low platelets are a concern bc it puts you at increased risk for bleeding and hemorrhage during/after birth. Also, if I am below 100 at the time of delivery, I am not allowed to have an epidural due to risk of spinal hematoma, which can cause paralysis/death. It also means if I needed a C-section, I'd have to be put under general since I would not be allowed an epidural or a spinal block. I'm a wuss when it comes to pain, so I'm just really scared about not getting an epidural. Also, there is nothing I can do prior to delivery to raise my platelet level naturally or artifically. Platelets do regenerate every 10 days, so levels can vary weekly. That's why they always test you on delivery day.

I've also heard of a condition called HELLP, which is associated with low platelets and protein in urine, and is related to pre-eclampsia. So it's just a lot to take in and I'm scared.

They did additional blood testing today to check if I am developing early signs of preeclampsia or HELLP. The good news is that my blood pressure was fine and I didn't gain any weight in 2 weeks (thanks, stomach flu). I'm just really worried, but should know more tomorrow.

I also submitted another urine sample for a 24 hour culture. In my last pregnancy, I developed protein in my urine and they discovered a UTI...so maybe it's just that.
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  #2  
February 25th, 2013, 01:30 PM
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That sounds rough. I am sorry that you are going through this stress right now. Hopefully you will receive some good news tomorrow. Until then, I will keep you and your little one in my thoughts and prayers!!
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  #3  
February 25th, 2013, 01:35 PM
markswife's Avatar Mega Super Mommy
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I'm so sorry. That's a lot to take in for anyone. I hope that your doctor can find some answers for you to give you some peace for the next 10 weeks.
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  #4  
February 25th, 2013, 01:37 PM
Elly M.'s Avatar Mega Super Mommy
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I am sorry you had a bad appointment and are stressed I will be keeping you in my thoughts and hope that everything turns out well for you!
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  #5  
February 25th, 2013, 02:10 PM
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Awe I'm sorry.
That can be soooo stressful. When I was working in L & D we saw so many women with this problem and it kind of became a pattern that we saw. The more they stressed the harder it was for their body to produce enough platelets.
So we would send them home to be on rest for the last two weeks of their pregnancy so they have enough energy and enough platelets for us to work with. And they always turned out great.
Stay positive and don't stress out to much. Although i know it's hard not too. Your body will do you right. Just stay hydrated.
ill keep you in my prayers!
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  #6  
February 25th, 2013, 02:45 PM
Rhonda66's Avatar Mega Super Mommy
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Sorry to hear it was a rough appointment I had to bring my DS to my appointment last week because of school vacation week. I also have elevated protein and sugar in my urine, I think that's common. The platelet concern is scary though, but try to take one day at a time and hope for the best come delivery time! Since you can't do anything about it, try not to think about it, what's going to be will be, but I swear that stress just magnifies every potential problem and just serves to make it worse. Hope you get some better results closer to your due date!
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  #7  
February 25th, 2013, 03:01 PM
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That's a lot to take in at once; sorry to hear it. It's gonna be hard right now, but try to focus on the positives in your life and don't stress about the complications. Focus on letting go of your expectations and remind yourself (often) that everything is going to be ok, one way or another.
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  #8  
February 25th, 2013, 03:09 PM
jcperez's Avatar 1 Busy Momma
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Sorry to hear that. At least your feeling better though and its not as bad as it could be. Hopefully all will turn out ok with your tests.
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  #9  
February 25th, 2013, 03:14 PM
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Thanks, I know I need to just wait to see what the tests say, but I can't help freaking out. I just want a normal pregnancy and a healthy baby (like we all do)...I'm scared of delivering early now.
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  #10  
February 25th, 2013, 03:20 PM
Sapphera's Avatar NTNP Host
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Hopefully you get the test results back and it's just a UTI or the numbers are down again!!!

I had a huge sugar/protein spike one appointment, and it was completely back to normal by the next one - it could have been just an off day that way.
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  #11  
February 25th, 2013, 03:30 PM
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That's good to hear, Sapphera...maybe that's what will happen with me. Were you at +1?
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  #12  
February 25th, 2013, 03:33 PM
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My glucose was a 1.5 or 1.7, I can't remember the protein, but it was the 2nd highest # on the chart... LOL!
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  #13  
February 25th, 2013, 07:49 PM
NewlyMrs's Avatar Mega Super Mommy
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Sorry to hear you had a stressful day/appt. Hopefully everything turns out okay. It's good they are keeping an eye on it.
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  #14  
February 25th, 2013, 11:30 PM
EverydayJoy's Avatar Platinum Supermommy
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Wow that's really scary. I have heard you mention the platelet thing, and it makes me wonder why they don't just give you an IV infusion of platelets? Seems like it would be quite reasonable to do so given the circumstances.
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  #15  
February 26th, 2013, 08:27 AM
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I think it's bc although it's low, it's not yet in the dangerously low category to qualify for an infusion. If you infuse someone with more platelets than necessary, that can cause a thickening of the blood which could lead to other problems, like clots/stroke. I'm sure if I get too low on the day of delivery that would be something they'd do. Again, they'd have to wait and see what the levels are on delivery day, though, as they can fluctuate daily. I think the unknown and not being able to control it is what scares me most.
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  #16  
February 26th, 2013, 09:03 AM
EverydayJoy's Avatar Platinum Supermommy
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That makes sense. I'm sorry you have to go through that. I know how it feels to have medical issues going on and feel completely powerless. It's a scary feeling. I hope everything works out ok for you.
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  #17  
February 26th, 2013, 01:08 PM
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Update! Just talked to one of the nurses....she said my labs came back fine! No sign of preeclampsia or HELLP! The nurse thinks my elevated protein was due to the fact that I had a lot of chicken noodle soup when I was sick, which is high in sodium. I told her that I left a urine sample to be cultured for 24 hrs to check for UTI....but they hadn't sent it out yet so they will send it out today.

Oh, and my platelet level actually increased a bit - it was 129 (vs 121 two weeks ago)! So I'm feeling really positive. Thanks for all your support!
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  #18  
February 26th, 2013, 01:20 PM
Sapphera's Avatar NTNP Host
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That is AWESOME that your latest labs came back perfect!!! Now to wait for the urine sample (which I'm sure will be cleared too).

ANd even better is the platelet levels... I can't imagine having to worry about that too!! All around good day for you!
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  #19  
February 26th, 2013, 04:17 PM
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So glad to hear your labs were good and your platelet count is up! I hope it stays high enough for that epidural and baby can bake until perfection!
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  #20  
February 26th, 2013, 04:26 PM
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So happy to hear things worked out for you!!! I'm in a similar situation, had tests today that weren't great, midwife has mentioned the risk of HELLP, and is sending me for a full work up tomorrow! Hope I get similar results
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